Mental Health

A nurse provides instruction to a client taking citalopram (Celexa) a selective serotonin repute inhibitors (SSRI) antidepressants. the nurse tells the client to take the medication

Early in the morning

On review of the client's record, the nurse notes that the mental health admission was voluntary. Based on this information given, the nurse anticipates which client behavior? Select one :

A willingness to participate in the planning of the care and treatment plan .

what is a neurotransmitter?

chemical messenger gap between n

too much dopamine id linked with

schizophrenia (SCPT)

An involuntarily hospitalized patient tells the nurse, "Get me the forms for discharge against medical advice (AMA) so can leave the hospital now ." What is the nurse's best initial response ? Select one :

" I can't give you those forms without your health care provider's knowledge , you need to stay here until your provider see you."

An involuntarily hospitalized patient tells the nurse, "Get me the forms for discharge against medical advice (AMA) so can leave the hospital now." What is the nurse's best initial response ?

"I cant give you those forms without your health care provider's knowledge"

A patient tells a nurse, "I have psychiatric problems and I am in and out of hospitals all the time. Not one of my friends or relatives has these problems." Select the nurse's best response.

"It sounds like you are concerned that others don't experience the same challenges as you." (Reflecting and Restating)

A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "I have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement ?

"Let's talk more about the different forms of complementary therapies."

which describe the primary focus of milieu therapy?

A living, learning, or Working environment

A nurse assesses a newly admitted patient who has depression. Which statement is an example of "attending"?

I'd like to sit with you a while, so you may feel more comfortable talking with me.

In a team meeting, a nurse says, "I am concerned if we are behaving ethically by using restraint to prevent one patient from self-mutilation while the care plan for another patient who has also self-mutilated issues calls for one-on-one supervision management ." Which ethical principle most clearly applies to this situation?

Justice

The nurse is preparing a client for the termination phase of the nurse client relationship. The nurse prepares to implement which nursing task that is most appropriate for this phase?

Making appropriate referrals

The nurse recognizes which of these symptoms as characteristic of a panic attack? Select one

Palpitations , decreased perceptual field, diaphoresis , shortness of breath .

a nurse administers a medication that potentialities the actions of gamma-aminobutyric acid (GABA). Which finding would be expected

Reduced anxiety or reduced levels of anxiety

Which technique will best communicate to a patient that the nurse is interested in listening ?

Restate a feeling or thought the patient has expressed .

Which diet selection by a client who is depressed and taking the MAO inhibitor tranylcypromine sulfate (Parnate) indicates to the nurse that the client understands the dietary restrictions imposed by this medication regimen ? Select one :

Roast beef, baked potato with butter, and orange juice.

a client taking lithium carbonate (lithobid) started complaining of nausea vomiting diarrhea drowsiness muscle weakness tremor blurred vision and ringing in ears. the lithium levels 2.2 mEq/L the nurse interprets as value as:

Toxic level

A CLIENT WITH SCHIZOPHRENIA (SCPT) HAS BEEN STARTED ON MEDICATION THERAPY WITH CLOZAPINE. THE NURSE SHOULD ASSESS THE RESULTS OF WHICH LABORATORY STUDY TO MONITOR FOR ADVERSE EFFECTS FROM THIS MEDICATION?

White blood cell Count

Alprazolam (Xanax) is prescribed for patient experiencing acute anxiety. most importantly teaching should include instruction to:

avoid alcoholic beverages

Clonazepam (Klonopin) is prescribed for a patient who is experiencing acute anxiety. health teaching should include instructions to:

avoid alcoholic beverages

A community mental health nurse has worked with a patient for 2 years but now she is moving out of the city and terminates the relationship. A new nurse who begins work with this patient will:

begin at the orientation phase

A woman is 5'8" tall, weighs 155 pounds, and wears a size 7.5 shoe. She says, " My feet are huge. I've asked four orthopedists to surgically reduce my feet, but they don't want." The patient tries to buy shoes to make her feet look smaller, and in social settings conceals both feet under a table or chair. Which health problem is likely?

body dysmorphic disorder

A patient tells the nurse, "I wanted my health care provider to prescribe clonazepam (Klonopin) for my anxiety disorder, but buspirone (Buspar) was prescribed instead. Why?" The nurse's reply should be based on the knowledge that buspirone :

does not cause dependence and benzodiazepines cause dependence

a client with depression is taking phenelzine (Nardil). the nurse advises the client to avoid consuming which foods while taking the medication

chocolate

The nurse is working with a client who shows signs of benzodiazepine withdrawal. The nurse suspects that the client has suddenly discontinued taking which of the following prescribed medications

clonazepam (Klonopin)

