Mental Health Nursing Concepts Flashcards

A client with bipolar disorder is started on lithium. Which laboratory value must be monitored regularly to prevent toxicity?

Answer: Serum lithium level

Lithium has a narrow therapeutic index (0.6–1.2 mEq/L), so serum lithium levels must be monitored regularly to prevent toxicity.

A nurse is caring for a client experiencing alcohol withdrawal. Which medication class is most commonly used to manage withdrawal symptoms and prevent seizures?

Answer: Benzodiazepines

Benzodiazepines are the first-line treatment for alcohol withdrawal because they reduce CNS excitability and prevent seizures.

A client with schizophrenia reports that neighbours are 'sending radio signals' into their head. The nurse documents this as which type of symptom?

Answer: Delusion of reference

A delusion of reference is a false belief that external events or objects have special personal significance directed at oneself.

Which communication technique is most therapeutic when a client says, 'I feel like no one cares about me'?

Answer: 'It sounds like you're feeling alone and unsupported.'

Reflecting and paraphrasing the client's feelings validates their experience and encourages further expression without dismissing or challenging the statement.

A nurse is assessing a client on an antipsychotic medication who develops muscle rigidity, hyperthermia, and altered consciousness. The nurse suspects which potentially fatal condition?

Answer: Neuroleptic malignant syndrome

Neuroleptic malignant syndrome (NMS) is a life-threatening reaction to antipsychotics characterized by hyperthermia, muscle rigidity, altered consciousness, and autonomic instability.

A client with post-traumatic stress disorder (PTSD) is experiencing a flashback. What is the nurse's priority intervention?

Answer: Use a calm voice to orient the client to the present environment

Grounding techniques using a calm, reassuring voice help orient the client to the present and interrupt the dissociative flashback experience.

Which behaviour best indicates that a client with depression is improving and approaching discharge readiness?

Answer: The client initiates conversation with peers and participates in group therapy

Increased social engagement and voluntary participation in therapeutic activities indicate improved mood and motivation, signalling recovery.