Mental Health

A client taking the monoamine oxidase inhibitor (MAOI) antidepressant isocarboxazid (Marplan) is instructed by the nurse to avoid which foods and beverages? A. Aged cheese and red wine B. Milk and green, leafy vegetables C. Carbonated beverages and tomato products D. Lean red meats and fruit juices

A

A patient diagnosed with depression is prescribed fluoxetine (Prozac). Which of the following would the healthcare provider most likely observe if the patient experiences an adverse effect of this medication? A. Decreased libido B. Weight loss C. Bradycardia D.Urinary Retention

A

Nurse Helen is assigned to care for a client with anorexia nervosa. Initially, which nursing intervention is most appropriate for this client? A. Providing one-on-one supervision during meals and for one (1) hour afterward. B. Letting the client eat with other clients to create a normal mealtime atmosphere. C. Trying to persuade the client to eat and thus restore nutritional balance. D. Giving the client as much time to eat as desired.

A

Nurse Krina recognizes that the suicidal risk for depressed client is greatest: A. As their depression begins to improve. B. When their depression is most severe. C. Before any type of treatment is started. D. As they lose interest in the environment.

A

The healthcare provider is caring for a patient who has undergone electroconvulsive therapy (ECT). The patient should be carefully assessed for which of the following common adverse effects of this treatment? A. Headache and memory loss B. Aggression and violent behavior C. Palpitations and cardiac arrest D. Dizziness and blurred vision

A

When assessing a female client who is receiving tricyclic antidepressant therapy, which of the following would alert the nurse to the possibility that the client is experiencing anticholinergic effects? A. Urine retention and blurred vision B. Respiratory depression and convulsion C. Delirium and Sedation D. Tremors and cardiac arrhythmias

A

A patient is prescribed amitriptyline for the management of depression. When assessing the patient for adverse effects, which of the following questions should the healthcare provider ask?Choose all answers that apply: A. Have you noticed that your mouth gets dry since you started taking this medication? B. Have you noticed any palpitations or irregular heartbeats? C. Is the regularity of your bowel movements changed since taking this medication? D. Have you experienced any unusual tingling feelings in your extremities? E. Do you ever get dizzy when you get up after you've been laying down for awhile? F. Have you noticed any visual changes such as blurring of your vision?

A, B, C, E, F

A patient diagnosed with bipolar disorder is experiencing the manic phase of the disorder. Which neurotransmitter alterations will the healthcare provider identify as contributing to mania? Choose all answers that apply: A) Increased norepinephrine B) Decreased gamma-aminobutyric acid (GABA) C) Increased serotonin D) Increased glutamate E) Decreased acetylcholine

A, B, D

Emergency medical personnel bring a patient to the emergency department. The patient reports overdosing on sertraline in a suicide attempt. Which of these would the healthcare provider identify as consistent with serotonin syndrome?Choose all answers that apply: A. Muscle rigidity B. Hypothermia C. Agitation D. Gastrointestinal distress E. Tachycardia

A, C, D, E

Which assessment findings suggest that bulimia nervosa might be a health problem? Select all that apply: A. Parotid glands appear enlarged. B. Teeth have a "moth-eaten" pattern of tooth decay. C. Reports of laxative use daily D. Weigh is within the expected range.

A,B,C,D

Cely with manic episodes is taking lithium. Which electrolyte level should the nurse check before administering this medication? A. Calcium B. Sodium C. Chloride D. Potassium

B

During a counseling session with a patient diagnosed with depression, the patient states, "I know my husband doesn't love me anymore." Which response by the healthcare provider demonstrates therapeutic communication? A. "You really should try not to dwell on something that probably isn't true." B. "What happened to make you think your husband doesn't love you anymore?" C. "Let's talk about what you did to cause him to stop loving you." D. "Try not to think about it too much because it will make your depression worse."

B

Nurse Mary is assigned to care for a suicidal client. Initially, which is the nurse's highest care priority? A. Assessing the client's home environment and relationships outside the hospital. B. Exploring the nurse's own feelings about suicide. C. Discussing the future with the client. D. Referring the client to a clergyperson to discuss the moral implications of suicide.

B

Pt with diagnosis of bulimia nervosa. Which of the following symptoms would be congruent with this diagnosis? A. Binging, purging, obesity, hyperkalemia B. Binging, purging, normal weight, hypokalemia C. Binging, laxative abuse, amenorrhea, severe weight loss D. Binging, purging, severe weight loss, hyperkalemia

B

The healthcare provider is counseling a patient who is diagnosed with depression. Which of the following statements made by a patient should the healthcare provider recognize as a sign of transference? A. "I'm glad I lost my job because now I don't have to commute." B. "It's amazing how much you remind me of my favorite teacher." C. "I may not be good looking, but I get really good grades." D. "I drink so I can deal with the difficult situation at work."

B

The nurse understands that electroconvulsive therapy is primarily used in psychiatric care for the treatment of: A. Anxiety disorders B. Depression C. Mania D. Schizophrenia

B

The psychiatrist orders lithium carbonate 600 mg p.o t.i.d for a female client. Nurse Katrina would be aware that the teaching about the side effects of this drug were understood when the client state, "I will call my doctor immediately if I notice any: A. Sensitivity to bright light or sun. B. Fine hand tremors or slurred speech. C. Sexual dysfunction or breast enlargement. D. Inability to urinate or difficulty when urinating.

