Question 1

The nurse is providing care for a client who is experiencing situational depression after the death of a parent.During the assessment,the nurse learns that the client has returned to work,is caring for her family,and spends quiet time reflecting on her life and future.Which conclusion by the nurse is most appropriate?

Accepted Answer

A) The client has returned to work, cares for her family, and reflects on her life and future. These are all indications that the client has the ability to work through the grief process, which will reduce the negative consequences associated with situational depression. The client is not denying the death of her mother. The client is not demonstrating anxiety or ineffective coping.
B) The client has returned to work, cares for her family, and reflects on her life and future. These are all indications that the client has the ability to work through the grief process, which will reduce the negative consequences associated with situational depression. The client is not denying the death of her mother. The client is not demonstrating anxiety or ineffective coping.
C) The client has returned to work, cares for her family, and reflects on her life and future. These are all indications that the client has the ability to work through the grief process, which will reduce the negative consequences associated with situational depression. The client is not denying the death of her mother. The client is not demonstrating anxiety or ineffective coping.
D) The client has returned to work, cares for her family, and reflects on her life and future. These are all indications that the client has the ability to work through the grief process, which will reduce the negative consequences associated with situational depression. The client is not denying the death of her mother. The client is not demonstrating anxiety or ineffective coping.

Question 2

A student nurse is assisting in the care of a client with bipolar disorder.The student nurse researches the disorder further,focusing on the pathophysiology and etiology of the disorder.Which are true regarding the pathophysiology and etiology of bipolar disorder? Select all that apply.

Accepted Answer

A) Bipolar disorders, schizophrenia, and major depressive disorders share biological susceptibility and inheritance patterns. All other choices are correct.
B) Bipolar disorders, schizophrenia, and major depressive disorders share biological susceptibility and inheritance patterns. All other choices are correct.
C) Bipolar disorders, schizophrenia, and major depressive disorders share biological susceptibility and inheritance patterns. All other choices are correct.
D) Bipolar disorders, schizophrenia, and major depressive disorders share biological susceptibility and inheritance patterns. All other choices are correct.
E) Bipolar disorders, schizophrenia, and major depressive disorders share biological susceptibility and inheritance patterns. All other choices are correct.

Question 3

A client experiencing situational depression after losing a good job tells the nurse,"I am tired of always having to start over." Which actions by the nurse are appropriate based on this data? Select all that apply.

Accepted Answer

A) The nurse needs to assess the client's resiliency by finding out what he was able to do in the past, in similar situations, to be successful. Exercise has been shown to improve cognitive function, elevate mood, and relieve stress and anxiety. Suggesting that the client needs medication is inappropriate without further assessment. The nurse should not encourage the client to rest and relax because this could lead to a major depressive episode. The nurse should not encourage the client to ingest alcohol because this can be a self-destructive behavior.
B) The nurse needs to assess the client's resiliency by finding out what he was able to do in the past, in similar situations, to be successful. Exercise has been shown to improve cognitive function, elevate mood, and relieve stress and anxiety. Suggesting that the client needs medication is inappropriate without further assessment. The nurse should not encourage the client to rest and relax because this could lead to a major depressive episode. The nurse should not encourage the client to ingest alcohol because this can be a self-destructive behavior.
C) The nurse needs to assess the client's resiliency by finding out what he was able to do in the past, in similar situations, to be successful. Exercise has been shown to improve cognitive function, elevate mood, and relieve stress and anxiety. Suggesting that the client needs medication is inappropriate without further assessment. The nurse should not encourage the client to rest and relax because this could lead to a major depressive episode. The nurse should not encourage the client to ingest alcohol because this can be a self-destructive behavior.
D) The nurse needs to assess the client's resiliency by finding out what he was able to do in the past, in similar situations, to be successful. Exercise has been shown to improve cognitive function, elevate mood, and relieve stress and anxiety. Suggesting that the client needs medication is inappropriate without further assessment. The nurse should not encourage the client to rest and relax because this could lead to a major depressive episode. The nurse should not encourage the client to ingest alcohol because this can be a self-destructive behavior.
E) The nurse needs to assess the client's resiliency by finding out what he was able to do in the past, in similar situations, to be successful. Exercise has been shown to improve cognitive function, elevate mood, and relieve stress and anxiety. Suggesting that the client needs medication is inappropriate without further assessment. The nurse should not encourage the client to rest and relax because this could lead to a major depressive episode. The nurse should not encourage the client to ingest alcohol because this can be a self-destructive behavior.

