psych test 2 ch7-15
Which statement is most true about depression? A. It is more common in women than men. B. It is rare to have more than one episode of major depression in one's lifetime. C. Young children do not suffer from depression. D. As one ages, there is reduced risk of depression.
a
While doing a 24-hour chart check, the LPN/LVN notes a patient was admitted to a mental health unit on an involuntary status. The nurse becomes aware that this type of admission could be because the patient attempted to do the following: A. Presented harm to self. B. Scheduled this admission. C. Signed an informed consent. D. Looked at several facilities prior to this admission.
a
Your patient in the psychiatric unit is still up at midnight playing cards. You tell him, "It's time to get some sleep now." What is the purpose of this response? A. Limit setting B. Reality testing C. Controlling patient so other patients will respond the same way D. Enforcing rules
a
Your patient takes tranylcypromine for depression. Which of the following is most likely to indicate dietary restrictions have not been followed? A. Hypertensive crisis B. Syncope C. Muscle spasms D. Increased depression
a
Your patient with major depression sits in her room for hours staring out the window. Which of the following would be the most appropriate intervention? A. Sit with the patient and gently offer your availability to help. B. Keep encouraging the patient to go to exercise class. C. Offer the class once and then let the patient decide. D. Sit with the patient and ask her to list reasons for her depression.
a
Your patient with major depression tells you he suffers from urinary retention. Which medication would be most likely to cause this? A. Amitriptyline B. Duloxetine C. Carbamazepine D. Ritalin
a
"Use of a logical-sounding excuse to cover up true thoughts and feelings" describes this defense mechanism: A. Denial. B. Rationalization. C. Compensation. D. Isolation.
b
A client comes to the outpatient mental health clinic 2 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The nurse reviews information about clozapine with the client. Which client statement indicates an accurate understanding of the nurse's teaching about this medication? A. "I don't need to see my doctor for a new prescription when this runs out." B. "I need to keep my appointment this week for a blood test to monitor my white blood cells." C. "I can have a martini with this medication." D. "I don't need to come into the clinic for a few months if I don't have side effects"
b
A patient admitted to the mental unit has shown a deficit in providing self-care and has a medical diagnosis of major depression. The nursing diagnosis for this would be: A. Knowledge deficit related to personal choices. B. Self-care deficit related to impaired ability to provide personal hygiene. C. Risk for violence related to poor hygiene. D. Impaired social interaction related to poor hygiene.
b
A patient is admitted to the Mental Illness and Chemical Abuse unit. The patient has been placed on a 1:1. After reviewing the client's progress notes, the nurse notes that the admission was voluntary. The nurse would expect which of the following: A. The patient will be angry at being forced to be on the unit. B. The patient was given an informed consent. C. The patient may not leave the unit without a court order. D. The patient's wife has signed the consent form for admission.
b
According to Hans Seyle, if a person does not adapt to the stress in his or her surroundings, eventually the person will experience: A. Fright or flight. B. Exhaustion. C. Resistance. D. Adaptation.
b
Biological theories of depressive disorders include all of the following except: A. Chemical imbalances are responsible. B. The patient experiences maladaptive thought processes. C. There are genetic tendencies that run in families. D. Hormonal factors make women more susceptible than men.
b
Helen, a 47-year-old client with a long history of severe depression, has not responded to antidepressant medications or psychotherapy. The nurse caring for the patient knows that the treatment of choice for depression unresponsive to conventional treatment would be: A. Lithium. B. Electroconvulsive therapy (ECT). C. Light therapy. D. Neurolinguistic programming.
b
Linda says that she feels confused and anxious. In addition, Linda feels unorganized and states, "It is as not bad as it seems." What phase of crisis is Linda experiencing? A. Precrisis B. Impact C. Adaptive D. Postcrisis
b
Nurse Aubyn is aware that patients suffering from anxiety seem to do best in environments where they have: A. Competition. B. Routine and enjoyable activities. C. Complex thought processes. D. A lot of alone time.
b
Pete has recently been admitted to the hospital and is being treated for bipolar disorder. When you go to check in on him, he tells you that he is feeling very drowsy and has been vomiting. He is also running a fever. You suspect that Pete's problem is caused by: A. Anxiety over his new surroundings after being admitted to the hospital for treatment. B. Side effects of the lithium therapy he is receiving. C. A hospital-acquired viral infection. D. Food poisoning.
b
Reflexology is based on the massage of this body part: A. Hands. B. Feet. C. Spine. D. Temples.
b
Some medications such as tricyclics cause blurred vision. What is the cause of this effect? A. Hyperglycemia B. Anticholinergic effect C. Hypoxia D. Hypertension
b
The home health nurse is informed by her patient that she is taking a herbal over-the-counter medication. What action should the nurse take with this information? A. This information is not part of the medication record. B. The nurse should document this information and add it to the patient's medication list and notify the charge nurse of the change. C. Research the benefits of this medication before deciding if it should be added to medication record. D. Tell the patient that herbal medications are not considered safe to take.
b
____ 3. Patients with major depression commonly display signs of: A. Energy. B. Repetitive, compulsive behaviors. C. Worthlessness. D. Visual hallucinations.
c
"Emotion that is separated from the original feeling" describes this defense mechanism: A. Denial. B. Repression. C. Compensation. D. Isolation.
d
A patient being medicated with haloperidol for over 4 weeks has started to display symptoms of involuntary movements of the mouth that resemble chewing. Of the following extrapyramidal adverse reactions, the client is showing signs of: A. Dystonia. B. Akathisia. C. Drug-induced Parkinsonism. D. Tardive dyskinesia.
d
Which of the following would be the most effective intervention for a depressed patient? A. Establish one small goal to accomplish today. B. Help the patient develop a goal to complete in the next month. C. Encourage the patient to talk about recent failures in his or her life. D. Let the patient guide what is the next best action.
a
Which statement is most likely to be from a patient in a manic episode? A. "I don't need to sleep." B. "I am Jesus Christ." C. "Leave me alone while I am reading this textbook." D. "I am worthless."
a
A new patient with schizophrenia is admitted to the psychiatric unit. He is standing at the locked exit door and yelling, "Help me, I don't belong here." This behavior is most likely an example of what defense mechanism? A.Denial B.Regression C.Enabling D.Projection
A.Denial
Nurse Anne recognizes that John is always blaming others for his shortcomings. Finger pointing is usually related to the defense mechanism of: A.Scapegoating. B.Identification. C.Restitution. D.Avoidance.
A.Scapegoating.
Marion, a 25-year-old patient who lives with her parents, explains to the nurse at the community clinic, "I really don't need to talk to anyone, even my parents." The patient expresses that she is too busy and does not have the time to sit and talk. The nurse recognizes that the client is most likely using the defense mechanism known as: A.Conversion reaction. B.Avoidance. C.Isolation. D.Denial.
B.Avoidance.
Joy has just experienced her fifth spontaneous abortion. She is unable to understand why this is happening to her. Joy voices her anger toward her physician and the nurses, accusing them of incompetence. Assessing the situation, the nurse recognizes that the client may be using the coping mechanism of: A.Conversion reaction. B.Displacement. C.Denial. D.Regression.
B.Displacement.
Which of the following best describes what defense mechanisms are? A.Abnormal coping mechanisms B.Genetically "wired" responses C.Protective devices that reduce anxiety D.All of the above
C.Protective devices that reduce anxiety
Your patient is sternly criticized by her doctor for not complying with the medication regimen. The patient walks out of the office and yells at the parking attendant. This may be an example of which defense mechanism? A.Projection B.Intellectualization C.Reaction formation D.Displacement
D.Displacement
"Unconscious refusal to see reality" describes this type of defense mechanism: A. Denial. B. Repression. C. Compensation. D. Isolation.
a
A client is unwilling to go out of the house for fear of "having to get on a elevator or be in small room." Because of this fear, the client remains home except when accompanied outside by the spouse. The nurse suspects that the client has: A. Agoraphobia. B. Hematophobia. C. Claustrophobia. D. Hypochondriasis.
a
A patient who has survived a motor vehicle accident has just learned that the passenger in the car has died. The survivor is unable to recall being in the car. The nurse on duty realizes that this is: A. Dissociation. B. Denial. C. Regression. D. Transference.
a
An overweight male college student is unable to participate in competitive sports. Although he can't be a sports hero, the student becomes the life of the party when socializing. This student also uses his student loan to purchase a new sports car. The student is displaying: A. Compensation. B. Reaction formation. C. Transference. D. Identification.
a
Anthony is a 40-year-old patient who lost his job recently and wishes that he was back home living with his parents. Anthony has been noted to do things he used to do when he was a child. Anthony is going through a period of regression. Regression is best defined as: A. A retreat to a less stressful time in one's life. B. An immature response technique. C. An assertive response. D. A therapeutic mechanism.
a
Karen Ann, a patient on the mental health unit, is in the bathroom with the door locked. She was admitted to the unit as a result of her psychotic behavior. The mental health nurse is asking her to come out and take her medication. The patient responds by stating, "There is nothing wrong with my behavior. I don't need any medication. I don't know why everyone is so upset." Her response indicates that the defense mechanism being used is: A. Denial. B. Obsession. C. Displacement. D. Projection.
a
Lila's three-year-old daughter is an only child who recently started day care. It was only 6 months ago that Lila had toilet trained her daughter. After 1 week in the day care, her daughter has started wetting herself and crawling. Her mother has become quite concerned. The school nurse explained to her that her daughter probably is experiencing: A. Regression. B. Depression. C. Manipulation. D. Compensation.
a
Lithium toxicity is most likely with which of the following patients? A. Elderly man with diarrhea from food poisoning B. Teenage girl on oral contraceptives C. 40-year-old man who smokes marijuana on the weekend D. All of the above are at high risk
a
Marnie is a 16-year-old patient with bipolar disorder. She is manic right now and is in the hallway naked, making sexual requests of the staff and other patients. What is your best course of action? A. Quietly approach her, escort her to her room, and assist her in getting dressed. B. Quietly approach her, escort her to her room, and explain to her the inappropriateness of her actions. C. Approach her, confront her behavior as it is happening, and escort her to her room. D. Confront her behavior in the hall, apologize to the other patients, and escort her to her room.
a
Nurse Arlene recognizes that the focus of environmental (MILIEU) therapy is to: A. Control the environment to bring about a positive behavior change. B. Allow the patient freedom to decide whether they want to participate in activities. C. Use role-play to meet their personal needs. D. Use natural medicines rather than drugs to control behavior.
a
Nurse Maryse invites a recently discharged patient's family to attend an outpatient support group. This type of program would most likely help the family with which of the following issues? A. Learning from others in the same situations B. Gaining insight into why they feel guilty C. Recognizing the client's weakness D. Managing the client's financial concern and problems
a
Reiki is a term that means: A. "Universal life energy." B. "Universal energy." C. "Energizing the universe." D. "Universal energy life.
a
The three primary methods of sensory representations are: A. Visual auditory, and kinesthetic. B. Visual, auditory, and kindred. C. Visa, authority, and kinesthetic. D. Seeing, hearing, and smelling.
a
What type of behavior modification is being used when the patient transforms into a relaxed state? (Documented by checking their heart rate and blood pressure.) A. Biofeedback. B. Massage. C. Hypnosis. D. Imagery.
a
When working with a female client experiencing a phobia about spiders, Nurse Toni should anticipate that a problem for this client would be: A. Anxiety when speaking of the feared item. B. Depression toward the feared object. C. Denying the existence of a phobia. D. Distortion of reality.
a
Which of the following drugs indicates the patient is toxic with a serum level of 1.5 mEq/L? A. Lithium B. Ritalin C. Tofranil D. Buspar
a
Which of the following is a priority in dealing with a highly anxious patient? A. Provide support to reinforce a sense of security. B. Implement strict limit setting to control behavior. C. Increase environmental stimuli to distract the patient. D. Provide more freedom to promote self-expression.
a
What is the main difference between major depression and dysthymic depression? A. Dysthymia is a short-term depression and major depression lasts for years. B. Dysthymia is a chronic, low-level depression that lasts for years, while major depression is more severe. C. Dysthymia is more likely to be caused by psychological factors and major depression is caused by neurological dysfunction. D. Dysthymia is normally treated with psychotherapy only, while major depression is treated with antidepressants and psychotherapy.
b
When planning care for a female patient diagnosed with obsessive and compulsive behavior, Nurse Barbara and case manager Marc must recognize that the ritual: A. Assists the patient to understand their inability to deal with reality. B. Helps the patient to be in control of their anxiety. C. Helps the patient control the obsessive and compulsive behavior. D. Is used to manipulate others.
b
Which activity would be best for a depressed patient? A. A puzzle B. Drawing C. Crossword puzzles D. Television
b
Which activity would you select as best for your patient in a manic state? A. Brown bag lunch at a book review group B. Badminton C. Paint by numbers class D. Guided imagery
b
Which diversional activity is most appropriate for a patient in a manic phase? A. Bridge B. Exercise class C. Cross stitch D. Computer game
b
Which of the following best explains why tricyclic antidepressants (TCA) are used cautiously with the elderly population? A. Central nervous system effects B. Cardiovascular system effects C. Gastrointestinal system effects D. Serotonin syndrome effects
b
Which of the following drugs is a tricyclic antidepressant? A. Bupropion (Wellbutrin) B. Amitriptyline (Elavil) C. Fluoxetine (Prozac) D. Citalopram (Celexa)
b
Which of the following is TRUE in the stage of "fight or flight" of the general adaptation syndrome? A. Heart rate is decreased. B. The blood vessels constrict. C. The blood vessels dilate. D. Exhaustion occurs.
b
Which of the following is an important intervention for a patient taking nortriptyline? A. Make sure that CBC is ordered to monitor blood counts. B. Monitor for anticholinergic side effects. C. Ensure that the patient's diet is gluten free. D. Push fluids to prevent dehydration.
b
Which response best describes how dysthymic disorder is different from major depression? A. More severe depression with psychotic features B. Chronic low level depression C. Mild depression with episodes of hypomania D. Depression with more anxiety symptoms
b
You are caring for an older adult who is recently widowed. She says, "No one cares if I die. Everyone I ever loved is dead." What is the best response? A. "I am sure that you still have people who care about you." B. "You sound like you are feeling all alone." C. "Boy, that is depressing." D. "I don't believe that."
b
Your depressed patient is just started on duloxetine (Cymbalta). Which statement by the spouse tells you that family teaching has been effective? A. "I can't wait for him to be back to his old self in the next day or so." B. "I realize we can't expect big changes right away." C. "I have to take him for weekly blood tests to monitor the drug dosage." D. "I will make sure he doesn't eat any aged cheese for the next 2 months until the dose is stabilized."
b
Your depressed patient is starting a new medication called phenelzine (Nardil). Which teaching would be most important to emphasize? A. Educate the patient to take this medication ongoing, even as symptoms improve. B. Instruct the patient and family about the many food-drug interactions. C. Instruct the patient about interventions to relieve dry mouth. D. Inform the patient that this medication takes 4 to 6 weeks to take full effect.
b
Your new patient is admitted to the ER after a car accident. She is extremely anxious. Which intervention is most helpful? A. Ask her to describe her feelings to you. B. Stay with her in the exam room. C. Set her up in a quiet exam room away from activity and give her privacy. D. Encourage her to remember what happened in the accident.
b
A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. His family reports that for the past 2 months he has been in constant motion, sleeping very little, spending lots of money, and has been "full of ideas." During the initial assessment with the client, the nurse would expect him to exhibit which of the following? A. Short, polite responses to interview questions B. Introspection related to his present situation C. Exaggerated self-importance D. Feelings of helplessness and hopelessness
c
A newly admitted client has been diagnosed with major depressive disorder. Which nursing diagnosis takes priority? A. Impaired social interaction B. Self-esteem deficit C. Hopelessness D. Self-care deficit
c
An elderly patient explains to the nurse that while weeding his garden, he was suddenly startled by a 6-foot non-poisonous snake. He immediately displayed extreme fear and suddenly had a burst of energy and ran from the snake. The nurse realizes that this client is describing which of the following stages identified in GAS? A. Exhaustion B. Problem solving C. Crisis D. Delirium
c
Counseling is a field that requires licensing. This licensing is providing by: A. The municipality. B. The office C. The state. D. There are no regulations for counselors.
c
Dr. Albert Ellis, who developed the theory of RET, thought that people teach themselves to be ill. He used the following terminology: A. Musturbation and awareness. B. Awfulizing and musting. C. Musturbation and awfulizing. D. Realizing and supersizing.
c
Light therapy has been shown to be effective in treating patients with: A. Bipolar disorder. B. Dysthymia. C. Major depression with seasonal pattern. D. Schizophrenia.
c
One of the female patients on the mental health unit starts to have delusions of persecution and is hearing voices. Prior to this admission, she attempted several times to poison her boyfriend after the voices told her to do so. During your initial rounds, you enter her room and ask her how she is doing. The patient states, "she's a bad person." Your patient is exhibiting: A. Transference. B. Aggression. C. Dissociation. D. Denial.
c
The ABCs of rational-emotive therapy (RET) are: A. Acting, believing, concise. B. Able, belief, consequences. C. Activating, belief, consequence. D. Awareness, believing, conclusions.
c
The charge nurse has been in a meeting with the director of nursing (DON). The DON has been given some very unpleasant mandates by administration, which came down to the charge nurse. It is now the charge nurse's responsibility to disseminate these mandates to the nursing staff. When the charge nurse gives the news to the nursing staff, she gives it to them in a very harsh manner toward the staff. This is an example of: A. Compensation. B. Identification. C. Displacement. D. Reaction formation.
c
The desired outcome from humor therapy is: A. The patient will feel accepted. B. The patient will have increased feelings of depression. C. The patient will demonstrate a more positive outlook. D. The patient will be discharged sooner.
c
The nurse knows that the two factors that often differentiate major depression from dysthymia depression are: A. Amounts of mania and sadness. B. Presence or absence of anger and guilt. C. Severity and duration of symptoms. D. Patient's gender and age.
c
The patient taking lithium should understand that the following could affect fluid and sodium levels and increase the chances of becoming toxic: A. Muscle weakness. B. Lithium level of 0.7. C. Dehydration. D. Hypertension.
c
When developing a care plan for Ms. Smith, who was diagnosed with schizophrenia and is receiving haloperidol, which of the following medications would Nurse Janet expect to administer if the patient developed extrapyramidal side effects (EPS)? A. Olanzapine (Zyprexa) B. Paroxetine (Paxil) C. Benztropine mesylate (Cogentin) D. Lorazepam (Ativan)
c
When preparing the discharge plans for a patient with chronic anxiety, Nurse Barbara evaluates the goals that were set for the patient. Nurse Barbara also evaluates if the patient has achieved the discharge long-term goals. Which goal would be most appropriate to be include in the plan of care requiring evaluation? A. The patient is completely stress free. B. The patient ignores their feelings of anxiety. C. The patient is able to identify triggers that produce anxiety. D. The patient maintains contact with a crisis counselor.
c
When teaching Mary, who has depression, about foods to avoid while taking phenelzine (Nardil), which of the following would Audrey LPN include? A. Peanut butter B. Fresh fish C. Salami D. Soup
c
Which of the following antidepressants is a tricyclic? A. Bupropion (Wellbutrin) B. Sertraline (Zoloft) C. Nortripyline (Pamelor) D. Venlafaxine (Effexor)
c
Which of the following meal choices indicates the patient understands the diet restrictions when taking an MAOI? A. Pepperoni pizza and beer B. Roast chicken, baked potato, and beer C. Fried fish, rice, and cola D. Pickled herring, eggs, and coffee
c
You are doing patient teaching for Margaret, who has been prescribed amitriptyline (Elavil) for treatment of depression. Which of the following statements suggests that Margaret needs further instruction? A. "I know I might not start feeling better for a few weeks, but I'll keep taking the medication just as the doctor prescribed." B. "I'll keep some hard candies in my purse in case my mouth gets dry from the medicine." C. "Once I start feeling better, I'm looking forward to cutting down on this medication." D. "I'm worried I may gain some weight, but that's a small price to pay for feeling better."
c
Your 28-year-old patient was admitted to the psychiatric unit with a diagnosis of major depression with symptoms of withdrawal and extreme sadness. After 2 weeks on the unit, the patient suddenly becomes more talkative, sleeps only 2 hours a night, and acts seductively with the male patients. What is the most likely explanation for this change? A. The antidepressants are effective. B. The patient was diagnosed incorrectly. C. She is having a manic episode as part of her illness. D. She is recovering from her depression.
c
Your bipolar patient approaches you and says, "I will be running this hospital someday. I know I can change everything." What is the best intervention? A. Orient the patient by telling her that this would require multiple educational degrees that she does not have. B. Ask the patient why she thinks she can do that. C. Redirect the patient to what is going on around her now. D. Contact the psychiatrist immediately.
c
Your manic patient is being discharged on lithium. Which of the following would NOT be in the teaching plan? A. Blood levels must be closely monitored. B. Continue to take lithium even when your manic symptoms are resolved. C. Restrict fluids while taking this drug. D. Contact your doctor if you experience side effects rather than stopping the drug.
c
Your new patient admitted to the psychiatric unit is pacing and agitated. Which of the following is the most appropriate intervention? A. Introduce the patient to all the other patients. B. Direct him to a group therapy session. C. Place him in a quiet area away from other patients. D. Review the unit rules with the patient to distract him.
c
Your patient Vicky just received a diagnosis of terminal cancer. You plan to speak to her about her response to the diagnosis.. When you reach her room, you find Vicky on the phone. As you're standing in the doorway, she starts laughing. You are startled when she states, "Why are you looking so sad? Obviously the tests were wrong. I am not that sick." The patient is displaying: A. Transference. B. Regression. C. Denial. D. Isolation.
c
Your patient has been taking Buspar for 1 month. On returning to the clinic for a follow-up visit, which statement would describe medication effectiveness? A. Reduction in number of delusions B. Less depressed C. Sleeping better D. Reduced desire for alcohol
c
Andrea, the charge nurse, spoke to the director of nursing about one of the staff nurses having a crisis. The nurse suggested a crisis intervention group to the staff nurse. Crisis intervention groups are successful because: A. The crisis intervention worker is a psychologist and understands the presenting behavior patterns. B. They supply a workable solution to the patient's problem. C. The patient is encouraged to share with others about personal problems. D. The patient is assisted to develop new insights and return to the precrisis phase.
d
Audrey, a mental health nurse, has noticed that every day prior to going to work, she starts off with headaches, loose stools, episodes of feeling light-headed, and other disorders. These symptoms may be an expression of emotional disturbances. Audrey is aware she could be experiencing: A. Isolation. B. Repression. C. Splitting. D. Conversion.
d
During electroconvulsive therapy (ECT), the patient is monitored carefully before and after the procedure. The nurse assisting with this procedure is aware that monitoring is necessary because the patient may suffer from: A. Euphoria. B. Immediate alertness after the procedure and sleepy later in the day. C. Urine retention. D. Seizure activity.
d
Helenann, a long-term care nurse educator, noted that one of the staff members was complaining of stress and anxiety. A common physiological response to stress and anxiety is: A. Urticaria. B. Light-headiness. C. Sedation. D. Palpitations.
d
In caring for a patient with major depression, the nurse knows that the patient needs: A. Frequent changes in activities. B. Introduction to multiple new staff members. C. Behavior modification that restructures feelings. D. Well-defined, structured interactions at the beginning of treatment.
d
Lithium is most commonly used to treat which of the following disorders? A. Dysthymia B. Schizophrenia C. Generalized anxiety disorder D. Bipolar disorder
d
Lynn, the LPN/LVN, is providing care for a patient diagnosed with depression. The patient is not responding to any of the medications ordered. The nurse foresees this patient may be a candidate for: A. Neuroleptic medication. B. Short-term seclusion. C. Psychosurgery. D. Electroconvulsive therapy.
d
Nurse Janet is aware that the symptoms that distinguish post-traumatic stress disorder (PTSD) from anxiety disorders include: A. Avoiding situations and certain activities that resemble any type of stress. B. Demonstrating a blunted affect when discussing the traumatic situations. C. Having a minimum interest in family and others. D. Re-experiencing the trauma in dreams or flashback.
d
To establish an open and trusting relationship with a male patient who is in the hospital with severe anxiety, which response by the charge nurse is best? A. Urge the staff to have frequent interaction with the patient. B. Share an activity with the patient. C. Discipline the patient about his behavior. D. Encourage enjoyable activities.
d
When your patient says "I am depressed," what is the best response? A. "We all feel that way now and then." B. "Why do you feel that way?" C. "Everything will be OK once you snap out of it." D. "Tell me more about what is going on with you."
d
Which of the following is true about lithium? A. It is available in multiple formulations, including IV and suppository. B. It is generally discontinued for 2 weeks prior to any major surgery. C. It is used on a prn basis when the patient feels anxious. D. None of the above
d
You are admitting a new patient who is depressed. Your initial contact should do what? A. Address why he is depressed B. Keep communication open C. Lift his spirits D. Establish trust
d
You are working with the RN to plan short-term goals for a 28-year-old hospitalized manic client. Which is the most important goal? A. Protection from self-inflicted harm B. Meals in excess of metabolic requirement C. Strict participation in unit activities D. Enforced medication compliance
d
Your depressed patient who is taking a tricyclic antidepressant is advised of possible anticholinergic side effects. Which of the following is NOT an anticholinergic side effect? A. Blurred vision B. Difficulty starting urine stream C. Dry mouth D. Muscle rigidity
d
Your patient has been taking a SSRI antidepressant for 6 weeks. On arrival at the clinic, which observation would indicate a positive outcome from the medication? A. Patient reports sleeping 12 hours a night. B. Patient reports sleeping 3 hours a night. C. Patient reports a weight loss of 10 pounds. D. Patient arrives neatly dressed.
d
