HESI PSYCH MENTAL HEALTH EXIT EXAM V3 QUESTIONS BRAND NEW QUESTIONS|GUARANTEE PASS (SCORE A+)

A client diagnosed with bipolar disorder: depressive phase intentionally overdoses on sertraline (Zoloft). Family members report that the client has experience anorexia, insomnia, and recent job loss. What should be the priority nursing diagnosis for this client?

A. Risk for suicide r/t hopelessness.

B. Anxiety: severe r/t hyperactivity

C. Imbalanced nutrition: less than body requirements r/t refusal to eat

D. Dysfunctional grieving r/t loss of employment.

A client diagnosed with BP disorder: manic episode refuses to take lithium carbonate due to excessive weight gain. in order to increase compliance, which medication should a nurse anticipate that a physician will prescribe?

A. Sertraline (Zoloft)

B. Valproic acid (Depakote)

C. Trazodone (Desyrel)

D. Paroxetine (Paxil)

[Correct Ans:- Answer:

(Prescribed to help with weight loss.)

A client diagnosed with BP disorder is exhibiting severe manic behaviours. A physician prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The client's spouse questions the Zyprexa order. Which is the appropriate nursing response?

A. "Zyprexa in combination with Eskalith cures manic symptoms."

B. "Zyprexa prevents extrapyramidal side effects."

C. "Zyprexa ensures a good night's sleep."

D. "Zyprexa calms hyperactivity until the Eskalith takes effect."

(When it comes to psych meds, it takes 4-6 wks to see effect. Give Zyprexa as a bridge until Lithium takes in effect."

A client began taking lithium for the treatment of BP disorder approximately 1 month ago. The client asks if it is normal to have gained 12 pounds in this time frame. Which is the appropriate nursing response?

A. "Thats strange. Weight loss is the typical pattern."

B. "What have you been eating? Weight gain is not usually associate with lithium."

C. "Weight gain is a common but troubling side effect."

D. "Weight gain only occurs during the first month of treatment with this drug."

A client diagnosed with BP disorder has been taking lithium carbonate (Lithaine) for 1 year. The client presents in an emergency department with a temp of 101F (38C), severe diarrhea, blurred vision, and tinnitus. How should the nurse interpret these symptoms?

A. Symptoms indicate consumption of foods high in tyramine.

B. Symptoms indicate lithium carbonate discontinuation syndrome.

C. Symptoms indicate the development of lithium carbonate tolerance.

D. Symptoms indicate lithium carbonate toxicity.

(0.6-1.2 normal range. blurred vision and tinnitus is most obvious clue)

A nursing instructor is discussing various challenges in the treatment of clients diagnosed with bp disorder. Which student statement demonstrates an understanding of the most critical challenge in the care of these clients?

A. "Treatment is compromised when clients can't sleep."

B. "Treatment is compromised with irritability interferes with social interactions."

C. "Treatment is compromised when clients have no insight into their problems."

D. "Treatment is compromised when clients choose not to take their medications."

A clients diagnosed with bp disorder: manic phase. Which nursing intervention would be implemented to achieve the outcome of "Client will gain 2 lb by the end of the week?"

A. Provide client with high-calorie finger foods throughout the day.

B. Accompany client to cafeteria to encourage adequate dietary consumption.

C. Initiate total parenteral nutrition to meet dietary needs.

D. Teach the importance of a varied diet to meet nutritional needs.

(Pt is in manic phase. Finger foods will be best for them because pt cannot sit down and eat a meal, they will not slow down or stop long enough to eat a meal.)