Mood Disorders and Suicide

TEXTBOOK

The nurse observes that a client with bipolar disorder is pacing in the hall, talking loudly and rapidly, and using elaborate hand gestures. The nurse concludes that the client is demonstrating which?

d. psychomotor agitation

A client with bipolar disorder begins taking lithium carbonate (lithium) 300 mg four times a day. After 3 days of therapy, the client says, "My hands are shaking." Which is the best response by the nurse?

a. "fine motor tremors are an early effect of lithium therapy that usually subsides in a few weeks"

What are the most common types of side effects from SSRIs?

a. dizziness, drowsiness, and dry mouth

The nurse observes that a client with depression sat at a table with two other clients during lunch. Which is the best feedback the nurse could give the client?

c. "I see you were sitting with others at lunch today"

Which term typifies the speech of a person in the acute phase of mania?

a. flight of ideas

What is the rationale for a person taking lithium to have enough water and salt in their diet?

d. lithium is a salt that has a greater affinity for receptor sites than sodium chloride

Identify the serum lithium level for maintenance and safety.

b. 0.5-1.5 mEq/L

A client says to the nurse, "You are the best nurse I've ever met. I want you to remember me." What is an appropriate response by the nurse?

d. "are you thinking of suicide"

A client with mania begins dancing around the day room. When she twirled her skirt in front of the male clients, it was obvious she had no underwear on. The nurse distracts her and takes her to her room to put on underwear. The nurse acted as they did to

a. minimize the client's embarrassment about her present behavior.

Which actions would indicate an increased suicidal risk?

a, b, f

an abrupt improvement in mood

calling family members to make amends

statements such as "everything will be better soon"

Which activities would be appropriate for a client with mania?

a, b, e

drawing a picture

modeling clay

stretching exercises

ATI: chapter 13

A charge nurse is discussing the care of a client who has MDD with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

c. "the client is at greatest risk for suicide during the first weeks of an MDD episode"

A nurse is caring for a client who has MDD. Which of the following should the nurse identify as a risk factor for depression?

b, c, d, e

history of chronic bronchitis

recent death in client's family

family history of depression

personal history of panic disorder

A nurse is interviewing a client who has a new diagnosis of persistent depressive disorder. Which of the following findings should the nurse expect?

c. presence of manifestations for at least 2 years

A nurse working on an acute mental health unit

is admitting a client who has MDD and

comorbid anxiety disorder. Which of the

following actions is the nurse's priority?

a. placing the client on one-to-one observation

A nurse is assessing a client 4 hour after receiving an initial dose of fluoxetine. Which of the following findings should the nurse report to the provider as indications of serotonin syndrome?

b, d, e

hallucinations

diaphoresis

agitation

ATI: chapter 14

A nurse is discussing relapse prevention with a bipolar patient, she should include

b, d, e

difficulty sleeping can indicate a relapse

participating in psychotherapy can help prevent a relapse

anhedonia is a clinical manifestation of depressive relapse

A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. Decide which interventions should be included and shouldn't

include: b, c, e

offer concise explanations

establish consistent limits

use a firm approach with communication

don't include: a, d

provide flexible client behavior expectations

disregard client concerns

A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. The nurse should include which of the following manifestations in the teaching?

b, d

polyuria

muscle weakness

A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin lithium therapy. When collecting a medical history from the client's caregiver, which of the following statements is the priority to report to the provider?

d. "current medications include furosemide for congestive heart failure"

A nurse is discussing routine follow-up needs with a client who has a new prescription for valproate. The nurse should inform the client of the need for routine monitoring of which of the following?

a. AST/ALT and LDH

PRESENTATIONS

Which of the following is NOT a non-pharmacological measure for treating bipolar disorder?

A) Sleep

B) Screen Time

C) Exercise

D) Sunlight

Screen time

Bipolar disorder is characterized by which of the following?

A) Anxiety

B) Manic & Depressive episodes

C) Headache

D) Nausea

Manic and depressive episodes

Seasonal Affective Disorder can occur in which of the following seasons?

a. Winter ONLY

b. Fall and winter

c. All Seasons

d. Summer

All seasons

True or False: Seasonal affect disorder is characterized by intense carbohydrate cravings, hypersomnia, and weight gain during certain seasons.

True

A client who was previously suicidal suddenly becomes calm, cheerful, and begins giving away personal belongings. What is the best nursing action?

A. Encourage the client to continue positive thinking B. Document the client's improved mood C. Assess the client for suicidal intent D. Allow the client more independence

Assess the client for suicidal intent

A nurse is caring for a client admitted for suicidal ideation. Which statement by the nurse is most therapeutic?

A. "You shouldn't feel that way; your family loves you." B. "Tell me what has been happening that makes you feel this way." C. "Everything will get better with time." D. "Why do you want to hurt yourself?"

"Tell me what has been happening that makes you feel this way."

To be diagnosed with major depressive disorder, symptoms must be present for at least two weeks, true or false?

True

Which of the following is a common non-pharmacological treatment for Major Depression Disorder

1 Cognitive behavioral therapy

2 Chemotherapy

3 Radiation therapy

4 dialysis

Cognitive behavioral therapy