Tatiana has been hospitalized for an acute manic episode. On admission, the nurse suspects lithium toxicity. What assessment findings would indicate the nurse's suspicion as correct?- Nurselytic

Question 1 of 5

Tatiana has been hospitalized for an acute manic episode. On admission, the nurse suspects lithium toxicity. What assessment findings would indicate the nurse's suspicion as correct?

A. Shortness of breath, gastrointestinal distress, chronic cough B. Ataxia, severe hypotension, large volume of dilute urine C. Gastrointestinal distress, thirst, nystagmus D. Electroencephalographic changes, chest pain, dizziness

Correct Answer: B

Rationale: The correct answer is B. Ataxia, severe hypotension, and a large volume of dilute urine are classic signs of lithium toxicity. Ataxia refers to a lack of muscle coordination, severe hypotension indicates dangerously low blood pressure, and the large volume of dilute urine is a result of the kidneys' inability to concentrate urine properly, a common feature of lithium toxicity.

Question 2 of 5

An individual who has survived incest and is receiving treatment at the mental health clinic feels relief upon understanding that her anxiety and depression are:

A. Going to be eradicated with treatment B. Normal and will soon pass C. Abnormal but will pass D. A normal reaction to posttraumatic events

Correct Answer: D

Rationale: It is important to recognize that anxiety and depression are common responses to traumatic events like incest. Understanding that these feelings are normal reactions can help validate the individual's experiences and reduce stigma. By acknowledging that anxiety and depression are expected outcomes of posttraumatic events, the mental health clinic can provide appropriate support and treatment to help the survivor cope and heal. Therefore, option D is the correct choice as it reflects a compassionate and informed approach to addressing the survivor's emotional struggles.

Question 3 of 5

You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?

A. A new psychiatrist is a chance to start fresh; I'm sure it will go well for you. B. You say you look forward to the meeting, but you appear anxious or unhappy. C. I notice that you frowned and avoided eye contact just now. Don't you feel well? D. I get the impression you don't really want to see your psychiatrist-can you tell me why?

Correct Answer: B

Rationale: Choice B is the most therapeutic response as it acknowledges the discrepancy between the patient's verbal statement and nonverbal cues. By addressing both the patient's expressed anticipation and the conflicting nonverbal cues of frowning and avoiding eye contact, the responder demonstrates attentiveness to the patient's emotional state and encourages further exploration of underlying feelings. This approach fosters open communication and helps the patient feel understood and supported.

Question 4 of 5

James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for the day shift and anxiously reports, 'Last night, demons came to my room and tried to rape me.' Which response would be most therapeutic?

A. There are no such things as demons. What you saw were hallucinations. B. It is not possible for anyone to enter your room at night. You are safe here. C. You seem very upset. Please tell me more about what you experienced last night. D. That must have been very frightening, but we'll check on you at night and you'll be safe.

Correct Answer: C

Rationale: Response C is the most therapeutic as it shows empathy and encourages the patient to express their feelings and share more about their experience. By actively listening and inviting the patient to talk, the nurse creates a supportive environment that can help the patient feel heard and understood, which is essential in building trust and rapport in therapeutic communication with individuals experiencing schizophrenia.

Question 5 of 5

Which statement made by the nurse demonstrates the best understanding of nonverbal communication?

A. The patient's verbal and nonverbal communication is often different. B. When my patient responds to my question, I check for congruence between verbal and nonverbal communication to help validate the response. C. If a patient is slumped in the chair, I can be sure he's angry or depressed. D. It's easier to understand verbal communication than nonverbal communication.

Correct Answer: B

Rationale: Checking for congruence between verbal and nonverbal communication helps validate the patient's response.

Nurselytic

ATI RN

ATI RN

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