ATI LPN
Test Bank for Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4e 4th Edition
Chapter 16 Questions
Question 1 of 5
Lithium is prescribed for a new patient. Which information from the patient's history indicates that monitoring serum concentrations of the drug will be especially challenging and critical?
Correct Answer: D
Rationale: Congestive heart failure and diuretic use complicate fluid balance, increasing lithium toxicity risk. Other conditions do not directly affect lithium monitoring.
Question 2 of 5
A patient diagnosed with bipolar disorder has rapid cycles. The health care provider prescribes an anticonvulsant medication. To prepare teaching materials, which drug should the nurse anticipate will be prescribed?
Correct Answer: C
Rationale: Carbamazepine is effective for rapid-cycling bipolar disorder. Phenytoin and chlorpromazine are not used for mood stabilization, and clonidine is not an anticonvulsant for this purpose.
Question 3 of 5
This nursing diagnosis applies to a patient experiencing mania: imbalanced nutrition: less than body requirements, related to insufficient caloric intake and hyperactivity as evidenced by 5-pound weight loss in 4 days. What is the most appropriate outcome related to patient behavior?
Correct Answer: B
Rationale: High-calorie, high-protein supplements address the nutritional deficit caused by hyperactivity. Other options do not directly ensure adequate caloric intake.
Question 4 of 5
A patient experiencing acute mania has disrobed in the hall three times in 2 hours. What intervention should the nurse implement?
Correct Answer: D
Rationale: One-on-one supervision provides structure to prevent repeated disrobing. Seclusion is not warranted, and other options are ineffective.
Question 5 of 5
Which nursing diagnosis would most likely apply to both a patient diagnosed with major depressive disorder (MDD) as well as one experiencing acute mania?
Correct Answer: B
Rationale: Both MDD and mania involve sleep disturbances, making this diagnosis relevant. Other options are less applicable across both conditions.