Mental Health
A patient being medicated with haloperidol over four weeks has this started to display symptoms of involuntary movements of the mouth that resembles showing the patient is exhibiting signs of:
Tardive dyskinesia
When your pt says I am depressed, what is the best response
Tell me more about what is going on with you
You are a nurse preparing to administer an anxiolytic medication to a client with an anxiety disorder When you go to give the medication, the client refuses. Which of the following is the best nursing response?
You have the right to refuse
Nurse prepping pt for 8am output ECT. Which of the following is important to ask?
Anything to eat or drink before ?
The best approach a nurse can use to gain information related to a patient's potential for suicide is to ask?
Are you thinking about killing yourself right now?
Your depressed patient has suddenly changed should be more cheerful and tells you he wants to reduce the clutter at home and give away some prized possessions to friends. What should be your response?
Ask about suicidal thoughts
The nurse begins discharge planning measures with a hospitalized client:
At time of admission
A client diagnosed with schizophrenia spectrum disorder is prescribed clozapine. Which client symptoms, related to side effects of this medication, should prompt a nurse to intervene immediately
Sore throat, fever, and malaise
Your patient with major depression sets in her room for hours is staring out the window which of the following would be the most appropriate intervention?
Stay it with a patient and gently offer your availability to help
A nurse is collecting data from a client at a community mental health facility using the sad persons tool. The nurse knows that this tool provides which of the following data related to a client
Suicide potential
The nurse can assist a client best in meeting his or her needs for self esteem ad or self actualization by..
Allowing client to make choices involving his or her career
The following medications are used for treatment and mental health disorder. select all that apply.
Antipsychotics, stimulants and mood stabilizers
A nurse is collecting data from a client who is suicidal. Which of the following are appropriate for the nurse to ask the client?
A plan, thoughts of hurting self, life not worth living, recent change in mood
Prior to administering the pts dose of lithium, you check the lab level and see that it is 1.0. What is your next action?
Administer the med, this is therapeutic level
When developing a care plan for Mr. Smith, who was diagnosed with is schizophrenia and is receiving how haloperidol, which of the following medications would nurse Janet expect to administer if the patient developed extrapyramidal side effects EPS?
Benztropine
Lithium is MOST commonly used to treat patients with:
Bipolar
Which of the following instructions regarding lethargy should be included in a nurses discharge teaching
Caffeine, sodium intake, 2500-3000 daily
Which of the following interventions should the nurse use when caring for an inpatient client who expresses anger inappropriately?
Calm demeanor, delineate consequences of the behavior, set limits
Your depressed pt who is taking tricyclic antidepressant is advised of possible anticholinergic side effects. Which of the following is an anticholinergic side effect?
Constipation
Annie has been diagnosed as having dysthymic depression. The nurse know that symptoms include....
Depress mood over 2 years, low self esteem, difficult decision making, sleep pattern
Pt are most likely to commit suicide when....
Depression is lifting
Do you SSRI who walks the chain is prescribed for a client with depression. The nurse recognized the advantage of using this drug rather than tricyclic antidepressants that is fluoxetine:
Does not have cardiotoxicity as a side effect
Which activity would be best for depressed pts?
Drawing
Helen of 47 year old client with a long history of severe depression has not responded to anti depressant medications or psychotherapy. the nurse caring for the patient knows that the treatment of choice for depression unresponsive to conventional treatment would be:
ECT
You are providing care for a patient diagnosed with severe depression. The patient has not responded to any of the medication regiments they have been ordered. As the LPN you foresee that this patient may be a candidate for:
ECT
Lithium toxicity is most likely with which of the following pt?
Elderly man with diarrhea from food poisoning
Which of the following should be included in patient teaching about anti depressants select all that apply?
Encourage to continue taking, MAOI avoid amino acids tyramine
A teenage pt is brought to your hospital by her parents. Pt exhibits unusual behaviors, including illogical thought process and strange combinations of words that you don't understand. She is wearing dirty clothes and has BO. The pt also appears to carry on a conversation with a person who is not seen by you. Your first priority for this pt is
Ensure her safety
Which of the following would be the most effective intervention for a depressed patient?
Establish one or more goals to accomplish today
You are admitting a new pt who is depressed. Your initial contact should do what?
Establish trust
A pt with major depression commonly displays signs of?
Worthlessness
Which of the following meal choices indicates the patient understands the diet restrictions when taking an MAOI?
Fried fish, rice and cola
Which of the following is a priority for the nurse to report to the provider for a client with newly prescribed lithium?
Furosemide
A pt ask you to not tell his wife about his new diagnosis of major depressive disorder, what legal rules should the nurse use to guide her response?
HIPPA
Which of the following is a typical or first generation antipsychotic
Haloperidol
Your pt receives a new oder of bupropion, which of the following should you report to the care provider?
History of seizures
Your pt is taking tranylcypromine for depression. Which of the following most likely indicate dietary restrictions have not been followed?
Hypertensive crisis `
Your depressed patient is just started on duloxetine (Cymbalta). Which statement by their spouse tells you that family teaching has been effective?
I realize I can expect big changes right away
The most important reason for performing a crisis assessment on hospitalize clients is that is allows the provider to.....
Identify problems before crisis develops
You have been consistently caring for a patient who is suicidal who now tells you nurse I finally have it all figure out. It is going to be fine. Your best response to this patient is:
Im not sure, tell me more
Sally is experiencing an exacerbation of symptoms of schizophrenia. She tells you, her nurse, that the voices are getting louder and they are telling her to walk in front of a big truck. Your first nursing action for sally would be to....
