ATI Mood and Affect Quiz 1. A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems che... erful and relaxed and there are no longer signs of depressive state. Which of the following interventions is appropriate to include in the plan of care? a. Encourage family to take the client out of the facility for short periods of time b. Reward the client for her change in behavior c. Monitor the client’s whereabouts at all times d. Ask the client why her behavior has changed *Clients who have depression and exhibit a sudden change in behavior are at a risk and suicide precautions should be included in the plan of care. Antidepressant medications generally take 1 to 3 weeks before improvement is seen. A cheerful mood with no signs of depressive state 3 days after treatment begins might indicate that the client has made a decision to commit suicide. 2. A nurse is reviewing the medical record of a client who has schizophrenia and is receiving olanzapine. Which of the following findings should the nurse identify as an adverse effect of olanzapine? a. Weight gain of 3 lbs in 2 weeks *Weight gain is a common adverse effect of olanzapine b. Delusions of grandeur c. Heart rate 60/min d. Oral candidiasis 3. A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements? a. Sodium Lithium is a salt. If Sodium level falls, the client will retain lithium and have an increased risk for lithium toxicity. b. Potassium c. Vitamin K d. Vitamin C 4. A nurse is caring for a client following a suicide attempt. The client has a history of depression, substance abuse and anorexia nervosa. Which of the following actions is the nurse’s priority? a. Reviewing the client’s toxicology laboratory report b. Making a contract with the client for eating behavior c. Initiating suicide precautions *Client safety is the nurse’s priority. Therefore, the first action the nurse should take for this client is to initiate suicide precautions. d. Administering the Hamilton Depression Scale [Show More]
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