Term
| The client tells the nurse “I thought I was just depressed, but my doctor says I have bipolar disorder. What is that?” What is the best response by the nurse? |
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Definition
| “Bipolar disorder means you have cycles of depression as well as hyperactivity, or mania.” |
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Term
| The mother of a seven-year-old child says to the nurse “My child is distractible in school, cannot complete assignments on time, and interrupts other children while they are speaking. What do you think?” What is the best response by the nurse? |
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Definition
| “This could be Attention Deficit Hyperactivity Disorder (ADHD); you might want to have your child tested.” |
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Term
| The nurse is conducting a group education session for clients who have been diagnosed with depression. The nurse evaluates the education as effective when a client makes which comment(s) about the cause of depression? Select all that apply. |
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Definition
1.“Depression has many causes; they could include environmental as well as brain based disorders.”
2."Depression includes impaired relationships, and is also an inherited illness.” |
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Term
| The client receives imipramine (Tofranil) as treatment for depression. He is admitted to the Emergency Department following an intentional overdose of this medication. What will the best assessment of the nurse include? |
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Definition
| The client’s cardiac status |
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Term
| The client has been receiving amitriptyline (Elavil) for two weeks. He tells the nurse he doesn’t think this medicine is working, as he is still depressed. What is the best response by the nurse? |
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Definition
| “It is working, but it can take several weeks to have an effect.” |
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Term
| The physician has prescribed sertraline (Zoloft) for the client who is anxious and depressed. The client calls the nurse to report that he has experienced delayed ejaculation since being on this medication. What is the best response by the nurse? |
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Definition
| “I will let your doctor know, and he will most likely change your medication.” |
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Term
| The client has been depressed and the physician plans to begin treatment with an antidepressant medication. In performing the initial assessment, what is the most important question for the nurse to ask? |
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Definition
| “Have you had any thoughts about killing yourself?” |
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Term
| The nurse has completed medication education for a client prior to the client receiving phenelzine (Nardil). The nurse evaluates the education as effective when the client makes which statement(s)? Select all that apply. |
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Definition
1.“I’ll have to give up my beer at the football games.”
2.“I am not supposed to have processed meats or cheese.” |
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Term
| The client has been receiving phenelzine (Nardil) for two months. She comes to the clinic and tells the nurse she had red wine and pepperoni pizza for lunch. What is the priority action of the nurse at this time? |
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Definition
1.Notify the client’s physician
2.Assess the client’s blood pressure
3.Drive the client to the nearest emergency department
4.Ask the client if she has dizziness or a headache |
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Term
| The client has bipolar disorder and is in a manic phase. The physician prescribes lithium (Eskalith). The client’s current lithium level is 0.4. What will the nurse expect to assess in this client? |
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Definition
| Hyperactivity and pressured speech |
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Term
| The nurse has completed medication education with the client who is receiving lithium (Eskalith). What is the best client outcome? |
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Definition
| The client will identify signs of lithium (Eskalith) toxicity and verbalize measures to avoid it. |
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Term
| The client asks the nurse why she needs to continue using table salt because her prescribed lithium (Eskalith) is a salt. What is the best response by the nurse? |
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Definition
| “You must use table salt or your kidneys will retain lithium (Eskalith); and you will become toxic.” |
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Term
| What is the priority outcome for a six-year-old client who had been started on methylphenidate (Ritalin)? |
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Definition
| The client will use age-appropriate play with peers |
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Term
| eight-year-old client is receiving methylphenidate (Ritalin). The client’s mother tells the nurse that he won’t eat while on his medication. What is the best response by the nurse? |
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Definition
| “Give the medication after meals and encourage him to have supplements between meals.” |
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Term
| The ten-year-old client is receiving methylphenidate (Ritalin). The client’s mother tells the nurse he just won’t sleep while on his medication. What is the best response by the nurse? |
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Definition
| “Do not give the medication after 4:00 p.m.” |
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Term
| Which of the following symptoms experienced over 1 month would be most helpful to diagnose bipolar disorder? |
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Definition
| 1. Abnormal eating patterns, feelings of despair, flight of ideas |
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Term
| Which statement is accurate regarding attention-deficit hyperactivity disorder (ADHD)? |
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Definition
| Which statement is accurate regarding attention-deficit hyperactivity disorder (ADHD)? |
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Term
| Depression that occurs during cold winter months would be classified as: |
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Definition
| 4. Seasonal affective disorder. |
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Term
| Which of the following drug types used to treat depression works by preventing enzymatic destruction of the neurotransmitter norepinephrine? |
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Definition
| Monoamine oxidase inhibitors (MAOIs) |
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Term
| Which of the following drug types are often used as a first-line treatment for depression due to their side effect profile? |
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Definition
| 3. Selective serotonin reuptake inhibitors (SSRIs) |
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Term
| Which of the following food items should the nurse advise a patient taking a monoamine oxidase inhibitor (MAOI) to avoid? |
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Definition
| 2. Chocolate, wine, and fava beans |
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Term
| The traditionally prescribed drug types used to treat attention-deficit hyperactivity disorder (ADHD) include: |
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Definition
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Term
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Definition
| Neurotransmitter levels are reduced, which produces a calming effect within the CNS. |
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Term
| A 40-year-old patient experiencing periods of mania and periods of depression would most likely benefit from which of the following? |
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Definition
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