Podcast
Questions and Answers
Which of the following are relevant indicators? (Select all that apply)
Which of the following are relevant indicators? (Select all that apply)
- BMI (correct)
- Glucose
- Bowel movement
- Skin temperature (correct)
- BUN (correct)
- Potassium (correct)
- Heart rate (correct)
- Peripheral edema
- Sodium
- Blood pressure
Which of the following statements should the nurse include in the teaching for a client who experienced a traumatic event? (Select all that apply)
Which of the following statements should the nurse include in the teaching for a client who experienced a traumatic event? (Select all that apply)
- You should seek help if you have thoughts of self-harm (correct)
- You should avoid talking about the event
- It is common for people who survived a traumatic event to experience feelings of anxiety (correct)
- A support group might be helpful to you during this time (correct)
Which information indicates the client's condition with anorexia nervosa is deteriorating? (Select all that apply)
Which information indicates the client's condition with anorexia nervosa is deteriorating? (Select all that apply)
- BMI (correct)
- QT prolongation (correct)
- Exercise regimen
- Hematemesis (correct)
What is an expected adverse effect that might have caused a client with bipolar disorder to stop taking lithium?
What is an expected adverse effect that might have caused a client with bipolar disorder to stop taking lithium?
Which of the following interventions should the nurse include in the plan for a client with bulimia nervosa who is 5% above their ideal body weight?
Which of the following interventions should the nurse include in the plan for a client with bulimia nervosa who is 5% above their ideal body weight?
What should the nurse say to a client dealing with the upcoming loss of a terminally ill child?
What should the nurse say to a client dealing with the upcoming loss of a terminally ill child?
What is the priority intervention for a client with a new prescription for olanzapine?
What is the priority intervention for a client with a new prescription for olanzapine?
What therapeutic response demonstrates summarizing to a client with anorexia nervosa?
What therapeutic response demonstrates summarizing to a client with anorexia nervosa?
How should the nurse document a client's speech pattern who states, 'I'm red, in the head, and I'm going to bed!'?
How should the nurse document a client's speech pattern who states, 'I'm red, in the head, and I'm going to bed!'?
The client is at greatest risk for _______ as evidenced by the client's ________.
The client is at greatest risk for _______ as evidenced by the client's ________.
Which of the following are positive symptoms of schizophrenia?
Which of the following are positive symptoms of schizophrenia?
The first action the nurse should take is to address the client's _______ due to the client's ________.
The first action the nurse should take is to address the client's _______ due to the client's ________.
Which finding should the nurse expect in a client experiencing a situational crisis?
Which finding should the nurse expect in a client experiencing a situational crisis?
Which laboratory finding should the nurse expect for a client with alcoholic cardiomyopathy?
Which laboratory finding should the nurse expect for a client with alcoholic cardiomyopathy?
How should the nurse engage a client with dementia looking for their deceased partner?
How should the nurse engage a client with dementia looking for their deceased partner?
What should the nurse allow for a client who does not respond when asked about their goals during therapy?
What should the nurse allow for a client who does not respond when asked about their goals during therapy?
If a client reports feeling that a bomb was placed in their room, what should the nurse do?
If a client reports feeling that a bomb was placed in their room, what should the nurse do?
What should the nurse include in their teaching about mechanical restraints?
What should the nurse include in their teaching about mechanical restraints?
Which statement by a client with alcohol use disorder indicates denial as a defense mechanism?
Which statement by a client with alcohol use disorder indicates denial as a defense mechanism?
What finding might indicate neglect in an older adult client?
What finding might indicate neglect in an older adult client?
Which family dynamics might indicate a boundary issue?
Which family dynamics might indicate a boundary issue?
Who can give informed consent in a medical setting?
Who can give informed consent in a medical setting?
What behavior should the nurse report as a priority for a client with bipolar disorder?
What behavior should the nurse report as a priority for a client with bipolar disorder?
Which findings in a client in the Emergency Department require follow-up?
Which findings in a client in the Emergency Department require follow-up?
For a client assessment, which findings are consistent with alcohol toxicity?
For a client assessment, which findings are consistent with alcohol toxicity?
The client is at risk for developing _______ as evidenced by the client's _______.
The client is at risk for developing _______ as evidenced by the client's _______.
Which potential prescription should be anticipated for a client with alcohol toxicity?
Which potential prescription should be anticipated for a client with alcohol toxicity?
What should the nurse first do after reporting a client at risk of suicide?
What should the nurse first do after reporting a client at risk of suicide?
Which finding indicates a positive response to therapy for alcohol withdrawal syndrome?
Which finding indicates a positive response to therapy for alcohol withdrawal syndrome?
What should the nurse do if they observe derogatory comments being made to a client?
What should the nurse do if they observe derogatory comments being made to a client?
What is the priority goal for a client with borderline personality disorder?
What is the priority goal for a client with borderline personality disorder?
What statement indicates that client rights under the law are understood?
What statement indicates that client rights under the law are understood?
What factors should the nurse include as increasing the risk for depression?
What factors should the nurse include as increasing the risk for depression?
What action demonstrates active listening by the nurse?
What action demonstrates active listening by the nurse?
What side effect should be discussed when teaching a patient about fluoxetine?
What side effect should be discussed when teaching a patient about fluoxetine?
What is a possible indicator of neglect in an older adult client's caregiver?
