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5. A client says to the nurse, “My life does not have any happiness in it anymore. I once enjoyed holidays, but now they’re just another day.” How would the nurse document the client’s statement?

33. A nurse is caring for a client experiencing a manic episode characterized by nonstop physical activity, lack of sleep, and refusal to eat. Which nursing intervention should the nurse prioritize to prevent physical exhaustion and potential medical emergencies?

24. 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.

28. A nurse is caring for a client who is experiencing mild depression and asks about herbal treatments. The nurse should identify which of the following herbal treatments is used for depression?

57.  A 12-year-old child has been the neighborhood bully for several years. The parents say, “We can’t believe anything our child says.” Recently, the child shot a dog with a pellet gun and set fire to a trash bin outside a store. The child’s behaviors are most consistent with which disorder?

36. A nurse who works in a psychiatric unit is caring for a client who has bipolar disorder. The client comes to the nurse’s station at 0300, demanding that the nurse call the provider immediately. Which of the following responses by the nurse is appropriate?

9. A 4-year-old child cries and screams from the time the parents leave the child at preschool until the child is picked up 4 hours later. The child is calm and relaxed when the parents are present. The parents ask, “What should we do?” What is the nurse’s best recommendation?

2.  A client being treated with paroxetine 50 mg/day orally for major depressive disorder reports to the clinic nurse, “I took a few extra tablets earlier in the day and now I feel bad.” Which aspects of the nursing assessment are most critical? (Select all that apply.)

19. A client diagnosed with bipolar disorder has rapid cycles. The health care provider prescribes an anticonvulsant medication. To prepare teaching materials, which drug should the nurse anticipate will be prescribed?  

13.  An 11-year-old child, who has been diagnosed with oppositional defiant disorder (ODD), becomes angry over the rules at a residential treatment program and begins shouting at the nurse. What is the best method to defuse the situation?