Bipolar
Question: Which finding is most characteristic of a manic episode? A. Increased need for sleep B. Decreased energy C. Elevated or irritable mood D. Social withdrawal
C. Elevated or irritable mood
A client with schizophrenia reports hearing voices when no one is present. Which type of symptom is this?
Hallucination Rationale: A hallucination is a sensory perception without an external stimulus. Auditory hallucinations are common in schizophrenia.
Question: Which level of anxiety is associated with an increased perceptual field and improved ability to learn? A. Panic B. Severe C. Moderate D. Mild
D. Mild Mild anxiety can actually improve alertness and motivation.
Which finding is commonly associated with major depressive disorder? A. Increased energy B. Decreased need for sleep C. Anhedonia D. Flight of ideas
C. Anhedonia Anhedonia = inability to experience pleasure.
Which medication class is commonly used as a first-line treatment for depression? A. SSRIs B. Benzodiazepines C. Antipsychotics D. Stimulants
A. SSRIs Examples include fluoxetine, sertraline, and escitalopram.
Question: Which behavior would the nurse expect from a client experiencing mania? A. Spending excessive amounts of money B. Sleeping 10–12 hours per night C. Speaking slowly D. Avoiding social interaction
A. Spending excessive amounts of money
Which finding is considered a negative symptom of schizophrenia? A. Delusions B. Hallucinations C. Flat affect D. Disorganized speech
Flat affect Rationale: Negative symptoms represent a loss or decrease of normal functioning. Examples include flat affect, avolition, anhedonia, alogia, and social withdrawal.
Which finding is most consistent with panic-level anxiety? A. Ability to concentrate B. Narrowed perceptual field C. Inability to process the environment D. Increased ability to problem solve
C. Inability to process the environment
Which statement by a client requires the nurse's immediate attention? A. "I don't feel like going to work." B. "Nothing seems enjoyable anymore." C. "I feel tired all the time." D. "Everyone would be better off without me."
D. "Everyone would be better off without me." 🚨 This can indicate suicidal ideation.
Which adverse effect is associated with extrapyramidal symptoms (EPS) from antipsychotic medications? A. Muscle rigidity B. Diarrhea C. Increased appetite only D. Excessive urination
A. Muscle rigidity EPS can include: Acute dystonia Akathisia Parkinsonism Tardive dyskinesia
Question: A client taking lithium asks why they need to maintain adequate fluid and sodium intake. What is the nurse's best response?
Changes in fluid or sodium balance can increase lithium levels and lead to toxicity. 💡 Think: Lithium + dehydration = 🚨 toxicity
A client tells the nurse, "The FBI implanted a tracking device inside my brain." Which finding is the client demonstrating? A. Hallucination B. Delusion C. Echolalia D. Flight of ideas
B. Delusion Rationale: A delusion is a fixed, false belief that is not supported by reality.
A client is experiencing a panic attack. Which intervention should the nurse implement? A. Leave the client alone to decrease stimulation. B. Ask the client to explain why they are anxious. C. Stay with the client and use short, simple statements. D. Encourage the client to make important decisions.
C. Stay with the client and use short, simple statements.
A client taking an SSRI asks when they should expect improvement in depressive symptoms. Which response is appropriate?
"It can take several weeks before the full therapeutic effects are noticeable." The client should not abruptly discontinue the medication.
A client receiving an antipsychotic develops involuntary repetitive movements of the tongue and mouth. Which adverse effect should the nurse suspect? A. Akathisia B. Tardive dyskinesia C. NMS D. Serotonin syndrome
B. Tardive dyskinesia 💡 Think repetitive involuntary movements, especially involving the face, tongue, and mouth.
Question: A client taking lithium reports vomiting, diarrhea, coarse hand tremors, and difficulty walking. What should the nurse do? A. Administer the next dose with food. B. Encourage the client to exercise. C. Hold the medication and notify the provider. D. Tell the client these are expected effects.
