1. The nurse should teach a patient who is starting lithium therapy which of the following?

(Select all that

apply).

Do not take over the counter medications without checking with your healthcare provider.

Take lithium with meals to avoid an upset stomach

In the first week, you may gain up to 5 pounds of water weight

2. Which client findings are consistent with the reported lab results of Lithium: 1.8 mEq/L?

Coarse hand tremor and sedation

3. A client with major depressive disorder and suicidality begins a regimen of sertraline. Days later, the client
was seen in the day room dancing and singing “It’s so good to be alive.” After notifying the provider, which of
the following orders should the nurse anticipate?

Continuing with sertraline and monitor for suicidality

4. A client with bipolar I disorder has a new order for valproate. Which assessment findings
require immediate follow-up?

A red rash on the arm

5. A client diagnosed with schizophrenia has taken a conventional antipsychotic medication for a year. Which
assessment finding is part of the AIMS? Select all that apply

Foot tapping

Puckering lips

Facial grimacing

Squirming

6. When a client is asked about dietary habits, the client responds “I go to the grocery store and I was waiting in
line. I hate lines. I was standing there. Just waiting. I waited to get my driver’s license. Driving is just crazy.”
The nurse would document the response as:

Tangential thinking

7. During a psychiatric assessment, the nurse observes a patient’s facial expression is without emotion. The
patient says, “I am so happy and grateful for everything. Life is great! ” How will the nurse document the
patient’s affect and mood?
Affect and mood are incongruent.

8. A mental health nurse is providing education on lithium. Which statement should be included in the
teaching?

Use a reliable form of birth control

9. Metabolic Syndrome which includes weight gain, dyslipidemia, increased insulin resistance leading to risk of
cardiovascular disease is a potential side effect of which drug classification?

Antipsychotic Medications

10. A client admitted to the hospital takes lithium twice a day. Which of the following should the nurse report to
the health care provider immediately?

Nausea and vomiting

11. A nurse is making a home visit for a 16-year old adolescent who attempted suicide. Which of the following
behaviors should alert the nurse that the adolescent still has suicidal intent?

Planning to give his CD collection to his girlfriend

12. 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 HIGHEST priority?

Assign a staff member to stay with the client at all times.

13. A nurse is caring for a group of older adult clients. Which of the following manifestations BEST indicates
one of the clients is experiencing delirium?

A client attempts to climb out of bed and repeatedly states she must get home.

14. A nurse in an acute care facility is admitting an older adult client who has dementia due to Alzheimer’s
disease. The nurse notes that the client’s partner appears exhausted. He states that he is finding it more and
more difficult to care for his wife. Which of the following interventions is the nurse’s priority?

Ask the partner to talk about his difficulties in caring for the client.
15. A nurse in a special education program is planning care for a child who has autism spectrum disorder.
Which of the following interventions should the nurse include in the plan of care?

Establish a reward system for positive behavior.

16. Paradoxically, we treat symptoms of ADHD with what class of drugs?

Stimulants

17. A nurse is discussing the manifestations of alcohol withdrawal with a client who has a history of alcohol use
disorder. Which of the following client statements indicates understanding?

"I should expect tremors to start less than 24 hours after I stop drinking."

18. A nurse is assessing a client who is withdrawing from alcohol. Which of the following findings should the
nurse expect? (Select all that apply).

Insomnia

Visual hallucinations

Tremors

19. A nurse is interviewing a client about substance use disorder. The client states "I am handling everything
just fine and I can stop drinking if I want to." The nurse identifies the client is in what stage of change?

Precontemplation

20. A nurse is caring for a client who has late-stage Alzheimer's disease and is hospitalized for treatment of
pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset
and frightened. Choose the BEST intervention by the nurse.

Assist the client to the correct room.