V1
(A client with depression remains in bed most of the day, and declines activities. Which nursing
problem has the greatest priority for this
... [Show More] client?
A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.
The RN is preparing medications for a client with bipolar disorder and notices that the client
discontinued antipsychotic medication for several days. Which medication should also be
discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia) )
V3
(A female client on a psychiatric unit is sweating profusely while she vigorously does
pushups and then runs the length of the corridor several times before crashing in to the
furniture in the sitting room. Picking herself up, she begins to toss chairs aside, looking for a
red one to sit in. When another client objects to the disturbances, the client shouts," I am the
boss here. I do what I want." Which nursing problem best supports these observations
-Risk for other related violence related to disruptive behavior
8. A female client engages in repeated checks of door and window locks. Behavior that
prevents her form arriving on time and interferes with her ability to function
effectively. What action should the nures take?
-plan a list of activities to be carried out daily
9. The nurse is preparing medications for a client with disorder and notices that the
antipsychotic medication was discontinued several days ago. Which medication should also
be discontinued?
-Benztropine (Cogentin)
10. The nurse is teaching a client about the initiation of a prescribed abstinence therapy using
disulfiram (Antabuse). What information should the client acknowledge understanding
-remain alcohol free for 12 hours prior to the first dose
11. A male client with bipolar disorder tells the nurse that he needs to "make some deals so
that he can improve his retirement savings." Based on this information, which client outcome
should the nurse include in the plan of care
-delay business decisions until his mania subsides) [Show Less]