C. Hold the medication and notify the provider. 🚨 These are concerning for lithium toxicity.
Question: A client with schizophrenia tells the nurse, "The voices are telling me to kill myself." What is the nurse's priority action? A. Ask the client to describe the voices. B. Tell the client the voices are not real. C. Determine whether the client has a plan and access to means. D. Encourage the client to participate in group therapy.
C. Determine whether the client has a plan and access to means. 🚨 Safety first. Command hallucinations involving suicide require immediate assessment of the client's intent, plan, and ability to act.
Which medication is commonly used for rapid relief of acute anxiety? A. Lorazepam B. Fluoxetine C. Buspirone D. Sertraline
A. Lorazepam 💡 Benzodiazepines can provide relatively rapid relief of acute anxiety.
A client taking an SSRI develops agitation, confusion, diaphoresis, diarrhea, and muscle rigidity. Which condition should the nurse suspect? A. Neuroleptic malignant syndrome B. Serotonin syndrome C. Lithium toxicity D. Tardive dyskinesia
B. Serotonin syndrome 💡 Serotonin syndrome: Agitation + confusion + sweating + diarrhea + neuromuscular changes
Which client should the nurse assess first? A. A client taking fluoxetine who reports mild nausea B. A client taking lithium who reports mild thirst C. A client taking an antipsychotic who has a temperature of 104°F and severe muscle rigidity D. A client taking buspirone who reports mild dizziness
C. Antipsychotic + 104°F + severe rigidity 🚨 Suspect NMS. This is a medical emergency.
SATA: The nurse is teaching a client prescribed lithium. Which statements indicate understanding? A. "I should maintain consistent sodium intake." B. "I should drink adequate fluids every day."C. "I can take NSAIDs whenever I have a headache." D. "I should report severe diarrhea or vomiting." E. "I should stop taking lithium once I feel better." F. "I should have my lithium levels monitored."
A, B, D, F 🚨 Lithium has a narrow therapeutic range, so monitoring is essential.
💰 $500 — 🔥 HARD SATA: A nurse is caring for a client receiving an antipsychotic medication. Which findings should the nurse recognize as potentially indicating neuroleptic malignant syndrome (NMS)? A. Severe muscle rigidity B. HyperthermiaC. Diaphoresis D. Bradykinesia only E. Altered mental status F. Increased appetite
A, B, C, E 🚨 NMS = emergency Think: Fever + Rigidity + Autonomic instability + Altered mental status
The nurse is caring for four clients. Which client should the nurse assess first? A. A client with generalized anxiety disorder who reports difficulty sleeping B. A client with a panic disorder who is hyperventilating C. A client with social anxiety who refuses group therapy D. A client with mild anxiety who reports feeling restless
B. A client with a panic disorder who is hyperventilating 🚨 Panic-level anxiety can interfere with the client's ability to function and requires immediate intervention.
Question: A client hospitalized for severe depression suddenly reports feeling "much better" and appears unusually cheerful after several weeks of severe depression. What is the nurse's priority action? A. Congratulate the client on improvement. B. Encourage the client to participate in activities. C. Assess the client for suicidal thoughts and a plan. D. Prepare the client for discharge.
C. Assess the client for suicidal thoughts and a plan.
Important nursing concept: A sudden improvement in mood does not automatically mean suicide risk has resolved. Continue suicide assessment.
💰 $500 — 🔥 FINAL BOSS SATA: The nurse is reviewing findings for clients receiving psychotropic medications. Which findings require immediate follow-up?A. Lithium client with coarse tremor and ataxia B. Antipsychotic client with high fever and severe rigidity C. SSRI client with agitation, diaphoresis, and hyperreflexia D. Benzodiazepine client who reports mild drowsiness E. Antipsychotic client with new involuntary tongue movements F. SSRI client with mild nausea during the first week
Answer: 👉 A, B, C, E