A client with a diagnosis of Bipolar Disorder has been taking lithium carbonate, however, stopped it 3 months ago because of weight gain. The client is now agitated, pacing, and flailing their arms in exaggerated gestures. The physician orders a "now" dose of lithium and olanzapine. The client's family asks why olanzapine is ordered. What is the nurse's most appropriate response? "Olanzapine:

ensures a good night's sleep."

calms hyperactivity until the Lithium takes effect."

cures manic symptoms."

prevents extrapyramidal side effects."

Answer and Explanation

The Correct Answer is B

B. Olanzapine is an antipsychotic medication commonly used to treat acute manic episodes in bipolar disorder. It can help to stabilize mood, reduce agitation, and calm hyperactivity while waiting for lithium to reach therapeutic levels and take effect.
A. Olanzapine is an antipsychotic medication that can have sedative effects and may help with sleep but this statement does not directly address the reason for its use in this specific situation.
C. Like other medications used to treat bipolar disorder, does not cure the condition. Instead, it helps to manage and stabilize symptoms, including manic episodes, by regulating neurotransmitter activity in the brain.
D. Olanzapine is an antipsychotic medication that has a lower risk of causing extrapyramidal side effects compared to typical antipsychotics but this statement does not accurately explain its use in this scenario.

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Correct Answer is D

Explanation

D. This recognizes that the client's improvement in mood is a typical response to antidepressant medication and does not automatically suggest any negative outcomes such as suicidal ideation or serotonin syndrome.
A. It's important to be vigilant for signs of suicidal ideation but sudden improvements in mood can also occur as a positive response to antidepressant medication.
B. The client's description of feeling better does not align with the symptoms of serotonin syndrome, which include agitation, confusion, rapid heart rate, high blood pressure, and hyperthermia.
C. Antidepressant medications often take several weeks to reach their full therapeutic effect, so it's not unusual for some clients to experience an improvement in mood within the first few weeks of treatment.

A. the client should express feelings and not keep them inside. B. therapeutic activities provide an outlet for tension. C. acceptance and trust convey feelings of security to the client. D. focusing on the behaviors of an individual increases the person's self-esteem

Correct Answer is C

Explanation

C. Acceptance and trust create a sense of safety and security for the client within the therapeutic relationship. When the client feels accepted and valued by the nurse, they are more likely to feel comfortable opening up and engaging in the therapeutic process.
A. Establishing a therapeutic alliance provides a safe and supportive environment for the client to express their feelings without fear of judgment or rejection. However, therapeutic alliance goes beyond this.
B. Therapeutic activities can indeed provide an outlet for tension and stress but the establishment of a therapeutic alliance goes beyond engaging in specific activities.
D. Focusing on positive behaviors and strengths can contribute to building self-esteem. However, the establishment of a therapeutic alliance involves more than just focusing on behaviors.

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Naxlex Comprehensive Predictor Exams

A severely depressed, sullen client has been taking fluoxetine for 10 days. During the first outpatient visit, the client smiles excitedly and states, "I feel so much better now." How should the nurse interpret this behavior change? The:

Correct Answer is D

Explanation

The nurse working with a teen, who has a history of being moody and withdrawn, will make the establishment of a therapeutic alliance a priority because:

Correct Answer is C

Explanation

The nurse is planning a psycho-education group for clients diagnosed with borderline personality disorder. The nurse understands that which aspect of group intervention is most essential initially to establish a trusting nurse-patient relationship?

The intervention appropriate for a client who has been manipulating others and has a diagnosis of antisocial personality disorder is to:

A physician mentions to the nurse that a child with Attention Deficit-Hyperactivity Disorder (ADHD) will begin medication therapy. The nurse should prepare a plan to teach the family about:

A nurse is providing care for a client who is malnourished and appears exhausted. What data would cause the nurse to suspect the client is a victim of human trafficking? The client :

When doing an admission assessment of a client with a history of alcoholism, the most important factor(s) to assess is/are:

During a routine health examination, the client tells the nurse about using a variety of herbal therapies for health maintenance. When discussing the use of herbs, the nurse cautions the client that: (SELECT ALL THAT APPLY)

A fifteen-year-old was referred to the adolescent mental health clinic after being arrested for prostitution. The client's parents reported that they have run away several times and is abusive towards them. The nurse should anticipate that the diagnosis will be:

In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?