Chp 8: Mental Health Treatments

The movie about Patch Adams represents this type of therapy:

Humor therapy

While doing a 24-hour chart check, the LPN notes a patient was admitted to a mental health unit on an involuntary status. The nurse becomes aware that this type of admission could be because the patient attempted to do the following:

Presented harm to self

The form of therapy that focuses on the cause of the problem, originated from Sigmund Freud, is _____

Psychoanalysis

During electroconvulsive therapy (ECT), the patient is monitored carefully before and after the procedure. The nurse assisting with this procedure is aware that monitoring is necessary because the patient may suffer from:

Seizure activity

Pete has recently been admitted to the hospital and is being treated for bipolar disorder. When you go to check in on him, he tells you that he is feeling very drowsy and has been vomiting. He is also running a fever. You suspect that Petes problem is caused by:

Side effects of the lithium therapy he is receiving.

The category of medication that promotes alertness, diminishes, appetite, and combats narcolepsy and attention deficit hyperactivity disorder is ____

Stimulant

A patient being medicated with haloperidol for over 4 weeks has started to display symptoms of involuntary movements of the mouth that resemble chewing. Of the following extrapyramidal adverse reactions, the client is showing signs of:

Tardive dyskinesia

The following medications are used for treatment in mental health disorders (select all that apply)

1)Antipsychotics 2)Stimulants 3)Mood stabilizers

Which of the following items should be included when providing patient teaching about monoamine oxidase inhibitor (MAOI) antidepressants (select all that apply)

1)Avoid foods containing the amino acid tyramine 2)Dont take prescribed or over-the-counter medications without consulting the physician

Patients who practice Judaism may have concerns about the following (select all that apply)

1)Dietary selection 2)Having tests scheduled between sundown Friday and sundown Saturday

Nursing preparation for a client undergoing electroconvulsive therapy (ECT) resemble those used for general anesthesia. The nurse should follow these steps for this procedure (place in the order they will occur)

1)Educate patient and patients family 2)Check a signed consent 3)Monitor the patients vital signs before the procedure 4)Medicate as prior to procedure if ordered 5)Monitor the patients vital signs after the procedure

Which of the following should be included in patient teaching about antidepressants (select all that apply)

1)Encourage patients to continue taking the medication 2)If it is an MAOI antidepressant, the patient should avoid foods containing the amino acid tyramine

Nursing preparations for a client undergoing electroconvulsive therapy (ECT) resemble those used for general anesthesia (select all that apply)

1)Monitors the patients vital signs before and after the procedure 2)Medicate prior to procedure if ordered 3)Educate patient and patients family 4)The patient may be slightly confused after the problem

Commonly used typical antipsychotic agents are (select all that apply)

1)Thorazine 2)Stelazine 3)Prolixin 4)Haldol

Which of the following may affect African Americans seeking to comply with medical or mental health treatment (select all that apply)

1)Usually receive treatment from primary health care provider rather than a mental health specialist 2)More likely to receive substandard treatment 3)Tend to be more receptive to taking medications that any other group

The ABCs of rational-emotive therapy (RET) are:

Activating, belief, consequence

The drug category _____ increases the availability of serotonin, which is decreased in the brains of depressed individuals.

Antidepressants

The drug category ____ blocks dopamine receptors and is a major treatment for schizphrenia.

Antipsychotics

Which of the following best explains why tricyclic antidepressants (TCA) are used cautiously with the elderly population?

Cardiovascular system effects

The act of purging or purification of emotions is known as ___

Cartharsis

Nurse Arlene recognizes that the focus of environmental (MILIEU) therapy is to:

Control the environment to bring about a positive behavior change.

This type of intervention might be used for states of extreme emotional or physical turmoil in which the patient feels out of control of self:

Crisis intervention

The patient taking lithium should understand that the following could affect fluid and sodium levels and increase the chances of becoming toxic:

Dehydration

Lynn, the LPN is providing care for a patient diagnosed with depression. The patient is not responding to any of the medications ordered. The nurse foresees this patient may be a candidate for

Electroconvulsive therapy

The patient in what type of therapy gains knowledge that there are others with similar problems?

Group therapy

A client comes to the outpatient mental health clinic 2 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The nurse reviews information about clozapine with the client. Which client statement indicates an accurate understanding of the nurses teaching about this medication?

I need to keep my appointment this week for a blood test to monitor my white blood cells

Linda says that she feels confused and anxious. In addition, Linda feels unorganized and states, "It is as not bad as it seems. What phase of crisis is Linda experiencing?

Impact

Nurse Maryse invites a recently discharged patients family to attend an outpatient support group. This type of program would most likely help the family with which of the following issues?

Learning from others in the same situation

Which of the following drugs indicates the patient is toxic with a serum level of 1.5 mEq/L?

Lithium

When developing a care plan for Ms. Smith, who was diagnosed with schizophrenia and is receiving haloperidol, which of the following medications would Nurse Janet expect to administer if the patient developed extrapyramidal side effects (EPS)?

Lorazepam (Ativan)

A therapeutic environment in mental health terminology is called a ____

Milieu

The category of drugs that treat manic phase of bipolar disorders are called ___

Mood stabilizers

Dr. Albert Ellis, who developed the theory of RET, thought that people teach themselves to be ill. He used the following terminology:

Musturbation and awfulizing

Which of the following is true about lithium?

None

Your manic patient is being discharged on lithium. Which of the following would NOT be in the teaching plan?

Restrict fluids while taking this drug

When teaching Mary, who has depression, about foods to avoid while taking phenelzine (Nardil), which of the following would Audrey LPN include?

Salami

Andrea, the charge nurse, spoke to the director of nursing about one of the staff nurses having a crisis. The nurse suggested a crisis intervention group to the staff nurse. Crisis intervention groups are successful because:

The patient is assisted to develop new insights and return to the precrisis phase

A patient is admitted to the Mental Illness and Chemical Abuse unit. The patient has been placed on a 1:1. After reviewing the clients progress notes, the nurse notes that the admission was voluntary. The nurse would expect which of the following?

The patient was given an informed consent

The desired outcome from humor therapy is:

The patient will demonstrate a more positive outlook

Counseling is a field that requires licensing. This licensing is providing by:

The state

When observing a patient receiving tricyclic antidepressant therapy, ______ would bring attention to the nurse that the patient was undergoing anticholinergic effects.

Urine retention and changes in blood glucose

A patient consents to be hospitalized for psychiatric treatment. This is a ___ admission.

Voluntary