A patient says, "I feel detached and weird all the time, like I'm looking at life through a cloudy window. Everything seems unreal. These feelings really interfere with my work and study." Which term should the nurse use to document this complaint?

depersonalization

low levels of serotonin are linked to

depression

A patient is admitted to the psychiatric hospital for assessment and evaluation. Which assessment finding best indicates that the patient has a mental illness? The patient:

describes mood as consistently sad, discouraged, and hopeless.

A patient is diagnosed with Agoraphobia. which of the following would health care identify as a characteristics of this disorder?

fears the use of public transportation

A nurse can anticipate anticholinergic side effects that are likely when a patient takes:

haloperidol, typical antipsychotic medication

when preparing a teaching plan for a client who is to be discharged with a prescription for lithium carbonate (Lithonate), it is most important for the nurse to include which instructions

keep your dietary salt intake consistent

On review of the client's record, the nurse notes that the mental health admission was voluntary. Based on this information, the nurse anticipates which client behavior?

willingness to participate in the planning of the care and treatment plan.

A young adult female client is seen in the emergency department for a minor injury following a motor vehicle collision. she states she is very angry at the person who hit her car. what is the best nursing response.

"you are upset that this incident has brought you here"

When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this client?

Monitor closely for harm to self or others

An informal group of patients discuss their perceptions of nursing care. Which comment best indicates a patient's perception that his or her nurse is caring?

My nurse spends time listening to me talk about my problems. That helps me feel like I'm not alone."

Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?

"i hear voices that tell me to hurt myself"

A School-age-child tells the school nurse, "Other kids call me mean names and will not sit with me in lunch. nobody likes me." select the nurses most therapeutic responses

"tell me more about how you feel when this happens"

he registered nurse has written an outcome statement of "Client will feel less anxious by the end of session for a client with generalized anxiety disorder (GAD). Which interventions should the licensed practical nurse use to assist this client in meeting this goal? Select all that apply . Select one or more :

- Ensure the client feels he/she is in a safe environment. - Stay with the client. - Administer anxiolytics medications if prescribed .

The nurse is in the mental health unit recognizes which as being therapeutic communication techniques? select all that apply

- Restating - Providing acknowledgment and feedback

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "be crying like this. It happened a long time ago.Which responses by the nurse will facilitate communication Select all that apply

- The loss of your parent should be very painful for you - Don't be sad, everyone have to pass for something like this in the life" - I can see that you feel sad about this situation."

A nurse plans teaching for a patient diagnosed with generalized anxiety disorder (GAD) who takes lorazepam (Ativan). What information should be included ? (Select all that apply .)

- Use caution when operating machinery . - Avoid using alcohol and other sedatives .

Which patient statements identify qualities of nursing practice with high therapeutic value? (Select all that apply.) "The nurse:

- talks in language I can understand." -. helps me keep track of my medications." - looks at me as a whole person with different needs."

The nurse is working with a client who shows signs of benzodiazepine with-drawls. the nurse suspects that the client has suddenly discontinued taking which of the following prescribed medications?

Alprazolam (Xanax)

The depletion of Acetylcholine is associated with:

Alzheimer's disease

A nurse wishes to teach alternative coping strategies to a patient who is experiencing severe anxiety. The nurse will first need to:

Assess the patient's current anxiety level.

A mental health nurse is giving instructions to a client receiving lithium carbonate medication twice a day. the nurse tells the client to do which of the following to prevent lithium toxicity:

Avoid becoming dehydrated during exercise

A patient has symptoms of anxiety related to the death of a parent in an automobile accident 2 weeks ago. The nurse should anticipate administering a medication from which group in order to....?

Benzodiazepines to increase the effect of GABA

Which of the following nursing interventions is MOST important when caring for a client who has just been placed in physical restraints?

Check that the restraints have been applied correctly to avoid lack of circulation in the limbs

a female client who is at high risk for suicide needs close supervision. to best ensure the client safety, the Registered Nurse should:

Check the client frequently at irregular intervals throughout the night

A nurse assesses a confused older adult. The nurse experiences sadness and reflects, "The patient is like one of my grandparents , so helpless and needy." What feelings does the nurse describe?