Question 4

The nurse is caring for an adolescent with bipolar disorder who has expressed the desire to harm self.What is the priority nursing diagnosis for this client?

Accepted Answer

A) The priority for an adolescent with bipolar disorder and suicidal ideas is safety. Risk for Suicide is the nursing diagnosis that would address safety for the client. The other diagnoses have a lower priority and can be addressed once safety has been ensured.
B) The priority for an adolescent with bipolar disorder and suicidal ideas is safety. Risk for Suicide is the nursing diagnosis that would address safety for the client. The other diagnoses have a lower priority and can be addressed once safety has been ensured.
C) The priority for an adolescent with bipolar disorder and suicidal ideas is safety. Risk for Suicide is the nursing diagnosis that would address safety for the client. The other diagnoses have a lower priority and can be addressed once safety has been ensured.
D) The priority for an adolescent with bipolar disorder and suicidal ideas is safety. Risk for Suicide is the nursing diagnosis that would address safety for the client. The other diagnoses have a lower priority and can be addressed once safety has been ensured.

Question 5

The nurse is providing care to a client diagnosed with bipolar disorder.The client's family asks the nurse what this is.Which response by the nurse is appropriate?

Accepted Answer

A) Clients with bipolar disorder may shift from emotions of extreme depression to extreme rage and agitation. Mania may include grandiosity, decreased need for sleep, pressured speech, racing thoughts, buying sprees, and sexual indiscretions. Bipolar disorder must include either mania or hypomania, not just depression. Bipolar disorder must include depression with either mania or hypomania, not attention deficit disorder. A mood change that becomes worse in the winter is called seasonal affective disorder.
B) Clients with bipolar disorder may shift from emotions of extreme depression to extreme rage and agitation. Mania may include grandiosity, decreased need for sleep, pressured speech, racing thoughts, buying sprees, and sexual indiscretions. Bipolar disorder must include either mania or hypomania, not just depression. Bipolar disorder must include depression with either mania or hypomania, not attention deficit disorder. A mood change that becomes worse in the winter is called seasonal affective disorder.
C) Clients with bipolar disorder may shift from emotions of extreme depression to extreme rage and agitation. Mania may include grandiosity, decreased need for sleep, pressured speech, racing thoughts, buying sprees, and sexual indiscretions. Bipolar disorder must include either mania or hypomania, not just depression. Bipolar disorder must include depression with either mania or hypomania, not attention deficit disorder. A mood change that becomes worse in the winter is called seasonal affective disorder.
D) Clients with bipolar disorder may shift from emotions of extreme depression to extreme rage and agitation. Mania may include grandiosity, decreased need for sleep, pressured speech, racing thoughts, buying sprees, and sexual indiscretions. Bipolar disorder must include either mania or hypomania, not just depression. Bipolar disorder must include depression with either mania or hypomania, not attention deficit disorder. A mood change that becomes worse in the winter is called seasonal affective disorder.

Question 6

The home care nurse hears the spouse of an older client say "You have been so sick but you insist on living in this huge home that you cannot maintain but expect me to." The client engages in an argument with the spouse.Which does the home care nurse identify as occurring with this couple?

