Lippincott Mood Disorders Practice Exam

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• What is the most important nursing intervention for a client expressing fear of their mental illness?
• Which behavior indicates that a client with depression is ready for discharge?
• What should a nurse do first when a client on phenelzine reports a throbbing headache?
• The statement "I'm the Queen of England" made by a client in a manic phase should be documented under which area of the mental status examination?
• If a high school student reveals they are being bullied and feels suicidal, what should the nurse do?
• For a client with major depression and psychotic features, what criterion makes them legally committable?
• Which statement by a client taking trazodone (Desyrel) indicates a need for further teaching?
• What symptom should a nurse be alert for in a client experiencing anticholinergic effects while on a tricyclic antidepressant?
• What is the best approach when a client expresses feelings of worthlessness?
• What is an effective strategy for managing a manic client in a hospital setting?
• What is the correct administration schedule for mirtazapine prescribed for depression?
• A client’s husband asks how to help if she attempts suicide again. How should the nurse respond?
• A 68-year-old client is set to be discharged after improvement with medication. Which caregiver's visit should be prioritized before discharge?
• Which behavior indicates that a client is benefiting from paroxetine treatment?
• Which question is most critical for the nurse to ask a client hearing voices that urge self-harm?
• After administering sleep medication, what is the most appropriate nursing action?
• What are indicators of serotonin syndrome in a client taking citalopram and St. John's wort?
• Which statement indicates that a client may require more support regarding their mental health?
• When should a nurse consider increasing the frequency of monitoring a high-risk client for suicidal behavior?
• What should the nurse do next when a client with acute mania refuses to lie down and becomes disruptive?
• What is the most appropriate nurse response to a client exhibiting a flat affect and psychomotor retardation who does not respond to interaction?
• What is the best response by the nurse when a depressed client expresses loss about losing a job during a group session?
• When a client expresses concern about an upcoming ECG while on imipramine, what is the best response from the nurse?
• If a suicidal client begins to bang her head against the wall after administration of lorazepam, what should the nurse do next?
• Which symptom should a nurse associate with serotonin syndrome?
• Which transient adverse effect of fluoxetine (Prozac) requires immediate action from the nurse?
• In which situation should a nurse advise a client to seek immediate medical attention?
• Which of the following actions by a nurse represents a breach of the nursing Code of Ethics?
• What should a nurse monitor closely in a patient taking a monoamine oxidase inhibitor (MAOI)?
• If a nurse is monitoring a client who is euphoric and excessive in speech, what might indicate that they need to be redirected?
• What should be included in the discharge instructions regarding major depression treatment?
• A friend of a client with depression asks how to act around her. What is the best advice the nurse can give?
• How should a nurse address inappropriate behavior exhibited by a client with acute mania?
• What is a key nursing focus when developing the care plan for a client diagnosed with severe depression?
• What should the nurse say to a client with bipolar disorder who interrupts during a group session?
• What should the nurse address first with a client recovering from a psychotic break who expresses concerns about his diagnosis?
• When planning care for a Mexican client diagnosed with depression who believes in "mal ojo" (the evil eye), what should the nurse do?
• What should the nurse do if a client expresses suicidal thoughts on the unit?
• What is a helpful strategy for preventing suicide for clients about to be discharged from a psychiatric unit?
• Which statement by a family member indicates a need for additional teaching about depression?
• When is it appropriate for a nurse to assist a client with depression in developing coping strategies?
• A client taking carbamazepine reports a sore throat and chills. What should the nurse do?
• When a client has been taking bupropion for 5 days and shows improvement, which behavior should the nurse monitor for specifically?
• Which of the following activities should a nurse recommend for a client with acute mania?
• What action should the nurse take before implementing a Tylenol prescription for a client who previously overdosed on it?
• Which client statement indicates a need for further teaching about lithium therapy?
• What is the most appropriate action for the nurse when a client's spouse brings belongings after a self-inflicted gunshot wound?
