psych ch8

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?

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

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.

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

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: ______________ _______________.

crisis intervention

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

psychoanalysis

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

A. Antipsychotics D. Stimulants E. mood stabilizers

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

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

Patients who practice Judaism may have concerns about the following (select all that apply):

A. Dietary selection. B. Having tests scheduled between sundown Friday and sundown Saturday.

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

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

Which of the following may affect African Americans seeking to comply with medical or mental health treatment (select all that apply)?

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

Commonly used typical antipsychotic agents are (select all that apply)

A. thorazine B. stelazine C. prolixin E. haldol

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

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

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)?

Benztropine mesylate (Cogentin)

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

Cardiovascular system effects

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

Control the environment to bring about a positive behavior change.

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

Dehydration

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

Educate pt and pts family, check a signed consent, monitor the ps vs before the procedure, medicate as prior to procedure if ordered, monitor the pts vs 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.

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

Which of the following is true about lithium?

It is generally discontinued for 2 weeks prior to any major surgery.

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

Lithium

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

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

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.

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.

The desired outcome from humor therapy is:

The patient will demonstrate a more positive outlook.

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

Urine retention and changes in blood glucose

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

activating, belief, consequence

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

antidepressants

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

antipsychotics

The act of purging or purification of emotions is known as ____________________.

catharsis

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

group therapy

The movie about Patch Adams represents this type of therapy: __________ __________.

humor therapy

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

masturbation and awfulizing

A therapeutic environment in mental health terminology is called a ________________.

milieu

The category of drugs that treat manic phase of bipolar disorder are called _______________.

mood stabilizers

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

stimulant

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

the state

A patient consents to be hospitalized for psychiatric treatment. This is a _______________ _________________________ admission.

voluntary