The distractibility characteristic of manic episodes can assist the nurse to direct the patient toward more appropriate, constructive activities without entering into power struggles. Humor usually backfires by either encouraging the patient or inciting anger. Limit setting and honest feedback may seem heavy-handed and may incite anger. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 13-18, 19, 25, 46 (Table 13-3) | Page 13-19 (Case Study and Nursing Care Plan) TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
_x
an ax
12. The nurse receives a laboratory report indicating a patient’s serum level is 1 mEq/L. The patient’s last dose of lithium was 8 hours ago. This result is a. within therapeutic limits. b. below therapeutic limits. c. above therapeutic limits. d. invalid because of the time lapse since the last dose.
nd
ANS: A Normal range for a blood sample taken 8 to 12 hours after the last dose of lithium is 0.6 to 1.2 mEq/L.
_a
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 13-26, 27, 28, 49 (Table 13-4) TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
tb
an
ks
13. Consider these three anticonvulsant medications: divalproex, carbamazepine, and gabapentin. Which medication also belongs to this classification? a. clonazepam b. risperidone c. lamotrigine d. aripiprazole
:t
es
ANS: C The three drugs in the stem of the question are all anticonvulsants. Lamotrigine is also an anticonvulsant. Clonazepam is an anxiolytic; aripiprazole and risperidone are antipsychotic drugs.
eB
ay
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 13-28, 51(Table 13-5) TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
14. When a hyperactive patient diagnosed with acute mania is hospitalized, what is the initial nursing intervention? a. Allow the patient to act out feelings. b. Set limits on patient behavior as necessary. c. Provide verbal instructions to the patient to remain calm. d. Restrain the patient to reduce hyperactivity and aggression. ANS: B
eBay: testbanks_and_xanax
