A nurse on an inpatient unit is caring for a group of clients who have depression. When planning care, which of the following clients should the nurse see first?

A client who was admitted 1 week ago with premenstrual dysphoric disorder

A client on day 2 of admission who has disruptive mood dysregulation disorder

A client on day 3 of admission who has a history of dysthymic disorder

A newly admitted client who has bipolar I disorder

Answer and Explanation

The Correct Answer is D

A. A client with premenstrual dysphoric disorder is typically stable once admitted and is unlikely to have immediate safety concerns, so they do not require first priority.
B. A client on day 2 with disruptive mood dysregulation disorder may have mood instability, but unless there are acute safety concerns, they are not the highest priority.
C. A client with dysthymic disorder has a chronic, mild depression and is usually medically stable, making them a lower priority for initial assessment.
D. A newly admitted client with bipolar I disorder may be experiencing acute mania or severe depression and is at higher risk for safety issues, impulsivity, or harm to self or others. Newly admitted clients always require a comprehensive initial assessment to identify urgent needs and potential risks, making them the priority.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Blurred vision and jerking motor movements are typically associated with severe lithium toxicity (levels >2.0 mEq/L), which requires urgent medical intervention.

B. A serum lithium level of 1.6 mEq/L falls into the mild to moderate toxicity range. Clients may report gastrointestinal discomfort (nausea, vomiting, diarrhea), poor coordination, tremors, muscle weakness, and fatigue. These symptoms occur because lithium affects neuronal excitability and neuromuscular function, and early recognition allows for prompt dosage adjustment or temporary discontinuation to prevent progression to severe toxicity.

C. Lip smacking and tongue thrusting are hallmark signs of tardive dyskinesia, a movement disorder related to long-term antipsychotic use, and are not linked to lithium therapy.

D. Fever and fluctuating blood pressure are nonspecific and not characteristic of lithium toxicity, so they are not expected at this serum level.

A. The adolescent should be evaluated for ADHD symptoms that occur in more than one setting over a period of at least six months. B. If the adolescent's grades are good, we can rule out ADHD as a possible diagnosis." C. Screening for ADHD is most effective when we focus solely on the adolescent's behavior in the classroom. D. Since adolescents can be less hyperactive than younger children, we don't consider hyperactivity as a criterion in this age group.

Correct Answer is A

Explanation

A. ADHD diagnosis requires that symptoms of inattention, hyperactivity, or impulsivity be present in more than one setting (e.g., home, school, social situations) and persist for at least six months, ensuring that behaviors are consistent and not situational.
B. Good academic performance does not rule out ADHD; some adolescents may compensate for symptoms through intelligence, support, or coping strategies, so ADHD can still be present despite satisfactory grades.
C. Focusing only on classroom behavior is insufficient, as ADHD symptoms must be evident across multiple settings to meet diagnostic criteria.
D. While hyperactivity may decrease with age, it remains a relevant criterion for diagnosis. Symptoms may manifest as restlessness or difficulty engaging in quiet activities rather than overt hyperactivity.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse on an inpatient unit is caring for a group of clients who have depression. When planning care, which of the following clients should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

Correct Answer is B

Explanation

A school nurse is providing care to an adolescent who reports they are having difficulty focusing and sitting still in class. Which of the following screening considerations should the nurse identify as important for diagnosing ADHD in the adolescent?

Correct Answer is A

Explanation

A nurse manager is instructing a newly licensed nurse in ways to improve their active listening skills. Which of the following behaviors should the nurse manager recommend?

A nurse is caring for a client who has schizophrenia. Exhibits Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.

A nurse is caring for a client who is experiencing mild depression and asks about herbal treatments. The nurse should identify that which of the following herbal treatments is used for depression?

A nurse is caring for an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?

A nurse is preparing to administer gentamycin 2 mg/kg PO every 8 hours to a client who weighs 160 lbs. What is the dose the nurse should expect to administer? Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?

A nurse is describing cognitive therapy to a new nurse. Which of the following is the correct explanation as to how cognitive therapy works?

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates and understanding of therapeutic milieu?