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MENTAL HEALTH NURSING FINAL
EXAM WITH CORRECT ANSWERS
Patient reports acute anxiety related to the death of a parent in an automobile accident two hours earlier. The nurse should anticipate administering a med from what family? correct answers >> Benzodiazepines to increase the effect of GABA Which of the following medications would be used when lithium is not effective? correct answers >> Divalproex sodium (Depakote) A nurse cares for an older adult patient admitted for treatment of depression. the health care provider prescribes an antidepressant medication, but the dose is more than the usual adult dose. the nurse should?
correct answers >> hold the medication and consult the health care provider. A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patients insurance form. which resource should the nurse consult to discern the criteria used to establish this diagnoses? correct answers >> DSM-V diagnostic and Statistical Manual of Mental Disorders A patient begins a new program to assist with building social skills. in which part of the plan of care should a nurse record the item, Encourage patient to attend one psychoeducational group daily? correct answers >> Implementation According to Maslows hierarchy of needs, which of the following client situations would be considered most basic? correct answers >> Client seeks, shelter, food at a center of a battered woman.
conversation and tremulous during interview, what is the nursing dx? correct answers >> Anxiety A patient should be considered for involuntary hospitalization for psychiatric care when he or she correct answers >> threatens to harm self or others A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor SSRI antidepressant therapy. priority information given to the patient and family should include a correct answers >> Report increase suicidal thoughts. A client is prescribed lamatrogine for treatment of bipolar disorder which of the following is most concerning? correct answers >> SJS skin rash (stevens johnson syndrome) A client with depression mentions to the nurse, "my mother says depression is a chemical disorder. what does she mean?" the nurse's response is based on the theory that depression primarily involves which of thee
following neurotransmitters? correct answers >> Serotonin and Norepinephrine Nurse teaching a class for antidepressant to patients diagnosed with depression, which of the following statement by a patient will indicate the nurse that further teaching is needed. correct answers >> I can discontinue mediation at anytime if medication is not working. A newly admitted patient diagnosed with major depression has gained 20 pounds over a few months and has suicidal ideation. the patient has taken an antidepressant medication for 1 week without remission of symptoms. select the priority nursing diagnosis correct answers >> Risk for suicide. What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats against staff, ripped art off the walls, and thrown objects? correct answers >> Risk for other- directed violence.
A 15 year old patient place on restraints how often do you have to renew order? correct answers >> every 2 hours Nurse documents patient is selectively mute despite repeated attempts to dismissive during assessment interview and prefers to be alone. What would the nurse document? correct answers >> Social isolation Which of the following best describes mechanism of action for SSRIs? correct answers >> inhibit the reuptake of serotonin-making it more available Which of the following are important assessment while the patient is place on restraints correct answers >> Pain, paresthesia, pulse, pallor, pressure, paralysis. which of the following meds is not used as a hypnotic? correct answers >> Vivitrol
The nurse will order a special diet for patient taking what medication correct answers >> MAOI- Nardil During the assessment interview the nurse tells the patient "can you tell me the reason" what part of the mental status exam is the nurse examinng? correct answers >> insight - "patient has good insight" "pt has poor insight" Which of the following patient meets the criteria for 5150? correct answers >> police officer who is unable to contract safety after witnessing partner died during a shoot out. witnessed trauma and can't contain himself. Patient is diagnosed with generalized anxiety disorder of these meds in the patients record which is most appropriate to administer? correct answers >> Buspar Which of the following diagnosis is axis 2 diagnosis correct answers >> Antisocial personality disorder
Patient is taking parnate which of the following dinner menus should be avoided. by the patient? correct answers >> hot dog, pepperoni pizza, avocado toast. which of the following are examples of patient advocacy activities? correct answers >> witness inform consent including refusal of treatment respecting patient decision protecting against threats to wellbeing being informed about best practice During an assessment interview the nurse ask the client, what are your plans to maintain your safety after discharge? what part of the mental status exam is nurse checking? correct answers >> Judgement A nurse administers a hypnotic medication that potentiates the action of GABA? correct answers >> Reduces anxiety
A nurse assess a child the child is happy to see the nurse and says you are just like my mom and I like you. correct answers >> Transference A patient is hospitalized for major depressive disorder a nurse can expect to provide teaching about which medication? correct answers >> Zoloft A patient tells the nurse I don't go outside. I fear i'm going to get stuck and can't get out. The nurse assesses this behavior as? correct answers >> Agoraphobia (fear to get in places) A patient says my life is overwhelming and I don't feel motivated I don't want to get out of bed and it is difficult to start the day. how would she document assessment? correct answers >> Anergia (chronic state of lethargy and low energy) Which nursing measure would be relevant to protecting the physiologic integrity of a patient during a manic episode when marked hyperactivity is present?
