What is the premise underlying behavioral therapy?

Behavior is learned and can be modified.

Lithium level: 1.8mEq/L. What should the nurse do?

Withhold lithium, call physician

SATA: which of the following are anticholinergic symptoms?

constipation, dry mouth, blurred vision, urinary retention

RN caring for pt dx with a PD should expect that the client will exhibit which behaviors?

Inflexible and maladaptive responses to stress

Best room placement for patient in manic episode?

Single room near nurse's station

Which statement is true about the characteristics of the oppositional defiant child?

These behaviors are predictor of future MH disorders.

A teaching need is revealed when a client taking disulfiram (Antabuse) states:

“Most over-the-counter cough syrups are safe for me to use.”

A client is experiencing a panic attack. What is an appropriate intervention?

Stay with the client and demonstrate deep breathing

The term tolerance, as it relates to substance abuse, refers to which situation?

The need to take > amounts of a substance get same effects

Altered thought & speech of pt w/ schizophrenia are r/t brain’s inability to do what?

Regulate conscious mental activity.

What initial should the RN teach family of pt dx with Alzheimer’s who has become incontinent?

Label the bathroom door with a picture.

Which would be a symptom of PTSD, not anxiety?

Re-experiencing trauma in dreams or flashbacks

Dissociative identity disorder is characterized by what?

Having two or more distinct personalities

Which statement factually describes the act of suicide?

Pt w/ schizophrenia is at great risk for attempting suicide.

Pt: depression, suicide attempt. Given 7 day script of amitriptyline at D/C. Why?

Amitriptyline is lethal in overdose

Which signs and symptoms are associated with opioid withdrawal?

lacrimation, rhinorrhea, dilated pupils, muscle aches

Pt takes SSRI and St. John's Wort daily. What should RN tell this pt?

Explain high possibility of adverse reaction.

What is the focus during clinical supervision?

The nurse's behavior in the nurse/client relationship

Which criterion is essential when the nurse plans nursing interventions for a goal? SATA

Realistic, Evidence based, Safe

An MAOI client could have a dinner of:

Fried fish, rice, and caffeine free cola

Which of the following are sx of serotonin syndrome? SATA

Hallucinations, confusion, diarrhea

A client with schizophrenia is at greatest risk of injuring themselves or others when:

they experience command hallucinations

What should the nurse expect in a manic phase of a bipolar pt?

Pressured speech, racing thoughts, grandiosity

Which pt with PD will be most likely require admission to a psychiatric unit?

Borderline personality disorder

Pt states: “Dr is putting me on naltrexone. How will that help me?” Best response from RN?

“It helps prevent relapse by reducing drug cravings.”

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Duplicate of Mental Health Nursing Content Review

144 termsStudBud Administration15 plays

A review of Mental Health Nursing, designed for end of course.