• What is the appropriate amount of medication to provide an outpatient client treated with imipramine for recurrent depression?
• What is the most important component to include in a medication teaching plan for depression?
• How should a nurse encourage a severely depressed client who has not eaten for two days to eat?
• Which nursing intervention is most appropriate when caring for a client who is resistant to interactions due to depression?
• What is the best suggestion for a family preparing for a client's return home after recurring depression?
• When developing a care plan for a client with suicidal ideation, what should the nurse prioritize?
• What is the most appropriate initial outcome for a client exhibiting psychomotor retardation and withdrawal?
• A client recently discharged from a psychiatric unit states she has turned on the gas to kill herself. Which action should the nurse take next?
• Which statement by a client indicates a lack of insight regarding their depression?
• Which condition is a primary reason for hospital admission in severe depression cases?
• Which statement by a client indicates insight into their bipolar disorder?
• Which therapeutic approach is most beneficial when working with family members of clients with mental illness?
• If a client with acute mania is continuously talking during lunchtime, how should the nurse respond?
• A client taking duloxetine discloses heavy alcohol use. What should the nurse do first?
• A client is scheduled for ECT and refuses a sleep medication. How should the nurse prioritize care?
• What is an appropriate treatment response for a nurse educating a client about dysthymia?
• When teaching a client prescribed valproic acid, which side effect should be highlighted?
• Which reaction to learning about an HIV positive diagnosis indicates the greatest need for nursing intervention?
• Which of the following is a consequence of stopping mood stabilizing medication for clients experiencing hypomania?
• What is the nurse's responsibility when treating a client who exhibits signs of suicidal ideation?
• What is the priority question for a nurse to ask a client who seems very depressed and has expressed feelings of worthlessness?
• What action should a nurse take if a client with acute mania is unresponsive to verbal interventions?
• What is a common misconception about antidepressant medications?
• Which comment indicates that a client understands the nurse's teaching about sertraline (Zoloft)?
• What statement by a client receiving selegiline transdermal system indicates effective teaching?
• If the husband of a manic client apologizes for her actions, what response by the nurse is most therapeutic?
• Which area is most important for the nurse to review with a client being discharged after major depression?
• How should a nurse respond to a clients delusion of being able to save the world?
• What should be the nurse's priority assessment when a client who overdosed on barbiturates is transferred to the inpatient psychiatric unit?
• A nurse is assessing a client in the manic phase of bipolar disorder. What should the nurse be particularly alert for during the assessment?
• Which method of suicide should the nurse identify as most lethal?
• How should a nurse explain a client's irritable behavior during mania to a nursing assistant?
• Which statement best reflects the understanding of suicide risk in individuals with depression?
• When administering medications to a client with acute mania, which action should the nurse take?
• What instruction should the nurse give a client taking paroxetine (Paxil) who reports stomach upset?
• What is a recommended action for the husband of a client with bipolar disorder?
• A client with depression and suicidal ideation is dependent on the nurse. According to Erikson's stages of growth and development, which stage is affected?
• What is the underlying cause of bipolar disorder that should be communicated to the client's family?
• Which response should the nurse give to a client with bipolar disorder who is upset about the television being turned off?
• When overhearing a client with acute mania making inappropriate sexual comments, what should the nurse do next?
• What is the most appropriate nurse response when a client refuses oral medication for acute mania?
• Which response is most effective for a nurse when a client makes a personal remark?
• When assessing a client with suicidal ideation, which sign indicates a higher risk?
• What should the nurse communicate to the client experiencing mania in a group setting?
• What is the most appropriate step for calming a manic client talking loudly and pacing?
• What is the most appropriate response by a nurse when a client experiencing hypomania wants to stop their mood stabilizing medication?
• What comment from a client taking paroxetine indicates a need for further assessment?
• Which question is the best to assess the seriousness of a client's suicidal ideation?
• Which client is at the highest risk for suicide completion?
