ATI proctored mental health exam

Erotomaniac delusion

"I have only met Jenny twice, but I know she loves me"— A client who believes another person desires them romantically after meeting only a few times is demonstrating this delusion.

A patient with schizophrenia states "my doctor is trying to kill me" how do you respond?

"It must be frightening to feel that your doctor is trying to kill you"

A home health nurse is talking with the partner of a client who has dementia. Which of the following statements by the partner indicates that the client is displaying signs of apraxia?

"Yesterday my partner put a jacket on upside down"

Derealization disorder

A patient feeling that their surroundings are unreal or distant.

A nurse is contributing to the plan of 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?

Adequate hydration-this prevents physical exhaustion, maintains health, and meets nutritional and rest needs during this phase of mania. Think of Maslows hierarchy of needs.

Beta blockers should not be used in patients with what health care issue?

Asthma

A nurse is collecting data from a client who is taking lithium to treat bipolar disorder and has a lithium level of 2.2 mEq/L. Which of the following findings should the nurse expect?

Blurry vision—Lithium toxicity occurs between 2-2.5; sx. Include blurry vision, ataxia, clinic twitching, severe hypotension, and polyuria.

What medication increases your risk for seizures?

Bupropion

Medication that reduces the urge to smoke

Bupropion and varenicline

Medication that is administered during alcohol withdrawl

Chlordiazepoxide- helps prevent seizures and delirium tremens

Patients who manifest constant reassurance due to a lack of self confidence and an excessive need to be cared for have this personality disorder

Dependent personality disorder

If a patient states their skin is itching from their nicotine patch what do you do as the nurse?

Discontinue the patch

A nurse is caring for a client with alcohol use disorder. Following alcohol withdrawl, which of the following medications should the nurse expect to administer to the client during maintenence?

Disulfiram (Antabuse)

When using nicotine lozenges

Do not use more than 20 per day

A nurse is reinforcing teaching with the family of a client who has Alzheimer's disease about donepezil. Which of the following statements should the nurse include?

Donepezil can improve cognitive functioning during the earlier stages of the disease.

A nurse is reviewing the laboratory report of a patient who is taking risperidone. The nurse should identify that which of the following results indicates a potential adverse reaction to the medication?

Elevated blood glucose

Quasi intentional tort

HIPPA violation

What are positive symptoms of schizophrenia

Hallucinations

Adverse effect of lithium

Hypothyroidism

A nurse is collecting data from a client who has adjustment disorder. WHich of the following statements by the client should the nurse recognize as a manifestation of this disorder?

I could have done something to prevent my cousins death—manifestations include guilt, depression, anxiety, and anger.

A nurse in a mental health facility is planning to promote the development of a theraputic relationship with a newly admitted client. Which of the following actions should the nurse plan to take?

Identify professional boundaries during the initial interaction

What medication increases a patients risk for orthostatic hypotension?

Imipramine

A nurse is collecting data from a client who has cocaine intoxication. Which of the following findings should the nurse expect?

Increased mental alertness, elevated BP, exxagerated emotional response (euphoria and possible aggression), elevated body temp

s/e of bupropion

Insomnia

A nurse is caring for a newly admitted client who is recieving treatment for alcohol use disorder. The client tells the nurse, "I have not had anything to drink for 6 hours". Which of the following findings should the nurse expect during alcohol withdrawl?

Insomnia, restlessness, elevated temperature, muscle tremors, tachycardia

Incorporating the attributes or feelings of another person into oneself

Introjection

A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for valproic acid. The nurse should explain that the provider will routinely prescribe which of the following tests while the client is taking valproic acid?

LFT's— due to the risk of hepatotoxicity

Late signs of lithium toxicity

Levels above 2.5 = seizures and Liguria; levels above 3.5 = delirium, cardiovascular collapse, coma, and death

Early signs of lithium toxicity

Levels between 1.0-1.5 = Fine tremors, nausea, vomiting, diarrhea, muscle weakness, lethargy

Patients taking what medication should avoid caffeine as it decreases the effectiveness of this medication?

Lorazepam

What meds can be prescribed in patients who are withdrawing from alcohol?

Lorazepam (Benzos)

A nurse is assisting with the care of a client who is experiencing acute alcohol withdrawal. Which of the following medications should the nurse prepare to administer?

Lorazepam; this will maintain vitals, prevent seizures, and delirium tremens

What medication does someone take when Alzheimer's becomes severe?

Memantine

Medication that is given to patients who are withdrawing from opioids

Methadone

Medication that is administered during an opioid/narcotic overdose

Naloxone

A nurse on an inpatient mental health unit is planning care for a client who was admitted following a suicide attempt. Which of the following actions should the nurse include in the plan?

Observe the client swallow medications

Provide small frequent meals for patients with binge eating disorders

Provide meals at scheduled time for patients with anorexia Nervosa

A nurse is monitoring a client who ingested an overdose of phenobarbital sodium. For which of the following adverse effects of toxicity should the nurse assess the client?

Respiratory depression

Patients who manifest expressionless demeanor and exhibit social withdrawl have this personality disorder

Schizoid personality disorder

What is bupropion used for

Smoking cessation, S.A.D., and depression

What can increase your chances of lithium toxicity?

Taking furosemide and lithium together

What increases your chances for a HTN crisis?

Taking phenelazine and Tyra mine rich foods together. An example is smoked sausage.

Intentional tort

Telling a patient that they will get a shot if they remain agitated.

negative symptoms of schizophrenia

The absence of something that should be present; Social discomfort, the inability to enjoy activities, lack of goal oriented behavior

A nurse is collecting data from a client who has bipolar disorder and is in a manic state. Which of the following findings is the highest priority?

The client reports sleeping 2-3 hours per night— the greatest risk is injury from exhaustion

A nurse is observing a patient who has histrionic personality disorder. Which of the following behaviors should the nurse expect?

The client whispers into the providers ear—acting provocatively and seductively is an expected behavior of an individual with histrionic personality disorder.

Disassociative amnesia

The inability to recall important personal information—response to a traumatic or stressful event.

What is an A/E of carbamazepine?

Thrombocytopenia

What 2 medications when taken together can increase the risk of serotonin syndrome?

Venlafaxine and phenelzine

When would you withold lithium from a patient?

When a patient reports nausea with frequent episodes of vomiting.

Symptoms of neuroleptic malignant syndrome

muscle rigidity, hyperpyrexia, fluctuations in blood pressure, and altered level of consciousness.

Adverse effect of taking chlorpromazine

photosensitivity