Countertransference

A patient who is preparing for surgery has moderate anxiety and is unable to understand preoperative information due to the patient has narrow perception. Which nursing intervention is appropriate?

Describe the procedure again in a calm manner using simple language.

Patients taking have the tendency to experience hypertensive crisis especially during an interaction with other drugs such as epinephrine. Which of the following is a sign of hypertensive crisis?

Diplopia

Parkinsons disease and extrapyramidal side effects (EPS) of antipsychotics medications are the results of too little.

Dopamine

A patient tells the mental health nurse, "wanted my health care provider to prescribe alprazolam (Xanax) for my anxiety disorder, but buspirone (Buspar) prescribed instead. Why? I want my Xanax, it is good for me" The nurse's reply should be based on the knowledge that buspirone :

Dose not cause dependence and benzodiazepines causes dependance

Which research evidence would most influence a group of nurses to change their practice?

Meta-analysis

While talking with a patient diagnosed with major depressive disorder, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest while the patient looks at the floor all the time. Which aspect of communication has the nurse assessed?

Nonverbal communication

A nurse wants to enhance the growth of a patient by showing positive regard. the action consistent with this wish is ?

Staying with a tearful and very anxious patient

A school-age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response .

Tell me more about how you feel when it happens

The nurse is assisting with the data collection on a client admitted to the psychiatric unit. After review of the data obtained , the nurse should identify which as a priority concern ?

The client's report of self -destructive thoughts

A medical-surgical nurse works with a patient diagnosed with a somatic system disorder. Care planning is facilitated by understanding that the patient will probably

be resistant to accepting psychiatric help

a patient should be considered involuntary commitment for psychiatric care when he or she

threatens to harm self

which physical characteristics is a nurse most likely to assess in a patient diagnosed with anorexia nervosa

very low weight

A client who is being treated with lithium carbonate for bipolar disorder develops diarrhea, vomiting, and drowsiness. What action should the mental health nurse take?

hold the next dose of medication and notify the health care provider of the symptoms prior to the next administration of the drug

A patient experiences an episode of severe acute anxiety. Of these medications in the patient's medical record, which is most appropriate to administer as an as-needed (PRN) anxiolytic medication?

lorazepam ( Ativan )

A patient experiences an episode of severe acute anxiety. of these medications in the patient's medical record, which is most appropriate to administer as an as-needed (PRN) anxiolytic medication?

lorazepam (Ativan)

a nurse should asses a patient taking medication with anticholinergic properties for inhibited the function of the?

parasympathetic nervous system

A supervisor assigns a worker a new project . The worker initially agrees but feels resentful . The next day , when asked about the project , the worker says, "I've been working on other things." When asked 4 hours later, the worker says, "Someone else was using the copy machine, so couldn't finish it." The worker's behavior demonstrates 11

passive agression

On the basis of current knowledge of neurotransmitter effects, a nurse anticipates that the treatment plan for a patient with memory difficulties may include medications designed to Select one

prevent destruction of acetylcholine

To plan effective care for patients with somatic system disorders, the nurse should understand that patients have difficulty giving up the symptoms because the symptoms

provide relief from health anxiety

What is the desirable outcome for the orientation phase of a nurse patient relationship? The patient will demonstrate behaviors that indicate: Select one

rapport and trust with the nurse.

Which individual with a mental illness may need emergency involuntary hospitalization for mental illness? The individual who:

refuses eating during last 2 weeks to weight lost and patient's weight is 80 pounds, blood pressure is 66/40 mm Hg, and heart rate is 38 per minute

A patient with a high level of motor activity runs from chair to chair and cries, "They're coming! They're coming!" The patient is unable to follow staff direction or respond to verbal interventions . Which nursing diagnosis has the highest priority ?

risk for injury

one specific type of antidepressant medication works by blocking the removal of neurotransmitters. which of the following neurotransmitters is most likely the target of the antidepressants medication

serotonin

To assist a patient with a somatic system disorder, a nursing intervention of high priority is to:

shift the focus from somatic symptoms to feelings

which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?

silence can provide meaningful moments for reflection and it is therapeutic

Cognitive therapy was provided for a patient who frequently said, "I'm stupid." Which statement by the patient indicates the therapy was effective?

sometimes i do stupid things

After several therapeutic sessions with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of transference?

the patient states "talking to you feels like talking to my parents"

a patient should be considered for involuntary hospitalization for psychiatric care when he or she

threatens to harm self