1.A nurse is planning a unit orientation for a newly admitted client who is severely depressed.

Which of the following should be the nurse's approach?

a) Sit with the client and offer simple, direct information.
b) Take the client on a tour of the unit and introduce him to other clients.
c) Explain the unit policies to the client and answer any questions he might have.
d) Introduce the client to all the staff members on duty.
2.A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should
recognize that it is appropriate to admit this client to which of the following?
a) A seclusion room until the activity level becomes more subdued
b) A private room close to the nursing station
c) A semi-private room with a roommate who has a similar problem
d) A private room in a quiet location on the unit
3. A nurse is caring for a client who has been taking lithium for 1 year. Before administering the
medication, the nurse should check to see that which of the following tests have been completed?
a) Thyroid hormone panel.
b) Liver function tests.
c) Erythrocyte sedimentation rate.
d) Complete blood cell count.
4.A nurse is teaching a client who has bipolar disorder to recognize the signs and symptoms of
lithium toxicity. The nurse evaluates that learning has occurred when the client states that he
should report which of the following?
a) Loss of appetite
b) Increased flatulence
c) Vomiting and diarrhea
d) Fine hand tremor
5. A nurse is caring for a client who has been prescribed lithium carbonate (Eskalith) for the
treatment of bipolar disorder. Which of the following should the nurse include in her teaching
with the client and family regarding this medication?
a) You will need to consume a low-salt diet while on this medication.
b) You will need not need your blood levels during the first month.
c) You will need to take this medication on an empty stomach.
d) You will need to stop this medication if you experience diarrhea, vomiting, and/or excessive
sweating.
6. A nurse on an inpatient mental health unit is caring for a client who has major depressive
disorder and malnutrition. Which of the following is an appropriate nursing intervention for
helping this client at this time?

a) Instruct the client about the importance of eating.

b) Weigh the client at the same time every morning.
c) Ask provider to arrange a nutritional consultation.
d) Sit with the client during meals and snacks.
7. A nurse is caring for a client who has major depressive disorder (MDD). Which of the
following is an expected finding?
a) Changes in weight
b) Hyperexcitability
c) Exaggerated response of pleasure to stimuli
d) Attention seeking behavior
8. A nurse is caring for a 48-year-old client who is grieving. The client reports that her husband
died seven months ago, that she has lost 30 lb, and that she has difficulty sleeping. Which of the
following items of data indicate that the client is experiencing maladaptive grieving?
a) The client is 48 years old.
b) The clients husband died seven months ago.
c) The client has lost 30 lb.
d) The client has difficulty sleeping.
9. A nurse is caring for a client who has a depressive disorder. The client states, I just cant feel
any happiness or joy in life. Which of the following terms should the nurse use when
documenting this finding?
a) Anhedonia
b) Anergia
c) Anosognosia
d) Akathisia
10. A nurse is discussing health promotion with a client who has depression. Which of the
following client statements indicates a need for further teaching?
a) I need to make a voluntary choice to stop my feelings of depression.
b) I can help manage my depression with lifestyle changes.
c) I should participate in psychotherapy to improve long-term management of my depression.
d) I will plan on continuing medication for the treatment of my depression.
11 A nurse is evaluating the outcomes for an outpatient client who has depression. Which of the
following client statements indicates a need for further intervention?
a) I had a great trip to the Smokey Mountains. It was fun.
b) Going back to work, well, its not bad; its okay.
c) I just dont like going to the movies like I did before.

d) I cant wait to go to my sons wedding next weekend. It will be nice to have the whole family
together.
12.A nurse is teaching a client about a new prescription for lithium carbonate (Eskalith). Which
of the following statements by the nurse is appropriate to include in the teaching?
a) Lithium will be tapered in 6 months to prevent addiction.
b) Weight gain is a sign of lithium toxicity.
c) Your provider will prescribe a diuretic while you are taking lithium.
d) We will need to check your lithium levels within one week of starting treatment.
13. A nurse is caring for a client who reports dizziness upon getting out of a chair or bed since
recently starting a prescription for a tricyclic antidepressant. Which of the following is an
appropriate response by the nurse?
a) This side effect should decrease after several weeks of treatment.
b) Avoiding foods that contain tyramine can help diminish your dizziness.
c) Dizziness is usually a result of skipping a dose of medication.
d) Your provider will need to discuss discontinuation of this medication.
14. A nurse is planning care for a client prior to electroconvulsive therapy (ECT). Which of the
following medications should the nurse plan to administer?
a) Diphenhydramine
b) Atropine
c) Epinephrine
d) Fluoxetine
15. A nurse is teaching a client about electroconvulsive therapy (ECT). Which of the following
should the nurse include in the teaching?
a) Temporary memory loss is the most common adverse effect
b) Medications will be administered to prevent seizure activity.
c) The greatest risk of ECT is brain damage.
d) ECT is effective in the treatment of substance abuse disorders.
16. A nurse is planning care for a newly admitted client who has severe depression following the
loss of her spouse. When planning appropriate goals, which of the following should the nurse
identify as the highest priority?
a) The client will make a promise not to harm self.
b) The client will exhibit behaviors of the normal grieving process.
c) The client will identify positive qualities about herself.
d) The client will assume an active role in her care planning process.

17. A nurse is caring for a client who has depression and is discussing ADLs with his family. The
nurse identifies that after discharge, the client is able to perform which of the following if
independent with ADLs?
a) Driving
b) Hygiene
c) House cleaning
d) Grocery shopping
1. a
2. d
3. a
4. c
5. d
6. d
7. a
8. b
9. a

Answer Key
10. a
11. c
12. d
13. a
14. b
15. a
16. a
17. b