Accepted Answer

A) Manifestations associated with situational depression in the older client include irritability and poor work performance. One spouse is irritable because of overwork and the other spouse is irritable because of the inability to perform household work. The nurse cannot determine if the family is having financial struggles. There is no evidence of spousal abuse at this time. The nurse cannot determine that the arguing is due to low blood glucose levels.
B) Manifestations associated with situational depression in the older client include irritability and poor work performance. One spouse is irritable because of overwork and the other spouse is irritable because of the inability to perform household work. The nurse cannot determine if the family is having financial struggles. There is no evidence of spousal abuse at this time. The nurse cannot determine that the arguing is due to low blood glucose levels.
C) Manifestations associated with situational depression in the older client include irritability and poor work performance. One spouse is irritable because of overwork and the other spouse is irritable because of the inability to perform household work. The nurse cannot determine if the family is having financial struggles. There is no evidence of spousal abuse at this time. The nurse cannot determine that the arguing is due to low blood glucose levels.
D) Manifestations associated with situational depression in the older client include irritability and poor work performance. One spouse is irritable because of overwork and the other spouse is irritable because of the inability to perform household work. The nurse cannot determine if the family is having financial struggles. There is no evidence of spousal abuse at this time. The nurse cannot determine that the arguing is due to low blood glucose levels.

Question 7

The nurse is providing care to a client who is exhibiting clinical manifestations of biplar disorder.Which assessment findings support that the client is at an increased risk for this disorder? Select all that apply.

Accepted Answer

A) Bipolar disorders typically appear between the ages of 15 and 30. Risk factors include a family history of bipolar disorders, drug abuse, periods of very high stress, and a major life-altering event. Women and men are at equal risk of having bipolar disorders. A blood pressure of 120/80 mmHg does not put a client at risk for bipolar disorders. Being employed and working out regularly are not risk factors for bipolar disorders.
B) Bipolar disorders typically appear between the ages of 15 and 30. Risk factors include a family history of bipolar disorders, drug abuse, periods of very high stress, and a major life-altering event. Women and men are at equal risk of having bipolar disorders. A blood pressure of 120/80 mmHg does not put a client at risk for bipolar disorders. Being employed and working out regularly are not risk factors for bipolar disorders.
C) Bipolar disorders typically appear between the ages of 15 and 30. Risk factors include a family history of bipolar disorders, drug abuse, periods of very high stress, and a major life-altering event. Women and men are at equal risk of having bipolar disorders. A blood pressure of 120/80 mmHg does not put a client at risk for bipolar disorders. Being employed and working out regularly are not risk factors for bipolar disorders.
D) Bipolar disorders typically appear between the ages of 15 and 30. Risk factors include a family history of bipolar disorders, drug abuse, periods of very high stress, and a major life-altering event. Women and men are at equal risk of having bipolar disorders. A blood pressure of 120/80 mmHg does not put a client at risk for bipolar disorders. Being employed and working out regularly are not risk factors for bipolar disorders.
E) Bipolar disorders typically appear between the ages of 15 and 30. Risk factors include a family history of bipolar disorders, drug abuse, periods of very high stress, and a major life-altering event. Women and men are at equal risk of having bipolar disorders. A blood pressure of 120/80 mmHg does not put a client at risk for bipolar disorders. Being employed and working out regularly are not risk factors for bipolar disorders.

Question 8

The nurse sees a client crying after being dropped off for a clinic appointment.The client states,"I am a burden to my entire family now that I cannot drive." Based on this data,which does the nurse include in the client's plan of care?

Accepted Answer

A) The client is experiencing a loss of independence with the inability to drive. This loss is causing tension between the client and daughter, and the client feels like a burden. This situation places the client at risk for the development of situational depression. The client is not demonstrating signs of bipolar disorder or depression. This type of situation is not linked to the development of cardiac disease.
B) The client is experiencing a loss of independence with the inability to drive. This loss is causing tension between the client and daughter, and the client feels like a burden. This situation places the client at risk for the development of situational depression. The client is not demonstrating signs of bipolar disorder or depression. This type of situation is not linked to the development of cardiac disease.
C) The client is experiencing a loss of independence with the inability to drive. This loss is causing tension between the client and daughter, and the client feels like a burden. This situation places the client at risk for the development of situational depression. The client is not demonstrating signs of bipolar disorder or depression. This type of situation is not linked to the development of cardiac disease.
D) The client is experiencing a loss of independence with the inability to drive. This loss is causing tension between the client and daughter, and the client feels like a burden. This situation places the client at risk for the development of situational depression. The client is not demonstrating signs of bipolar disorder or depression. This type of situation is not linked to the development of cardiac disease.

