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Chapter Study GuideChapter Review
➤ MULTIPLE-CHOICE QUESTIONS
Select the best answer for each of the following
questions.
- The nurse observes that a client with bipolar dis-
order is pacing in the hall, talking loudly and
rapidly, and using elaborate hand gestures. The
nurse concludes that the client is demonstrating
which of the following?
A. Aggression
B. Anger
C. Anxiety
D. Psychomotor agitation - A client with bipolar disorder begins taking
lithium carbonate (Lithium) 300 mg four times
a day. After 3 days of therapy, the client says
“My hands are shaking.” The best response by
the nurse is
A. “Fine motor tremors are an early effect of
lithium therapy that usually subsides in a
few weeks.”
B. “It is nothing to worry about unless it contin-
ues for the next month.”
C. “Tremors can be an early sign of toxicity, but
we’ll keep monitoring your lithium level to
make sure you’re okay.”
D. “You can expect tremors with Lithium. You
seem very concerned about such a small
tremor.” - What are the most common types of side effects
from SSRIs?
A. Dizziness, drowsiness, dry mouth
B. Convulsions, respiratory difficulties
C. Diarrhea, weight gain
D. Jaundice, agranulocytosis - The nurse observes that a client with depression
sat at the table with two other clients during
lunch. The best feedback the nurse could give
the client is
A. “Do you feel better after talking with others
during lunch?”
B. “I’m so happy to see you interacting with
other clients.”
C. “I see you were sitting with others at lunch
today.”
D. “You must feel much better than you were a
few days ago.”- Which of the following typifies the speech of a
person in the acute phase of mania?
A. Flight of ideas
B. Psychomotor retardation
C. Hesitant
D. Mutism - What is the rationale for a person taking
lithium to have enough water and salt in his or
her diet?
A. Salt and water are necessary to dilute
lithium to avoid toxicity.
B. Water and salt convert lithium into a usable
solute.
C. Lithium is metabolized in the liver, necessi-
tating increased water and salt.
D. Lithium is a salt that has greater affinity for
receptor sites than sodium chloride. - Identify the serum lithium level for maintenance
and safety.
A. 0.1 to 1.0 mEq/ L
B. 0.5 to 1.5 mEq/ L
C. 10 to 50 mEq/ L
D. 50 to 100 mEq/ L
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