Mental Health Review

A nurse is caring for a patient who's bipolar taking lithium for a year, before administering medication as a nurse what test will you obtain?

Thyroid assay

A nurse is caring for a patient who's bipolar and experiencing acute mania, the client is doing calisthenics in the waiting room during lunch time instead of eating, what should the nurse tell him?

Come with me, here's a milkshake to drink

Your taking care of a client who's suspicious of the nursing staff, which approach would you use to establish therapeutic technique with this patient?

Adopt a neutral attitude

You're a nurse in a acute mental health care unit, which patient would be a seclusion as a contraindicated?

An adult patient after a suicide attempt. (wouldn't want to use restraints)

You're a nurse reporting an incident suspected child abuse, one of the parents are upset because they are demanding to know the reason why you are going to report the suspected child abuse to the authorities, how will you respond?

As a nurse I am required by the law to report suspected child abuse.

A nurse is planning care for someone who's having ECT, which of the following meds will you administer as ordered before the procedure?

Atropine

A nurse is assessing a client who has anxiety disorder, which findings should nurse expect?

Constant worries about the undiagnosed presence of illness. (because worrying about something that's not really there).

Which of the following client prescription should the nurse realize is expected to reduce the client's mania?

Carbamazepine

A nurse is reviewing medication records with several clients who have bipolar disorder, the nurse recognizes which of the following meds are used for clients who have bipolar disorder?

Carbamazepine valproate lithium paroxetine

A nurse is preparing to teach a client about his prescription of lithium for the treatment of bipolar disorder, which should the nurse include in the teaching?

Client responds to questions in disorganized speech. (pt in acute mania have weight loss, not weight gain).

You're in a mental unit discussing involuntary admission during staff meeting, which should the manager include in the discussion?

Clients who are involuntary admitted also have a right to informed consent.

Which of the following is an expected finding of a conversion disorder?

Involuntary loss of sensory motor.

Which side effect should nurse include about Zolpidem in the instructions?

Daytime sleepiness.

Which would be effective for ECT treatment?

Depression and bipolar

A nurse is caring for a young adult client following a sudden death of a spouse, the patient feels paralyzed by inability to cope with work and family responsibilities, which types of crises is patient experiencing?

Disposition because unexpected loss or change.

A client is hospitalized for treatment of bipolar disorder and will be discharged for prescription of lithium, the nurses teaching will include information cautioning which factors that will cause lithium toxicity?

Experiencing diarrhea

A nurse is teaching a client who's scheduled for a ECT, which would be an instruction to the patient?

There's a small chance you will have memory loss.

Side effects of Haldol?

Extra pyramidal symptoms

A bipolar client says I feel like superman and I can do anything, I can fly home today and become a U.S senator, what is the client experiencing?

Grandiosity

You're a nurse and you go into the day room and see two people fighting, you see one person hit the other first. What statement will you say?

Hitting others is unacceptable behavior.

A nurse is assessing a client who has a history of alcohol use disorder, which of the following should the nurse include how the use of alcohol affect client's psychosocial behavior?

How does alcohol use affect your performance at work?

You're a nurse in an adolescent unit and you have a patient who exhibits violent behavior, the patient asks the nurse to hold confidentiality about his thoughts and desire to kill several classmates and a teacher. Which statement is the nurse going to tell the client?

I cannot promise that, I must share this information with other members of the team who are responsible for your care.

You're a nurse that is training a new nurse, you have a patient that's threatening harm to another patient on the unit, which statement will prove the new nurse understands safety?

I need to make sure that the potential victim is warned. (#1 safety factor because we want victim to be aware)

You're a nurse assigned to a patient who has depression, you notice that the patient came to breakfast and is freshly bathed, has a ribbon in hair, is clean and has appropriate clothing. Which of the following response would be therapeutic from the nurse?

I see that you've showered and combed your hair and have clean clothes (you're validating).

A nurse is attending group therapy, the clients have bipolar disorder are discussing the strategies, which of the following statement by the client indicate adaptive coping. Select all that apply.

