Mental Health Nursing (NUR 2488) Detailed Answer Key Mental Medications
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Course
Mental Health Nursing
Institution
Mental Health Nursing
Mental Health Nursing (NUR 2488)Detailed Answer Key
Mental Medications
1. A nurse is caring for a client who has paranoid schizophrenia and a new prescription for risperidone. The client asks
the nurse what the medicine is supposed to do. Which of the following responses should the nurse make?
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Detailed Answer Key
Mental Medications
1. A nurse is caring for a client who has paranoid schizophrenia and a new prescription for risperidone. The client asks
the nurse what the medicine is supposed to do. Which of the following responses should the nurse make?
A. "This medication will improve your mood."
Rationale: This is not the primary action for risperidone.
B. "This medication will decrease your anxiety."
Rationale: Antipsychotics are often sedatives, but that is not the primary mode of action.
C. "This medication will clear your thinking."
Rationale: Risperidone is an antipsychotic medication used to treat schizophrenia and psychotic symptoms,
such as hallucinations, delusions, and hostility. This is an appropriate statement by the nurse.
D. "This medication will prevent depression."
Rationale: Risperidone is an antipsychotic that has a potential adverse effect of suicidal ideation.
2. A nurse is caring for a group of clients in a mental health facility. Which of the following clients recommend the
provider see first?
A. A client taking clozapine who has a sore throat and mild fever.
Rationale: A client who is taking clozapine and experiences a sore throat and fever requires immediate
intervention. A WBC count and differential should be done to rule out agranulocytosis, a
life-threatening complication of the medication.
B. A client taking chlorpromazine who is napping frequently throughout the day
Rationale: Excessive drowsiness is an adverse effect of chlorpromazine and does not warrant notification
of the client's provider.
C. A client taking risperidone who has gained 5 lb in 3 weeks.
Rationale: Weight gain is a common adverse effect associated with risperidone that does not warrant
notification of the client's provider.
D. A client taking olanzapine who experiences dizziness upon standing
Rationale: Dizziness or fainting when getting up suddenly from a lying or sitting position is a common
adverse effect associated with olanzapine that does not warrant notification of the client's
provider. The nurse should instead reinforce that the client change positions slowly to minimize
this effect.
3. A nurse is reinforcing teaching with a client about manifestations of lithium toxicity. Which of the following
manifestations should the nurse include in the teaching?
Created on:06/10/2024 Page 1
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Detailed Answer Key
Mental Medications
A. Vomiting and diarrhea
Rationale: Early manifestations of lithium toxicity include diarrhea, lethargy, impaired coordination, muscle
weakness, nausea or vomiting, slurred speech, and trembling. If the client experiences vomiting
and diarrhea, the client should omit the next dose of lithium and call the provider.
B. Increased flatulence
Rationale: Increased flatulence is a common adverse effect of lithium; however, it is not a sign of lithium
toxicity.
C. Loss of appetite
Rationale: Loss of appetite is a common adverse effect of lithium, especially during the body's adjustment
to the medication; however, it is not a sign of lithium toxicity.
D. Increased urination
Rationale: Increased urination is a common adverse effect of lithium; however, it is not a sign of lithium
toxicity.
4. A nurse is reinforcing teaching about valproate with a client who has a bipolar disorder. Which of the following
information should the nurse include in the teaching?
A. "Thyroid function tests must be performed every 6 months."
Rationale: Hypothyroidism may occur in clients taking lithium over an extended period of time, not
valproate.
B. "A pretreatment electroencephalogram (EEG) will be performed."
Rationale: Valproate is being used as a mood stabilizer for bipolar disorder, not as an anticonvulsant, so an
EEG is not needed.
C. "Liver function tests must be monitored regularly."
Rationale: Hepatotoxicity is a rare, but serious adverse effect; therefore, liver function tests must be
performed.
D. "A white blood count must be monitored weekly."
Rationale: Agranulocytosis is an adverse effect associated with the antipsychotic medication clozapine, not
valproate.
5. A nurse is caring for a client who is taking disulfiram and is experiencing severe nausea and vomiting. The nurse
should identify that which of the following is the cause for the client’s nausea and vomiting?
A. Consumption of alcohol
Rationale: When alcohol is ingested while taking disulfiram, the client will experience severe nausea and
vomiting.
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