Question 9

A client informs the nurse,"My mother keeps telling me to get over the death of my spouse,but I'm having a hard time doing that." Which action by the nurse is appropriate to assist the client and family?

Accepted Answer

A) The client's mother is urging the client to "get over" the death of a spouse. The nurse should remind both the client and family that the grief process is individual and that there is no set time limit for the process to end. Agreeing with the mother would be ignoring the client's feelings. The nurse should not avoid getting involved with the family conflict if the client is experiencing an alteration from a healthy state, because that would be ignoring the client's need. Telling the client that arguing with a parent never ends in a good way is inappropriate.
B) The client's mother is urging the client to "get over" the death of a spouse. The nurse should remind both the client and family that the grief process is individual and that there is no set time limit for the process to end. Agreeing with the mother would be ignoring the client's feelings. The nurse should not avoid getting involved with the family conflict if the client is experiencing an alteration from a healthy state, because that would be ignoring the client's need. Telling the client that arguing with a parent never ends in a good way is inappropriate.
C) The client's mother is urging the client to "get over" the death of a spouse. The nurse should remind both the client and family that the grief process is individual and that there is no set time limit for the process to end. Agreeing with the mother would be ignoring the client's feelings. The nurse should not avoid getting involved with the family conflict if the client is experiencing an alteration from a healthy state, because that would be ignoring the client's need. Telling the client that arguing with a parent never ends in a good way is inappropriate.
D) The client's mother is urging the client to "get over" the death of a spouse. The nurse should remind both the client and family that the grief process is individual and that there is no set time limit for the process to end. Agreeing with the mother would be ignoring the client's feelings. The nurse should not avoid getting involved with the family conflict if the client is experiencing an alteration from a healthy state, because that would be ignoring the client's need. Telling the client that arguing with a parent never ends in a good way is inappropriate.

Question 10

During a routine physical examination,a client tells the nurse,"I don't know what to do anymore since my husband died and left me alone." Which is the priority nursing diagnosis for this client?

Accepted Answer

A) The client states that she does not know what to do since her spouse died. This information would support the diagnosis of Helplessness. The client may or may not be anxious or stressed. There is not enough information to determine whether the client is or is not experiencing imbalanced nutrition.
B) The client states that she does not know what to do since her spouse died. This information would support the diagnosis of Helplessness. The client may or may not be anxious or stressed. There is not enough information to determine whether the client is or is not experiencing imbalanced nutrition.
C) The client states that she does not know what to do since her spouse died. This information would support the diagnosis of Helplessness. The client may or may not be anxious or stressed. There is not enough information to determine whether the client is or is not experiencing imbalanced nutrition.
D) The client states that she does not know what to do since her spouse died. This information would support the diagnosis of Helplessness. The client may or may not be anxious or stressed. There is not enough information to determine whether the client is or is not experiencing imbalanced nutrition.

Question 11

A client experiencing situational depression after the traumatic death of the spouse tells the nurse,"Since I started taking a walk every day,I've been feeling better." Which conclusion regarding the impact of exercise for this client is appropriate? Select all that apply.

