A client, brought to the mental health unit by police, had been directing traffic and shouting rhymes
on a busy city street. Her husband reported that she had stopped taking her lithium 3 weeks ago and
had not slept or eaten for 3 days.
She was dressed in a red leotard, an exercise bra, and an assortment
of chains and brightly colored scarves on her head, waist, wrists, and ankles. Her first words to the
nurse were "I'll punch you, munch you, crunch you," as she danced into the room, shadow boxing.
Then she shook the nurse's hand and said gaily, "We need to become better acquainted. I have the
world's greatest intellect and you are probably an intellectual midget.". The nurse should assess the
client's mood as
a. irritable and belligerent.
b. excessively happy and confident.
c. unstable and unpredictable.
d. highly suspicious and haughty.
C
The client has demonstrated angry behavior and pleasant, happy behavior within seconds of each
other. Mood swings are often rapid and seemingly without understandable reason in manic clients.
Options A and B are not entirely correct. Option D is not described in the scenario.
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A score of 12 on the MMSE would indicate:
a. situational depression b. cognitive impairment, probably dementia c. delirium d. a normal result
Which drug might the primary care provider prescribe to help facilitate pain management in a client with chronic pain?
1) Paroxetine (Paxil) 2) Atomoxetine (Strattera) 3) Olanzapine (Zyprexa) 4) Ondansetron (Zofran)
Which recommendation should the nurse make to a client to initiate the milk ejection reflex?
a. Wear a well-fitting firm bra. b. Drink plenty of fluids. c. Place the infant to the breast. d. Apply cool packs to the breast.
There is no way of knowing at 6 weeks whether a baby has perfect hearing
Indicate whether the statement is true or false.