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NURS 180-CONCEPTS OF MENTAL HEALTH
NURSING FINAL EXAM 2025|ACTUAL 200
QUESTIONS AND ANSWERS|ALREADY GRADED A+
The LPN has a patient with mental and emotional difficulties who is sensitive to sound and light. What actions will the LPN take?
- Place the patient in a carpeted room
- Make sure lights are not flickering
- Dim lights
- Provide the patient with recordings of ocean waves & light rain (soothing sounds) The LPN is assessing the coping patterns of a new patient. What data would the LPN expect to find?
- Current stressors
- Drug or alcohol abuse
- Weight changes
What characteristics will the LPN be looking for in a patient that is suspected of having a substance abuse disorder?
- Neglect of self care
- Impaired family functioning
- Increased use despite negative consequences
- Poor judgement
- Increased accidents
- Frequently absent from work
- Loss of job Substance abuse interventions
- Educate on disease process
- Encourage to live in present & not past
- Encourage problem solving Alcohol abuse
- Withdrawal S/S 8 hrs after last drink
- Irritability, hand tremors
- May need benzodiazepines (Ativan)
- Aversion therapy using Antabuse (Disulfiram)
Patient scheduled for surgery who wants to wear a bracelet that has significant religious meaning. When the LPN asks them to remove it, they say they really wish they could wear it during the procedure. What does the LPN do next? Determine if the item may remain in place during the procedure Muslim patient wishing to face MECCA. What position should the nurse place the patient's bed? South east direction from US Patient is a Jehovah's Witness, and the physician orders 2 units of blood ASAP. She refuses to sign the consent form. What should the LPN do next?
- Notify supervisor/physician STAT
- Report patient's refusal Nurses & spirituality
- Fail to recognize patient needs
- Nursing program insufficient
- Nurse feels inadequate & should still be discussed w/ patient
Elderly patient that recently lost a loved one & would like to attend a grief meeting but does not drive, cannot afford a taxi, doesn't wish to burden family or friends. What would the LPN do next? Offer to acquire information about senior services that may help the patient Dying patient & family reports that the dying patient is speaking to a deceased loved one. Family comes to the nurses station concerned about too much pain medication. How should the nurse respond? Normal sign of approaching death & it is important that we do all we can to keep her pain tolerable Patient prescribed Fluoxetine. Which response indicates further teaching is needed? I must take this medication with a full meal Patient admitted to the mental health unit. They have a toothbrush, toothpaste, and dental floss in their pockets. They perform dental care as often as every 1/ hour.
What behavior is expected from someone who just received elective convulsive therapy?
- Confusion
- Short-term memory loss What information would the LPN convey to a patient about the type of therapy that could help treat depressive disorder? Cognitive behavior therapy What is 1 thing to avoid with any patient? Social media What actions will the LPN take first for a patient admitted for anxiety? Making an effort to establish therapeutic rapport Patient has been taking benzodiazepines. How would the LPN expect it to be used after discharge?
- PRN
- Lower dose & frequency
What information is essential to teach the patient about MAIO's? Avoid all foods with thymine Tx of OCD Desensitization Tx of phobias Flooding Patient beginning antidepressant therapy w/ first line medication. What information would the LPN prioritize for the patient? Stopping the medication abruptly could cause discontinuation syndrome Which mental health disorder does this sound like? "I have always felt this way, & have been sad and negative for as long as I can remember." Dysthymic disorder
- Fine hand tremors
- Lethargy
- Fatigue What symptom would require immediate action from the nurse for a newly admitted patient who has a blood alcohol level of 41%? CNS depression Patient has moods between wildly euphoric & energetic to deeply melancholy & depressed. What would be the LPN's priority? Symptoms related to bipolar disorder The LPN is working on a peds unit w/ a child whose father was recently deployed overseas. Child has been unusually quiet, melancholy, & has disturbed sleep patterns. What would the LPN tell the mother?
