mental health exam 1

Question 1

a social relationship encourages blurring of boundaries and does not address clients needs

Accepted Answer

True

Question 2

serotonin syndrome= preparing for artificial ventilation is priority intervention when taking ABCs approach (pt need O2)

Accepted Answer

True

Question 3

manifestations of dementia are progressive and irreversible

Accepted Answer

True

Question 4

healthcare workers have a duty to= warn & protect 3rd party people who may be in danger due to pts threats of harm

Accepted Answer

True

Question 5

if pt refuse to go to another facility you ask "what have you been told about goin tot he facility"= therapeutic

Accepted Answer

True

Question 6

generalized anxiety disorder(GAD) refuses to do chores & alway be late. Which reverts them back to childlike/immature

Accepted Answer

True

Question 7

taking St.Johns wort & lithium can cause serotonin syndrome in body due to both agents increasing serotonin

Accepted Answer

True

Question 8

structure routine for depressed client

Accepted Answer

pts who are depressed need routine and step by step instructions

Question 9

psychomotor retardation(slowed movements, thoughts, and speech) common in depressed pts

Accepted Answer

True

Question 10

what's an adverse effect of fluoxetine?

Accepted Answer

increased suicide risk for kids/adults

Question 11

Fluoxetine, an SSRI antidepressant, is prescribed for?

Accepted Answer

depression and anxiety

Question 12

pseudoparkinsonsonism is extrapyramidal side effect of HALDOL that includes findings such as

Accepted Answer

stooped posture, shuffling gait, tremor, drooling, facial expression

Question 13

ensuring a client understands expectations for group participations= demonstrates the ethical concept of fidelity

Accepted Answer

True

Question 14

adverse effect of clients meds= demonstrates ethical concept of veracity

Accepted Answer

True

Question 15

a client who is taking clozapine and experiences a sore throat and fever also requires intervention

Accepted Answer

WBC to rule out agranulocytosis

Question 16

chronic stress increases corticosteroid production that leads to viral infection

Accepted Answer

True

Question 17

abuse example= 9mo old nearly drowning when he climbed into tub and turned on water. (9mo old isn't able to do this act)

Accepted Answer

True

Question 18

chronic illness are at risk for what?

Accepted Answer

viral infection

Question 19

if voices are telling a schizo pt to harm their self, place pt in suicide precautions

Accepted Answer

True

Question 20

lorazepam is a benzodiazepine (CNA depressant) used to treat what?

Accepted Answer

anxiety

Question 21

clients who have spinal cord injury often have overwhelming sense of loser and major depression is potential response

Accepted Answer

True

Question 22

pt who is experiencing anxiety can focus on task but can be selectively inattentive

Accepted Answer

True

Question 23

"walk with me to an area where we can talk about how your feeling" = therapeutic response

Accepted Answer

True

Question 24

what therapy is recommended to relieve anxiety associated with PTSD?

Accepted Answer

guided imagery

Question 25

pt with generalized anxiety disorders seeks reassurance

Accepted Answer

True

Question 26

HALDOL improves attention span?

Accepted Answer

long acting antipsychotic med given to pts with schizophrenia

Question 27

an adverse effect of alprazolam

Accepted Answer

impaired memory

Question 28

patients experiencing grief

Accepted Answer

determine pts stage of grief is necessary to plan client care effectively

Question 29

supporting clients with to refuse prescribed treatments= demonstrates ethical concept of autonomy

Accepted Answer

True

Question 30

validation therapy is used for dementia care patients

Accepted Answer

True

Question 31

tardive dyskinesia is a serious movement disorder that happens in pts who take (Hardol) haloperidol

Accepted Answer

True

Question 32

if suspecting of abuse,reporting it is mandatory

Accepted Answer

True

Question 33

the ability to maintain personal hygiene is a problem for pts with depression

Accepted Answer

True

Question 34

lithium ranges..

Accepted Answer

0.6-1.2

Question 35

what is an extrapyramidal side effect of HALDOL?

Accepted Answer

pseudoparkinsonsim

Question 36

manifestations of hypothyroidism is weight change, sleep disturbances, no energy, changes in thoughts

Accepted Answer

True

Question 37

communicating with mental health pt, engaging in friendly relationship meet needs of both parties in social relationship

Accepted Answer

True

Question 38

therapeutic nurse/pt relationship, goal is to meet pt needs through problem solving/therapeutic communication

Accepted Answer

True

Question 39

set clear boundaries for nurse-pt relationship

Accepted Answer

True

Question 40

if a pt is too depressed to do anything, what do you say to them?

Accepted Answer

I will help you sit up and get you slippers on?

Question 41

remaining with client in a quiet area= therapeutic response

Accepted Answer

True

Question 42

hypothyroidism can mimic major depression

Accepted Answer

True

Question 43

what will the pt experience after procedure of ECT?

Accepted Answer

memory loss

Question 44

what therapy establishes a situation where the client can relate to tore and share perceptions? used to treat anxiety

Accepted Answer

group therapy

Question 45

serotonin syndrome= preparing for artificial ventilation is priority intervention when taking ABCs approach (pt need O2)

Accepted Answer

True

Question 46

client with OCD may take Fluoxetine, SSRI antidepressant

Accepted Answer

True

Question 47

nurse caring for pt with acute anxiety should remain with the client

Accepted Answer

True

Question 48

the nurse should include the client undergo what while taking TCAs?

Accepted Answer

cardiac screening

Question 49

MAOIs must elect their diet carefully to avoid sources of Tyramine

Accepted Answer

True

Question 50

what is anhedonia?

Accepted Answer

refers to pts inability to experience pleasure or joy

Question 51

a blood lithium greater than 1.5 Eq/L indicates toxicity and meds should be held

Accepted Answer

True

Question 52

ST.Johns Warts improves symptoms of?

Accepted Answer

depression

Question 53

what is ordered for pt wen medications don't work? (also need informed consent BEFORE)

Accepted Answer

ECT

Question 54

therapeutic response is an example of offering self

Accepted Answer

True

Question 55

beneficence= spending extra time to calm an agitated client

Accepted Answer

True

Question 56

alcohol tolerance can result in?

Accepted Answer

decrease physical response to alcohol

Question 57

what are risks for depressed pt?

Accepted Answer

unemployment, firearms

Question 58

watch a pt with depression for nonverbal cues about suicide

Accepted Answer

True

Question 59

open-ended statements show empathy to pts feeling of worthlessness

Accepted Answer

this therapeutic response communicates to client that nurse was listening

Question 60

doctor will monitor the pts brainwave patterns during ECT procedure by using an EEG

Accepted Answer

True

Question 61

what is the greatest risk in depressed pts?

Accepted Answer

self harm

Question 62

you are feeling drawn in 2 different direction?

Accepted Answer

this is an open-ended question

Question 63

how to deal with abusive pt

Accepted Answer

calmy remove self, don't escalate

Question 64

"Her behavior changed so quickly, I wasn't sure what was happening"

Accepted Answer

delirium is acute organic mental disorder that occurs onset over hours/days

mental health exam 1

Questions 74

mental health exam 1

Questions 74