Mental Health Chapter 8

What is the main priority of crisis intervention?

Ensuring immediate safety

Which of the following is true about lithium?

None of the above

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

Presented harm to self

psychanalysis

Psychoanalysis is a form of therapy originated by Sigmund Freud. In psychoanalysis, the focus is on the cause of the problem, which Freud believed is buried somewhere in the unconscious.

Which of the following is a potential side effect of stimulant medications?

Rapid or irregular heartbeat

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:

Side effects of the lithium therapy he is receiving.

What are the characteristics of tardive dyskinesia (TD), and when do symptoms typically appear?

Symptoms appear within 1 to 8 weeks after the patient starts taking the medication, with manifestations including rhythmic, involuntary movements resembling chewing, sucking, or licking motions.

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:

Tardive dyskinesia

The following medications are used for treatment in mental health disorders (select all that apply):

- Antipsychotics. - Stimulants. - Mood stabilizers.

Which of the following items should be included when providing patient teaching about monoamine oxidase inhibitor (MAOI) antidepressants (select all that apply):

- Avoid foods containing the amino acid tyramine. - Don't take prescribed or over-the-counter medications without consulting the physician

Nursing preparation for a client undergoing electroconvulsive therapy (ECT) resemble thoseused for general anesthesia. The nurse should follow these steps for this procedure (place in theorder they will occur):

- Educate patient and patient's family. - Check a signed consent. - Monitor the patient's vital signs before the procedure. - Medicate as prior to procedure if ordered - Monitor the patient's vital signs after the procedure.

Which of the following should be included in patient teaching about antidepressants (select all that apply)?

- Encourage patients to continue taking the medication - If it is an MAOI antidepressant, the patient should avoid foods containing the amino acid tyramine.

electroconvulsive therapy (ECT) (Nursing Considerations)

- Monitor Vitals before and after treatment - Maintain safety after the treatment - Premedicate if ordered

Nursing preparations for a client undergoing electroconvulsive therapy (ECT) resemble those used for general anesthesia (select all that apply):

- Monitors the patient's vital signs before and after the procedure. - Medicate prior to procedure if ordered. - Educate patient and patient's family. - The patient may be slightly confused after the procedure

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:

Electroconvulsive therapy.

Antidepressent

Generally require several weeks to effect a change in mood

Which of the following conditions are contraindications for the use of stimulants?

Heart disease and glaucoma

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?

Impact

What lab values should a nurse monitor in a patient taking lithium?

Kidney and liver function.

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?

Learning from others in the same situations

Which of the following are common uses of stimulants?

Promoting alertness, diminishing appetite, combating narcolepsy, and treating ADHD

Your manic patient is being discharged on lithium. Which of the following would NOT be in the teaching plan?

Restrict fluids while taking this drug.

When teaching Mary, who has depression, about foods to avoid while taking phenelzine (Nardil), which of the following would Audrey LPN include?

Salami

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:

Seizure activity.

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:

The patient is assisted to develop new insights and return to the precrisis phase

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:

The patient was given an informed consent

electroconvulsive therapy (ECT)

a biomedical therapy for severely depressed patients in which a brief electric current is sent through the brain of an anesthetized patient

What are the categories of psychopharmacology?

• Antipsychotics • Antiparkinson agents • Antianxiety/anxiolytics • Antidepressants • Antimanics/mood stabilizers • Stimulants