a patient diagnosed with major depressive disorder and has not slept for several days, which of the following antidepressant will be best for patient? correct answers >> Remeron meds a patient tells the nurse, i wanted my health care provider to prescribed diazepam for my anxiety disorder, but buspirone was prescribed instead. why? the nurse reply should be based on the knowledge of which characteristic of buspirone? correct answers
it is not knows to cause dependence. which assessment questions would be most appropriate for the nurse to ask a patient who is at risk for developing generalized anxiety disorder? correct answers >> Do you find it difficult to control your worrying. A pt is attracted to a male coworker but can't admit her feeling so when the patient husband talks about a female coworker wife accuses him that he is attracted
to a female the defense mechanism as? correct answers >> projection Which of the following is not true about ECT therapy? correct answers >> ECT is contraindicated for exhausted malnourished or dehydrated patients. The nurse discovers a clients suicide note that details the time, place and means to committee suicide. what should be the priority nursing intervention? correct answers >> placing the client on one to one suicide precautions, because the more specific the plan the more likely the client will attempt suicide Which of the following is true about crisis? correct answers >> the person confronted with crisis experiences worsening anxiety as usual coping skills fail. After failing two test, a college student cried for hours and then tried to telephone a parent but got no answer. the student then gave several expensive
The nurse is caring for a patient with low self esteem. which nonverbal communication should the nurse anticipate? correct answers >> Eyes casted downward A patient with a high level of motor activity runs from chair to chair and cries "they are coming!, they are coming!" the patient does not follow instructions or responds to verbal interventions from staff. The initial nursing intervention of highest priority is to? correct answers >> Provide for patient safety The greatest predictor of suicidal is? correct answers
previous suicidal attempts projection Which of the following is not true about ECT therapy? correct answers >> ECT is contraindicated for exhausted malnourished or dehydrated patients. The nurse discovers a clients suicide note that details the time, place and means to committee suicide. what should be the priority nursing intervention? correct answers >> placing the client on one to one suicide precautions, because the more specific the plan the more likely the client will attempt suicide Which of the following is true about crisis? correct answers >> the person confronted with crisis experiences worsening anxiety as usual coping skills fail. After failing two test, a college student cried for hours and then tried to telephone a parent but got no answer. the student then gave several expensive The nurse is caring for a patient with low self esteem. which nonverbal communication should the nurse anticipate? correct answers >> Eyes casted downward A patient with a high level of motor activity runs from chair to chair and cries "they are coming!, they are coming!" the patient does not follow instructions or responds to verbal interventions from staff. The initial nursing intervention of highest priority is to? correct answers >> Provide for patient safety The greatest predictor of suicidal is? correct answers >> previous suicidal attempts When assessing a patient with mood disorder which abnormal diagnostic test would be considered a possible factor in the manifestation of this disorder? correct answers >> TSH and CBC Crisis are acute time limited experience overwhelming emotional reactions to a what? correct answers >>
stressful situational events or developmental event a societal event and perception of an event A patient is being evaluated with possible diagnosis of panic disorder with agoraphobia, which nursing assessment findings support this diagnosis? select all that apply. correct answers >> patient states "ive had these fears for more than 6 years patient describes having a panic attack several times a month patient is embarrassed by the limitations the disorder causes. stated, "I never even think about going shopping in a crowded mall" Lithium normal lab levels correct answers >> 0.5 -
After celebrating a retirement pt becomes concerned about autonomy what type of crisis has occurred? correct answers >> Maturational
manic and major depression. what is the clients diagnosis? correct answers >> schizoaffective (schizoaffective marked by a combination of schizophrenia symptoms such as hallucinations, delusions, and mood disorders such as depression or mania. A patient diagnosed with schizophrenia is experiencing catatonia. The patient has little spontaneous movement and waxy flexibility, what is the appropriate pharmacologic intervention? correct answers >> Ativan During treatment meeting the point is made that a patient with schizophrenia has recover from the acute psychosis but continues to demonstrate apathy, abolition and blunted affect. the nurse relates this symptoms to serotonin 5ht2 excess will suggest patient received what? correct answers >> Zyprexa (second generation meds)
A child diagnose with ADHD about to start medication therapy, what is the education to give? correct answers >> tell the difference between stimulant and non-stimulant What patient priority for a patient taking clozaril? correct answers >> monitor because it can cause agranulocytosis (destroy white blood cells) which can cause an infection. patient should call hcp if sore throat or flu like symptoms. A patient diagnosed with schizophrenia I eat skiller, ten to end, easter, it blows away. as a nurse what is your best response? correct answers >> I'm sorry, i'm having a difficult time understanding you. The nurse will assess for which of the following characteristics in the behavior of any client diagnosed with personality disorder? correct answers >> Disruption in some aspects in his or her life.
