HESI Foundations and Practice of Mental Health Nursing
A nurse suggests a crisis intervention group to a client experiencing a developmental crisis. The nurse knows that these groups are successful because the: 1.Client is encouraged to talk about personal problems 2.Crisis group supplies a workable solution to the client's problems 3.Client is assisted in investigating alternative approaches to solving the identified problem 4.Crisis intervention worker is a psychologist who understands common patterns of behavior
3.Client is assisted in investigating alternative approaches to solving the identified problem A crisis intervention group helps clients reestablish psychological equilibrium by assisting them in exploring new alternatives for coping; it considers realistic situations through the use of rational and flexible problem-solving methods. Talking about personal problems is not an immediate goal of crisis intervention. Clients are never given a solution; they are helped to arrive at their own acceptable, workable solutions. It is not necessary for crisis intervention workers to be psychologists
A nurse encourages a client to attend Alcoholics Anonymous (AA) meetings after discharge. What do self-help groups such as AA help their members do? 1.Set long-term goals 2.Limit excessive drinking 3.Foster changes in behavior 4.Identify underlying causes of behavio
3.Foster changes in behavior Self-help groups deal with behavior and changes in behavior rather than with underlying causes of behavior. Small steps are encouraged and, when attained, are reinforced by the group. AA is known for encouraging its members to deal with one day at a time. Abstinence, not controlled drinking, is the foundation for sobriety. Identifying underlying causes of behavior is not the purpose of self-help groups.
A client with a diagnosis of schizophrenia is discharged from the hospital. At home the client forgets to take the medication, is unable to function, and must be rehospitalized. What medication may be prescribed that can be administered on an outpatient basis every 2 to 3 weeks? 1.Lithium 2.Diazepam 3.Fluvoxamine 4Fluphenazine
4. Fluphenazine Fluphenazine can be given intramuscularly every 2 to 3 weeks to clients who are unreliable about taking oral medications; it allows them to live in the community while keeping the disorder under control. -Lithium is a mood-stabilizing medication that is given to clients with bipolar disorder. This drug is not given for schizophrenia. -Diazepam (Valium) is an antianxiety/anticonvulsant/skeletal muscle relaxant that is not given for schizophrenia. -Fluvoxamine (Luvox) is a selective serotonin reuptake inhibitor; it is administered for depression, not schizophrenia.
A nurse is administering medications to clients on a psychiatric unit. What does the nurse identify as the reason that so many psychiatric clients are given the drug benztropine (Cogentin) or trihexyphenidyl in conjunction with the phenothiazine derivatives neuroleptic medications? It reduces postural hypotension. It potentiates the effects of the other drug. It combats the extrapyramidal side effects of the other drug. It ameliorates the depression that may accompany schizophrenia.
It combats the extrapyramidal side effects of the other drug. Benztropine and trihexyphenidyl control the extrapyramidal (parkinsonian) manifestations associated with the neuroleptics and are classified as antiparkinsonian drugs. These drugs do not reduce postural hypotension, nor do they potentiate phenothiazine derivatives or have an effect on depression.
