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#1 goal for nurses? - CORRECT ANSWER: Safety
1st med used for bipolar disorder? - CORRECT ANSWER: Lithium
A client with depression is refusing to eat solid food. Which beverage would the nurse
avoid providing to the client? - CORRECT ANSWER: Grapefruit Juice
A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would
the nurse expect to assess? - CORRECT ANSWER: Diminished participation in
significant activities.
A nursing care plan for a hospitalized patient who is hyperactive in a manic episode
must include? - CORRECT ANSWER: attention to adequate fluid and food intake
A patient diagnosed with bipolar 1 in the manic phase is yelling at another peer in the
milieu. The priority intervention is? - CORRECT ANSWER: Calmly redirect and remove
the patient from the milieu.
A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of
ideas. Which meds would you expect to give? - CORRECT ANSWER: Risperidone
(Risperdal) & Lamotrigine (Lamictal)
A patient diagnosed with major depressive disorder is prescribed Nardil. Which
teachings should the nurse prioritize? - CORRECT ANSWER: Intruct the patient &
family about the many food-drug & drug-drug interactions?
, A patient diagnosed with MDD is being considered for ECT. Which patient teaching
should the nurse prioritize? - CORRECT ANSWER: Discuss with the patient and family
expected short term memory loss
A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to
assess? - CORRECT ANSWER: The patient uses excessive hand washing to relieve
anxiety.
A patient is about to start CLozapine (Clozaril). Which would be the most important for
the nurse to do? - CORRECT ANSWER: Obtain a baseline WBC count
A patient is experiencing paranoid thinking. Which intervention would aid in facilitating
other interventions? - CORRECT ANSWER: Assign consistent staff members
A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse
takes priority? - CORRECT ANSWER: Make sure your salt intake is consistent.
A patient on an in patient unit is experiencing a flash back. Which intervention takes
priority? - CORRECT ANSWER: Maintain and reassure the patient of his or her safety
and security
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors
and muscular irritability. The RN should? - CORRECT ANSWER: Assess a serum
Lithium level of 2.6mEq/L
A patient seen in the ED is experiencing irritability, pressured speech, and increased
levels of anxiety. The priority is? - CORRECT ANSWER: Assess vital signs and
complete a physical assessment
A patient with schizophrenia says "We can pan, scan, ran, plan". The nurse identifies
this as? - CORRECT ANSWER: Clang association