B

Which nursing intervention would be most appropriate if a male client develops orthostatic hypotension while taking amitriptyline (Elavil)? A. Consulting with the physician about substituting a different type of antidepressant. B. Advising the client to sit up for 1 minute before getting out of bed. C. Instructing the client to double the dosage until the problem resolves. D. Informing the client that this adverse reaction should disappear within 1 week.

B

The healthcare provider is teaching a group of students about suicide assessment and prevention. Which of the following will be included in the teaching? Choose all answers that apply: A. It's important not to ask a patient whether they are having suicidal thoughts. B. A patient who talks about suicide may be signaling others for help. C. If a patient is unsuccessful in a suicide attempt, another attempt is unlikely. D. When medication improves a patient's mood, they may attempt suicide. E. There are often no warning signs before a patient commits suicide.

B & D

A patient is diagnosed with mild depression. Which of the following describe a physiological alteration often associated with this diagnosis? Choose all answers that apply: A. Difficulty concentrating B. Hypersomnia C. Anorexia D. Insomnia E. Amenorrhea

B, C, D

Client on Lithium. Nurse is explaining s/s of lithium toxicity to her client. Which of the following would she instruct the client to be on the alert for? A. Fever, sore throat, malaise B. Tinnitus, severe diarrhea, ataxia C. Occipital headache, palpitations, chest pain D. Skin rash, hypertension, bradycardia

B.

A patient diagnosed with bipolar disorder is prescribed lithium carbonate (Lithobid). When teaching the patient about the medication, which of these statements is a priority for the healthcare provider include? A. "You should avoid consuming dairy products when you are taking this medication." B. "You should follow this low calorie, low sodium diet to prevent weight gain." C. "Drink lots of fluids, especially if you are active during hot weather." D. "Call our office immediately if you experience any unusual bruising or bleeding."

C

A patient diagnosed with major depressive disorder is admitted for inpatient care. Which of the following is the primary goal during the admission assessment? A. Establishing desired outcomes for the patient B. Administering antidepressant medications C. Collecting and organizing patient data D. Reviewing the policies for patient conduct

C

A patient is admitted to an inpatient psychiatric unit because of a plan to commit suicide by taking an overdose of medication. When administering medications to this patient, which of these interventions is the priority? A. Monitor the patient's vital signs before administration of mediations B. Teach the patient how to recognize adverse effects of the medications C. Ensure that the patient is not "cheeking" the medications D. Monitor the patient for signs of anorexia, nausea, and xerostomia

C

Dennis has a lithium level of 2.4 mEq/L. The nurse immediately would assess the client for which of the following signs or symptoms? A. Weakness B. Diarrhea C. Blurred vision D. Fecal incontinence

C

In preparing a female client for electroconvulsive therapy (ECT), Nurse Michelle knows that succinylcholine (Anectine) will be administered for which therapeutic effect? A. Short-acting anesthesia B. Decreased oral and respiratory secretions C. Skeletal muscle paralysis D. Analgesia

C

Nurse Marco is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan? A. Restricts visits with the family and friends until the client begins to eat. B. Provide privacy during meals. C. Set up a strict eating plan for the client. D. Encourage the client to exercise, which will reduce her anxiety.

C

Nurse Tamara is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to: A. Avoid shopping for large amounts of food. B. Control eating impulses. C. Identify anxiety-causing situations. D. Eat only three meals per day.

C

The nurse is teaching a group of clients about the mood-stabilizing medications lithium carbonate. Which medications should she instruct the clients to avoid because of the increased risk of lithium toxicity? A. Antacids B. Antibiotics C. Diuretics D. Hypoglycemic agents

C

Which method would a nurse use to determine a client's potential risk for suicide? A. Wait for the client to bring up the subject of suicide. B. Observe the client's behavior for cues of suicide ideation. C. Question the client directly about suicidal thoughts. D. Question the client about future plans.

C

Which of the following physical manifestations would you expect to assess in a client suffering from anorexia nervosa? A. Tachycardia, Hypertension, Hyperthermia B. Bradycardia, Hypertension, Hyperthermia C. Bradycardia, Hypotension, Hypothermia

C

Isabel with a diagnosis of depression is started on imipramine (Tofranil), 75 mg by mouth at bedtime. The nurse should tell the client that: A. This medication may be habit-forming and will be discontinued as soon as the client feels better. B. This medication has no serious adverse effects. C. The client should avoid eating such foods as aged cheeses, yogurt, and chicken livers while taking the medication. D. This medication may initially cause tiredness, which should become less bothersome over time.

D

Josefina is to be discharged on a regimen of lithium carbonate. In the teaching plan for discharge the nurse should include: A. Advising the client to watch the diet carefully. B. Suggesting that the client take the pills with milk. C. Reminding the client that a CBC must be done once a month. D. Encouraging the client to have blood levels checked as ordered.

D

Ricardo, an outpatient in a psychiatric facility is diagnosed with dysthymic disorder. Which of the following statements about dysthymic disorder is true? A. It involves a mood range from moderate depression to hypomania. B. It involves a single manic depression. C. It's a form of depression that occurs in the fall and winter. D. It's a mood disorder similar to major depression but of mild to moderate severity.

D

When assessing a patient with severe depression, which of the following would the healthcare provider identify as a cognitive alteration? (Choice A) Low self-esteem (Choice B) Anxiety (Choice C) Powerlessness (Choice D) Somatic Delusions

D