Mental Health Chap 8

Control the environment to bring about a positive behavior change

Nurse Arlene recognizes that the focus of environmental (MILIEU) therapy is to:

Learning from others in the same situations

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?

-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's may be slightly confused after the procedure

Nursing preparations for a client undergoing electroconvulsive therapy (ECT) resemble those used for general anesthesia

Side effects of the lithium he is recieving

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:

The patient will demonstrate a more positive outlook.

The desired outcome from humor therapy is:

antipsychotics

The drug category _______________ blocks dopamine receptors and is a major treatment for schizophrenia.

antidepressants

The drug category _______________________________ increases the availability of serotonin, which is decreased in the brains of depressed individuals.

Humor therapy

The movie about Patch Adams represents this type of therapy

dehydration

The patient taking lithium should understand that the following could affect fluid and sodium levels and increase the chances of becoming toxic:

None of the above

Which of the following is true about lithium?

"I need to keep my appointment this week for a blood test to monitor my white blood cells."

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?

Tardive dyskinesia

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:

Voluntary

A patient consents to hospitalized for psychiatric treatment

The patient was given an informed consent

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:

milieu

A therapeutic environment in mental health terminology is called a

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

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

-Thorazine -Stelazine -Prolixin -Haldol

Commonly used typical antipsychotic agents are

The state

Counseling is a field that requires licensing. This licensing is providing by

Musturbation and awfulizing

Dr. Albert Ellis, who developed the theory of RET, thought that people teach themselves to be ill. He used the following terminology:

Seizure activity

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:

Impact

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?

Electroconvulsive therapy

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:

1.Educate the patient and patient's family 2.Check a signed consent 3.Monitor the patient's vital signs before the procedure 4.Medicate as prior to procedure if ordered 5.Monitor the patient's vital signs after the procedure

Nursing preparation for a client undergoing electroconvulsive therapy (ECT) resemble those used for general anesthesia. The nurse should follow these steps for this procedure

-Dietary selection -Having tests scheduled between sundown Friday and sundown Saturday

Patients who practice Judaism may have concerns about the following

Activating, belief, consequence

The ABCs of rational-emotive therapy (RET) are:

catharsis

The act of purging or purification of emotions is known as

Mood

The category of drugs that treat manic phase of bipolar disorder

stimulant

The category of medication that promotes alertness, diminishes appetite, and combats narcolepsy and attention deficit hyperactivity disorder is

-Antipsychotics -Stimulants -Mood stimulants

The following medications are used for treatment in mental health disorders

psychoanalysis

The form of therapy that focuses on the cause of the problem, originated from Sigmund Freud, is

Group Therapy

The patient in what type of therapy gains knowledge that there are similar problems?

Crisis intervention

This type of intervention might be used for states of extreme emotional or physical turmoil in which the patient feels out of control of self:

Benztropinne mesylate (Cogentin)

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)?

urine retention and changes in blood glucose

When observing a patient receiving tricyclic antidepressant therapy, ________________would bring attention to the nurse that the patient was undergoing anticholinergic effects.

Salami

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

Cardiovascular system effects

Which of the following best explains why tricyclic antidepressants (TCA) are used cautiously with the elderly population?

Lithium

Which of the following drugs indicates the patient is toxic with a serum level of 1.5 mEq/L?

-Avoid foods containing the amino acid tyramine -Dont take prescribed or over the counter medications without consulting the physican

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

-Usually receive treatment from primary health care provider rather than a mental health specialist -More likely to receive substandard treatment -Tend to be more receptive of taking medications that any other group

Which of the following may affect African Americans seeking to comply with medical or mental health treatmen

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

Which of the following should be included in patient teaching about antidepressants

Presented harm to self

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:

Restrict fluids while taking this drug

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