39. A nurse is caring for a patient admitted with acute mania. The patient exhibits severe agitation, rapid speech, and flight of ideas. The provider has ordered olanzapine, lithium, valproate, and lorazepam. Which medication should the nurse anticipate administering first to rapidly control acute manic symptoms and agitation?

58. A client diagnosed with bipolar disorder is in the maintenance phase of treatment. The client asks, “Do I have to keep taking this lithium even though my mood is stable now?” Select the nurse’s most appropriate response.

41. A nurse is caring for a client diagnosed with bipolar disorder who exhibits fluctuating appetite changes, psychomotor retardation during depressive episodes, and occasional psychotic symptoms. Which nursing intervention should the nurse prioritize to effectively manage the client’s risk?

44. A nurse is caring for a patient who has been newly prescribed a monoamine oxidase inhibitor (MAOI) for depression. Which clinical sign requires immediate intervention due to a potentially life-threatening side effect of MAOIs?

47. A school nurse observes a child frequently fidgeting, running around the classroom, and interrupting peers during lessons. The child’s teacher reports similar behaviors at home and difficulty completing homework. Based on this clinical presentation and the characteristics of ADHD, which nursing intervention should the nurse prioritize to support this child?

51. A nurse is teaching a client who plans to take St. John’s wort to treat her depression. Which of the following information should the nurse include in the teaching?

32. An elderly client complains of stomach pain and is now mute and staring out of her window. The client is refusing food. Which of the following interventions are appropriate? (Select all that apply.)

34. A client on lithium therapy presents with coarse hand tremors, persistent nausea, vomiting, and mild mental confusion.  What is the nurse’s most appropriate initial action?  

10. A 15-year-old adolescent has run away from home six times. After the adolescent was arrested for prostitution, the parents told the court, “We can’t manage our teenager.” The adolescent is physically abusive to the mother and defiant with the father. The adolescent’s problem is most consistent with the criteria for which disorder?

53. The nurse teaches a client with a diagnosis of depression about the side effects of tricyclic antidepressants. Which of the following should be included in the teaching?     weight gain, sedation, nausea,  anticholinergic symptoms, orthostatic hypotension, cardiotoxic side effects