TREATMENT in Psychiatric: Adaptive quizzing

which class of medication will reduce tremors?

Beta-Blockers

What is decreased libido?

Decreased sex drive.

which activity would the nurse suggest for a moderately depressed client?

Participating in an aerobic exercise

Which intervention would be essential for the nurse to take for a hyperactive client?

Using a firm but caring and consistent approach.

Which behavior is an early sign of an abusive personality?

Verbal abusive Jealous, controlling Enforces rigid sex roles Hypersensitive, easily insulted Isolates partner from family and friends Makes other responsible for their feelings

What is normal lithium levels?

0.6-1.2mEq

steps to de-escalate an escalating client:

1.Attempt to identify the source of the anxiety. 2.Encourage deep breathing 3.Provide firm but kind directions. 4. Place the client in restraints if deemed dangerous.

nursing interventions to ensure client and milieu safety?

1.Remove the room mate from the room 2.Remain with the client until the agitation is under control 3.Arrange for antianxiety medication to be administered as prescribed. 4.Arrange for a private room near the nurses' station. 5.Institute homicide precautions at night.

which signs and symptoms would the nurse observe in a client with bipolar disorder, depressed episode?

Paucity of verbal expression related to slowed thought process.

Which response would the nurse make to a client's partner who does not understand the rationale of using a daycare environment for the client's obsessive compulsive disorder?

A neutral atmosphere facilitates the working through of conflicts.

The nurse's advocate role for a victim of IPV would include what important components?

Planning for future safety Validating the experiences Promoting access to community services

What is waxy flexibility?

An excessive and extended maintenance of posture that can lead to a variety of problems including joint trauma. Solution: Perform passive range of motion exercises three times a day.

Which medication is associated with sedation as a side effect?

All are correct***: Doxepin Zaleplon Suvorexant Nefazodone Mirtazapine Clonazepan Doxepin is a low-dose formulation of an old tricyclic antidepressant that is indicated for the treatment of insomnia. Zaleplon is a Z-hypnotic often prescribed for insomnia. Suvorexant is an orexin receptor agonist that can cause daytime sleep and sleep paralysis. Nefazodone is a serotonin blocker indicated for depression that causes sedation. Mirtazapine blocks adrenergic receptors to improve sleep. Most common side effects are sedation and weight gain.

Which side effect would the nurse monitor for when administering a SSRI (Selective Serotonin reuptake inhibitor)?

All of the choices: Anxiety Nausea Sedation Restlessness Suicidal ideation Increased energy level

which signs and symptoms would the nurse observe in a client experiencing alcohol withdrawal?

Anxiety Diaphoresis psychomotor agitation

Which are the adverse effects of mirtzapine?

Asthenia Drowsiness Abnormal dreams second generation antidepressant

which symptoms manifest in vitamin D toxicity?

Confusion Bone pain Frequent urination Malaise and fatigue

what AMS is associated with AIDS

Delusions Memory loss Hopelessness paranoid thinking

which medications would the nurse identify as used for generalized anxiety disorder?

Duloxetine Venlafaxine Escitalopram All are antidepressants approved to treat GAD.

An older client who has been taking lorazepam for several years is scheduled for a procedure that requires the client to be awake for the duration. The client has a history of violence and hypotension. Which antipsychotic medication is appropriate to administer to the client during the procedure? Select all that apply. One, some, or all responses may be correct.LoxapineRisperidoneHaloperidolPerphenazineOlanzapine IMChlorpromazine

Haloperidol Perphenazine Rationale: Haloperidol and perphenazine are the most appropriate medications. Loxapine is available only through a restricted program and would not be suitable for this client. Risperidone can cause hypotension with reflex tachycardia and carries a risk of stroke among older adult clients. Olanzapine IM should be avoided with lorazepam and also raises the risk of stroke in older adults. Chlorpromazine is very sedating.

Which question would the nurse ask while assessing a hispanic women with depression for the risk of self harm?

How do you express yourself when you're angry?

Which actions by the staff of a mental health unit can lead to violence?

Inconsistent limit setting controlling staff members randomly taking away privileges

What manifests when starting an episode of mania?

Insomnia Irritability Financial irresponsibility

Which signs and symptoms would the nurse observe in a child with autism disorder?

Repetitive activities Inability to adapt to change Lack of communication with others

Which action would the nurse take when implementing a tertiary preventative program for cognitively challenged children?

Teach children how to feed themselves.

Which response would the nurse make to a client with alcohol use disorder who says " I can't go to the hospital's Alcoholics Anonymous meeting today because I am expecting an important phone call'?

You are expected to go to the meeting Rationale: This shows the client to recognize and adhere to established limits and goals.

What is severe agoraphobia?

a type of anxiety disorder in which you fear and avoid places or situations that might cause you to panic and make you feel trapped, helpless or embarrassed. You would determine the client's degree of impairment.- first

which response would a nurse observe in survivors during the period immediately after a traumatic event?

denial confusion helplessness

Histrionic personality disorder

extroverted and dramatic

what would make us suspect maltreatment in a 11 month old infant who weighs 9 lbs, 3 oz?

inappropriate clothing social unresponsiveness frequent rocking motions

which factor would the nurse consider when planning care for a client with conversion disorder?

it is an unconscious means of reducing stress.

What MOI med treats parsons disease? (monoamine oxidase inhibitor)

selegiline Rationale: Phenelzine, Isocarboxazid and tranylcypromine are nonselective inhibitors that are both type A and B that treat depression