Mental Health ATI

Symptoms for opiod withdrawal:

- Anxiety - Hypertension - Tachycardia

Symptoms of opiod intoxication:

- Calmness - Hypotension - Bradycardia

Heroin intoxication symptoms:

- Cold-like symptoms - Tremors - Gooseflesh - Depressed respirations/HR

Cocaine intoxication symptoms:

- Increased mental alertness - Increased vital signs - Exaggerated emotional responses - Nausea - Sleeping disorders

What are the adverse effects for fluoxetine?

- Sexual dysfunction - insomnia - Headache - Nausea - Diarrhea

Adverse effects of benzodiazepines:

- Tachycardia - Sedation

Adverse effects of phenelzine

- Weight gain - Insomnia - Muscle cramps

Reference range for magnesium:

1.7-2.2 mg/dL

Reference Range for Sodium levels

136-145 mEq/L

Reference range for phosphorus:

2.5-4.5mg/dl

Reference range for potassium:

3.6-5.2mEq/L

WBC Normal Range:

5,000-10,000/mm^3

What is the 'Flat Affect'?

A lack of emotional responsiveness, seen in schizophrenia.

A nurse is reinforcing teaching with the family of a client who has Alzheimers about Donepezil. Which of the following statements should the nurse include? A. Donepezil can improve the cognitive functioning during the earlier stages of the disease. B. Donepezil cures the diseases process if it is started upon first recognition of dementia C. Donepezil provides long-term reversal of memory loss in the last phase of the disease. D. Donepezil accelerates the break down acetylcholine within the clients brain.

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

A nurse is collecting data who has delirium. The nurse should identify which of the following conditions as a predisposing factor for delirium? A. Hepatic failure B. Chronic alcohol abuse C. Hypertension D. Fluid volume overload

A. Hepatic failure

A nurse is is assisting with the plan of care for a client who is malnourished due to alcohol use disorder. Which of the following interventions should the nurse include in the plan? A. restricts the clients sodium intake B. Encourage the client to eat three large meals a day C. Weigh the client weekly D. Observe the client 1 hour after he eats

A. Restricts the clients sodium intake A client who is malnourished due to alcohol use disorder is at risk for ascites. Therefore, the nurse should restrict the client's sodium intake to decrease the risk of fluid retention.

Which of the following findings should the nurse anticipate during opioid withdrawal? A. Calmness B. Anxiety C. Hypotension D. Bradycardia

B. Anxiety

A nurse is reviewing the medical history of a client who has a new prescription for electroconvulsive therapy. Which of the following findings should the nurse identify as the priority? A. Sever depression B. Cardiac arrhythmia C. Bipolar disorder D. Parkinson's disease

B. Cardiac arrhythmia

A nurse is contributing to the plan of care for a school-aged girl who has ADHD. Which of the following interventions should the nurse recommend? A. Avoid the use of humor when managing the child's disruptive behaviors B. Instruct the child to apologize for behavior that negatively affects others C. Maintain a scheduled plan of activities regardless of the child's behavior D. Administer methylphenidate PRN when the child exhibits disruptive behavior

B. Instruct the child to apologize for behavior that negatively affects others The nurse should recommend performing simple techniques to manage the child's behavior, including making amends. This technique includes apologizing to others when the client's behavior has a negative effect.

A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder. Which of the following findings should the nurse expect? A. Acrocyanosis B. Arrhythmias C. Ascites D. Weight gain

C. Ascites

A nurse is reinforcing teaching with a client who has a new perscription for phenelzine. The nurse should instruct the client that eating foods containing tyramine can cause which of the following adverse reactions with this medication? A. Serotonin syndrome B. Hearing loss C. Hypertensive crisis D. Urinary incontinence

C. Hypertensive crisis Tyramine can cause severe hypertension in clients who are taking phenelzine, a monoamine oxidase inhibitor. Manifestations include palpitations, stiff neck, headache, nausea, vomiting, and elevated temperature.

What is Memantine

Cognition-enhancing medication that can treat Dementia associated with Alzheimer's

Donepezil (Aricept)

Cognition-enhancing medication, treats Alzheimers disease

A nurse is caring for a client who is scheduled for electroconvulsive therapy. Which of the following actions should be take prior to the procedure? A. Keep the patient in side-lying position. B. Administer morphine IV C. Prepare the client for intubation D. Administer atropine sulfate

D. Administer atropine sulfate In preparation for ECT, the nurse should administer atropine sulfate IM 30 min prior to the procedure. This will decrease secretions in order to prevent aspiration that can be caused by the vagal stimulation induced by ECT.

A nurse is collecting data from a newly admitted client who has anorexia nervosa. Which of the following manifestations should the nurse expect? A. BMI of 22 B. Hypetension C. Tachycardia D. Peripheral Edema

D. Peripheral Edema Peripheral edema is an expected finding for a client who has anorexia nervosa due to hypoalbuminemia and weight loss.

A nurse is caring for a client who has major depressive disorder and is severely withdrawn. Which of the following techniques should the nurse use to facilitate communication with the client? A. Continue to talk if the client does not provide an immediate verbal response B. Use platitudes when talking with the client C. Ask the client direct questions D. Speak tp the client using simple and concrete terminology

D. Speak tp the client using simple and concrete terminology

A nurse is collecting data from a client who has moderate cognitive decline due to stage 4 Alzheimers disease. Which of the following findings should the nurse expect? A. The client requires assistance with eating B. The client frequently gets lost du to wandering C. The client has bladder incontinence D. The client is able to identify the names of family members

D. The client is able to identify the names of family members - This ability is maintainable until stage 6

Def of Hyperkalemia

High potassium in blood

Def of Akathisia

Intense need to move about. Restless movements and inability to remain still.

Def of Conduct Disorder

Lack of respect towards authority figures and refusing to follow rules.

Arangulocytosis

Lowered white blood cell count

Def of Antisocial Personality Disorder

Mental health disorder characterized by disregard for other people. Exhibits low frustration level and can quickly become angry.

Antidote for Oxycodone

Naloxone, an opioid antagonist that is administered to treat the effects of opioid toxicity. Following administration, the nurse should monitor the client's respiratory and neurologic status.

Reference Range for cholesterol:

Normal: less than 200mg/dl

Countertransference

Refers to the nurse's behavioral and emotional response to the client

Blunted affect

Significant reduction in the intensity of emotional expression.

Def of Somnolence

Strong desire for sleep

Def of Stuporous

The client requires vigorous or painful stimuli to elicit a brief response

True or false: A manifestation of heroin intoxication is pinpoint pupils

True

True or False: Delirium affects a persons level of consciousness

True, delirium can rapidly alter the client's level of consciousness, which can manifest as agitation or stupor.

Def of Methadone

indicated for treatment of opiate use disorder. Methadone is given as a substitute to prevent cravings and severe manifestations of opiate withdrawal.

Somatization

the expression of psychological distress through physical symptoms. Clients who have somatization behaviors exhibit increased anxiety about health concerns that cannot be explained medically.