Family members of a client with bipolar disorder tell the nurse that they are distressed about the client’s episodes of manic behavior and are unsure of what to do. What is the most important information for the nurse to give the family?

A depressed client is now taking trazodone (Desyrel). The client asks the nurse when the medication should be taken. What is the best response by the nurse?

A depressed client who is taking a prescribed tricyclic antidepressant tells the nurse he is sleepy all the time and does not feel like doing anything. What is the best response by the nurse?

A nurse is teaching a client who was recently diagnosed with dysthymic disorder about the condition. What is the most appropriate information for the nurse to include?

An acutely manic client kisses a nurse on the lips and asks her to marry him. The nurse is taken by surprise. What is the most appropriate response by the nurse?

A female client describes her unpredictable episodes of acute anxiety as “just awful.” She says that she feels like she’s about to die and can hardly breathe. The nurse interprets these symptoms as indicating which condition?

The nurse has provided medication teaching for a client who will be taking alprazolam (Xanax) upon discharge from the hospital. The nurse determines that teaching was effective when the client states the need to avoid which of the following?

Which behavior modification technique is most beneficial in the treatment of phobias?

Which nursing diagnosis is most likely to be on the care plan of a client with a phobia about elevators?

The nurse is developing a plan of care for a client with a risk of suicide. What is the most important nursing intervention for the nurse to include?

What is the best statement for the nurse to make when teaching the client and family about phobias and the need for a strong family support system?

A nurse is selecting interventions to enhance the self-esteem of a client with depression. What is the most appropriate intervention for this client?

A client who is taking lithium asks the nurse why it is necessary to have his blood drawn for a lithium level. What is the most appropriate response by the nurse?

What is the most important information for the nurse to include when providing nutritional counseling for family members of a client with bipolar disorder?

The nurse teaches a client with bipolar disorder effective coping strategies. The nurse determines that teaching was successful when the client makes which statement?

The nurse is developing a plan of care for a client with depression who has been admitted to the inpatient unit because of an attempted suicide. What is the priority goal for this client?

A nurse is caring for a client who reports that he thinks about suicide every day. The nurse anticipates that the client’s care will include which of the following?

An adolescent who is depressed and reportedly having difficulty in school is brought to the community mental health center by his parents for evaluation. The nurse performs an assessment and suspects the client may also be experiencing which of the following?

The nurse is developing short-term goals for a client who repeatedly makes statements about not deserving things. The nurse determines that which of the following is an appropriate short-term goal?

The nurse is caring for a client who is manifesting negative expectations. The nurse determines that which of the following is an appropriate intervention for this client?

The nurse is concerned that a client admitted with depression may be suicidal. What is the most appropriate action by the nurse?

A client diagnosed with major depression has been admitted to an inpatient unit. The client’s family members are upset and tell the nurse they do not understand what is wrong. What is the best response by the nurse?

A client diagnosed with major depression asks the nurse why he is taking mirtazapine (Remeron) instead of imipramine hydrochloride (Tofranil). What is the best response by the nurse?

The nurse is preparing discharge instructions for a client taking lithium (Eskalith). What is the most important information for the nurse to give the client?

The nurse is developing interventions for a client newly diagnosed with type 1 diabetes who has a blood-injection-injury phobia. What is the most appropriate intervention for this client?

A client with bipolar disorder has been receiving lithium (Eskalith) for 2 weeks. He also takes chemotherapeutic drugs that cause him to feel nauseated and anorexic. It is most important for the nurse to assess the client for which of the following?

A client with a history of bipolar disorder was admitted to the psychiatric unit 2 days ago. The client stopped taking lithium (Eskalith) 2 weeks ago and is now in a manic phase. The nurse would anticipate the client’s assessment to include which finding?

A client who was diagnosed with major depression 3 weeks ago tells the nurse that he is feeling better since he started taking the prescribed antidepressant medication. The nurse is aware that it is most important to assess the client for which of the following?

A nurse is teaching a client about tricyclic antidepressants. The nurse determines that teaching has been effective when the client makes which statement?

The nurse is performing an initial admission assessment on a 40-year-old client with a diagnosis of major depression. The client was brought to the hospital by her husband who states that the client refused to get out of bed for 2 days, has not eaten, is tired all the time, and has neglected her household responsibilities. What is the most important question for the nurse to ask the client at this time?