I tend to release my muscle starting with my feet. I think about being on my favorite beach vacation when I get anxious, I get 7 hours of sleep at night by skipping naps. NOT: I WORKOUT 4 TIMES A DAY

You're an RN working at an inpatient facility, your patient is upset because they lost privileges. Which of these statements would you use as a nurse to demonstrate assertive behavior. (assertive is therapeutic, aggressive is not)

I understand that you are angry (Because you are validating).

You're a nurse caring for a depressed patient, the patient is refusing group therapy and refusing any form of ADL's. What will you say to patient to be therapeutic?

I will assist you in getting out of bed and getting dressed.

Which of the following is an expecting finding for PTSD following a sexual assault?

Increased feelings of anger.

A charge nurse is teaching is providing teaching to a staff nurse about ECT, which of the following response by staff nurse indicates an understanding of the instructions?

Informed consent should be obtained prior to ECT. (also make sure you have EKG)

You have a patient and your assessing them for conversion disorder, what would you expect as a finding?

Involuntary loss of sensory function.

You're a nurse taking care of a young adult patient, this patient is experiencing increased anxiety and they're not able to concentrate. Which of the following is a therapeutic response?

It sounds like you're having a difficult time.

A nurse is caring for a client who's bipolar and a new prescription for valproate?

Liver function test.

The nurse is reviewing discharge instructions for a client with a bipolar disorder and is taking lithium, which manifestation should nurse include as an indication as a toxicity?

Muscle weakness

What side effects would you monitor for Amitriptyline?

Orthostatic hypotension dry mouth constipation

A nurse in mental health clinic discussing guided imagery to a newly licensed nurse, which of the clients should the nurse offer the therapy to?

PTSD patient

You're a nurse in the mental health unit caring for a client who has a bipolar disorder, you get a prescription for an antipsychotic medication. The provider and nursing staff suspecting the client is not adhering to his medication therapy, which of the following should the staff encourage to the client's adherence?

Perform mouth checks after administering the meds provide one daily dosing use sustain release engage client in conversation following administration DO NOT ROTATE STAFF AND ADMINISTER MEDS

Lamictal is anti-convulsant, side effect would be?

Rash

Which Defense mechanism of somatic disorder?

Regression

You're a nurse talking to the client for management of anxiety, patient says I'm just too stressed I need someone to take care of me, the nurse identifies this behavior as what type of defense mechanism?

Regression. (sudden childlike behavior that doesn't match their current development level).

A nurse is providing discharge teaching to a client who's bipolar and will be discharged with a prescription of lithium, the nurse should teach the client which of the following factors will put the client at risk?

Running 4 miles a day.

A clients sister dies in a car accident, the nurse is assessing the client and knows this is a distorted grief reaction, which is a distorted grief reaction?

Sad, helpless, anger, all of the above.

A nurse is providing community health education class about suicide prevention, which of the following would be a risk factor for suicide?

Schizophrenia age greater than 45 years old male gender substance use disorder.

You're in group and you witness someone getting verbally abuse and they are responding to themselves (hearing voices), they suddenly get up and walk out into the hallway. What would you do next?

Stay and talk about the response the person did.

A patient was admitted from a fire at home and the family members died, which of the following is an example of adaptive defense mechanism?

The client begins reading a book when experiencing hand tremors in response to loud noise. (distracting themselves by focusing on something).

You have patient whose partner died 5 years ago and they're experiencing maladaptive grief?

The clients deceased partners closet has remained untouched since the partners demise.

A nurse is in an acute care mental health facility assessing a client who has bipolar disorder, which of the following is an indication the patient is at risk for suicide?

The pts behavior has become impulsive in past couple of weeks.

A nurse is assessing a patient who's experiencing chronic stress, which findings should you expect?

Viral infection

A nurse teaching a client about bipolar disorder with a prescription of lithium to recognize the manifestation of toxicity, which indicates an understanding of the teaching?

Vomiting is an indication of toxicity.