Accepted Answer

A) Exercise has been known to improve the status of clients diagnosed with situational depression by elevating mood, relieving stress, and helping with focus so that other tasks and responsibilities can be completed. Exercise does more than give someone something to do. Exercise does improve body oxygenation; however, that is not the reason why it has been effective for this client. Exercise should not be seen as a short-term diversion for this client because it is a habit that should be maintained in the future.
B) Exercise has been known to improve the status of clients diagnosed with situational depression by elevating mood, relieving stress, and helping with focus so that other tasks and responsibilities can be completed. Exercise does more than give someone something to do. Exercise does improve body oxygenation; however, that is not the reason why it has been effective for this client. Exercise should not be seen as a short-term diversion for this client because it is a habit that should be maintained in the future.
C) Exercise has been known to improve the status of clients diagnosed with situational depression by elevating mood, relieving stress, and helping with focus so that other tasks and responsibilities can be completed. Exercise does more than give someone something to do. Exercise does improve body oxygenation; however, that is not the reason why it has been effective for this client. Exercise should not be seen as a short-term diversion for this client because it is a habit that should be maintained in the future.
D) Exercise has been known to improve the status of clients diagnosed with situational depression by elevating mood, relieving stress, and helping with focus so that other tasks and responsibilities can be completed. Exercise does more than give someone something to do. Exercise does improve body oxygenation; however, that is not the reason why it has been effective for this client. Exercise should not be seen as a short-term diversion for this client because it is a habit that should be maintained in the future.
E) Exercise has been known to improve the status of clients diagnosed with situational depression by elevating mood, relieving stress, and helping with focus so that other tasks and responsibilities can be completed. Exercise does more than give someone something to do. Exercise does improve body oxygenation; however, that is not the reason why it has been effective for this client. Exercise should not be seen as a short-term diversion for this client because it is a habit that should be maintained in the future.

Question 12

A client in the manic phase of bipolar disorder is unable to sleep during the night.Which interventions could be helpful to this client? Select all that apply.

Accepted Answer

A) To promote sleep during the night, the nurse should decrease lighting and noise, encourage pre-sleep routines like a warm bath, and provide a snack. Listening to soothing music also helps to promote sleep. Stimulation such as watching television and long conversations should be avoided. To promote nighttime sleeping, daytime naps should be limited and not extended.
B) To promote sleep during the night, the nurse should decrease lighting and noise, encourage pre-sleep routines like a warm bath, and provide a snack. Listening to soothing music also helps to promote sleep. Stimulation such as watching television and long conversations should be avoided. To promote nighttime sleeping, daytime naps should be limited and not extended.
C) To promote sleep during the night, the nurse should decrease lighting and noise, encourage pre-sleep routines like a warm bath, and provide a snack. Listening to soothing music also helps to promote sleep. Stimulation such as watching television and long conversations should be avoided. To promote nighttime sleeping, daytime naps should be limited and not extended.
D) To promote sleep during the night, the nurse should decrease lighting and noise, encourage pre-sleep routines like a warm bath, and provide a snack. Listening to soothing music also helps to promote sleep. Stimulation such as watching television and long conversations should be avoided. To promote nighttime sleeping, daytime naps should be limited and not extended.
E) To promote sleep during the night, the nurse should decrease lighting and noise, encourage pre-sleep routines like a warm bath, and provide a snack. Listening to soothing music also helps to promote sleep. Stimulation such as watching television and long conversations should be avoided. To promote nighttime sleeping, daytime naps should be limited and not extended.

Question 13

The nurse is planning care for an adolescent client experiencing the manic phase of bipolar disorder.Which intervention would address hallucinations?

Accepted Answer

A) The adolescent client in the manic phase of bipolar disorder experiencing hallucinations should not be left alone in a quiet room but rather should be talked with and explained that the hallucinations are not real. The nurse should not discuss homework assignments or encourage the client to spend time with others. The hallucinations need to be addressed.
B) The adolescent client in the manic phase of bipolar disorder experiencing hallucinations should not be left alone in a quiet room but rather should be talked with and explained that the hallucinations are not real. The nurse should not discuss homework assignments or encourage the client to spend time with others. The hallucinations need to be addressed.
C) The adolescent client in the manic phase of bipolar disorder experiencing hallucinations should not be left alone in a quiet room but rather should be talked with and explained that the hallucinations are not real. The nurse should not discuss homework assignments or encourage the client to spend time with others. The hallucinations need to be addressed.
D) The adolescent client in the manic phase of bipolar disorder experiencing hallucinations should not be left alone in a quiet room but rather should be talked with and explained that the hallucinations are not real. The nurse should not discuss homework assignments or encourage the client to spend time with others. The hallucinations need to be addressed.

