Mental Health Ch. 7-8
The nurse is providing education to a patient prescribed an antiparkinsonian agent. Which information will the nurse include in the teaching?
"Hard sugarless candy will help with the dry mouth."
A client tells the nurse they drink a 12-pack of beer a night. Which additional statement made by the client reflects the defense mechanism of sublimation?
"I am a sponser in Alcoholics Anonymous"
Which statement made by the client reflects the defense mechanism of rationalization?
"I failed my driver's test because the instructor made me nervous."
The physician ordered 500 mL NS to run over 6 hours with a drop factor of 20 gtt/mL. Calculate the correct IV flow rate to set on the infusion pump. Round to a whole number.
28 gtt/min
The physician ordered 1000 mL of D5W to infuse at 125 mL/hour with a drop factor of 10 gtt/mL. How many hours will this IV run?
8
Effective coping skills are described as?
Being able to make choices that are healthy and indiviualized
Which defense mechanism is a client experiencing who develops physical symptoms when feeling threatened, but is relieved when the threat is over?
Conversion reaction
ECT
Depression or schizophrenia
A parent expresses concern that their child who is toilet trained and recently started day care has started wetting themselves and chooses to crawl instead of walk. Which defense mechanism will the nurse plan to discuss with the parent?
Regression
A patient being medicated with haloperidol for more than 4 weeks has started to display symptoms of involuntary movements of the mouth that resemble chewing. Which extrapyramidal adverse reaction is the patient showing signs of?
Tardive dyskinesia
The following medications are used for the treatment in mental health disorders (select all that apply):
*Antipsychotics *Stimulants *Mood stabilizers
Which of the following should be included in patient teaching about antidepressants? (Select all that apply.)
*Encourage patients to continue taking the medication *If it is an MAOI antidepressant, the patient should avoid foods containing the amino acid tyramine.
Nursing preparations for a patient undergoing electroconvulsive therapy (ECT) resemble those used for general anesthesia, including which of the following? (Select all that apply.
*Monitor the patient's vital signs before and after the procedure. *Medicate before procedure if ordered. *Educate patient and patient's family.
The nurse is preparing to discuss different defense mechanisms with a client. Which topic of information will the nurse include in the education? (Select all that apply.)
*Rationalization *Regression *Denial
Which musculoskeletal changes will the nurse anticipate for a client experiencing physiological effects of stress? (Select all that apply.)
*Tension headaches *Muscle tension *Migraines
The physician ordered 1000 mL of LR to infuse at 83 mL/hour with a drop factor of 20 gtt/mL. How many hours will this IV run?
12
The nurse observes a hospitalized client practicing the use of newly learned coping mechanisms. Which behavior is the client demonstrating?
Adaptation
Person-centered/huministic
All forms of mental health alterations
A therapeutic environment (milieu) is best defined as:
An environment that is structured to decrease stress and encourage new learning behavior.
A 25-year-old client who lives with their parents explains to the nurse at the community clinic, "I really don't need to talk to anyone, even my parents." The client expresses that they are too busy and do not have the time to sit and talk. Which defense mechanism is the client using?
Avoidance
An overweight college student is unable to participate in competitive sports. The client states to the nurse, "I may not be a sports hero, but I am the life of every party." Which defense mechanism is the client demonstrating?
Compensation
A mental health nurse has noticed that every day before going to work, they start off with headaches, loose stools, and episodes of feeling light-headed. Which defense mechanism is the nurse experiencing?
Conversion
The nurse is preparing to assess a client experiencing stress. Which physiological finding will the nurse anticipate?
Decreased peristalsis
A client tells the nurse, "During stressful times, I have out-of-body experiences." Which defense mechanism is the client displaying?
Dissociation
The use of defense mechanisms is related to what part of Freuds personality theory?
Ego
In order for psychotherapy to be effective, it is necessary to do all of the following except?
Encourage the patient to repress feelings
The nurse is preparing to transfer a patient to the procedure room for electric shock therapy. Which is a priority nursing intervention?
Ensure informed consent has been obtained.
Which is the nurse's priority action when a patient experiences a crisis?
Ensure safety
Which is false regarding ECT?
It is used to stop convulsive seizures.
Which laboratory information will the nurse anticipate monitoring a patient prescribed lithium carbonate?
Liver function
Group therapy
Many uses, including family therapy, couples therapy, self-help
Which of the following best describes what defense mechanisms are?
Protective devices that reduce anxiety
A client states to the nurse, "I always feel angry towards one of my family members and I do not know why." Which defense mechanism is the client describing?
Repression
Cogitative Behavior Therapy (CBT)
Short-term problem-focused therapy for any mental health alteration that is consciously controlled.
Which information will the nurse include in the teaching to a nursing student about defense mechanisms?
The give the client the illusion they are alleviating their stress
Psychopharmacology psychotropic drug therapy is used:
To decrease symptoms and facilities other therapies
Behavior modificatiosn
To remove or diminish behaviors that are unhealthy or inappropriate
Crisis intervention
Treat states of extreme emotional or physical turmoil in which patients feel out of control or situation.
Psychotherapy
Treatment of various alternations in mental health
