1. A client diagnosed with bipolar disorder and experiencing mania is admitted to the
inpatient psychiatric setting. During the acute phase of mania, which medication would the
nurse expect to most likely administer?
A) Lithium carbonate (Lithium)
B) Haloperidol lactate (Haldol)
C) Fluoxetine (Prozac)
D) Paroxetine (Paxil)
2. A client asks the nurse if he needs to alter any of his activities because he is taking lithium
carbonate. Which of the following responses would be most appropriate?
A) Increase your salt intake if an activity causes you to perspire heavily.
B) Wear sunscreen when you are going to be outdoors in the summer time.
C) Drink less fluid than usual now because you are taking this drug.
D) No changes are necessary for strenuous activities you do outdoors.
3. The nurse is assessing a client with bipolar disorder who is experiencing mania. The client
states, Im just so beautiful. Everyone just stops and stares at how gorgeous I am. Men
constantly want to have sex with me. The nurse interprets these statements as indicative of
which type of mood?
A) Irritable
B) Elevated
C) Expansive
D) Euphoric
4. The nurse is reviewing the medical record of a client with bipolar disorder. The nurse
would most likely expect to find a history of which of the following?
A) Panic disorder
B) Schizophrenia
C) Delusional disorder
D) Posttraumatic stress disorder
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