Question 14

Which client observation indicates that interventions provided to a client in the manic phase of bipolar disorder has improved self-care activities?

Accepted Answer

A) The client completing a morning bath and changing clothes are evidence that the interventions succeeded in improving the client's self-care activities. The client needing to be reminded to brush teeth would not be a successful outcome. The client washing hands after using the toilet may or may not be an improvement. The client cleaning spilled liquid on the floor but not changing clothes is not evidence of improvement in self-care activities.
B) The client completing a morning bath and changing clothes are evidence that the interventions succeeded in improving the client's self-care activities. The client needing to be reminded to brush teeth would not be a successful outcome. The client washing hands after using the toilet may or may not be an improvement. The client cleaning spilled liquid on the floor but not changing clothes is not evidence of improvement in self-care activities.
C) The client completing a morning bath and changing clothes are evidence that the interventions succeeded in improving the client's self-care activities. The client needing to be reminded to brush teeth would not be a successful outcome. The client washing hands after using the toilet may or may not be an improvement. The client cleaning spilled liquid on the floor but not changing clothes is not evidence of improvement in self-care activities.
D) The client completing a morning bath and changing clothes are evidence that the interventions succeeded in improving the client's self-care activities. The client needing to be reminded to brush teeth would not be a successful outcome. The client washing hands after using the toilet may or may not be an improvement. The client cleaning spilled liquid on the floor but not changing clothes is not evidence of improvement in self-care activities.

Question 15

A client experiencing situational depression over the loss of a spouse is overwhelmed with having to close the spouse's business,settle finances,and figure out a way to survive financially.Which actions by the nurse are appropriate when assisting this client? Select all that apply.

Accepted Answer

A) The client is demonstrating powerlessness. The nurse should help the client problem-solve by strategizing what needs to be accomplished. The nurse should not suggest group therapy with a grief counselor because the client is not demonstrating signs of dysfunctional grieving. The nurse should not suggest the client move in with parents nor investigate whether the spouse had life insurance to help with the client's income because the client has not yet determined the priority of issues that need to be addressed. These suggestions might be beneficial after the client has prioritized the things that need to be accomplished.
B) The client is demonstrating powerlessness. The nurse should help the client problem-solve by strategizing what needs to be accomplished. The nurse should not suggest group therapy with a grief counselor because the client is not demonstrating signs of dysfunctional grieving. The nurse should not suggest the client move in with parents nor investigate whether the spouse had life insurance to help with the client's income because the client has not yet determined the priority of issues that need to be addressed. These suggestions might be beneficial after the client has prioritized the things that need to be accomplished.
C) The client is demonstrating powerlessness. The nurse should help the client problem-solve by strategizing what needs to be accomplished. The nurse should not suggest group therapy with a grief counselor because the client is not demonstrating signs of dysfunctional grieving. The nurse should not suggest the client move in with parents nor investigate whether the spouse had life insurance to help with the client's income because the client has not yet determined the priority of issues that need to be addressed. These suggestions might be beneficial after the client has prioritized the things that need to be accomplished.
D) The client is demonstrating powerlessness. The nurse should help the client problem-solve by strategizing what needs to be accomplished. The nurse should not suggest group therapy with a grief counselor because the client is not demonstrating signs of dysfunctional grieving. The nurse should not suggest the client move in with parents nor investigate whether the spouse had life insurance to help with the client's income because the client has not yet determined the priority of issues that need to be addressed. These suggestions might be beneficial after the client has prioritized the things that need to be accomplished.
E) The client is demonstrating powerlessness. The nurse should help the client problem-solve by strategizing what needs to be accomplished. The nurse should not suggest group therapy with a grief counselor because the client is not demonstrating signs of dysfunctional grieving. The nurse should not suggest the client move in with parents nor investigate whether the spouse had life insurance to help with the client's income because the client has not yet determined the priority of issues that need to be addressed. These suggestions might be beneficial after the client has prioritized the things that need to be accomplished.

