1. A client with depression remains in bed most of the day, declines activities and refuses meals. Which nursing problem has the greatest priority for this client?
a. Loss of interest in diversional activity.
b. Social isolation
c. Refusal to address nutritional needs
d. Low self-esteem.
2. The nurse is preparing medications for a client with bipolar disorder and notices that the antipsychotic medication was discontinued several days ago. Which medication should also be discontinued?
a. Lithium (lithotabs )
b. Benztropine (Cogentin)
c. Alprazolam (Xanax)
d. Magnesium (milk of magnesia)
3. A female client request that her husband be allowed to stay in the room during the admission assessment. While interviewing the client, the nurse notes a discrepancy between the client’s verbal and nonverbal communication. What action should the nurse take?
a. Pay close attention and document the nonverbal messages
b. Ask the client’s husband to interpret the discrepancy
c. Ignore the nonverbal behavior and focus on the client’s verbal messages.
d. Integrate the verbal and nonverbal messages and interpret them as one.
4. A male client approaches the nurse with an angry expression on his face and raises his voice, saying, “My roommate is the most selfish, self-centered, angry person I have ever met. If he loses his temper one more time with me, I am going to punch him out!” the nurse recognizes that the client is using which defense mechanism?
a. Denial
b. Projection
c. Rationalization
d. Splitting
5. A male client with bipolar disorder who began taking lithium carbonate five days ago is complaining of excessive thirst, and the nurse finds him attempting to drink water from the bathroom sink faucet. Which intervention should the nurse implement?
a. Report the client’s serum lithium level to the healthcare provider
b. Encourage the client to suck on hard candy to relieve the symptoms
c. No actions is needed since polydipsia is a common side effect
d. Tell the client that drinking from the faucet is not allowed
