psych test 4

A patient is admitted for major depression. The nurse should expect to find which of the following in the assessment?

Anhedonia, feelings of worthlessness, and difficulty focusing **

Which of the following interventions would be appropriate for a client with anorexia nervosa?

Having the client in view of staff for 90 minutes after each meal **

For a client taking lithium, what is the appropriate __ __ for this med?

Lab level 0.4-1.8

A concerned family member tells the nurse, "I am concerned about my brother. He has been acting very different lately." Knowing the family has a history of bipolar disorder, the nurse gathers which data that would indicate possible bipolar disorder?

"Has your brother been taking unnecessary risks?" **

The nurse is teaching a patient with bulimia to using self-monitoring techniques. The nurse would evaluate successful use of this technique in which of the following patient statements?

"I am learning to recognize events and emotions that trigger my binges and am working on responses other than binging and purging." **

Which of the following meals would the nurse provide to best meet the nutritional needs of a manic patient?

Peanut butter sandwich, chips, cola **

A nurse cares for a patient diagnosed with an opioid overdose. Which focused assessment has the highest priority?

Respiratory **

When examining this class of substances, the common symptoms demonstrated by patients include disinhibitation, relaxation of voluntary muscles, and anterograde amnesia

Roofies

Which features should be present in a therapeutic milieu for a patient with a hallucinogen overdose?

Simple and safe **

During an initial interview at a clinic, a young female client states that there is nothing wrong with her. Which of the following would indicate to the nurse that this client might have anorexia nervosa?

Severe weight loss due to self-imposed dieting **

A patient discharged home on Celexa (citalopram) calls the nurse complaining that the medication causes her to feel too drowsy. The nurse should make which of the following suggestions?

Take the medication at night **

for depressed clients the appropriate __ is some type of CBT

Therapy

The nurse has been teaching the client's family about the client's eating disorder, anorexia nervosa. Which of the following statements would indicate that teaching was effective?

We will spend less time discussing troublesome family members." **

This syndrome is developed by alcoholics due to malnutrition and they will need treatment with vitamins, especially B1

Wernickekorsakoff

commonly prescibed for mania

anticonvulsant

A patient asks the nurse why he has to go to therapy and cannot just take his prescribed antidepressant medication. The best explanation by the nurse would be which of the following?

b. "Medications help your brain function better, but the therapy helps you achieve lasting behavior change." **

In report, the nurse learns that a client with mania has not slept since admission 2 days ago. On entering the day room, the nurse finds this client dancing to loud music. The best response by the nurse would be,

"Let's go to the conference room and talk for a while." **

A client with bipolar disorder is admitted to the psychiatric unit. The client is talking loudly, walking back and forth rapidly, and exhibiting a short attention span. Which of the following would the nurse do first?

. Decrease the client's environmental stimuli **

Select the priority nursing intervention when caring for a patient after an overdose of amphetamines.

. Monitor vital signs.

A client with mania is in the dining room at lunchtime and is observed taking food from other clients' trays. The nurse's intervention should be based on which rationale?

. Other clients need to be protected from the intrusive behavior. **

. A client with mania is demonstrating hypersexual behavior: blowing kisses to other clients, making suggestive remarks, and removing some articles of clothing. Which of the following interventions is indicated at this time?

Accompany the client to her room to get dressed. **

A depressed patient states, "I think my family would be better off without me. They don't need to worry." The most appropriate response by the nurse would be:

Are you planning to commit suicide?" **

Which medication to maintain abstinence would most likely be prescribed for patients with an addiction to either alcohol or opioids?

Bromocriptine (Parlodel)

The difference between clients with anorexia nervosa and bulimia nervosa is which of the following?

Clients who are anorexic are proud of their control over eating, whereas bulimic clients are ashamed of their behavior **

Which of the following best explains the neurochemical processes responsible for depression?

Decreased serotonin and norepinephrine activity **

A nurse reviews vital signs for a patient admitted with an injury sustained while intoxicated. The medical record shows these blood pressure and pulse readings at the times listed: 0200: 118/78 mm Hg and 72 beats/min 0400: 126/80 mm Hg and 76 beats/min 0600: 128/82 mm Hg and 72 beats/min 0800: 132/88 mm Hg and 80 beats/min 1000: 148/94 mm Hg and 96 beats/min

b. Consult the health care provider. **

A patient with anorexia is prescribed several medications. Which of the following medications may be prescribed to help treat the patient's distorted body image?

c. Olanzapine (Zyprexa) **

These side effects often cause dry type of side effects in clients

cholinergic

A patient has a history of suicidal ideation. The nurse understands that the patient is at highest risk for self-harm at which of the following times?

d. Approximately 2 weeks after starting antidepressant medication **

Escaping unpleasant realities by ignoring the existence

denial

The nurse is assessing a patient with bulimia nervosa. Which of the following symptoms would the nurse expect to find? (Select all that apply)

height weight dental erosion

beliveing everything is too difficult to accomplish

helplessness

A hospitalized patient diagnosed with an alcohol abuse disorder believes the window blinds are snakes trying to get in the room. The patient is anxious, agitated, and diaphoretic. The nurse can anticipate the health care provider will prescribe a(n):

sedative, such as lorazepam (Ativan) or chlordiazepoxide (Librium). **