Mental Health NCLEX practice Questions with Correct Answers

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Mental Health NCLEX practice Questions with Correct Answers 1 / 15 1. The serum lithium blood level of a client with a mood disorder, manic episode, is 2.3 mEq/L. What should the nurse expect when assessing this client? a) Elevation in mood b) Nausea, thirst, and fine hand tremor c) Decrease in manic signs and symptoms d) Vomiting, diarrhea, and decreased coordination: d) Vomiting, diarrhea, and decreased coordination Vomiting, diarrhea, and decreased coordination are reflective of lithium toxicity. During the active phase of a manic episode a lithium level of 2.3 mEq/L is more than the therapeutic range of 0.8 to 1.4 mEq/L. An improvement in mood may occur when the therapeutic level is approached early in lithium therapy. Nausea, thirst, and fine hand tremor are common early side effects of lithium treatment. They are not related to lithium toxicity, which is indicated by a 2.3 mEq/L lithium level. During the acute phase of mania the therapeutic serum level of lithium should be between 0.8 and 1.4 mEq/L. The maintenance therapeutic serum level ranges from 0.4 to 1.0 mEq/L. A reduction in symptoms is expected when the therapeutic level of lithium is reached. 2. The nurse is caring for a female client who is confused and delirious.What is the most therapeutic intervention when the nurse is interacting with this client? a) Reassuring the client that she will get better b) Directing the client's daily activities on the unit c) Helping the client clarify her experience and gain insight into her behavior d) Providing the client with solutions to past and current problems she has experienced: b) Directing the client's daily activities on the unit The client needs to have her activities decided and directed until delirium and confusion clear. Reassuring the client that she will get better is false reassurance. Clients who are delirious are unable to develop insight into their behavior. Providing the client with solutions to past and current problems experienced is not therapeutic and does not help the client develop insight.

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