Question 1

The client tells the nurse "I thought I was just depressed, but my doctor says I have bipolar disorder. What is that?" What is the best response by the nurse?

Accepted Answer

Bipolar disorder is a mood disorder characterized by cycles of depression and mania or hypomania. It is not only a type of depression, but also includes elevated mood or energy levels. The cycles of mood can vary in frequency and intensity for each individual.

Question 2

The mother of a seven -year -old child says to the nurse "My child is distractible in school, cannot complete assignments on time, and interrupts other children while they are speaking. What do you think?" What is the best response by the nurse?

Accepted Answer

The symptoms listed by the mother are consistent with ADHD, so the nurse should suggest that the child be tested for this condition. Option A is not appropriate as there is no mention of sadness or other symptoms of depression, and option B jumps to a more severe or complex diagnosis. Option D acknowledges that these behaviors can be typical for a seven-year-old, but also suggests further evaluation if they persist.

Question 3

The client has bipolar disorder and is in a manic phase. The physician prescribes lithium (Carbolith). The client's current lithium level is 0.4 What will the nurse expect to assess in this client?

Accepted Answer

Lithium levels of 0.4 are considered subtherapeutic for the management of bipolar disorder, typically requiring levels between 0.6 to 1.2 for therapeutic effect. Therefore, the client is likely to continue exhibiting symptoms of mania, such as hyperactivity and pressured speech, until the lithium level reaches a therapeutic range.

Question 4

The client has been receiving amitriptyline (Elavil) for two weeks. He tells the nurse he doesn't think this medicine is working, as he is still depressed. What is the best response by the nurse?

Accepted Answer

The best response by the nurse is to tell the client that the medication is working, but it can take several weeks to have an effect. This is because amitriptyline (Elavil) is an antidepressant that can take two to four weeks to reach full effectiveness. Option A is incorrect because several months is too long of a timeframe for the medication to take effect. Option B is incorrect as it is not a truthful response and may lead to false expectations. Option D is premature because the client has only been taking the medication for two weeks, and an adjustment in medication should only be considered after a thorough evaluation by the prescribing physician.

Question 5

The nurse has completed medication education for a client prior to the client receiving phenelzine (Nardil). The nurse evaluates the education as effective when the client makes which statement(s)? Select all that apply.

Accepted Answer

The answer of The nurse has completed medication education for...

Question 6

The nurse is conducting a group education session for clients who have been diagnosed with depression. The nurse evaluates the education as effective when a client makes which comment(s) about the cause of depression? Select all that apply.

Accepted Answer

Depression is understood to have multiple causes, including genetic, biological, environmental, and psychological factors. It can be inherited and influenced by impaired relationships, and it is also recognized that environmental factors and brain-based disorders play a role.

Question 7

The nurse has completed medication education with the client who is receiving lithium (Carbolith). What is the best client outcome?

Accepted Answer

Identifying signs of lithium (Carbolith) toxicity and knowing how to avoid it is a critical outcome, as lithium toxicity can be life-threatening. While the other options are important outcomes, they do not address the potential harm associated with lithium use.

Question 8

The client receives imipramine (Tofranil) as treatment for depression. He is admitted to the Emergency Department following an intentional overdose of this medication. What will the best assessment of the nurse include?

Accepted Answer

Imipramine (Tofranil) is a tricyclic antidepressant, and an overdose can lead to life-threatening cardiac arrhythmias. Therefore, assessing the client's cardiac status is crucial in this situation.

Question 9

The client has been depressed and the physician plans to begin treatment with an antidepressant medication. In performing the initial assessment, what is the most important question for the nurse to ask?

Accepted Answer

Asking about suicidal ideation is critical in assessing the client's risk for self-harm or suicide. This information will guide the physician in determining the appropriate antidepressant medication and monitoring the client closely for any adverse effects.

Question 10

The client has been receiving phenelzine (Nardil) for two months. She comes to the clinic and tells the nurse she had red wine and pepperoni pizza for lunch. What is the priority action of the nurse at this time?

Accepted Answer

The answer of The client has been receiving phenelzine (Nardil)...

Question 11

The ten -year -old client is receiving methylphenidate (Ritalin). The client's mother tells the nurse he just won't sleep while on his medication. What is the best response by the nurse?

Accepted Answer

Administering methylphenidate (Ritalin) later in the day can interfere with sleep. Advising not to give the medication after 4:00 p.m. can help minimize sleep disturbances.

