Own EAQ week 3

A client with a history of schizophrenia, who responds poorly to medication, is now being treated for acute depression. Which informaton would the nurse provide in light of the information elicited from the medication list and laboratory results? "Come in for weekly blood tests to monitor for medication-induced agranulocytosis." • "Report incidents of unusual bleeding or easy bruising while taking fluoxetine." • "Expect to be prescribed only 1 week's supply of fluoxetine at a time." "Consume a high-protein diet to offset the risk of anemia while taking clozapine."

"Come in for weekly blood tests to monitor for medication-induced agranulocytosis."

A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a follow-up visit. Which statement by the client indicates the medication has been effective? • "I have less pain." "I have been sleeping better." • "My blood glucose is under control." O "My blood pressure is coming down."

"I have been sleeping better."

Which statement would the nurse make regarding schizophrenia? - "Onset occurs during early adolescence." - "Onset occurs during mid-adulthood." • "Schizophrenia is the least common cause of psychosis." • "Drugs that block serotonin are therapeutic in psychosis."

"Onset occurs during mid-adulthood."

Which explanation reflects suicidal ideation? • A person's thoughts and wishes related to wanting to die - An individual's declaration of intent to end life • Coping strategies used by suicidal individuals • A term used when an individual has successfully ended life

A person's thoughts and wishes related to wanting to die

What does atomxetine, guanfacine, and clonidine also treat

ADHD, are non-stimulants and less effective and methylphenidate

ich term describes a drug that imitates the endogenous molecules that cause the san ronal response? Agonist Antagonist Partial agonist Inverse agonist

Agonist

nich assessment finding would indicate to the nurse that a patient is experiencing a turbance in reality testing? Delusions • Hallucinations Social withdrawal • Inability to concentrate

Delusions

Which condition is contraindicated for St. John's wort herbal therapy? Anxiety Seizures Dementia Cardia disease

Dementia

Which sign is considered a side effect from both low-potency antipsychotics and anticholinergic-antiparkinsonian drugs? Dilated pupils High fever • Parkinsonism • Rigidity

Dilated pupils

Dysthymias can be treated by the administration of antidepressant medications such as _____.

amitriptyline

Hallucinations indicate

A disturbance in preception

Which risk factor is associated with suicide? Select all that apply. One, some, or all responses may be correct. History of trauma Drug abuse Family history of suicide Serious illness Social isolation

All of them

Which assessment finding indicates to the nurse that a patient is experiencing a classic symptom of schizophrenia as identified by Bleuler? Ambition Ambivalence Accountability Adventurousness

Ambivalence

Which term describe a drug that attaches to a receptor so that an endogenous agonist cannot attach? • Agonist - Antagonist - Partial agonist • Inverse agonist

Antagonist

Which sublingual pharmacological agent is Food and Drug Administration (FDA) approved for the treatment of both acute schizophrenia and bipolar disorder? Asenapine • Iloperidone • Lurasidone • Olanzapine

Asenapine

Imipramine

Childhood enuresis

Which toxic effect would the nurse find in a client who has overdosed on isocarboxaz • Mydriasis Bradycardia Hypothermia Circulatory collapse

Circulatory collapse

Which medication is indicated for treating obsessive-compulsive disorder? Imipramine . Lithium salts Amitriptyline Clomipramine

Clomipramine

Which statement is true regarding antipsychotic medications? • All first- and second-generation antipsychotics are equally effective. Second-generation antipsychotics pose a risk of extrapyramidal symptoms. First-generation antipsychotics pose a significant risk of metabolic side effects. Clozapine is more effective than other second-generation antipsychotics.

Clozapine is more effective than other second-generation antipsychotics.

Which method is most commonly used to complete suicide in an inpatient setting? Overdose Guns Hanging Cutting

Hanging

Which information indicates to the nurse a patient is at risk for developing schizophrenia • Lives in a rural area Attends an Ivy League college • Is in a high socioeconomic class • Has experienced early childhood trauma

Has experienced early childhood trauma

ich reason would be likely for a client's anger and acting out when the nurse interrupts hand-washing ritual of a client with obsessive-compulsive disorder? • Has overwhelming feelings of anxiety Resents the nurse's authoritarian manner Is dashing with the nurse's personality C Reflects an aggressive characteristic

Has overwhelming feelings of anxiety

Which assessment finding would indicate to the nurse that a patient is demonstrating a positive symptom of schizophrenia? Illusions Poor rapport Blunted affect • Social withdrawal