Question 16

A client in the manic phase of bipolar disorder is prescribed lithium and has a current level of 0.4.Which clinical manifestation does the nurse anticipate when assessing this client?

Accepted Answer

A) A therapeutic lithium level is 1.0-1.5 mEq/L. Because this client's level is low, behaviors will indicate mania, that is, hyperactivity and pressured speech. There will be no decrease in manic behavior because the lithium level is too low. The client will not exhibit signs and symptoms of depression, but will continue in the manic phase until the lithium level is within a therapeutic range. The client will not return to baseline behavior, but will continue in the manic phase until the lithium level is within a therapeutic range.
B) A therapeutic lithium level is 1.0-1.5 mEq/L. Because this client's level is low, behaviors will indicate mania, that is, hyperactivity and pressured speech. There will be no decrease in manic behavior because the lithium level is too low. The client will not exhibit signs and symptoms of depression, but will continue in the manic phase until the lithium level is within a therapeutic range. The client will not return to baseline behavior, but will continue in the manic phase until the lithium level is within a therapeutic range.
C) A therapeutic lithium level is 1.0-1.5 mEq/L. Because this client's level is low, behaviors will indicate mania, that is, hyperactivity and pressured speech. There will be no decrease in manic behavior because the lithium level is too low. The client will not exhibit signs and symptoms of depression, but will continue in the manic phase until the lithium level is within a therapeutic range. The client will not return to baseline behavior, but will continue in the manic phase until the lithium level is within a therapeutic range.
D) A therapeutic lithium level is 1.0-1.5 mEq/L. Because this client's level is low, behaviors will indicate mania, that is, hyperactivity and pressured speech. There will be no decrease in manic behavior because the lithium level is too low. The client will not exhibit signs and symptoms of depression, but will continue in the manic phase until the lithium level is within a therapeutic range. The client will not return to baseline behavior, but will continue in the manic phase until the lithium level is within a therapeutic range.

Question 17

A novice nurse is working in a behavioral health hospital and desires to learn more about bipolar disorder.The nurse understands that bipolar disorders affect clients differently across the lifespan.Which is true regarding bipolar disorder and lifespan considerations?

Accepted Answer

A) Lifetime prevalence of bipolar disorders in adolescents is 0%-3%. Children with bipolar disorders present with mood and behavioral changes. Children with bipolar disorders are often misdiagnosed with ADD or ADHD, causing years of undiagnosed and untreated mental illness. Suicide risk is increased among all age groups with bipolar disorders.
B) Lifetime prevalence of bipolar disorders in adolescents is 0%-3%. Children with bipolar disorders present with mood and behavioral changes. Children with bipolar disorders are often misdiagnosed with ADD or ADHD, causing years of undiagnosed and untreated mental illness. Suicide risk is increased among all age groups with bipolar disorders.
C) Lifetime prevalence of bipolar disorders in adolescents is 0%-3%. Children with bipolar disorders present with mood and behavioral changes. Children with bipolar disorders are often misdiagnosed with ADD or ADHD, causing years of undiagnosed and untreated mental illness. Suicide risk is increased among all age groups with bipolar disorders.
D) Lifetime prevalence of bipolar disorders in adolescents is 0%-3%. Children with bipolar disorders present with mood and behavioral changes. Children with bipolar disorders are often misdiagnosed with ADD or ADHD, causing years of undiagnosed and untreated mental illness. Suicide risk is increased among all age groups with bipolar disorders.

Question 18

A client in the manic phase of bipolar disorder will not sit down to eat.Which can the nurse do to ensure adequate nutrition and improved self-care of this client? Select all that apply.