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Questions 144

Answers

1
What is the premise underlying behavioral therapy?
Behavior is learned and can be modified.
Beh. is det. by thoughts-change thoughts, change behavior.
Behavior is a product of unconscious drives.
Motives must changes before behavior changes.
2
Lithium level: 1.8mEq/L. What should the nurse do?
Limit fluids for 12 hours
Limit sodium intake for 24 hours
Withhold lithium, call physician
Administer lithium as ordered
3
Pt placed in seclusion with no exam or written order by physician. Which illegal act is this?
Battery
assault
defamation of character
false imprisonment
4
SATA: which of the following are anticholinergic symptoms?
constipation
dry mouth
blurred vision
urinary retention
5
Pt is having panic attack. Which class of meds should RN anticipate being ordered?
TCA's
Antipsychotics
short acting benzodiazepine
Anticholinergic
6
Assessment of an ETOH dept pt 6-8 hrs p last drink show which early sign of alcohol withdrawal?
blackouts
seizures
tremors
hallucinations
7
RN caring for pt dx with a PD should expect that the client will exhibit which behaviors?
Frequent episodes of psychosis
Constant involvement with the needs of significant others
Inflexible and maladaptive responses to stress
Abnormal ego functioning
8
Pt with PTSD does not improve after taking SSRI. RN expects an order for which medication?
Barbiturate
TCA
Beta blocker
Sedative
9
SATA: Which side effects are most likely for a 1st gen, med. potency antipsychotic?
blurred vision
tardive dyskinesia
dry mouth
sedation
10
Best room placement for patient in manic episode?
Single room near unit activities area
Shared room with pt with dementia
Shared room away from unit entrance
Single room near nurse's station
11
Which assessment demonstrates the effect of stress on the stimulation of the HPA axis?
Heart rate
norepinephrine
triglycerides
Blood glucose levels
12
What is the main mechanism of action of 2nd and 3rd gen antipsychotic meds?
Blocking serotonin
Potentiating dopamine
Blocking dopamine
Potentiating GABA
13
Which of the following meds may be appropriate for treating bulimia? SATA
risperidone
fluoxetine
lithium
topiramate
14
Which statement is true about the characteristics of the oppositional defiant child?
These behaviors are predictor of future MH disorders.
Girls display more blaming than do boys.
Arguing tends to be more prevalent in boys.
The defiance is gen directed toward parents and siblings.
15
A teaching need is revealed when a client taking disulfiram (Antabuse) states:
“Most over-the-counter cough syrups are safe for me to use.”
“I take ibuprofen or acetaminophen for headache.”
“I usually treat heartburn with antacids.”
“I have had to give up using aftershave lotion.”
16
A client is experiencing a panic attack. What is an appropriate intervention?
Stay with the client and demonstrate deep breathing
Distract the client with television
Discuss relaxation techniques
Show the client how to change their behavior
17
Pt ordered clonazepam. Which behavior shows tx was successful?
Improved physical balance
Normal appetite
Less anxiety
Reduced auditory hallucinations
18
Which side effect of antipsychotic medication is generally non-reversible?
Tardive dyskinesia
Dystonic reaction
Pseudoparkinsonism
Anticholinergic effects
19
Current information states what factor is associated with the most disabling mental disorders?
Learned ways of behaving
Psychological trauma
Faulty patterns of early nurturance
Biological influences
20
What is a primary RN technique for managing manic behavior?
Reprimanding
Distraction
Enforcing consequences
Clarifying
21
The term tolerance, as it relates to substance abuse, refers to which situation?
The S/S that occur when an addictive substance is withheld
The need to take > amounts of a substance get same effects
The additive effects of taking 2 drugs with similar actions
The use of a substance beyond acceptable societal norms
22
Pt on clozapine 6 weeks reports fever and sore throat. Initial nursing intervention?
Advise antipyretic and extra rest
Tell MD to admit pt to hospital
Recommend change in medication
Arrange for stat CBC for pt
23
Altered thought & speech of pt w/ schizophrenia are r/t brain’s inability to do what?
Regulate conscious mental activity.
Retain and recall past experience.
Maintain homeostasis.
Regulate social behavior.
24
What initial should the RN teach family of pt dx with Alzheimer’s who has become incontinent?
Encourage hourly toileting.
Label the bathroom door with a picture.
Provide toileting on an as-needed basis.
Apply disposable diapers.
25
Which would be a symptom of PTSD, not anxiety?
Minimum interest in family or friends
Sleep disturbances
Re-experiencing trauma in dreams or flashbacks
Avoiding situations
26
A client is giving away their possessions. The RN should:
Ask about suicidal ideation
Ask about vinyl record collection
Advise that giving away possessions is not therapeutic
Encourage to donate to charity
27
Dissociative identity disorder is characterized by what?
Sudden, unexpected travel way from home and memory loss
Recurring feelings of detachment from one's body
Having two or more distinct personalities
The inability to recall important information
28
Which of the following is an expected finding of ETOH withdrawal?
tremors
lethargy
Bradycardia
hypotension
29
The patient has neg and pos sx of schizophrenia. Antipsychotic most likely to be ordered?
lithium
anticonvulsant
1st gen
2nd gen
