Which person with mania is the least likely candid

Question 1 of 5

Which person with mania is the least likely candidate to receive lithium? The patient who is:

A. Six weeks pregnant B. Recovering from a hysterectomy C. Taking hormone replacement therapy D. Displaying symptoms of postpartum depression

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

According to Robson (in “The Consequences of Drug Use”), the two factors that have the greatest impact in determining the success of addiction treatment are:

A. social class and university education B. severity of addiction (in terms of frequency or quantity of use) and history of criminal activity C. the controlled use of hallucinogens (such as ibogaine and ayahuasca) in conjunction with a trained addiction counsellor D. achieving a structured and rewarding lifestyle, and changing location after becoming abstinent

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Which set of instructions is most appropriate when preparing the patient for collection of a 24-hour creatinine clearance for a prelithium workup?

A. “Collect all urine when you wake up and for 12 hours thereafter, and then discard all collected urine, noting the time. Begin again to collect all urine, and refrigerate it for the next 12 hours after your blood is drawn.” B. “Discard your first morning urine on awakening, and then begin to time and collect your urine. Keep it refrigerated in a clean 3-L plastic container. Your blood may be drawn at any time during the collection.” C. “Sign this consent form; then collect your urine for the next 24 hours after discarding the first urine of the morning and then refrigerate the clean 3-L container between voidings.” D. “Sign this consent form, and then begin to collect your urine in a clean 3-L plastic container for 24 hours. You may refrigerate the urine collection if you wish.”

Correct Answer: B

Rationale: No consent form is required for this 24-hour urine and serum collection. Blood may be drawn at any time during the collection (if using Vacutainer, one red, red-gray, or gold top tube is needed). In the morning the first voiding is discarded, and then the collection is timed and urine is collected for 24 hours. All urine is stored in a clean, 3-L plastic container that is refrigerated when not in use and then delivered to the lab. Teaching the patient the procedure for a 24-hour creatinine clearance as part of a prelithium workup (urinalysis, BUN, TSH, T3 and T4, FBS, and a complete physical examination with history and workup for family history of renal disease, diabetes mellitus, hypertension, diuretic use, and analgesic abuse) is required.

Question 4 of 5

A client with schizophrenia is described as 'having difficulty with executive functions.' What can the nurse expect to assess behaviorally?

A. Inability to speak B. Inhibited behaviors C. Poor response to social cues D. Uncoordinated movements

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

An ergot alkaloid is prescribed for a patient who is having frequent migraine headaches. The nurse provides information to the patient about the medication and tells the patient to contact the prescriber if which problem occurs?

A. Nervousness B. Dizziness C. Chest pain D. Nausea and vomiting

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Which person with mania is the least likely candidate to receive lithium? The patient who is:

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