The nurse is caring for a client with schizophrenia. He reports being sad that his family did not visit this week. He is laughing uncontrollably with tears streaming down his face. The nurse correctly recognizes this as:

The nurse is assessing an adult client who reports fatigue, weight gain, and poor concentration over the past several months. The client states, “I don’t know, I’m pretty happy with my life, but I just don’t have any energy. Maybe I have depression.” What recommendation would be most appropriate for the nurse to include in the SBAR report to the provider?

The nurse is assessing a client for suicide risk using the SAFE-T assessment. The client is a 55 year old male who is in the process of a divorce. His wife currently has custody of their children. He lost his job recently due to aggressive behavior towards a co-worker. He owns several guns. He has had frequent thoughts of suicide and has taken out the gun and loaded it several times over the past week. He reports coping with these thoughts by drinking until he passes out. The nurse would most appropriately report which of the following risk levels and intervention recommendations to the provider:

The nurse manager is educating new nurses about modifiable risk factors of suicide. The nurse manager correctly includes which of the following as a modifiable risk factor for suicide:

An outpatient client with bipolar disorder has a prescription for lamotrigine (Lamictal). They are currently taking 50 mg PO daily. Starting today they are to increase to 100 mg PO daily. One week after that they are to increase to 200 mg PO daily. Lamotrigine is available as pictured. Which instruction by the nurse is most correct?

The nurse is providing a shift report on a client with borderline personality disorder. What behavior by the client would the nurse correctly describe as “splitting?”

A patient was diagnosed with major depressive disorder with seasonal pattern. During which month are the patient’s symptoms likely to be most acute? 

A nurse is assessing a client with schizophrenia. The client states, “I’ve had chronolixation and mentrified thoughts all morning. The chronolixation makes it hard for me to think, and the mentrification of my thoughts is new.” The nurse would correctly chart this alteration in speech as:

The nurse is caring for various clients prescribed a selective serotonin reuptake inhibitor (SSRI) for depression. The nurse recognizes that which of the following groups is at highest risk for suicidal ideation when starting SSRIs:

The nurse caring for clients with bipolar disorder understands that bipolar I and bipolar II differ in: