MH Exam 3
Which patient behavior is a criterion for mechanical restraint?
Assaulting a staff person
A violent patient is restrained. What is the nurse's first priority?
Ensure the patient's safety
Which anticonvulsant medication might be prescribed for a patient with bipolar disorder?
Divalproex sodium
An adult with paranoia becomes agitated and threatens to assault a staff person. Select the best initial nursing intervention: A.Tell the patient, "If you do not calm down, seclusion will be needed." B. Address the patient with simple directions and a calming voice. C. Help the patient focus by rubbing the patient's shoulders. D. Offer the patient a dose of antipsychotic medication. E. Reorient the patient to the time and place.
B. Address the patient with simple directions and a calming voice.
What should a patient avoid while taking lithium?
Caffeine
Which assessment finding in a patient with major depression represents a vegetative sign?
Hypersomnia
A patient with major depression walks and moves slowly. Which term should the nurse use to document this finding?
Psychomotor retardation
Your patient was just diagnosed with a major depressive disorder. What medication do you anticipate the health care provider will start the patient on?
SSRI Ex: Fluoxetine, Sertraline, Paroxetine,
You should stop lithium if you have edema: T/F
True
What side effects might a patient experience while taking an SSRI?
anticholinergic effects, agitation, anxiety, sleep disturbance, tremor, sexual dysfunction, headache
What is a common cause of relapse for the bipolar patient?
noncompliance with medication
Ibuprofen can affect lithium levels: T/F
true
Lithium should be taken with food: T/F
true
Patients need a consistent intake of what, while taking lithium?
water and sodium