Download Didactic lecture exam 1 review mental health (Nur1500) and more Exams Nursing in PDF only on Docsity!
Chapter 1 in ATI Testing a person’s cognitive status is a question on the test Situational stress is unexpected like divorce Strategies for mental health: Counseling, crisis intervention and management Chapter 2 in ATI Not in the tested on intra and interpersonal Test question on voluntary versus involuntary admission Police officers and other members of the healthcare team if you present a danger to yourself or others (aka Baker act) A voluntary admission can become involuntary If the provider doesn’t think you meet criteria for discharge ( pg. 62-63) 2 test questions from chapter 2 Chapter 3 ATI Nonverbal communication is what the patient sees A bunch of therapeutic communication questions Ask direct questions when patient expresses intention to harm self or others ATI Ch: 1,2,3, Meds on the test: Lithium : therapeutic level (0.6-1.2) range is narrow and small; asks what you would do with a certain level; continuously or intermittently check the level , above the range =hold med and notify the HCP; effects kidneys and thyroid Also, one question on the diagnostic test for lithium: kidney and thyroid
Disulfiram (Antabuse): if severe abdominal pain can tell they may have had alcohol (possible test question) page 154 in ATI ** if seeing symptoms then most likely took alcohol; Alprazolam (Ch 21); Diazepam (chapter 21): sedation, drowsiness, no operating heavy machinery, question will be around one of those three answers (drowsy, sleepy, machinery) Risperidone ( ch 24 ) : constipation, dryness, dry mouth= teaching increase fiber, bulk, activity , fluid ; risk of constipation MAOIs: focus on the foods that are prohibited like tyramine rich foods (also dry fruits and nuts) Fluphenazine (ch 24): does cause drowsiness; teach same stuff for drowsy Methylphenidate: teach that drug causes drowsiness, sedation, and shouldn’t be driving; about 45minutes to an hour after you take typically see this; question will be around one of those three answers (drowsy, sleepy, machinery) Cyclobenzaprine: causes sedation, so teach to take at night, if possible, no operating machinery or driving or high degree of concentration Amitriptyline: constipation, dryness, dry mouth= teaching increase fiber, bulk, activity, fluid; risk of constipation Haldol (ch 24): SATA: know symptoms of tardive dyskinesia (3 choices you need) (select all that apply); (Complication is neuroleptic malignant syndrome- that is the answer to one of the Haldol questions) Parlodel: dopamine receptor agonist; how does it work: Complications for CNS depression meds like benzos: ataxia, decreased cognitive function, light headedness, avoid driving or operating heavy machinery, avoid alcohol
If you are taking, Cymbalta, Prozac, or Zoloft, you should not take lithium-based drugs Can lead to dehydration and possible damage to thyroid or kidneys Possible side effects Changes in urination Extreme thirst Pain in eyes, vision issues Restless muscle movements in neck, jaw, or tongue Weakness, light-headedness, confusion Fever with stiff muscles, hallucinations Bradycardia, or tachycardia, seizures Cold sensation, pain, and discoloration in fingers and toes Therapeutic communication: 2 defense mechanisms (regression is one question) do you know how to recognize when a patient and regressed or using former coping skills Example: a new baby brought home the older child wants to climb up into your lap (that’s regression by the older child) Reverting to a former way of coping when you were younger or something else Other question between repression and denial Stigma: example: belief is that all crazy people should be locked up Identify which example is a stigma on a test What age group of Freud speaks about the latency period: 7-12 (pre- adolescent)
Veracity: telling the truth Patient states going to kill themselves ask if they have a plan and duty is to report (direct questions) NGN: alprazolam overdose: flumazenil for antidote or overdose on test Other 3 answers are based on the presentation of the patient Page 20: Freud latency period (select all that apply; 3 answers: 1. Asexual behavior, doesn’t talk about sex, then other two answers so know it well (pre-adolescence years 7-12 years old) Barbiturates overdose causes respiratory failure ** assess respiratory ** “duty to warn” (this statement is the answer) if someone says something that is dangerous or harmful: even with confidentiality (exceptions to breach confidentiality: harm, suicide, communicable disease) ( pg. 66) also page 69 Fidelity: keeping promise: example: Demonstrate presence: how: Interpersonal conflict example: between nurses Demonstrate autonomy: making own decision or how does nurse help that or recognize that in a patient Person who has a dependent personality : how they demonstrate they are not coping effectively : they need guidance on everything not becoming independent or using independent thinking versus dependent reaction Cognitively impaired patient: what would you do: if agitated: calm, consistency, dim lights, few choices, blanket, familiar items, Maladaptive use of regression in an adult patient:
Page 7 of chapter 1: presence: Or being present Attending: being there for and in tuned with the patient, actively listening and being there in mind and in body Stigma pg. 16 Nursing guidelines for computer documentation and confidentiality Chapter 7 review of nursing process Infusion rate = total volume divided by total time Drip rate= if they give you rate and time then don’t need total volume just drop factor Micro drop or microtubing= 60 gtt/mL
