A client with a diagnosis of Bipolar Disorder has been taking lithium carbonate, however, stopped it 3 months ago because of weight gain. The client is now agitated, pacing, and flailing their arms in exaggerated gestures. The physician orders a "now" dose of lithium and olanzapine. The client's family asks why olanzapine is ordered. What is the nurse's most appropriate response? "Olanzapine:

ensures a good night's sleep."

calms hyperactivity until the Lithium takes effect."

cures manic symptoms."

prevents extrapyramidal side effects."

Answer and Explanation

The Correct Answer is B

B. Olanzapine is an antipsychotic medication commonly used to treat acute manic episodes in bipolar disorder. It can help to stabilize mood, reduce agitation, and calm hyperactivity while waiting for lithium to reach therapeutic levels and take effect.
A. Olanzapine is an antipsychotic medication that can have sedative effects and may help with sleep but this statement does not directly address the reason for its use in this specific situation.
C. Like other medications used to treat bipolar disorder, does not cure the condition. Instead, it helps to manage and stabilize symptoms, including manic episodes, by regulating neurotransmitter activity in the brain.
D. Olanzapine is an antipsychotic medication that has a lower risk of causing extrapyramidal side effects compared to typical antipsychotics but this statement does not accurately explain its use in this scenario.

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Free Nursing Study Resources

Correct Answer is C

Explanation

C. Individuals with borderline personality disorder often struggle with intense emotions and may engage in self-harming behaviors as a maladaptive coping mechanism. Helping the client identify triggers for their distress and teaching them alternative coping strategies, such as mindfulness, grounding techniques, or distress tolerance skills, can empower them to manage their emotions in healthier ways.
A. Anxiolytic medications can help alleviate anxiety symptoms but they are not typically the first-line intervention for addressing acute distress in individuals with borderline personality disorder (BPD).
B. Restraint should not be the first response to a client expressing distress or suicidal ideation. Physical restraint should only be used as a last resort in situations where there is an imminent risk of harm to the client or others and should be implemented by trained professionals following established protocols.
D. Encouraging self-harm behaviors reinforces maladaptive coping strategies and can increase the risk of harm to the client. It is essential to provide support and interventions aimed at reducing self-harming behaviors.

A. attends a weekly yoga class to improve flexibility and balance. B. gets information about herbal remedies from a health food store employee. C. takes glucosamine daily to prevent knee and hip pain. D. states that prayer helps to improve the knee pain and function.

Correct Answer is B

Explanation

B. It's essential for the client to receive accurate information about their safety, efficacy, and potential interactions with other medications. Health food store employees may not always have the necessary expertise to provide comprehensive information on these aspects.
A. Yoga can indeed improve flexibility and balance, which can be beneficial for individuals with osteoarthritis. Therefore, this choice does not indicate a need for client teaching.
C. Glucosamine helps with pain control and bone remodeling to improve overall functionality.
D. Prayer and spirituality can provide emotional support and improve overall well-being, they may not directly address the underlying physical symptoms of osteoarthritis. This may indicate a need for client teaching, as it may reflect the client's personal beliefs and coping strategies.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with borderline personality disorder reported to the nurse in the clinic that they feel empty and anxious and wants to cut their arms. The nurse should:

Correct Answer is C

Explanation

The nurse is admitting a client who has osteoarthritis. Which information obtained by the nurse indicates a need for client teaching? The client:

Correct Answer is B

Explanation

A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client?

Which predisposing factor obtained during the nursing assessment would cause the nurse to consider a child to be at risk for the development of a psychiatric disorder?

During a routine health examination, the client tells the nurse about using a variety of herbal therapies for health maintenance. When discussing the use of herbs, the nurse cautions the client that: (SELECT ALL THAT APPLY)

When assessing a 2-year-old child with suspected autism spectrum disorder, the nurse should be particularly alert for:

The nurse understands that when a practitioner corrects subluxation by manipulating the vertebrae of the spinal column, the practitioner is employing which therapy?

The best action for the nurse to take with a 5-year-old who runs over to another child in the waiting room and slaps her is to:

The nurse is caring for a client who is experiencing mania. The client is pacing, cannot sit, and has pressured speech. Which meal will the nurse provide to best meet the nutritional needs of this client?