- Signs of situational depression related to father leaving
- Should return to normal when father returns What feelings frequently occur in survivors of suicide victims?
- Guilt
- Anger
- Shame A patient that recently overdosed and a patient at risk for suicide. Who is your priority patient? Overdose The LPN is working w/ a patient that has Wernicke's. The nurse anticipates giving thymine to this patient. What will this accomplish? Prevent irreversible brain damage What is the purpose of giving Naloxone (Narco)? Reverse opioid overdose How would the LPN interpret a patient who is very anxious and irritable w/ coarse hand tremors and reports last drink was over 1 hour ago?
- Patient is withdrawing from alcohol
- May need tx to prevent seizures
Restore the person to optimal functioning What risks relate to ineffective coping that the LPN can help to prevent? Destructive behavior of drug/alcohol abuse What symptoms of an acute stress response would the LPN base interventions on?
- Emotional
- Psychological
- Behavioral Which factors contribute to violence in a community?
- Poverty
- Lack of employment What action will the LPN take when planning care for a patient w/ cognitive impairment?
- Structure
- Daily routines
- Calendars
- Large clocks How will therapeutic massage & biofeedback help a patient? Learn to manage stress What level prevention is it when teaching people emergency stress stoppers & daily relaxation? Primary to reduce the probability What is the goal of screening postpartum mothers for depression?
- Early identification
- Prompt intervention Patient has received several doses of Haldol (Haloperidol). A couple of hours later, they have a stiffly fixed position, lower jaw is thrusted forward & are drooling. What would the LPN want to give this patient? Diphenhydramine IM
What would the LPN give the patient prescribed Haldol experiencing shuffling, propulsive gait, mask-like face, & drooling (pseudoparkinsonism)? Benztropine (Cogentin) What action would the LPN take w/ a patient that prefers to sit alone & often appears to be listening and responding to hallucinations?
- Sit w/ patient
- Play game of cards You have a patient that isolates themselves in their room & refuses to participate in group activities. What would the LPN do next? Spend time talking w/ patient The LPN has a person who is shouting "We are all plotting to destroy you!" How would the LPN respond? Feeling that people want to destroy you must be very frightening What would the nurse say to the patient feeling overwhelmed w/ anxiety? What kind of things do you like to do to reduce your stress?
What would you want to tell a patient recently prescribed Fluoxetine (Prozac)? May take up to 4 weeks until you see improvement The LPN has a patient concerned about ants climbing up the walls & into the room. How does the LPN respond to the patient? Share that the nurse does not see any ants You have a patient taking Clozapine. What information would the LPN offer the patient? Contact healthcare provider immediately if experiencing muscle stiffness or high fever What kind of meds would the LPN give to a patient who reports feeling sad & has thoughts of self-harm for the last 2 weeks? SNRI Patient has been recently dx with anorexia nervosa.
Preparing to administer oral medications but the patient refuses. How would the LPN respond? What are your concerns about taking this medication? What action would the LPN take if someone has anxiety related to food consumption? Ask the patient how they feel about their appearance Patient stopped eating 5 months ago. They have lost 25% of their body weight. The LPN asks about how they feel about how they look. Which response requires further questions? I am extremely overweight Schizophrenic patient frequently gets up & walks away during interactions w/ the LPN. What would the LPN do? Sit at eye level across the table from the patient
The LPN has a patient who is frequently & nervously looking at the door. How does the LPN respond to the patient? I noticed you keep looking at the door Severely depressed patient being discharged. What action should the LPN take? Develop a goal-directed, problem-centered relationship A woman who has been in an abusive relationship over the last 7 years. She arrives at the crisis center with her 2 children crying. What does the LPN do? Direct her to the nearest womens' domestic abuse center Patient states, "I feel close to you, you are the only true friend I have". What action should the LPN take? State that our relationship is professional but let's explore way to strengthen friendships