Accepted Answer

A) The client who is unable to sit down and eat is most likely to consume frequent small snacks that can be eaten "on the go." The nurse should discuss with a dietitian to ensure that high-calorie finger foods and nutritious liquids are available on the nursing unit until the client is able to attend regular meals. Sedating, restraining, and providing intravenous therapy are not appropriate interventions and should not be done.
B) The client who is unable to sit down and eat is most likely to consume frequent small snacks that can be eaten "on the go." The nurse should discuss with a dietitian to ensure that high-calorie finger foods and nutritious liquids are available on the nursing unit until the client is able to attend regular meals. Sedating, restraining, and providing intravenous therapy are not appropriate interventions and should not be done.
C) The client who is unable to sit down and eat is most likely to consume frequent small snacks that can be eaten "on the go." The nurse should discuss with a dietitian to ensure that high-calorie finger foods and nutritious liquids are available on the nursing unit until the client is able to attend regular meals. Sedating, restraining, and providing intravenous therapy are not appropriate interventions and should not be done.
D) The client who is unable to sit down and eat is most likely to consume frequent small snacks that can be eaten "on the go." The nurse should discuss with a dietitian to ensure that high-calorie finger foods and nutritious liquids are available on the nursing unit until the client is able to attend regular meals. Sedating, restraining, and providing intravenous therapy are not appropriate interventions and should not be done.
E) The client who is unable to sit down and eat is most likely to consume frequent small snacks that can be eaten "on the go." The nurse should discuss with a dietitian to ensure that high-calorie finger foods and nutritious liquids are available on the nursing unit until the client is able to attend regular meals. Sedating, restraining, and providing intravenous therapy are not appropriate interventions and should not be done.

Question 19

A nurse is caring for a client with an adjustment disorder with depressed mood.The nurse wants to perform interventions that will promote hope for the client.Which intervention best promotes hope in this client?

Accepted Answer

A) A nurse who is promoting hope for a client with an adjustment disorder with depressed mood will help clients identify ways in which they have control of their lives. The other choices are correct interventions for supporting family function, not providing hope.
B) A nurse who is promoting hope for a client with an adjustment disorder with depressed mood will help clients identify ways in which they have control of their lives. The other choices are correct interventions for supporting family function, not providing hope.
C) A nurse who is promoting hope for a client with an adjustment disorder with depressed mood will help clients identify ways in which they have control of their lives. The other choices are correct interventions for supporting family function, not providing hope.
D) A nurse who is promoting hope for a client with an adjustment disorder with depressed mood will help clients identify ways in which they have control of their lives. The other choices are correct interventions for supporting family function, not providing hope.

Question 20

A nurse is performing research on the etiology,pathophysiology,and treatment of adjustment disorder with depressed mood.Which findings does the nurse anticipate regarding the effects of exercise on depression?

Accepted Answer

A) Although there are no studies that specifically investigate the role of exercise in adjustment disorder with depressed mood or situational depression, evidence suggests that physical exercise is as effective as CBT or medication in reducing depression. The exercise performed should be aerobic combined with resistance to get the most antidepressant effect.
B) Although there are no studies that specifically investigate the role of exercise in adjustment disorder with depressed mood or situational depression, evidence suggests that physical exercise is as effective as CBT or medication in reducing depression. The exercise performed should be aerobic combined with resistance to get the most antidepressant effect.
C) Although there are no studies that specifically investigate the role of exercise in adjustment disorder with depressed mood or situational depression, evidence suggests that physical exercise is as effective as CBT or medication in reducing depression. The exercise performed should be aerobic combined with resistance to get the most antidepressant effect.
D) Although there are no studies that specifically investigate the role of exercise in adjustment disorder with depressed mood or situational depression, evidence suggests that physical exercise is as effective as CBT or medication in reducing depression. The exercise performed should be aerobic combined with resistance to get the most antidepressant effect.

Quiz 28: Mood and Affect