1. A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for
... [Show More] the client?
A. A private room in a quiet location on the unit
B. A semi-private room with a roommate who has a similar diagnosis
C. A private room close to the nursing station
D. A seclusion room until the client’s activity level becomes more subdued.
2. A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?
A. The client runs 4 miles outdoors every afternoon.
B. The client drinks 2 liters of liquids daily.
C. The client eats 2 to 3 gm of sodium-containing foods daily.
D. The client eats foods high in tyramine.
3. A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?
A. Speak to the provider about adding an MAOI to the current medication regimen.
B. Explain that antidepressants often take several weeks to be fully effective.
C. Tell the client that the provider will need to change citalopram to a different medication.
D. Recommend a sleep study be done on the client.
4. A nurse who works in a psychiatric unit is caring for a client who has bipolar disorder. The client comes to the nurse's station at 0300 demanding that the nurse call the provider immediately. Which of the following responses by the nurse is appropriate?
A. "You are being unreasonable, and I will not call your doctor at this hour."
B. "Go back to your room, and I'll try to get in touch with your doctor."
C. "I can't call a doctor in the middle of the night unless it's an emergency."
D. "You must be very upset about something." [Show Less]