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ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?

Correct Answer: D

Rationale: Diarrhea can cause dehydration, increasing lithium toxicity risk. Green tea (
A), moderate exercise (
B), and increased sodium (
C) do not directly cause toxicity.

Question 2 of 5

A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?

Correct Answer: D

Rationale: Sudden mood improvement may indicate suicide risk, so monitoring whereabouts ensures safety. Family outings (
A), rewarding behavior (
B), and asking why (
C) do not prioritize safety.

Question 3 of 5

A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder. (Select all that apply.)

Correct Answer: A,B,C,E

Rationale: Lithium (
A), valproate (
B), carbamazepine (
C), and paroxetine (E) are used for bipolar disorder. Donepezil (
D) is for Alzheimer's disease and not typically used.

Question 4 of 5

A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?

Correct Answer: C

Rationale: Walking with the nurse provides calming physical activity and one-on-one interaction, suitable for mania. Group discussions (
A), videos (
B), and basketball (
D) may overstimulate.

Question 5 of 5

A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority?

Correct Answer: A

Rationale: Constant supervision ensures immediate safety when a client declines a safety contract. Locking doors (
B), removing objects (
C), and plastic utensils (
D) are secondary.

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