ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 69 : Caring for Clients With Mood Disorders Questions
Question 1 of 5
The nurse is caring for a client on long-standing lithium therapy for a bipolar disorder. Which component of drug therapy administration would require follow-up?
Correct Answer: D
Rationale: Follow-up would be required if a client reported breastfeeding and taking lithium. Lithium administered to infants through breast milk can cause toxicity; thus, breastfeeding mothers should avoid use. None of the other options require further intervention.
Question 2 of 5
The nurse is completing a medication history for a client diagnosed with bipolar disorder. When assessing the medications, which medication classification is noted as an adjunct to lithium therapy?
Correct Answer: C
Rationale: Anticonvulsant therapy may be co-prescribed for a brief period to sedate the client and relieve bizarre thought processes faster than monotherapy with lithium. Anticonvulsants enhance the action of gamma-aminobutyric acid (GAB
A) in much the same way that benzodiazepines reduce anxiety and they are believed to inhibit glutamate.
Question 3 of 5
The nurse is assessing a client's affect while discussing common issues such as the weather and family. The client appears sad with a slow speech pattern. The nurse considers that this may be a sign of depression but understands that the physician will want to rule out which medical condition first?
Correct Answer: B
Rationale: When a nurse identifies that a client is experiencing symptoms of depression, it is essential that other conditions, which may produce similar symptoms, be ruled out. One condition that mimics depression is hypothyroidism. Mania increases and exaggerates actions and speech patterns. Common symptoms of a pituitary deficiency include a deficiency in hormones such as luteinizing hormone (LH) and follicle-stimulating hormone (FSH) and growth hormones. A cerebrovascular accident exhibits physical and mental changes.
Question 4 of 5
The nurse is providing teaching to a client starting monoamine oxidase inhibitor (MAOI) drug therapy. Which over-the-counter medications should the nurse instruct the client to avoid?
Correct Answer: A
Rationale: The nurse is correct to place cold and allergy medications on a clinical reference guide of over-the-counter medications to avoid. These preparations may have a drug-drug interaction. The client can use over-the-counter antiulcer medications, multivitamins, and laxatives per physician instruction.
Question 5 of 5
Which of the following nursing instructions is most helpful to a client experiencing mild seasonal affective disorder symptoms?
Correct Answer: B
Rationale: Mild seasonal affective disorder symptoms can be improved by exposing the client to more sunlight. Sunlight stimulates the pineal gland, which releases serotonin. By installing skylights, natural sunlight can enter a room. Using sunglasses, sleeping in a darkened room, and staying indoors limit sunlight exposure.