lessons from quizzes

histrionic personality disorder

flamboyant and attention seeking, seductive, shallow

What is withdrawal syndrome? (SSRI)

flu like symptoms dizzy anxiety insomnia

Benzo OD med

flumazenil

narcissistic personality disorder

grandiose and disparaging of others. self-important, has a sense of entitlement

What is diurnal variation?

means the client feels better and has more energy at a certain time of the day

remember this about generalized anxiety disorder

pt indecisive

metabolic syndrome

-loss of glucose control = diabetes -dyslipidemia = CVA, MI

Alcohol withdrawal usually begins...

6 to 8 hours after cessation or marked reduction of alcohol intake

A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goals should the nurse identify as the priority? A. Practicing problem-solving skills B. Understanding of medication regimen C. Identifying indications of relapse D. Maintaining adequate hydration

D The nurse should identify that the priority goal is to prevent physical exhaustion, maintain health, and meet nutritional and rest needs during the acute phase of the client's manic episode. The nurse should consider Maslow's hierarchy of needs

Haloperidol effect on Lithium

Haloperidol is not safe to administer to a client who is taking lithium because the combination of these medications increases the client's risk for extrapyramidal adverse eects and tardive dyskinesia

What is Alcoholics Anonymous all about?

It is a self-help group for which the norm is sobriety

what is Pica

Pica is the persistent eating of non-food substances that have no nutritional value such as dirt or paint.

Med for ptsd

SSRI

example of a general lead. therapeutic communication

Yes, i see. Go on

med used in tx of neuroleptic malignant syndrome

dantrolene

symptoms associated with abrupt withdrawal of the tricyclic antidepressant

something like the "flu," with cold sweats, nausea, a rapid heartbeat, and terrible nightmares when she sleeps

tricyclic antidepressants suffix

triptyline pramine (imipramine, clomipramine)

A nurse is assessing a newly admitted client who has generalized anxiety disorder and states, "I drink alcohol to forget the pain." The client is exhibiting a maladaptive response to which of the following defense mechanisms? A. Compensation B. Conversion C. Projection D. Suppression

A Compensation is a defense mechanism by which a person covers a real or perceived problem or weakness. This client is temporarily attempting to block the constant worry of generalized anxiety disorder by drinking alcohol, which is a maladaptive method of increasing self-esteem

A nurse is assessing a client who takes phenelzine for the treatment of depression. Which of the following ndings is the priority for the nurse to report to the provider? A. Elevated blood pressure B. Weight gain C. Muscle twitching D. 2+ peripheral edema

A The nurse should identify that the greatest risk to the client is an elevated blood pressure, which increases his risk for a hypertensive crisis that can result from taking an MAOI, such as phenelzine. The nurse should apply the safety and risk reduction priority-setting framework when assessing this client. This framework assigns priority to the factor or situation posing the greatest safety risk to the client. When there are several risks to client safety, the one posing the greatest threat is the highest priority. The nurse should use Maslow's hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to identify which risk poses the greatest threat to the client

A nurse is caring for a client who has panic disorder and is experiencing anxiety at the panic level. Which of the following actions should the nurse take first? A. Identify the cause of the anxiety B. Instruct the client to take slow, deep breaths C. Teach the client how to use positive self-talk D. Explain the physical manifestations of anxiety to the client

B The nurse should apply the safety and risk reduction priority-setting framework. This framework assigns priority to the factor or situation posing the greatest safety risk to the client. When there are several risks to client safety, the one posing the greatest threat is the highest priority. The nurse cannot perform other actions while the client is having a panic attack and experiencing hyperventilation, shortness of breath, dizziness, and other associated manifestations. Therefore, instructing the client to take slow, deep breaths is the priority.

A nurse is assessing a client who has binge-eating disorder. Which of the following findings should the nurse expect? A. Amenorrhea B. Abdominal pain C. Restricted caloric intake D. Frequent use of laxatives

B The nurse should expect the client who has binge-eating disorder to report problems with abdominal pain. This is due to the gastrointestinal dilation that occurs as a result of eating excessive volumes of food

A nurse is caring for a client with ADHD who has recently started taking lithium. For which of the following ndings should the nurse monitor when evaluating the effectiveness of the medication? A. Increased attention span B. Decreased anxiety C. Reduced aggression D. Weight loss

C Clients who have ADHD can experience a low tolerance for frustration, which can result in aggressive behaviors. Although psychosocial interventions should include developing coping mechanisms and cognitive behavior therapy, the client might require medication to manage aggressive behaviors. The nurse should monitor for reduced aggression when a client who has ADHD is taking a mood stabilizer such as lithium. Additional outcomes of mood-stabilizing medications include decreased impulsivit

A nurse is reviewing the health history of a young adult client who has a depressive disorder. Which of the following factors should the nurse identify as increasing the client's risk for depression? A. The client is an only child. B. The client lives in an urban setting. C. The client is married. D. The client is female

C The nurse should identify female gender as a primary risk factor for depression. The incidence of depressive disorders is greater in women than in men by almost 2 to 1

A nurse is assessing a newly admitted client who has schizophrenia. The client suddenly looks at an empty chair and appears to be listening to something. Which of the following responses should the nurse make? A. "I thought I heard something too." B. "Is someone telling you something?" C. "What are you hearing?" D. "There is nobody in that chair for you to listen to."

