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 instructing a client in treatment options often provided to resolve clinical depression. Which option does the nurse instruct as producing a brief, generalized seizure?
Correct Answer: B
Rationale: The nurse is correct to instruct that during electroconvulsive therapy, an electrical stimulation produces brief, generalized seizures. Vagal nerve stimulation is used to treat epilepsy. Deep brain stimulation is used to treat Parkinson disease. Transcranial magnetic stimulation does not produce generalized seizures.
Question 2 of 5
The nurse is caring for a client who has selected transcranial magnetic stimulation to treat depression. For which side effect would the nurse provide preprocedural instructions?
Correct Answer: A
Rationale: The most frequent side effect following transcranial magnetic stimulation to treat depression is headache. Preprocedural instruction would include the most common symptom (headache) and interventions (pain management). Blurred vision, hearing loss, and vertigo are not common side effects.
Question 3 of 5
Which nursing consideration is most important when administering medications to a suicidal client?
Correct Answer: C
Rationale: It is most important for the nurse to view the inside of the mouth when administering medications. This is done by inspecting the client's mouth and under the tongue because clients may 'cheek' medications to stockpile and use the medications. Not leaving syringes unattended, watching the client place the pills in their mouth, and removing all medications and equipment are all appropriate nursing actions, but the most important is not allowing the opportunity for the client to overdose on medications.
Question 4 of 5
The nurse is admitting a client to a mental health clinic following a recent suicide attempt and hospitalization. In assessing the client's status, which question is most helpful?
Correct Answer: C
Rationale: In assessing the client's status, it is best to evaluate suicide risk factors. A client who is at the highest risk for suicide is the client who verbalizes a desire to end life and has a plan. The other questions are relevant but not the best question for gaining essential information.
Question 5 of 5
Which of the following nursing diagnoses is of highest priority when caring for a client who is depressed and considers suicide?
Correct Answer: A
Rationale: Clients with a nursing diagnosis of Suicide Attempt Risk are at an increased risk for suicide due to their feeling of despair. Providing nursing interventions that recognize the client's mood and maintain safety is essential. The other nursing diagnoses are also important and may also be appropriate but are not of the highest priority.