ATI RN
Psychobiological Disorders Questions
Question 1 of 5
A highly agitated client paces the unit and states, 'I could buy and sell this place.' The client's mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate documentation of this client's behavior?
Correct Answer: D
Rationale: The correct answer is D because the client's behavior of being agitated, pacing, and expressing grandiosity aligns with symptoms of mania. The mood lability also reflects the client's fluctuating moods. Choice A is incorrect as it does not mention the presence of grandiosity or pacing. Choice B is incorrect because euthymic mood does not match the described behavior. Choice C is incorrect because delusions of reference are not mentioned, and hyperactivity alone does not fully capture the client's behavior.
Question 2 of 5
A client diagnosed with bipolar disorder has taken lithium carbonate (Lithane) for 1 year; this client presents in an emergency department with severe diarrhea, blurred vision, and tinnitus. The nurse should interpret these symptoms to be indicative of which of the following?
Correct Answer: D
Rationale: The correct answer is D: Lithium carbonate toxicity. The symptoms of severe diarrhea, blurred vision, and tinnitus are indicative of lithium toxicity. Severe diarrhea can lead to dehydration, which can exacerbate lithium toxicity. Blurred vision and tinnitus are neurological symptoms associated with lithium toxicity. It is important for the nurse to recognize these symptoms as signs of lithium toxicity and take appropriate action. A: Consumption of foods high in tyramine is not related to the symptoms described. Tyramine is not known to cause severe diarrhea, blurred vision, or tinnitus. B: Common side effects of lithium carbonate typically include mild gastrointestinal upset, tremors, and increased thirst, not the severe symptoms described in the question. C: Lithium carbonate tolerance refers to the body's ability to withstand higher doses of lithium over time. It does not present with the acute, severe symptoms described in the question.
Question 3 of 5
A client is diagnosed with bipolar disorder: manic episode. Which nursing intervention should be implemented to achieve the outcome of 'Client will gain 2 lb by the end of the week?'
Correct Answer: A
Rationale: The correct answer is A: Provide client with high-calorie finger foods throughout the day. This intervention is appropriate for a client experiencing a manic episode in bipolar disorder because they may have increased energy expenditure and decreased interest in eating, leading to weight loss. Providing high-calorie finger foods can help increase caloric intake and promote weight gain. Choice B is incorrect as it does not address the specific need for high-calorie foods and may not be effective in ensuring adequate caloric intake. Choice C, initiating parenteral nutrition, is unnecessary and invasive for this client's situation as oral intake should be encouraged first. Choice D, teaching about the importance of a varied diet, is not as effective in the short term for a client in a manic episode who may struggle with maintaining a balanced diet.
Question 4 of 5
After teaching a client about lithium carbonate (Lithane), the nurse would conclude teaching was successful based on which client statement?
Correct Answer: B
Rationale: The correct answer is B because diarrhea and ringing in the ears are common side effects of lithium carbonate that require immediate medical attention. This demonstrates the client's understanding of the importance of monitoring for potential adverse effects. Option A is incorrect as lithium carbonate may take weeks to show full effects. Option C is incorrect as doubling the dose can lead to toxicity. Option D is incorrect as lithium does not require salt restriction.
Question 5 of 5
An 11-year-old diagnosed with ODD becomes angry over the rules at a residential treatment program and begins shouting at the nurse. What is the nurse's initial action to defuse the situation?
Correct Answer: B
Rationale: The correct initial action is B: Take the child swimming at the facility's pool. This option is best as it provides a physical outlet for the child's anger and helps to de-escalate the situation in a calming and non-confrontational manner. Swimming can be a therapeutic activity that helps release tension and promote relaxation. Asking the child to express feelings (A) may not be effective in the heat of the moment. Establishing a behavioral contract (C) may be premature and not address the immediate need for de-escalation. Administering medication (D) should not be the first response and is not appropriate for managing situational anger outbursts.