Psych Review Sheet

Which of the following best describes associative looseness?

• An inability to remember previously learned information

• A thought disorder with lack of connection between ideas

• A condition marked by repetitive motor movements

• A delusion of grandeur

A client with bipolar disorder is prescribed lithium. Which finding should the nurse recognize as a sign of advanced lithium toxicity (1.5–2.0 mEq/L)?

• Fine hand tremors and nausea

• Severe hypotension and stupor

• Mental confusion and coarse tremors

• Slurred speech and diarrhea

The nurse is reviewing lab results for a client on lithium therapy. Which maintenance plasma level is within the therapeutic range?

• 0.2 mEq/L

• 0.6 mEq/L

• 1.8 mEq/L

• 2.4 mEq/L

Which intervention is most important for a client experiencing a manic episode?

• Encourage group activities

• Provide a safe environment and monitor for suicidal thoughts

• Allow the client unlimited freedom

• Engage in power struggles to set limits

Which communication technique is considered the best therapeutic response?

• Restating

• Giving advice

• Close-ended questioning

• Agreeing with the client

A nurse caring for a client with PTSD should implement which intervention first?

• Assess for suicidal ideation

• Teach progressive muscle relaxation

• Refer to community support groups

• Provide written education about prazosin

Which medication is fatal if it causes agranulocytosis?

• Olanzapine

• Clozapine

• Risperidone

• Haloperidol

Which is a priority nursing action after administering olanzapine?

• Provide high-calorie foods

• Observe the client for at least 3 hours for adverse effects

• Monitor blood glucose every 15 minutes

• Restrict fluids for 24 hours

A client receiving antipsychotics develops sudden high fever, muscle rigidity, and diaphoresis. The nurse suspects:

• Tardive dyskinesia

• Neuroleptic malignant syndrome

• Acute dystonia

• Pseudoparkinsonism

Which symptom is associated with opioid withdrawal?

• Bradycardia

• Flu-like symptoms (runny nose, sweating, diarrhea)

• Severe hypotension

• Hyperactivity and euphoria