C This open-ended question allows the nurse to nd out what the client is hearing without validating the hallucination as real

A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription for lithium. The nurse should identify that it is safe to administer which of the following medications while the client is taking lithium? A. Ibuprofen B. Haloperidol C. Valproic acid D. Hydrochlorothiazide

C Valproic acid and lithium are both indicated for the treatment of bipolar disorder. It is safe for the nurse to administer both of these medications to the client.

3. Which therapeutic communication technique is being used in this nurseclient interaction? Client: When I am anxious, the only thing that calms me down is alcohol. Nurse: Other than drinking, what alternatives have you explored to decrease anxiety? A. Reflecting B. Making observations C. Formulating a plan of action D. Giving recognition

C The nurse is using the therapeutic communication technique of formulating a plan of action to help the client explore alternatives to drinking alcohol. The use of this technique, rather than direct confrontation regarding the clients poor coping choice, may serve to prevent anger or anxiety from escalatin

The child most likely to receive haloperidol to control symptoms is E, with attention deficit hyperactivity disorder. F, with Rett syndrome. G, with separation anxiety. H, with autistic disorder.

D Haloperidol is useful for relieving irritability and labile affect of some autistic children. It is not indicated in any of the other disorders

A nurse is caring for a client who has major depressive disorder and is severely withdrawn. Which of the following techniques should the nurse use to facilitate communication with the client? A. Continue to talk if the client does not provide an immediate verbal response. B. Use platitudes when talking with the client. C. Ask the client direct questions. D. Speak to the client using simple and concrete terminology.

D The nurse should use simple and concrete terminology when communicating with this client. The client who is severely withdrawn has impaired comprehension and diffculty concentrating; therefore, this technique facilitates communication

A nurse is assessing a client who is taking lithium to treat bipolar disorder and has a lithium level of 2.2 mEq/L. Which of the following ndings should the nurse expect? A. Muscle weakness B. Oliguria C. Vomiting D. Blurry vision

D Manifestations of lithium toxicity with levels between 2 and 2.5 mEq/L include blurry vision, ataxia, clonic twitching, severe hypotension, and polyuria A. Muscle weakness and fine hand tremors are early manifestations of lithium toxicity. These manifestations are common with lithium levels between 1.0 and 1.5 mEq/L. B. Manifestations of lithium toxicity with levels above 2.5 mEq/L include seizures and oliguria. For levels above 3.5 mg/dL, delirium, cardiovascular collapse, coma, and death can occur. C. Nausea, vomiting, diarrhea, and lethargy are early manifestations of lithium toxicity. These manifestations are common with lithium levels between 1.0 and 1.5 mEq/L.

A nurse assesses that a patient demonstrates anxiety, increased heart rate, and fear. The nurse would suspect the presence of a high concentration of which neurotransmitter? A. GABA B. Histamine C. Acetylcholine D. Norepinephrin

D Norepinephrine is the neurotransmitter associated with sympathetic nervous system stimulation, preparing the individual for "fight or flight." GABA is a mediator of anxiety level. A high concentration of histamine is associated with an inflammatory response. A high concentration of acetylcholine is associated with parasympathetic nervous system stimulation.

A client who is involuntarily admitted can leave the facility against medical advice. T or F

F Clients who are involuntarily admitted retain certain rights; however, they are unable to leave the health care facility against medical advice. If a client who is involuntarily admitted feels that the admission is unjustied, the client can le a legal petition requesting a review of the admission

Hydrochlorothiazide effect on Lithium

Hydrochlorothiazide is not safe to administer to a client who is taking lithium because it promotes sodium loss, which can lead to lithium toxicity

Ibuprofen effect on Lithium

Ibuprofen is not safe to administer to a client who is taking lithium because it can cause increased kidney absorption of lithium, which can lead to lithium toxicity. NSAID renal toxic

introjection

Introjection involves taking a quality into one's self system.

what category med is phenelzine

MAOI

withdrawal syndrome is associated with what med class (not substance abuse)

SSRI

first-line drugs for the treatment of panic disorder

Selective serotonin reuptake inhibitors

meds that cause metabolic syndrome

atypical antipsychotics