DAVIS ADVANTAGE FOR PSYCHIATRIC MENTAL HEALTH NURSING
CHAPTER 26 RATED A+ QUESTIONS AND CORRECT DETAILED
ANSWERS/EXPERT VERIFIED FOR GUARANTEED PASS!/LATEST
UPDATE
5. What is the most common comorbid condition in children with bipolar disorder?
a. Schizophrenia
b. Substance disorders
c. Oppositional defiant disorder
d. Attention deficit-hyperactivity disorder - CORRECT ANSWERS-D
4. Sleeps 6 to 8 hours per night - CORRECT ANSWERS-3. This is correct. Safety of the client and others
is the priority over physical and social
needs.
4. A client diagnosed with bipolar disorder: depressive episode intentionally overdoses
on sertraline (Zoloft). Family reports that the client has experienced anorexia, insomnia,
and recent job loss. Which should be the priority nursing diagnosis for this client?
1. Risk for suicide R/T hopelessness
2. Anxiety: severe R/T hyperactivity
3. Imbalanced nutrition: less than body requirements R/T refusal to eat
4. Dysfunctional grieving R/T loss of employment - CORRECT ANSWERS-1. This is correct. The priority
nursing diagnosis for this client should be risk for
suicide R/T hopelessness. The nurse should prioritize diagnoses based on physical
and safety needs. This client continues to be at risk for suicide related to an
intentional Zoloft overdose.
5. A client diagnosed with bipolar I disorder: manic episode refuses to take lithium
carbonate because he complains that it makes him feel sick. Which of the following
,medications might be alternatively prescribed for mood stabilization in bipolar
disorders?
1. Sertraline (Zoloft)
2. Valproic acid (Depakote)
3. Trazodone (Desyrel)
4. Paroxetine (Paxil) - CORRECT ANSWERS-2. This is correct. Valproic acid (Depakote) is an
anticonvulsant. For many years, the
drug of choice for treatment and management of bipolar mania was lithium
carbonate; however, in recent years, anticonvulsant drugs have been found to have
mood-stabilizing effects, either alone or in combination with lithium.
6. A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors. A
physician prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The client's
spouse questions the Zyprexa order. Which is the appropriate nursing reply?
1. "Zyprexa in combination with Eskalith cures manic symptoms."
2. "Zyprexa prevents extrapyramidal side effects."
3. "Zyprexa ensures a good night's sleep."
4. "Zyprexa calms hyperactivity until the Eskalith takes effect." - CORRECT ANSWERS-4. This is correct.
Olanzapine (Zyprexa) is an atypical antipsychotic used in acute
manic episodes to reduce hyperactivity until the lithium carbonate (Eskalith) takes
effect. Lithium carbonate may take 1 to 3 weeks to reach a therapeutic level and
decrease hyperactivity.
7. A client began taking lithium for the treatment of bipolar disorder approximately 1
month ago. The client asks if it is normal to have gained 12 lb in this time frame. Which
is the appropriate nursing reply?
1. "That's strange. Weight loss is the typical pattern."
2. "What have you been eating? Weight gain is not usually associated with lithium."
3. "Weight gain is a common but troubling side effect."
, 4. "Weight gain occurs only during the first month of treatment with this drug." - CORRECT ANSWERS-
3. This is correct. Weight gain is a common side effect of lithium carbonate. The nurse
should educate the client on the importance of medication compliance and discuss
concerns with the prescribing physician if the client does not wish to continue taking
the medication.
8. A nursing instructor is teaching about the prevalence of bipolar disorder. Which
student statement indicates learning has occurred?
1. "This disorder is more prevalent in lower socioeconomic groups."
2. "This disorder is more prevalent in higher socioeconomic groups."
3. "This disorder is equally prevalent in all socioeconomic groups."
4. "This disorder is unpredictable based on socioeconomic groups." - CORRECT ANSWERS-2. This is
correct. Bipolar disorder is more prevalent in higher socioeconomic groups.
9. A client diagnosed with bipolar disorder has taken lithium carbonate (Lithane) for 1
year; this client presents in an emergency department with severe diarrhea, blurred
vision, and tinnitus. The nurse should interpret these symptoms to be indicative of which
of the following?
1. Consumption of foods high in tyramine
2. Common side effects of lithium carbonate
3. Lithium carbonate tolerance
4. Lithium carbonate toxicity - CORRECT ANSWERS-4. This is correct. The client's symptoms indicate
lithium carbonate toxicity.
Symptoms of lithium carbonate toxicity include persistent nausea and vomiting,
severe diarrhea, ataxia, blurred vision, tinnitus, excessive urine output, increasing
tremors, and/or mental confusion. These symptoms require a physician to be
notified.
