Question: The client is arrogant and manipulative. In ensuring a therapeutic milieu, the nurse does one of the following:
Answer Options:
A. Allow the client to negotiate the plan of care
B. Provide the client with extra time for one on one sessions
C. Agree on a consistent approach among the staff assigned to the client
D. Suggest that the client take a leading role in the social activities
Answer: C
Question: Medication Calculation: The medication prescription reads: Administer Lithium 600 mg by mouth in the am and 900 mg by mouth at bedtime. Lithium is delivered by the pharmacy as 300 mg capsules. In 24 hours how many capsules will you administer?
Answer Options:
(Short answer calculation)
Answer: 5 capsules
Question: Lamotrigine (Lamictal) has one serious but rare potential life-threatening reaction:
Answer Options:
A. Steven Johnson Syndrome
B. Thyroid abnormalities
C. Agranulocytosis
D. Bone Marrow Depression
Answer: A (Steven Johnson Syndrome)
Question: Medication Calculation: A patient is prescribed Zoloft (Sertraline) 25 mg one tablet daily by mouth for 4 days then increase to 2 tablets daily for 1 week (7 days). Delivered are Zoloft (Sertraline) 25 mg tablets. How many tablets will the patient receive from the pharmacy for this order?
Answer Options:
(Short answer calculation)
Answer: 18 tablets
Question: Ms. A. uses the maladaptive social behavior of manipulation. Staff working to reduce this behavior should convey the message that:
Answer Options:
A. manipulative behavior results in frustration and anger among staff and patients
B. she is accepted, but her behavior may be rejected as inappropriate
C. if she cannot control her own behavior, staff will establish external controls and medicate
D. manipulation of patients and family is more acceptable than manipulation of staff
Answer: B
Question: A client attends the mood disorders clinic at the urging of her mother. The physician who examines her says, “She’s hypomanic.” The nurse can expect to assess:
Answer Options:
A. Some motor hyperactivity but depressive affect
B. Grandiosity, distractibility, flight of ideas, and excessive psychomotor activity (more severe – mania)
C. Clinical symptoms more severe than mania
D. Symptoms less severe than those of a manic state
Answer: D
Question: Hypomania is NOT associated with psychosis.
Answer Options:
True
False
Answer: True
Question: In the pharmacological treatment of depression, antidepressants known as SSRIs are often used. SSRI stands for:
Answer Options:
A. Selective serotonin restoring injections
B. Standard serotonin restoration intake
C. Selective serotonin reuptake inhibitors
D. Serotonin safely restoring inducers
Answer: C
Question: The main mood-stabilizing (Gold Standard) medication used in bipolar disorder is:
Answer Options:
A. Lorazepam
B. Benadryl (IM)
C. Lithium
D. Fluoxetine
Answer: C (Lithium)
Question: A client was admitted with major depressive disorder 3 weeks ago. Suicidal ideation was present, but the client had no plan. The client has received sertraline (Zoloft) and is feeling somewhat less depressed. A factor of importance for the nurse to consider is that:
Answer Options:
A. No relationship between the depth of depression and suicidality exists
B. The patient may be at increased risk for suicide as the depression lifts
C. The patient will be at decreased risk for suicide as the depression lifts
D. The patient is no longer considered a suicide risk after 3 weeks on medication
Answer: B
Question: At a staff meeting, a psychiatric mental health care provider states, “The client is really difficult. She makes suicidal gestures, but never really hurts herself. They should send her home instead of admitting her.” The best response on the part of the nurse would be:
Answer Options:
A. “You seem to have a real problem when patients lose emotional control.”
B. “Any suicide attempt deserves serious attention and concern for safety.”
C. “She has no family to provide social support.”
D. “Nursing staff have no part in the decision to admit. Share your concerns to the practitioner.”
Answer: B
Question: The most common indication of ECT is:
Answer Options:
A. Generalized Anxiety Disorder
B. Major depression
C. Schizophrenia
D. Antisocial Personality Disorder
Answer: B (Major depression)
Question: The assessment has been made that the client is highly suicidal. One-to-one constant supervision with unit restriction has been ordered. How will this order be implemented?
Answer Options:
A. Observe Mr. T. every 15 minutes around the clock. Document his whereabouts and activity level.
B. Obtain a no-suicide contract, remove harmful objects from the environment, and keep him on the unit.
C. Remove harmful objects from his possession; stay with him at all times, awake or asleep, even in the bathroom; keep him on the unit.
D. Observe Mr. T. while he is awake, on or off the unit.
Answer: C
Question: Medication Calculation: A patient is prescribed Lithium Carbonate 1200 mg at bedtime. The medication arrives from the pharmacy as 300 mg capsules. How many capsules do you administer?
Answer Options:
(Short answer calculation)
Answer: 4 capsules
Question: When a client has started on the SSRI medication fluoxetine (Prozac), which of the following should be included in the plan for patient education?
Answer Options:
A. Intake of salt and salty foods should be restricted
B. The onset of action is 2 to 6 weeks
C. Foods containing tyramine should be restricted
D. Discontinue safety precautions
Answer: B