What is a possible indicator of neglect in an older adult client's caregiver?
What might indicate a client is accepting of their terminal illness?
What might indicate a client is accepting of their terminal illness?
What task should the nurse assign to an LPN?
What task should the nurse assign to an LPN?
Which over-the-counter medication should alert the nurse for a client prescribed tranylcypromine?
Which over-the-counter medication should alert the nurse for a client prescribed tranylcypromine?
How much chlorpromazine should be administered to a 110 lb adolescent?
How much chlorpromazine should be administered to a 110 lb adolescent?
Which client should be reported as a potential victim of abuse?
Which client should be reported as a potential victim of abuse?
What interventions should be included in a care plan for a client in seclusion?
What interventions should be included in a care plan for a client in seclusion?
What indicates understanding from the partner of a client in alcohol rehabilitation?
What indicates understanding from the partner of a client in alcohol rehabilitation?
What should the nurse say to a client pushing on a locked unit door?
What should the nurse say to a client pushing on a locked unit door?
What finding indicates a potential psychiatric emergency for a client with schizophrenia?
What finding indicates a potential psychiatric emergency for a client with schizophrenia?
What manifestation should the nurse expect from a client experiencing opioid withdrawal?
What manifestation should the nurse expect from a client experiencing opioid withdrawal?
What is a recommended action for a client experiencing a panic attack?
What is a recommended action for a client experiencing a panic attack?
What finding indicates that benztropine should be administered?
What finding indicates that benztropine should be administered?
What should the nurse do when a client hears voices?
What should the nurse do when a client hears voices?
What intervention should be included for a client experiencing acute mania to promote sleep?
What intervention should be included for a client experiencing acute mania to promote sleep?
What should be the priority action by the nurse for a client experiencing mania?
What should be the priority action by the nurse for a client experiencing mania?
Which finding should the nurse expect from a client with bulimia nervosa?
Which finding should the nurse expect from a client with bulimia nervosa?
What indicates that a client understands the coping strategies being taught?
What indicates that a client understands the coping strategies being taught?
What behavior indicates the effectiveness of behavioral therapy in a client with antisocial personality disorder?
What behavior indicates the effectiveness of behavioral therapy in a client with antisocial personality disorder?
What should the nurse do when one client monopolizes group time in therapy?
What should the nurse do when one client monopolizes group time in therapy?
What findings indicate an improvement in a client with anorexia nervosa after 2 weeks?
What findings indicate an improvement in a client with anorexia nervosa after 2 weeks?
Study Notes
Bipolar Disorder and Medication
- Hand tremors can be an expected adverse effect of lithium, leading clients to discontinue use.
- For clients experiencing mania, priority nursing actions include providing high-calorie snacks and promoting frequent rest periods.
Eating Disorders
- Identifying trigger foods is a crucial intervention in bulimia nervosa management.
- Anorexia nervosa may present with tooth erosion as a physical sign of the disorder.
Grief and Terminal Illness
- Emotional responses to impending loss may include anger towards self and others.
- Encouraging discussions about joyful memories can support clients dealing with loss.
Schizophrenia and Psychotic Symptoms
- Clang association is indicative of disorganized thought processes observed in some schizophrenic clients.
- Positive symptoms of schizophrenia include delusions of grandeur and catatonia, whereas negative symptoms encompass alogia and social withdrawal.
Substance Use Disorders
- Clients with alcohol use disorder are at risk for violent behavior, especially during states of agitation.
- Clients in alcohol withdrawal are monitored for vital signs, temperature, heart rate, and tremors as indicators of therapy effectiveness.
Communication and Therapeutic Techniques
- Active listening involves attention to nonverbal cues, fostering a deeper connection with clients.
- Summarizing a client's concerns can validate their feelings and enhance therapeutic communication.
Crisis Intervention and Safety
- Observe clients for evidence of perceptual disturbances if they express fears, such as believing a bomb is in their room.
- Suicide precautions should be initiated for clients expressing harmful ideation.
Client Rights and Legal Considerations
- Medications can be administered without consent for clients posing a threat to others.
- Reporting concerns about potential abuse is essential, especially for vulnerable populations like older adults.
Group Therapy Dynamics
- Encouraging open discussions about monopolizing behaviors in group therapy can foster healthier group dynamics.
Coping Strategies and Acceptance
- Expressing feelings with friends is a constructive coping strategy for clients facing depression linked to partner violence.
- Accepting the need for adaptive tools, like a wheelchair, signifies progress in accepting terminal illness.
Assessment and Lab Findings
- Increased creatine phosphokinase indicates cardiac issues related to alcohol abuse.
- QT prolongation may signal deteriorating health in clients with anorexia nervosa.
Nursing Interventions and Care Plans
- Care for clients in seclusion should include regular prescription renewals and monitoring.
- Focused assessments and individualized care plans are crucial for managing clients with severe mental health disorders.
Education and Understanding Disorders
- Providing educational sessions on depression risk factors, such as substance use disorders, helps increase awareness and prevention.
- Teaching clients about medication side effects promotes informed self-management of their treatment plans.
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Description
Test your knowledge with these flashcards focused on mental health nursing practices in 2023. Dive into scenarios involving bipolar disorder and bulimia nervosa. Perfect for nursing students and professionals seeking to enhance their understanding of mental health care.