Question 12

What is the priority outcome for a six -year -old client who had been started on methylphenidate (Ritalin)?

Accepted Answer

The priority outcome for a six-year-old client who had been started on methylphenidate (Ritalin) is to use age-appropriate play with peers. This is because methylphenidate is a stimulant medication that is used to treat attention deficit hyperactivity disorder (ADHD). ADHD is a neurodevelopmental disorder that can cause difficulty paying attention, impulsivity, and hyperactivity. Methylphenidate can help to improve attention and focus, and reduce impulsivity and hyperactivity. This can lead to improved social skills and peer relationships.

Question 13

The client asks the nurse why she needs to continue using table salt because her prescribed lithium (Carbolith) is a salt. What is the best response by the nurse?

Accepted Answer

Lithium balance in the body is closely related to sodium balance. If sodium intake is reduced, the kidneys may retain more lithium, increasing the risk of lithium toxicity. Therefore, maintaining a consistent intake of table salt helps prevent changes in lithium levels and reduces the risk of toxicity.

Question 14

The physician has prescribed sertraline (Zoloft) for the client who is anxious and depressed. The client calls the nurse to report that he has experienced delayed ejaculation since being on this medication. What is the best response by the nurse?

Accepted Answer

Delayed ejaculation is a known side effect of sertraline, so it is appropriate to inform the physician of this issue. The physician may choose to adjust the dosage or switch to a different medication. Option A is not an appropriate response as it is not related to the client's concern. Option B does not acknowledge the impact that the side effect is having on the client's quality of life. Option D may not be accurate, as delayed ejaculation may continue despite continued medication use.

Question 15

The 8 -year -old client is receiving methylphenidate (Ritalin). The client's mother tells the nurse that he won't eat while on his medication. What is the best response by the nurse?

Accepted Answer

Giving the medication after meals and encouraging supplements between meals can help stimulate the client's appetite while still managing his ADHD symptoms with the medication. Starting an appetite stimulant medication or referring to a nutritionist may not be necessary at this point, as there are more conservative approaches to try first. There is no indication that the client is depressed, so starting an antidepressant medication is not necessary.

Quiz 16: Drugs for Emotional and Mood Disorders

The client tells the nurse "I thought I was just depressed, but my doctor says I have bipolar disorder. What is that?" What is the best response by the nurse?

The mother of a seven -year -old child says to the nurse "My child is distractible in school, cannot complete assignments on time, and interrupts other children while they are speaking. What do you think?" What is the best response by the nurse?

The client has bipolar disorder and is in a manic phase. The physician prescribes lithium (Carbolith) . The client's current lithium level is 0.4 What will the nurse expect to assess in this client?

The client has been receiving amitriptyline (Elavil) for two weeks. He tells the nurse he doesn't think this medicine is working, as he is still depressed. What is the best response by the nurse?

The nurse has completed medication education for a client prior to the client receiving phenelzine (Nardil) . The nurse evaluates the education as effective when the client makes which statement(s) ? Select all that apply.

The nurse is conducting a group education session for clients who have been diagnosed with depression. The nurse evaluates the education as effective when a client makes which comment(s) about the cause of depression? Select all that apply.

The nurse has completed medication education with the client who is receiving lithium (Carbolith) . What is the best client outcome?

The client receives imipramine (Tofranil) as treatment for depression. He is admitted to the Emergency Department following an intentional overdose of this medication. What will the best assessment of the nurse include?

The client has been depressed and the physician plans to begin treatment with an antidepressant medication. In performing the initial assessment, what is the most important question for the nurse to ask?

The client has been receiving phenelzine (Nardil) for two months. She comes to the clinic and tells the nurse she had red wine and pepperoni pizza for lunch. What is the priority action of the nurse at this time?

The ten -year -old client is receiving methylphenidate (Ritalin) . The client's mother tells the nurse he just won't sleep while on his medication. What is the best response by the nurse?

What is the priority outcome for a six -year -old client who had been started on methylphenidate (Ritalin) ?

The client asks the nurse why she needs to continue using table salt because her prescribed lithium (Carbolith) is a salt. What is the best response by the nurse?

The physician has prescribed sertraline (Zoloft) for the client who is anxious and depressed. The client calls the nurse to report that he has experienced delayed ejaculation since being on this medication. What is the best response by the nurse?

The 8 -year -old client is receiving methylphenidate (Ritalin) . The client's mother tells the nurse that he won't eat while on his medication. What is the best response by the nurse?