Therapeutic intervention for dementia pt

Use simple one-step commands to minimize frustrations

Which nursing diagnosis would correlate with conduct disorder?

Risk for Violence, directed at others, r/t poor impulse control

Expected outcome for antipsychotic medication

Decreased hallucinations, reduce verbal aggressiveness

How does a parent best address a child who doesn't want to conform to curfew rules?

Setting a reasonable limit with consequences

In expressive language disorder, what would be most appropriate intervention?

Allow child ample time to express self

How do you best help a separation anxiety child?

Provide familiar security object, such as blanket

Which factors would decrease chance that older adult would seek mental health treatment?

limited income, institutionalization, medical costs, personal weakness

Lewy body dementia diagnosis

Risk for Injury r/t shuffling gait

Improvement s/s in ADHD

Parent reports three B's and one A on report card

Why would dementia pt "just start lying" to spouse?

Compensating for memory loss with confabulation

Which behavior would a suicide risk child possibly exhibit?

Giving away prized possessions.

Tasks to reduce delirium in future

No new meds, s/s infection, hydrated, adverse reactions

A child taking Strattera for ADHD would exhibit which outcome to show positive influence from med?

Increased attention on homework

To help a moderate intellectual disability client function independently later in life, . . . .

Facilitate early enrollment in specialized ed program

Anxiolytic intoxication, renal dx, ETOH intox, dehydration

What is seen in severe Alzheimers disease?

Total loss of speech, incontinence

In dementia patient, how do we help keep them calm?

Keep client's daily routine simple and consistent

In Alzheimer's disease, what physiologic changes are noted?

Neurofibrillary tangles, neuritic plaques, reduced brain activity

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Mental Health - Chapters 18 and 19

