MH Final

Which Statement made by a depressed pt provides insight into a common feeling associated with depression?

"I still feel bad about my sister dying of cancer. I should have done more for her."

Which statement by a patient indicates understanding of education provided about a prescribed selective serotonin reuptake inhibitor?

"I will immediately report any symptoms of high fever, fast heartbeat, or abdominal pain"

Which individual is at the highest risk for major depression?

55 year old single female recently diagnosed with rheumatoid arthritis

Which phrase is the definition of obsession?

A recurrent, persistent thought or impulse

A patient who exhibits concrete thinking is unable to communicate in which manner?

Abstractly

A pt diagnosed with schizophrenia is most likely to experience which type of hallucination?

Auditory

Which category of medication used to treat anxiety has a potential for addiction?

Benzodiazepine

***Which antidepressant drug can be prescribed to a pt who also suffers from narrow angle glaucoma?***

Buproprion isocarboxazid tranylcypromine

Which risk factor is associated with the development of depression?

Chronic medical illness

Which alternative to inpatient treatment is appropriate for an individual with schizophrenia who has been stabilized to go home?

Day treatment

Assessment findings on a pt diagnosed with major depressive disorder include psychosis and repeated threats to murder members of the immediate family. Which treatment modality is most likely to be implemented for this pt?

Electroconvulsive therapy (ECT)

Which symptom is commonly associated with panic attacks?

Fear of impending doom

Which side effects of lithium can be expected when the medication is at therapeutic levels?

Fine hand tremors and polyuria

Which entrée can the pt prescribed a MAOI safely eat?

Fruit and cottage cheese

Which term describes the behavior of a patient with acute mania who tells staff and pt that he is on a secret mission for the president to monitor citizens for terrorist activity?

Grandiosity

Which type of hallucination is a patient experiencing when the pt states, "I am not eating this food; it tastes like someone has poisoned it"?

Gustatory

which statement regarding sleep would be expected from a pt diagnosed w major depression

I wake up at about 4am and cannot go back to sleep. I feel tired all the time.

Which finding is expected for a pt displaying associative looseness?

Illogical thinking

A pt admitted with a diagnosis of depression has been having angry outbursts with staff and peers on the unit since being admitted. Which primary concern exists based on the patients behavior?

Increased risk of self harm

*** a pt was admitted to an ICU after reporting chest pain, an elevated heart rate, and a very high body temp. The pt family reported that the pt was taking antidepressants and started having chest pain after eating avocados and cheese. Which antidepressant medication was the patient likely taking that would have caused this interaction? ****

Isocarboxazid

what medication is considered the first-line drug to treat mania?

Lithium

Which Condition is an advanced but not severe sign of lithium toxicity?

Mental confusion

The nurse understands that second-gen antipsychotics/atypical agents may cause which side effect?

Obesity

Which level of anxiety is exhibited when the nurse observes a pt wide eyed, repeating nonsensical statements, running from chair to chair, and not following staff direction or verbal efforts to calm the pt?

Panic

A pt diagnosed with depression is observed pacing often, pulling at clothes, and wringing the hands. Which situation do these behaviors indicate?

Psychomotor agitation

Which statement is true regarding OCD

Pt diagnosed with OCD should be assessed regularly for suicide risk

Which term does the nurse document when a pt experiences four or more mood episodes in a 12-month period?

Rapid Cycling

Which statement presents accurate information regarding the relationship between depression and schizophrenia?

Regular assessments for both depression and suicide risk in pt diagnosed with schizophrenia are necessary

Which disorder is relatively stable with just a few individuals progressing to schizophrenia?

Schizotypal personality disorder

The nurse would expect the health care provider to prescribe an immediate dose of which type of medication for a pt experiencing a panic attack?

Short-acting benzodiazepine

Which phrase describes a likely potential problem for a pt diagnosed with severe OCD

Sleep disturbance

Which term is used to describe a patient who remains motionless for long periods and at times appears to be in a coma?

Stupor

which side effect of antipsychotic medication therapy is generally not reversible?

Tardive dyskinesia

Based on knowledge of early- and late-onset schizophrenia, which statement is true regarding a male twin who was diagnosed at 23 years of age and the female twin who was diagnosed at 31 years of age?

The female twin has a better chance for positive outcomes because of later onset

Which type of delusion is the pt experiencing when believing the thoughts of others are being put into the pt's mind?

Thought Insertion

A nurse tries to communicate with a patient with depression who is mute and avoids interaction. Which approach should be implemented with this patient?

Try to talk to them about the weather

Which action would the nurse take upon learning that a patient with mania has a serum lithium level of 1.8 mEq/L?

Withhold medication, and notify the provider

Which individual has the HIGHEST risk for experiencing major depression?

a young female who recently gave birth to her first child

A patient states, "I once enjoyed going to parks and museums but that is not fun anymore. " which term would be used to describe this statement

anhedonia

Which symptom does the nurse document for a patient with bipolar disorder who tells the nurse that the pt has the finest tenor voice in the world

grandiosity

which symptom is commonly seen in pt diagnosed with bipolar II disorder and experiencing hypomania

hyperactivity and high energy

Which level of anxiety is experienced when selective inattention is first noted?

moderate

Which intervention would the nurse make for a patient diagnosed with Bipolar Disorder who has been receiving lithium for 15 days and is assessed to have increased restlessness, pressured speech, and flight of ideas ?

pt may not be swallowing pills

which behavior of the nurse is most appropriate when caring for a pt experiencing acute mania

redirecting the pt energy into alternate channels

which thought process is likely to present in a pt diagnosed w depression

self-deprecatory ideation

at which season will a pt diagnosed with seasonal affective disorder likely begin experiencing fewer symptoms

spring