Deck 5: Medication Management for Bipolar Disorder During Mania

Question 1

A client diagnosed with bipolar disorder and experiencing mania is admitted to the inpatient psychiatric setting. During the acute phase of mania, which medication would the nurse expect to most likely administer?

A) Lithium carbonate (Lithium)
B) Haloperidol lactate (Haldol)
C) Fluoxetine (Prozac)
D) Paroxetine (Paxil)

Answer 1

Haloperidol lactate (Haldol)

Question 2

When assessing a client for possible disordered water balance, the nurse checks the clients urine specific gravity. Which result would lead the nurse to suspect that the client is experiencing severe disordered water balance?

A) 1.020
B) 1.011
C) 1.005
D) 1.002

Answer 2

1.002

Question 3

A nurse is working with a group of clients diagnosed with schizophrenia in a community setting. Which of the following would least likely be a priority?

A) Improving the quality of life
B) Instilling hope
C) Managing psychosis
D) Preventing relapse

Answer 3

Managing psychosis

Question 4

The nurse is preparing to assess a client with a paranoid personality trait. The nurse integrates knowledge of this condition, anticipating that the clients affect and behavior will most likely be which of the following?

A) Angry and hostile
B) Flirtatious and seductive
C) Fearful and anxious
D) Friendly and open

Question 5

A nurse is developing a plan of care for a client diagnosed with an antisocial personality disorder who has been admitted to the inpatient psychiatric unit. Which of the following would the nurse most likely include? Select all that apply.

A) Developing a therapeutic relationship
B) Bargaining about the unit rules
C) Holding the client responsible for behavior
D) Discouraging client from discussing thoughts
E) Using a firm, lecture-like approach for teaching

Question 6

The nurse is reviewing the medical record of a client diagnosed with antisocial personality disorder. The nurse notes that the client has had numerous episodes involving irritability, aggressiveness, and impulsivity and has exhibited callousness toward others. Based on this information, which nursing diagnosis would the nurse most likely identify as a priority?

A) Risk for Other-Directed Violence
B) Risk for Self-Injury
C) Risk for Suicide
D) Risk for Self-Directed Violence

Question 7

A client is brought into the emergency department because of complaints from the neighbors that the client was acting strangely. The nurse assesses the client and suspects schizotypal personality disorder based on assessment of which of the following? Select all that apply.

A) Magical beliefs
B) Hallucinations
C) Paranoia
D) Avoidance of eye contact
E) Meticulous dress

Question 8

A group of nursing students is reviewing information about schizoid personality trait. The students demonstrate understanding of the information when they identify which disorder as the most common comorbid disorder?

A) Depression
B) Substance abuse
C) Avoidant personality disorder
D) Anxiety

Question 9

A nurse is reading an article about a young girl who developed gastrointestinal symptoms from a hair ball because of a ritual that she engaged in. The girl would pull out hair over several hours to relieve tension and anxiety and then eat the hair. The nurse most likely is reading an article about which of the following?

A) Kleptomania
B) Trichotillomania
C) Pyromania
D) Intermittent explosive disorder

Question 10

A nurse is working with a client who is a compulsive gambler. Which of the following would the nurse emphasize as crucial for relapse prevention? Select all that apply

A) Medication therapy
B) Family involvement
C) Identification of triggers
D) Anger management
E) Milieu management

Question 11

A nursing instructor is describing depressive and negativistic personality traits to a group of nursing students. The instructor determines that the teaching was successful when the students identify which of the following as characteristic of negativistic personality traits? Select all that apply.

A) Anhedonia
B) Hostility
C) Pessimism
D) Oppositionality
E) Guilt

Question 12

An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discussing the effects of long-term use of inhalants, which of the following would the nurse most likely include?

A) Tremors and CNS arousal
B) Enhanced normal heart rhythms
C) Enhanced attention focus and memory
D) Brain damage and cognitive abnormalities

Question 13

A client tells the nurse that he is committed to trying to quit smoking. When teaching the client about smoking cessation, which of the following would the nurse include?

A) Success usually involves more than one type of intervention.
B) Relapse is fairly rare within the first year of quitting.
C) Ear acupressure is a highly proven method for quitting.
D) Education is key for smoking cessation.

Question 14

A nurse is preparing an inservice program about substance abuse and its etiology. Which of the following would the nurse most likely include in the presentation when discussing possible psychologic etiologies?

A) Low self-esteem
B) Genetic predisposition
C) Dysfunctional family
D) Peer influence

Question 15

A client is brought to the emergency department after having overdosed on cocaine. When assessing the client, which of the following would the nurse expect to find? Select all that apply.

A) Euphoria
B) Seizures
C) Cardiac arrhythmia
D) Paranoia
E) Dilated pupils

Question 16

A nursing instructor is reviewing the various theories related to anorexia nervosa. Which of the following would the instructor include when describing theories related to the biologic domain? Select all that apply.

A) Genetic vulnerability
B) Separationindividuation
C) Role pressures
D) Dieting leading to starvation
E) Pursuit of thinness
F) Decreased serotonin activity

Question 17

While talking with a client with an eating disorder, the client states, Ive gained 2 pounds, so soon Ill be over 100 pounds. The nurse interprets this as which of the following?

A) Magnification
B) Selective abstraction
C) Overgeneralization
D) Dichotomous thinking