MH Exam 3

Which patient behavior is a criterion for mechanical restraint?

Assaulting a staff person

A violent patient is restrained. What is the nurse's first priority?

Ensure the patient's safety

Which anticonvulsant medication might be prescribed for a patient with bipolar disorder?

Divalproex sodium

An adult with paranoia becomes agitated and threatens to assault a staff person. Select the best initial nursing intervention: A.Tell the patient, "If you do not calm down, seclusion will be needed." B. Address the patient with simple directions and a calming voice. C. Help the patient focus by rubbing the patient's shoulders. D. Offer the patient a dose of antipsychotic medication. E. Reorient the patient to the time and place.

B. Address the patient with simple directions and a calming voice.

What should a patient avoid while taking lithium?

Caffeine

Which assessment finding in a patient with major depression represents a vegetative sign?

Hypersomnia

A patient with major depression walks and moves slowly. Which term should the nurse use to document this finding?

Psychomotor retardation

Your patient was just diagnosed with a major depressive disorder. What medication do you anticipate the health care provider will start the patient on?

SSRI Ex: Fluoxetine, Sertraline, Paroxetine,

You should stop lithium if you have edema: T/F

True

What side effects might a patient experience while taking an SSRI?

anticholinergic effects, agitation, anxiety, sleep disturbance, tremor, sexual dysfunction, headache

What is a common cause of relapse for the bipolar patient?

noncompliance with medication

Ibuprofen can affect lithium levels: T/F

true

Lithium should be taken with food: T/F

true

Patients need a consistent intake of what, while taking lithium?

water and sodium