Mood disorders and Suicide Flashcards
The nurse observes that a client with bipolar disorder is pacing in the
hall, talking loudly and rapidly, and using elaborate hand gestures. The
nurse concludes that the client is demonstrating which?
a. Aggression
b. Anger
c. Anxiety
d. Psychomotor agitation
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.” Which is the best response by the nurse?
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 continues 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 OK.”
d. “You can expect tremors with lithium. You seem very concerned
about such a small tremor.”
a. “Fine motor tremors are an early effect of lithium therapy that usually subsides in a few weeks.”
What are the most common types of side effects from SSRIs?
a. Dizziness, drowsiness, and dry mouth
b. Convulsions and respiratory difficulties
c. Diarrhea and weight gain
d. Jaundice and agranulocytosis
a. Dizziness, drowsiness, and dry mouth
The nurse observes that a client with depression sat at a table with two other clients during lunch. Which is the best feedback the nurse could give the client?
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.”
c. “I see you were sitting with others at lunch today.”
Which term typifies the speech of a person in the acute phase of mania?
a. Flight of ideas
b. Psychomotor retardation
c. Hesitant
d. Mutism
a. Flight of ideas
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, necessitating increased water and salt.
d. Lithium is a salt that has greater affinity for receptor sites than sodium chloride.
d. Lithium is a salt that has greater affinity for receptor sites than sodium chloride.
Identify the serum lithium level for maintenance and safety. (Lecture)
0.1-1mmol/L
A client says to the nurse, “You are the best nurse I’ve ever met. I want you to remember me.” What is an appropriate response by the nurse?
a. “Thank you. I think you are special too.”
b. “I suspect you want something from me. What is it?”
c. “You probably say that to all your nurses.”
d. “Are you thinking of suicide?”
d. “Are you thinking of suicide?”
A client with mania begins dancing around the day room. When she twirled her skirt in front of the male clients, it was obvious she had no
underwear on. The nurse distracts her and takes her to her room to put on underwear. The nurse acted as she did to:
a. minimize the client’s embarrassment about her present behavior.
b. keep her from dancing with other clients.
c. avoid embarrassing the male clients who are watching.
d. teach her about proper attire and hygiene.
a. minimize the client’s embarrassment about her present behavior.
Which actions would indicate an increased suicidal risk?
a. An abrupt improvement in mood
b. Calling family members to make amends
c. Crying when discussing sadness
d. Feeling overwhelmed by simple daily tasks
e. Statements such as “I’m such a burden for everyone”
f. Statements such as “Everything will be better soon”
a, b, f
Which activities would be appropriate for a client with mania?
a. Drawing a picture
b. Modeling clay
c. Playing bingo
d. Playing table tennis
e. Stretching exercises
f. Stringing beads
a, b, e
Systematic assessment of suicide risk (SAD PERSONS NO HOPE)
S – Sex (Male)
A – Age (Older)
D – Depression
P – Previous Attempt
E – Ethanol Use
R – Rational Thinking Loss
S – Social Support Lacking
O – Organised Plan
N – No Spouse
S – Sickness
N – No Meaning in Life
O – Overt change in Physical/ emotional state
H – Hostile Interpersonal
environment
O – Out of Hospital
P – Predisposing Personality
E – Excuses for Dying
Each item fulfilled= 1pt
0 to 5: May be safe for discharge
depending on other clinical
presentation.
6 to 8: Require psychiatric
consultation.
>8: Need urgent admission
List categories of mood disorders (3).
- Bipolar Disorder I & II (difference in frequency and severity. I (got manic) more serious than II (only hypomanic))
- Persistent Depressive
Disorders - Major depressive disorders
Nurse Wong is caring for a male client with suicidal tendency. When accompanying client to the restroom,
she should:
(a) give him privacy.
(b) allow him to urinate
(c) unobtrusively observe him.
(d) open the window to give him fresh air
(c) unobtrusively observe him.
Joe who is very depressed exhibits psychomotor
retardation and neglects his ADL and grooming. The
most appropriate nursing intervention would be:
(a) waiting for Joe’s family to be involved in the care.
(b) asking Joe if he wants to take his shower .
(c) explaining to Joe the importance of hygiene.
(d ) stating to Joe that it is time to take his shower.
(c) explaining to Joe the importance of hygiene.
