A client has borderline personality disorder. Which Axis will the nurse document this information?

Axis 1

Axis 3

Axis 4

AXIS 2

Answer and Explanation

The Correct Answer is D

Choice A rationale: Axis 1 is used to document clinical disorders that are the primary focus of management such as schizophrenia, major depressive disorder, and bipolar disorder among others.
Choice B rationale: Axis 3 is used in the documentation of conditions, for instance, asthma, hypertension, and diabetes mellitus among others which are known to have effects on an individual’s mental health.
Choice C rationale: Axis 4 is used in the documentation of environmental and psychosocial issues contributing to a patient’s stress such as financial and family stressors.
Choice D rationale: this is accurate since Axis 2 is used in the documentation of conditions affecting a client’s functioning such as personality disorders and mental retardation.

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Correct Answer is C

Explanation

Choice A rationale: fats are directly related to lithium therapy and does not require any special monitoring during the drug’s intake.
Choice B rationale: proteins do not affect the blood levels of lithium hence they do not require any special monitoring during the drug’s intake.
Choice C rationale: Lithium is a salt that can affect the fluid and electrolyte balance in the body and competes with sodium for their reabsorption in the kidneys.
Therefore, if the client consumes too much or too little sodium, it can alter the level of lithium in the blood and cause toxicity or ineffectiveness hence the need for close monitoring.
Choice D rationale: potassium does not affect the blood levels of lithium hence no special monitoring during intake is required.

Correct Answer is ["3"]

Explanation

3 tablets

To calculate the number of tablets needed, divide the total prescribed dose by the strength of each tablet. In this case, 30mg / 10mg per tablet = 3 tablets.

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A client has borderline personality disorder. Which Axis will the nurse document this information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:

Correct Answer is C

Explanation

Prozac 30mg PO is ordered for a client. Prozac is available in 10mg tablets. How many tablets will you administer?

Correct Answer is ["3"]

Explanation

Showing empathy toward a client is an effective tool in establishing rapport. Which nurse statement is the best example of an empathetic response?

During an admission assessment, a male client states that he has been having auditory hallucinations and difficulty concentrating at work. This type of data is referred to as:

What is the therapeutic range of Lithium (Eskalith)?

A male inpatient client who is experiencing depression has no interest in eating. He skips meals frequently and has been losing weight. What is the best nursing action in this situation?

During which phase of the therapeutic relationship do the caregiver and the client identify themselves by introducing themselves to one another?

Therapeutic relationship differs from other relationships in that the focus of a therapeutic relationship is on:

The goals of therapeutic communication are to:

Regarding the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger.