1. A nurse is caring for a client who has depression and states that she is too tired

to get out of bed or dress. Which of the following statements by the nurse is

appropriate?

a. "You really need to follow the rules of the unit and get out of bed."

b. "If you do not get out of bed, you will not receive your meal."

c. "I will help you sit up and get your slippers on."

d. "You should rest in bed until you feel able to take part in unit activities."

2. A nurse on an acute care mental health unit is caring for a client who has

generalized anxiety disorder. The client received an upsetting telephone call and is

now rapidly pacing the corridors of the unit. Which of the following actions should

the nurse take?

a. Walk with the client at a gradually slowing pace.

b. Allow the client to pace alone until physically tired.

c. Ask a small group of other clients to walk with the client.

d. Calmly instruct the client to stop pacing and sit in the dayroom.

3. A nurse is reinforcing teaching with a client about manifestations of lithium

toxicity. Which of the following manifestations should the nurse include in the

teaching?

a. vomiting and diarrhea

b. increased flatulence

c. loss of appetite

d. increased urination

4. A nurse on the mental health unit is caring for a client who has bipolar disorder

and comes to the nurse's station at 0300 demanding to see the provider. Which of

the following responses should the nurse make?

a. "Go back to your room, and I'll try to get in touch with your provider in the

morning."

b. "You seem to be very upset about something. Tell me about it."

c. "Why don't you wait to speak to your provider in the morning?"

d. "Everything will be okay until morning. You can speak with your provider then