Scenario
Nurse Ben documents his initial observations in Susan Choi’s mental assessment.
Question
Nurse Ben performs Susan Choi’s initial mental
... [Show More] status assessment. Which of the following categories indicate correct nursing assessment findings? (Select the category that applies.)
Scenario
Nurse Ben, Nurse Eva, and Nurse Jan are engaged in a care planning conference discussing nursing actions to implement in Susan Choi’s recovery.
Question
Nurse Ben and the nursing staff conduct a care planning conference to discuss nursing actions to promote Susan Choi’s recovery. Which of the following nursing actions should Ben implement? (Select all that apply.)
Scenario
Nurse Ben and staff prepare a meal plan for Ms. Choi.
Question
Nurse Ben develops an initial meal plan for Susan Choi and is preparing to discuss the plan with Susan and her mother. Which of the following menus represents an appropriate diet for Susan? (Select the appropriate image.)
Scenario
Nurse Ben is planning to monitor Susan Choi for possible manifestations of lithium toxicity.
Question
Nurse Ben is planning care for Susan Choi and is reviewing signs and symptoms of lithium toxicity. Which of the following findings should the nurse monitor?
Scenario
Nurse Ben is reviewing Susan Choi’s assessment information.
Question
Nurse Ben reviews Susan Choi’s assessment data. Which of the following assessment tools should he use to identify suicide risk factors and the need for hospitalization?
Scenario
Nurse Ben is reviewing the adverse effects of lamotrigine (Lamictal).
Question
Nurse Ben is reviewing the adverse effects of lamotrigine (Lamictal). Which of the following is a serious adverse effect of this medication?
Scenario
Nurse Ben responds to Susan Choi’s despondent behavior.
Question
Nurse Ben responds to Susan Choi’s despondent behavior. Which of the following is an appropriate response by Ben?
Scenario
Nurse Ben meets with Susan Choi and her mother to plan for Susan's discharge.
Question
Nurse Ben is planning discharge outcomes for Susan Choi. Identify client outcomes for Susan in the following areas: lifestyle support/bipolar management, medication management, and crisis management. (Include three or more outcomes for each category.)
Scenario
Nurse Ben continues to collect historical and genetic information related to Susan Choi’s episode of manic behavior.
Question
Nurse Ben continues to collect information related to Susan Choi's episode of manic behavior. Which of the following responses to the question asked by the client's mother is appropriate?
Scenario
Nurse Ben is confronted with Susan Choi’s seductive behavior.
Question
Susan Choi behaves seductively towards Nurse Ben. Which of the following responses by Ben is appropriate?
Scenario
Nurse Ben is preparing to administer olanzapine (Zyprexa) to Susan Choi.
Question
Nurse Ben is preparing to administer olanzapine (Zyprexa) to Susan Choi who is in the early phase of acute mania. Which of the following are expected outcomes of the medication? (Select all that apply.)
Scenario
Nurse Ben has asked Nurse Eva to double check the dosage calculation before administering olanzapine (Zyprexa).
Question
Nurse Ben is preparing to administer olanzapine (Zyprexa) 10 mg IM to Susan Choi, who has acute mania. The nurse should reconstitute the medication with 2.1 mL of sterile water to yield 5 mg/mL. How many mL should Ben administer? (Round to the nearest whole number.)
Scenario
Nurse Ben is attempting to administer the olanzapine (Zyprexa) IM to Susan Choi.
Question
Nurse Ben is attempting to administer the olanzapine (Zyprexa) IM to Susan Choi, but she forcefully refuses it. Which of the following actions should Ben take?
Scenario
Susan Choi has interrupted a group therapy session.
Question
Nurse Ben is leading a group therapy session and Susan Choi interrupts the session. Which of the following actions should Ben take to manage Susan’s disruptive behavior?
Scenario
Nurse Ben is reviewing Susan Choi’s laboratory work in preparation for initiating lithium therapy.
Question
The admission orders indicate Susan Choi is to have several laboratory tests drawn and to start therapy with lithium. Which of the following laboratory tests must be drawn prior to starting lithium therapy? (Select all that apply.)
Scenario
Nurse Ben is recognizing the importance of patient and family teaching regarding lithium therapy.
Question
Nurse Ben is preparing to instruct Susan Choi and her family regarding lithium therapy. Which of the following instructions should Ben include in his teaching? (Select all that apply.) [Show Less]