NR 326 Week 4 Quiz 2

2 A. “ECT is the recommended initial treatment for bipolar disorder.” B. “ECT is contraindicated for clients who have suicidal ideation.” C. “ECT is prescribed to prevent relapse of bipolar disorder.” D. “ECT is effective for clients who are experiencing severe mania not responsive to medication therapy.” 7. Which of the following statements is true about Selegiline? A. Transdermal selegiline is contraindicated for clients taking mirtazapine or olanzapine. B. Transdermal selegiline is contraindicated for clients taking bupropion or fluoxetine. C. Transdermal selegiline is contraindicated for clients taking benzodiazepine or haloperidol. D. Transdermal selegiline is contraindicated for clients taking carbamazepine or oxcarbazepine 8. A client is prescribed Bupropion. Which of the following are contraindicated for use of this medication? A. Severe mania and Psychosis B. Eating disorders and Seizure disorders C. Respiratory disorders and vascular disease D. Schizophrenia and Bipolar disorder 9. Which of the following should a nurse include in the plan of care for a client on active suicide precautions? A. Document the client’s behavior every hour. B. Don’t assign the client too close to the nurses’ station. C. Ensure that the client swallows their medication. D. Allow the client to keep only 2 desired personal items in their room. 10. The nursing priority of care for a client admitted with an exacerbation of Major Depressive Disorder includes which of the following? A. Discontinue all medications suddenly to see the effects on level of depression and maintain a safe environment. B. Assist the client with removing the feelings of guilt and improve problem solving skills. C. Expect the therapeutic effects of medications to be immediate and monitor the client’s ability to perform activities of daily living. D. Assess the client’s risk for suicide and implement immediate suicide safety precautions. 11. Which of the following questions will the nurse ask the client on the PH-Q 9 or geriatric depression screening tool? A. "Are you having thoughts that are racing and feel like you are able to solve everyone's problems?" B. “Are you having thoughts that you would be better off dead or of hurting yourself in some way?” C. "Are you having constant thoughts about stealing something and feel like you can get away with just about anything?" 4 C. Use antidepressants to increase euthymia; the goal is to keep alters intact during anxiety moments. D. Use eye movement desensitization and reprocessing therapy; the goal is to get alters to continue to talk to each other to minimize anxiety. 16. Which of the following findings should the nurse expect from a client diagnosed with post- traumatic stress disorder (PTSD)? A. Client presents with recurring nightmares, flashbacks, exaggerated startle reflex, and feeling guilty. B. Client presents with avoidance of talking about the traumatic event, diminished reflexes, anergia, and alogia. C. Client presents with paranoia, recurring nightmares, manic episodes, and bizarre behavior. D. Client presents with obsessive compulsive behavior, increased reflexes, insomnia, and increased lethality. 17. Which of the following findings should the nurse identify as an indication of Derealization? A. The