Illusions

Which description identifies micro-hospitalizations? • Inpatient psychiatric stay lasting 1 month • Inpatient psychiatric stay lasting 6 weeks - Inpatient psychiatric stay lasting 3 to 10 days • Outpatient psychiatric care

Inpatient psychiatric stay lasting 3 to 10 days

Which symptom of schizophrenia is considered a positive symptom? ) Communication difficulties Insomnia Poor hygiene • Poverty of speech

Insomnia

Which consequence of chronic prolactin elevation is found as a result of taking first-generation antipsychotics (FGAs) in both males and females? • Amenorrhea Galactorrhea • Gynecomastia • Loss of libido

Loss of libido

Which medication is the first choice of medication for the treatment of attention-deficit/hyperactivity disorder (ADHD)? - Clonidine - Guanfacine - Atomoxerine - Methylphenidate

Methylphenidate

Which medication is indicated to treat shift-work sleep disorder (SWSD)? Caffeine ' Modafinil • Atomoxetine • Methylphenidate

Modafinil

Which term is described as a drug that can elicit a response that is less robust than the response of an agonist? • Agonist ) Antagonist Partial agonist ) Inverse agonist

Partial agonist

What are non selective monoamine oxidase- A and monoamine oxidase- B inhibitors

Phenelzine, isocarboxazid, tranylcypromine

Which condition contraindicates the use of ginseng herbal therapy? • Pregnancy Schizophrenia Bipolar depression Alzheimer disease

Pregnancy

Lithium salt

Prescribed for treating OCD

Which antidepressant medication is a selective monoamine oxidase- B inhibitor? - Selegiline - Phenelzine - Isocarboxazid • Tranylcypromine

Selegiline

A patient noticed being frequently unattended during the nurses' shift change and completed a suicide. Which Joint Commission tip for preventing inpatient suicides was not met? O Checking for contraband • Identifying high-risk populations • Engagement of family - Shift change provisions

Shift change provisions

A suicidal patient states that often cutting to "feel something." Which suicide term is being described? Suicidal ideation Suicidal threats • Suicide attempts Suicidal gestures

Suicidal gestures

A patient overdosed on pain medication trying to end the patient's own life; the patient now hospitalized and stable. Which suicide term is being described? Suicidal ideation Suicide attempt Completed suicide Suicidal threat

Suicide attempt

Which screening tool would be most appropriate to use with a 15-year-old patient? • ED Safe Secondary Screener - TASR Adolescent Screener • ASQ Suicide Risk Screening Tool - Columbia-Suicide Severity Rating Scale

TASR Adolescent Screener

rich precaution will the nurse consider when initiating treatment with fluox • It must be given with milk and crackers to prevent hyperacidity and discomfort. Eating cheese or pickled herring or drinking wine may cause a hypertensive crisis. • The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks The blood level should be checked weekly for 3 months to make sure it is appropriate

The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks

Which action is accurate in explaining how neuroleptic medications act in the body to promote mental health for clients diagnosed with schizophrenia? They inhibit enzymes at the postsynaptic receptor site. They decrease serotonin at the postsynaptic receptor site. They increase dopamine uptake at the postsynaptic receptor site. They block access to dopamine receptors at the postsynaptic receptor site.

They block access to dopamine receptors at the postsynaptic receptor site.

Which statement is accurate about veterans and suicide? - Veteran suicides have decreased since the early 2000s. - Veteran suicides have been increasing at alarming rates since the early 2000s. - Veterans do not often commit suicide. • Veterans often get help when experiencing suicidal thoughts.

Veteran suicides have been increasing at alarming rates since the early 2000s.

Which action would the nurse take for a withdrawn client who suddenly screams, bursts into tears, and runs from the room to the far end of the hallway? Walk to the end of the hallway where the client is standing. Accept the action as the impulsive behavior of a sick person. Ask another client in the dayroom why the client acted in this way. Document objectively the incident in the client's record immediately.

Walk to the end of the hallway where the client is standing.

Which assessment finding would indicate to the nurse that a college patient is experiencing an early warning sign of schizophrenia? Withdraws from social activities Spends time in the library to study Writes fantasy stories for composition class Volunteers to work overtime at a part-time job

Withdraws from social activities

Place the five stages of grieving identified and described by Elisabeth Kübler-Ross in order of progression from first to last.

denial, anger, bargaining, depression, acceptance