Essentials Of Psychiatric Mental Health Nursing 8th Edition Exam 2024 Questions With Reviewed Answers
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Course
Psychiatric Mental Health Nursing 8th Edition
Institution
Psychiatric Mental Health Nursing 8th Edition
Essentials Of Psychiatric Mental
Health Nursing 8th Edition Exam
2024 Questions With Reviewed
Answers
1) Agitated and pacing. Exhibiting grandiosity. Mood labile. -
ANSWER A highly agitated client paces the unit and states, I
could buy and sell this place. The clients mood fluct...
Essentials Of Psychiatric Mental
Health Nursing 8th Edition Exam
2024 Questions With Reviewed
Answers
1) Agitated and pacing. Exhibiting grandiosity. Mood labile. -
ANSWER ✔ A highly agitated client paces the unit and states, I
could buy and sell this place. The clients mood fluctuates from fits
of laughter to outbursts of anger. Which is the most accurate
documentation of this clients behavior?
1. Rates mood 8/10. Exhibiting looseness of association.
Euphoric.
2. Mood euthymic. Exhibiting magical thinking. Restless.
3. Mood labile. Exhibiting delusions of reference. Hyperactive.
4. Agitated and pacing. Exhibiting grandiosity. Mood labile.
2.Altered nutrition: less than body requirements R/T hyperactivity
AEB
weight loss - ANSWER ✔ A client diagnosed with bipolar disorder
is distraught over insomnia experienced over the last 3 nights and
a 12-pound weight loss over the past 2 weeks. Which should be
this clients priority nursing diagnosis?
,1. Knowledge deficit R/T bipolar disorder AEB concern about
symptoms 2.Altered nutrition: less than body requirements R/T
hyperactivity AEB
weight loss
3. Risk for suicide R/T powerlessness AEB insomnia and
anorexia 4.Altered sleep patterns R/T mania AEB insomnia for the
past 3 nights
3, 1, 4, 2 - ANSWER ✔ A nurse is planning care for a client
diagnosed with bipolar disorder: manic episode. In which order
should the nurse prioritize the client outcomes in the exhibit?
1. Maintains nutritional status.
2.Interacts appropriately with peers
3. Remains free from injury
4. Sleeps 6 to 8 hoursa night
1. Risk for suicide R/T hopelessness - ANSWER ✔ A client
diagnosed with bipolar disorder: depressive episode intentionally
overdoses on sertraline (Zoloft). Family members report that the
client has experienced anorexia, insomnia, and recent job loss.
Which nursing diagnosis should a nurse prioritize?
1. Risk for suicide R/T hopelessness
2. Anxiety: severe R/T hyperactivity
3. Imbalanced nutrition: less than body requirements R/T refusal
to eat
4. Dysfunctional grieving R/T loss of employment
2. Valproic acid (Depakote) - ANSWER ✔ A client diagnosed with
bipolar I disorder: manic episode refuses to take lithium carbonate
(Lithobid) because of excessive weight gain. In order to increase
adherence, which medication should a nurse anticipate that a
physician may prescribe?
4.Zyprexa calms hyperactivity until the Eskalith takes effect. -
ANSWER ✔ A client diagnosed with bipolar I disorder is exhibiting
severe manic behaviors. A physician prescribes lithium carbonate
(Eskalith) and olanzapine (Zyprexa). The clients spouse questions
the Zyprexa order. Which is the appropriate nursing response?
1. Zyprexa in combination with Eskalith cures manic symptoms.
2. Zyprexa prevents extrapyramidal side effects.
3. Zyprexa increases the effectiveness of the immune system.
4.Zyprexa calms hyperactivity until the Eskalith takes effect.
3. Weight gain is a common, but troubling, side effect. -
ANSWER ✔ A client began taking lithium carbonate (Lithobid) for
the treatment of bipolar disorder approximately 1 month ago. The
client asks if it is normal to have gained 12 pounds in this time
frame. Which is the appropriate nursing response?
1. Thats strange. Weight loss is the typical pattern.
2. What have you been eating? Weight gain is not usually
associated with
lithium.
3. Weight gain is a common, but troubling, side effect.
4.Weight gain only occurs during the first month of treatment with
this drug.
ANS: 3
, Neologisms thought process - ANSWER ✔ Made-up words that
typically have only meaning to the individual who uses them.
Noted in some type of schizophrenia.
Associative looseness (loose association) - ANSWER ✔ shift of
ideas from one unrelated topic to another
Neologisms - ANSWER ✔ invented or distorted words. Seen in
schizophrenia and aphasia
Community support programs - ANSWER ✔ Which treatment
strategy emphasizes vocational expectations and sheltered
workshops that provide rehabilitation to a client with
schizophrenia?
Instruct the client to rise slowly when going from sitting to
standing. - ANSWER ✔ While monitoring the bp of a client who is
on antipsychotic therapy, the nurse finds that the client has
orthostatic hypotension. Which nursing intervention is beneficial
for the client in this situation?
"It was removed last month, but it is growing again and I will be
walking shortly." - ANSWER ✔ The nurse asks a client with
schizophrenia, "When was your left leg amputated?" Which
response by the client indicates a somatic delusion?
Somatic Delusional Disorder - ANSWER ✔ the person has a
medical condition or physical defect for which no medical cause
can be found
The client develops self-esteem. - ANSWER ✔ client always
always wants to be alone due to a lack of trust in other
individuals. While caring for the client, the nurse plans to
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