Implement suicide precautions to keep her safe
A patient becomes suicidal and is transferred to the locked local unit of your hospital. Because this patient is actively suicidal you should:
Keep pt in line of vision
Nurse Mary invites a recently discharged patients 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 situation
A male inpatient who is experiencing depression has no interest in eating. He skips meals frequently and has been losing weight. What is the best nursing action in this situation?
Leave food with him at mealtime and offer snacks frequently
47.the patient taken lithium should understand that _______could in fact fluid and sodium levels an increase changes of becoming toxic.
Lithium level of 0.7
Light therapy has been shown to be effective in tracking patients with....
Major depression with seasonal pattern
A 72 year old woman from China is hospitalized after fainting while visiting her daughter. The staff has voiced complaints regarding the family ignoring hospital rules regarding visiting hours in the number of visitors permitted in the room. In addition, the daughter brings food to the mother from home that is not part of the client's prescribed diet. How can they staff deal with this issues in a personal manner.
Meet the family to determine how to provide support
A nurse is monitoring a client immediately following an ECT for which of the following findings
Memory loss, nausea, tachycardia
Which of the following is an important convention for a patient taking nortriptyline Palmerlor?
Monitor for anticholinergic
Your depressed patient who is taking a tricyclic the antidepressant is advised of possible anticlolinergenic side effects. Which of the following is not a anticlolinergenic side effect?
Muscle rigidity
You are asked to report any EPS of your patient. Which of the following are examples of EPS
Muscle rigidity, tremors
Denise is brought by ambulance to the emergency room with agitation related to an overdose of prescribed antipsychotic medication initially the most important piece of information the charge nurse should obtain is:
Name and amount
A nurse is monitoring a client immediately following ect procedure, which of the following are expected findings?
Nausea, Tachycardia, memory loss
A client comes to the outpatient mental health clinical two days after being discharged from the hospital client was giving a one week supply of clozapine (Cloazril). The nurse reveals information about closer ping with the client. Which statements indicate an accurate understanding of the nurses teaching about this medication?
Need to keep apt for blood test to monitor WBC
A client is prescribed isocarboxazid. Which of the following statements by the client indicated to a nurse that discharge teaching about this medication has been successful?
No OTC, Take time changing positions, food and med labels, Swiss cheese
Which of the following antidepressants is a tricyclic?
Nortriptyline
A nurse recently admitted a client to an inpatient after suicide attempt. Orders amitriptyline, which intervention, related to this med should be initiated?
One wk supply of elavil with refills contingent on follow up appt
Your new pt admitted to the psych unit is pacing and agitated, which of the following is the most appropriate intervention?
Place him in a quiet area to reduce stimulation
A client is prescribed the MAOI Parnate. The nurse should reinforce to the client that it is unsafe to take which of the following medications?
Psuedaphed
A nurse is caring for a client with the diagnosis of depression. The nurse monitors for signs of Constipation and urinary retention, knowing that these problems are most likely caused by:
Pyscho motor retardaton
A nurse ask a client who is suicidal to make a safety contract, but the client tells the nurse I cannot make a safety contract because I cannot promise that I will not harm myself. Which of the following is the nurse initial action that would be best ensure to client's safety?
Remain with pt at all times
Your pt with manic depression is discharged on lithium, not a teaching?
Restrict fluid intake
A nurse admits an older client with memory loss, confused thinking and apathy. A psych suspects a depressive disorder Who's is the rationale in performing mim mental status exams?
Rule out near disorder
What not to take with phenelzine?
Salami
An older client has recently been prescribed sertraline. The clients spouse is taking proxetine. A nurse assesses that the client is experiencing restlessness, tachycardia, diaphoresis, and tremors. Which complication should a nurse suspect and why?
Serotonin synd... ingestion of two different SSRIs
Pete a patient diagnosed with bipolar disorder is experiencing drowsiness in vomiting. He also has a temperature of 101 degrees Fahrenheit. What my you suspect Pete's problem to be?
Side effects to his new lithium therapy
The nurse's ability to interpret it communication effectively in a mental health setting depends mostly on?
The nurses ability to listen and observe the clients verbal and nonverbal messages
Andrea, the charge nurse, he spoke to the director of nursing about one of the staff nursing having a crisis. Then nurse suggested a crisis intervention group to the staff nurse. Crisis intervention group are successful because:
The patient is assisted to develop new insights and return to the pre-crisis phase
A client living in a beachfront community is seeking help with an extreme for of bridges, which is interfering with daily functioning. A psychiatric nurse practitioner decided to try systematic desensitization. Which explanations of the treatment should the nurse provide?
Through a series of increasingly anxiety-provoking steps, we will gradually increase your tolerance to anxiety
Which of the following is most important to monitor for your pt on clozapine?
WBC
In caring for a pt with major depression. The nurse knows that the pt needs...
Well-defined, structured interactions at the beginning of treatment
You are caring for an adolescent patient who has swallowed all his mother's sleeping pills and pain pills. The patient has had a gastric lavage and is able to answer questions. The best question to ask this patient is:
What are your thoughts right now about hurting yourself?
A nurse is collecting data on a client in an acute mental health unit, which of the following findings should the nurse expect in the client is in the pre assaultive stage of violence?
defensive, rapid breathing, clenching, pacing
Pt being medicated with haloperidol for over 4 weeks has started to display symptoms of involuntary movements of the mouth that resembled showing this patient is exhibiting signs of
tardive dyskinesia