10. Which condition appears to have a connection to bipolar disorder in youth?
1. Attention deficit-hyperactivity disorder (ADHD)
CHAPTER 26 RATED A+ QUESTIONS AND CORRECT DETAILED
ANSWERS/EXPERT VERIFIED FOR GUARANTEED PASS!/LATEST
UPDATE
5. What is the most common comorbid condition in children with bipolar disorder?
a. Schizophrenia
b. Substance disorders
c. Oppositional defiant disorder
d. Attention deficit-hyperactivity disorder - CORRECT ANSWERS-D
4. Sleeps 6 to 8 hours per night - CORRECT ANSWERS-3. This is correct. Safety of the client and others
is the priority over physical and social
needs.
4. A client diagnosed with bipolar disorder: depressive episode intentionally overdoses
on sertraline (Zoloft). Family reports that the client has experienced anorexia, insomnia,
and recent job loss. Which should be the priority nursing diagnosis for this client?
1. Risk for suicide R/T hopelessness
2. Anxiety: severe R/T hyperactivity
3. Imbalanced nutrition: less than body requirements R/T refusal to eat
4. Dysfunctional grieving R/T loss of employment - CORRECT ANSWERS-1. This is correct. The priority
nursing diagnosis for this client should be risk for
suicide R/T hopelessness. The nurse should prioritize diagnoses based on physical
and safety needs. This client continues to be at risk for suicide related to an
intentional Zoloft overdose.
5. A client diagnosed with bipolar I disorder: manic episode refuses to take lithium
carbonate because he complains that it makes him feel sick. Which of the following
,medications might be alternatively prescribed for mood stabilization in bipolar
disorders?
1. Sertraline (Zoloft)
2. Valproic acid (Depakote)
3. Trazodone (Desyrel)
4. Paroxetine (Paxil) - CORRECT ANSWERS-2. This is correct. Valproic acid (Depakote) is an
anticonvulsant. For many years, the
drug of choice for treatment and management of bipolar mania was lithium
carbonate; however, in recent years, anticonvulsant drugs have been found to have
mood-stabilizing effects, either alone or in combination with lithium.
6. A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors. A
physician prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The client's
spouse questions the Zyprexa order. Which is the appropriate nursing reply?
1. "Zyprexa in combination with Eskalith cures manic symptoms."
2. "Zyprexa prevents extrapyramidal side effects."
3. "Zyprexa ensures a good night's sleep."
4. "Zyprexa calms hyperactivity until the Eskalith takes effect." - CORRECT ANSWERS-4. This is correct.
Olanzapine (Zyprexa) is an atypical antipsychotic used in acute
manic episodes to reduce hyperactivity until the lithium carbonate (Eskalith) takes
effect. Lithium carbonate may take 1 to 3 weeks to reach a therapeutic level and
decrease hyperactivity.
7. A client began taking lithium for the treatment of bipolar disorder approximately 1
month ago. The client asks if it is normal to have gained 12 lb in this time frame. Which
is the appropriate nursing reply?
1. "That's strange. Weight loss is the typical pattern."
2. "What have you been eating? Weight gain is not usually associated with lithium."
3. "Weight gain is a common but troubling side effect."
, 4. "Weight gain occurs only during the first month of treatment with this drug." - CORRECT ANSWERS-
3. This is correct. Weight gain is a common side effect of lithium carbonate. The nurse
should educate the client on the importance of medication compliance and discuss
concerns with the prescribing physician if the client does not wish to continue taking
the medication.
8. A nursing instructor is teaching about the prevalence of bipolar disorder. Which
student statement indicates learning has occurred?
1. "This disorder is more prevalent in lower socioeconomic groups."
2. "This disorder is more prevalent in higher socioeconomic groups."
3. "This disorder is equally prevalent in all socioeconomic groups."
4. "This disorder is unpredictable based on socioeconomic groups." - CORRECT ANSWERS-2. This is
correct. Bipolar disorder is more prevalent in higher socioeconomic groups.
9. A client diagnosed with bipolar disorder has taken lithium carbonate (Lithane) for 1
year; this client presents in an emergency department with severe diarrhea, blurred
vision, and tinnitus. The nurse should interpret these symptoms to be indicative of which
of the following?
1. Consumption of foods high in tyramine
2. Common side effects of lithium carbonate
3. Lithium carbonate tolerance
4. Lithium carbonate toxicity - CORRECT ANSWERS-4. This is correct. The client's symptoms indicate
lithium carbonate toxicity.
Symptoms of lithium carbonate toxicity include persistent nausea and vomiting,
severe diarrhea, ataxia, blurred vision, tinnitus, excessive urine output, increasing
tremors, and/or mental confusion. These symptoms require a physician to be
notified.
10. Which condition appears to have a connection to bipolar disorder in youth?
1. Attention deficit-hyperactivity disorder (ADHD)