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Questions 40

Answers

1
A child not wanting to be held, rocking, and banging her head exhibits. . . .
mental retardation
dyslexia
autistic disorder
psychosis
2
With enuresis diagnosis, a child . . . .
5 years old
must have control over urine incontinence
must have family history
must have worsening symptoms with age
3
Which drug classification is risperidone?
Antiparkinsonian agent
Antipsychotic
NMDA receptor antagonist
Cholinesterase inhibitor
4
This drug classification is most commonly prescribed to treat ADHD
Stimulants
Antipsychotics
Anticonvulsants
Antimanic agents
5
Nurse should observe which s/s in Lewy body dementia?
Increased psychomotor activity
Confabulation
Parkinson-like symptoms
Hemiplegia
6
In Alzheimers dementia which area of the brain is affected if pt is experiencing impaired language & judgment
hippocampus
cerebral cortex
temporal lobe
basal ganglia
7
Therapeutic intervention for dementia pt
Use simple one-step commands to minimize frustrations
Provide for higher level needs to be met
Provide flexibility in daily schedule
Provide continuous stimuli to keep pt attention
8
Which nursing diagnosis would correlate with conduct disorder?
Personal Identity Disturbance r/t inability to recognize self as being
Impaired Verbal Communication r/t inability to form words or sentences
Risk for Violence, directed at others, r/t poor impulse control
Sleep Pattern Disturbance r/t fears of separation
9
S/S seen with intermittent explosive disorder
rapid onset bursts of anger
stuttering
vandalism of neighbor property
school truancy
10
An adolescent that starts fires in backyard, bullys, uses threats is displaying . . . .
Oppositional-defiant
Separation anxiety
Attention deficit/hyperactivity
conduct disorder
11
Expected outcome for antipsychotic medication
Decreased hallucinations, reduce verbal aggressiveness
Increase in mobility, increase in ability to acquire new info
Decrease in muscle rigidity, Increase in mobility
Decrease in hallucinations, decrease in muscle rigidity
12
S/S seen in delirium
visual hallucinations of colors
fluctutation in symptoms
gait disturbances
confabulation
13
Most common learning disability
mixed language disorder
speech sound disorder
Dyslexia
receptive language disorder
14
How does a parent best address a child who doesn't want to conform to curfew rules?
Providing reinforcement for positive behavior
Setting a reasonable limit with consequences
Identifying triggers for defiant behaviors
Identifying the child's strengths and weaknesses
15
In expressive language disorder, what would be most appropriate intervention?
Identify capabilities of child r/t self care
Establish a consistent pattern of reward for positive behavior
Allow child ample time to express self
Maintain consistency of caregivers
16
Sudden obscene gestures seen in Tourette's disorder
enuresis
echopraxia
dyslexia
Copropraxia
17
How do you best help a separation anxiety child?
Provide familiar security object, such as blanket
Use slow approach when introducing tactile stimuli
Identify child suicide risk
Intervening to prevent injury from aggression
18
Which factors would decrease chance that older adult would seek mental health treatment?
lack of mental services, limited income
risk for institutionalization, lack of mental services
sign of personal weakness, lack of mental services
limited income, institutionalization, medical costs, personal weakness
19
Main predisposing factor for elimination disorder
Developmental delays
Impaired intellectual development
Delayed toilet training
Low family income
20
Which is effective outcome of haloperidol?
Decreased depressive symptoms
Decreased Parkinson-like symptoms
Decreased blood sugar levels
Decreased physical aggression
21
Seeing "monkeys in the corner of my room" should be documented as . . .
hallucination
delusion
illusion
echolalia
22
Lewy body dementia diagnosis
Risk for Injury r/t shuffling gait
Self-Esteem Disturbance r/t hopelessness
Risk for Violence, r/t agitation
Altered Thought Process r/t delusions
23
Improvement s/s in ADHD
Child states "I'm proud of being on baseball team."
Child has expressed trusing parent-child relationship
Parent reports three B's and one A on report card
Child's speech has showed improvement with therapy
24
Why would dementia pt "just start lying" to spouse?
Compensating for memory loss with confabulation
Resorting to storytelling to make up for memory losses
Result of personality changes
Remaining thought processes are only able to produce fictious thoughts
25
Brushing hair with toothbrush would be example of . . . .
agnosia
aphasia
apraxia
anomia
26
Incorrect expected effects of donepezil (Aricept)
Fewer memory problems
More alert
Lessen depression
Improvement in behavioral problems
27
What is effect of secondary aging?
intelligence
race
Life experiences
stature
28
In oppositional-defiant disorder, what s/s is seen?
Poor interpersonal skills
Stuttering
Difficulty in written expression
Letter reversal
29
Which behavior would a suicide risk child possibly exhibit?
Increased energy level
Improvement in schoolwork
Elevated mood
Giving away prized possessions.
30
Tasks to reduce delirium in future
no new meds, predictable daily routine, s/s infection
predictable daily routine, no new meds, adverse reactions
s/s infection, hydrated, predictable daily routine
No new meds, s/s infection, hydrated, adverse reactions
31
A child taking Strattera for ADHD would exhibit which outcome to show positive influence from med?
Ability to tolerate overnight separation periods
Remains free of self-harm
Decreased somatic complaints
Increased attention on homework
32
To help a moderate intellectual disability client function independently later in life, . . . .
Identify risk factors for development of comorbid mental health issues
Counsel family to begin securing long-term financial assistance
Facilitate early enrollment in specialized ed program
Provide family w/info regarding available social service providers
33
Priority intervention for pt experiencing acute delirium
Reduce environmental noise
Explain all procedures and what is happening to pt
Initiate safety precautions
Reorient pt to date, time, and place
34
Causes of delirium
dehydration, respiratory disorders
Respiratory disorders, ETOH intox
anxiolytic intoxication, respiratory disorders
Anxiolytic intoxication, renal dx, ETOH intox, dehydration
35
What is seen in severe Alzheimers disease?
Total loss of speech, incontinence
Wandering or pacing, poor short term memory
Total loss of speech, wandering or pacing
Poor short term memory, mild anomia
36
In dementia patient, how do we help keep them calm?
Plan sufficient time for client to complete tasks
Keep client's daily routine simple and consistent
Regularly re-evaluating current level of functioning
Encourage reminiscing
37
In Alzheimer's disease, what physiologic changes are noted?
Neurofibrillary tangles, neuritic plaques, reduced brain activity
Increased synaptic nerve transmission
Increased neuron generation in hippocampus
Neurofibrillary tangles, increased synaptic nerve transmisison
38
In Tourette's disorder, what behavior may be exhibited?
Verbal outbursts
Inattention to detail
Willful defiance of rules
Somatic complaints
39
Priority intervention for child exhibiting suicidal ideations
Maintaining consistency of caregivers
Maintaining a safe environment
Establishing a consistent pattern of reward for positive behavior
Establishing a trusting relationship
40
What is most prevalent contributing factor toward incidence of childhood mental disorder?
Parental divorce
Exposure to violence
Family income
Family history

Mental Health - Chapters 18 and 19 Flashcards | StudBud