ATI MENTAL HEALTH STUDY QUESTIONS

A nurse is providing teaching to a client who has a new prescription for buspirone. Which of the following indicates an understanding of the teaching?

I might notice the effects of this medication for several weeks.

A nurse is caring for a client who was recently diagnosed with post traumatic disorder (PTSD). The client asks, "What is the difference between acute stress disorder and PTSD?" Which of the following responses should the nurse make? "

"PTSD is diagnosed if the symptoms persist longer than 1 month" --> Acute stress disorder is diagnosed when symptoms occur from 3 days to 1 month past the traumatic experience, while symptoms of PTSD persist for longer than 1 month and can continue throughout someone's life

A nurse is providing care to a 4-year-old child who has recently been diagnosed with reactive attachment disorder. Which of the following statements by the nurse accurately describes this disorder?

"reactive attachment disorder can occur when there is an absence of adequate caregiving including the child going many hours without being held or touched as an infant" --> This disorder can develop when an infant/young child does not turn to the caregiver and does not respond to comforting to their unmet needs

Clonidine

ADHD oppositional defiant disorder MONITOR WEIGHT GAIN * AVOID ABRUPT CESSATION= REBOUND HTN

Buspirone

Anti-anxiety medication *the effects of buspirone develop slowly --> initial response of 1 week *delayed action= NOT A PRN MED *AVOID grapefruit juice when taking this med* *Taken 2x / day

Phenobarbital

Anticonvulsant

Clozapine

Antipsychotic Weight gain, DM, and dyslipidemia are common AGRANULOCYTOSIS *Monitor for infection (fever,lesions,sore throat) *Obtain WBCS *adverse effects: SEDATION, Orthostatic BP, anti-cholinergic side effects

Haloperidol

Antipsychotic complications: dystonia, parkinsonism, Tardive dyskinesia * EPS EXTRA PYRIMIDAL SIDE EFFECTS WATCH FOR NEUROLEPTIC MALIGNANT SYNDROME S/S high fever, bp flunctuates, dysarythmia, tachy, muscle ridgitity

a nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal, which of the following medications should the nurse expect to administer to the client during maintenance?

Disulfiram * administered as a deterrent to prevent future alcohol use * nurse must ensure that the patient has not had any alcohol intake 12 hours prior to administering*

A nurse is working with a local crisis response team to evaluate students following a school shooting. After ensuring the safety of the students, which of the following trauma-informed approaches should the team take next?

Establish a supportive environment that facilitates trust and transparency.

doxepin

causes drowsiness

A nurse is working with an interdisciplinary disaster response team planning care for a coastal community following a category 5 hurricane. Place the following steps in the correct order.

determine the challenges the community is facing assess the clients ability to function and cope with the current situation determine the resources the client has available to them partner with the client to develop a plan

when should chlordiazepoxide be administered?

during active alcohol withdrawal

manifestation of severe alcohol withdrawl

hallucinations diaphoresis hyperthermia tachycardia

symptoms consistent with trauma response involving the sympathetic nervous system

increased HR, shallow breathing, muscle tension, anxiety,

A nurse is preparing a teaching for high school students regarding trauma and interpersonal violence. Which of the following statements should the nurse plan to include in the teaching?

interpersonal violence includes physical, sexual, and emotional maltreatment, which are types of trauma. --> type of trauma where force or power is threatened or enacted against another person.

Amitryptyline (Elavil)

tricyclic antidepressant

tricyclic antidepressants teaching

Therapeutic effects not seen for 2-6 weeks, administer at HS\

lorezapam

anti-anxiety, anxiolytic antidote: FLUMAZENIL drinking coffe will decrease effects cause drowsiness --> supress the CNS

A nurse is caring for a patient who has a neurocognitive disorder and wanders at night. Which of the following actions should the nurse take to help keep the client safe?

put the patients mattress on the floor --> reduces the clients risk of injury from falling out of bed when the client is confused or getting up to wander

Opioid withdrawl syndrome s/s

rhinorrhea (runny nose) yawning, sneezing, abdominal pain

valporic acid

monitor LFT anti-seizure

A nurse is assessing a patient with a history of methamphetamine use. Which indicates that the client is currently under the influence of this drug?

paranoia *acute effects: increased heart rate/metabolism, mental alertness, reduced appetite * increased energy *increased heart rate and blood pressure

What medications should people taking tranylcypromine not take?

phenylephrine ** and other OTC medications for sinus congestion, colds, allergies due to the sympathetic nervous system can cause severe HTN