• A client has a valproic acid level of 15 mg/mL. Which symptoms might this suggest?
• Which statement by a client recovering from major depression indicates improvement to the nurse?
• Which statement indicates an adolescent may not fully understand the effects of antidepressants?
• What should a nurse reassure a client at risk of suicide regarding their feelings?
• In patients taking antidepressants, what is essential for preventing relapses?
• A client expresses concern about weight gain due to mirtazapine; how should the nurse respond?
• How should the nurse respond to a daughter's concern about the pain of electroconvulsive therapy (ECT) for her mother?
• What is the most empathetic response a nurse can give to a client who is disturbed by another client's manic behavior?
• What nursing action is most appropriate for a male client exhibiting psychomotor retardation and poor hygiene?
• What is the recommended therapeutic serum level for lithium?
• What side effect should a nurse monitor in clients taking tricyclic antidepressants related to urinary function?
• For a client with bipolar disorder, which medication class should raise special concern?
• Which change in behavior is a positive sign for a client on antidepressant therapy?
• During medication education for a client on lithium, which aspect is crucial?
• A nurse is caring for a client who exhibits grandiosity and impulsiveness. What should the nurse consider?
• When a client with bipolar disorder invites the nurse to dinner, what is the best response?
• When a client in the manic phase of bipolar disorder exhibits inappropriate dress, what should the nurse do?
• A client with psychomotor retardation has been prescribed medications. What should the nurse expect about the pacing of medication effectiveness?
• A client reveals he has a loaded revolver at home and will probably use it. What is the nurse's immediate priority?
• When should a nurse be cautious of suicide risk in a client improving from major depression?
• What should a nurse do when a client with acute mania exhibits emotional lability?
• Which parameter should be monitored closely for a client diagnosed with severe major depression taking escitalopram?
• What is an important aspect of discharge planning for a client with a history of suicidal ideation?
• Which symptom is a significant indicator for the onset of relapse in clients with bipolar disorder?
• Which behavior by a client is most likely indicative of residual depressive symptoms while on antidepressants?
• What type of exercise may benefit a client with acute mania by allowing them to discharge excess energy?
• A client expresses thoughts of dying due to a recent breakup, stating, "I'll show him, he'll be sorry." What should the nurse recognize as the primary concern?
• For clients receiving ECT for depression, which of the following should the nurse monitor closely post-procedure?
• Which information should the nurse include in the teaching plan for the family of a client receiving electroconvulsive therapy (ECT)?
• What should a nurse prioritize when caring for a client with a history of suicidal ideation?
• A client with acute mania is prescribed lithium carbonate and haloperidol. What should the nurse do?
• At what time should a nurse plan to have a blood specimen obtained for a serum lithium level determination?
• If a client states she can't afford her medication, what should the nurse do?
• What should the nurse instruct a 16-year-old client prescribed paroxetine to monitor for closely?
• What should be done to ensure proper administration of antidepressant medications?
• What is a possible adverse reaction of venlafaxine that requires nursing assessment?
• What is a concerning statement a client may make about their lithium therapy?
• What is the best therapeutic response by a nurse to a client who is using profanity due to frustration about luggage limitations?
• A client with depression shows an improvement in affect and hygiene. After identifying her strengths, what should the nurse do next?
• What might a client exhibit if their valproic acid level is below therapeutic range?
• What is an appropriate action for the nurse to take to help a student dealing with bullying and suicidal thoughts?
• What symptoms should a client on lithium carbonate report immediately to the healthcare provider?
• Which activity is most appropriate for a client with mania who is very active?
• Which food should a client taking phenelzine (Nardil) avoid?
• What is the length of time for which the effects of SSRIs are typically fully realized?
• How can a nurse best assist the wife of a client with bipolar disorder?
• Which therapeutic approach might be used for a client who feels isolated and alone?
• What is the primary goal when setting limits for a client exhibiting inappropriate behavior?
• When prescribed valproic acid, which instruction is essential for the nurse to provide?