30
What defense mechanisms can be healthy?
Suppression and humor
Reaction formation and denial
Altruism and sublimation
Idealization and splitting
31
What type of crises occur as an individual moves from one developmental level to another?
recurring
maturational
situational
reactive
32
Which statement factually describes the act of suicide?
The Jewish culture has the lowest suicide rate.
Pt w/ schizophrenia is at great risk for attempting suicide.
Suicide is the leading cause of death in the United States.
More women than men commit suicide.
33
Pt: depression, suicide attempt. Given 7 day script of amitriptyline at D/C. Why?
Amitriptyline is lethal in overdose
Amitriptyline is very expensive.
Pts should be evaluated after 7 days to see if it is working
Pts should be evaluated for side effects after 7 days of use
34
Which signs and symptoms are associated with opioid withdrawal?
synesthesia, depersonalization, hallucinations
illusions, disorientation, tachycardia, tremors
lacrimation, rhinorrhea, dilated pupils, muscle aches
fatigue, lethargy, sleepiness, convulsions
35
Antipsychotic medications cause physical dependence. True or false?
True
False
36
Pt takes SSRI and St. John's Wort daily. What should RN tell this pt?
Explain high possibility of adverse reaction.
Suggest using a sun lamp daily.
Advise pt to drink several glasses of water daily.
Agree that the two medications are very effective in tx dep.
37
A low potency antipsychotic is most likely to cause which side effects?
drowsiness
hypersalivation
tardive dyskinesia
urinary incontinence
38
Cocaine exerts which of the following effects on a client?
depression
Stimulation and euphoria
Paranoia
psychosis
39
A syndrome that occurs after stopping the long-term use of a drug is called
tolerance
amensia
withdrawal
enabling
40
What is the inability to integrate positive and negative aspects of self or others?
compension
splitting
repression
sublimation
41
What is the focus during clinical supervision?
Assisting the client to develop increased independence
Devising alternative strategies for client growth
The nurse's behavior in the nurse/client relationship
Analysis of the client's motivation for transference
42
During schizophrenic psychosis, the pt may make up words. This is called:
Clang association
A neologism
Stilted language
Word salad
43
Which criterion is essential when the nurse plans nursing interventions for a goal? SATA
Realistic
Economical
Evidence based
Safe
44
Your patient has these symptoms. What is the likely diagnosis?
neuroleptic malignant syndrome
orthostatic hypotension
acute dystonia
tardive dyskinesia
45
An MAOI client could have a dinner of:
Chips and guacamole with sweet tea
Pepperoni pizza and beer
Roast chicken, balsamic potatoes, and wine
Fried fish, rice, and caffeine free cola
46
Which of the following are sx of serotonin syndrome? SATA
Hallucinations
confusion
diarrhea
muscle flaccidity
47
A client with schizophrenia is at greatest risk of injuring themselves or others when:
they feel worthless
they experience command hallucinations
they're unable to communicate with others
they lack motivation to perform daily tasks
48
Which function is classified as a circadian rhythm?
Sleep cycle
Skeletal muscle contraction
Maintenance of a focused stream of consciousness
Sex drive
49
What should the nurse expect in a manic phase of a bipolar pt?
sedation
Agnosia
Pressured speech, racing thoughts, grandiosity
Anergia
50
Which pt with PD will be most likely require admission to a psychiatric unit?
Paranoid personality disorder
Dependent personality disorder
Narcissistic personality disorder
Borderline personality disorder
51
Pt states: “Dr is putting me on naltrexone. How will that help me?” Best response from RN?
“It will keep you from experiencing flashbacks.”
“It helps your mood so you don’t feel like using drugs.”
“It helps prevent relapse by reducing drug cravings.”
“It will help you sleep so you can make good decisions.”
52
A client is experiencing moderate anxiety. What is an appropriate nursing intervention?
use a low pitched voice and speak slowly
ignore the client's anxiety so they will not be embarrassed
Demonstrate calm manner and use simple and clear language
Reassure the client that everything will be okay
53
Which medication affects primarily positive vs. negative effects of schizophrenia?
aripiprazole
chlorpromazine
lurasidone
quetiapine
54
What is the first line drug to treat mania of bipolar?
lamotrigine
clonazepam
lithium
carbamazepine
55
The RN caring for pt w/ Alzheimer’s anticipates that family needs teaching on which medication?
Immunosuppressants
Acetylcholinesterase inhibitors
Antihypertensives
Benzodiazepines
56
Which side fx of those listed is least likely to be cause by a low pot. 1st gen antipsychotic?
dry mouth
tardive dyskinesia
constipation
drowsiness
57
What can reduce the vulnerability of a child to development of psychopathology?
child abuse
having a depressed parent
resilience
malnutrition
58
Which medication requires the RN to monitor for the potential side fx of hypothyroidism?
Lithium
Buproprion
Fluoxetine
Imipramine
59
A schizophrenic pt reports that a bomb was put in her room. Which is the RN's initial action?
Initiate disaster protocols per agency policies
Convince the patient that there isn't a bomb in her room
Ask the patient to locate the bomb in her room
Assess the patient for signs of a perceptual disturbance
60
A low potency antipsychotic is most likely to cause which side effects?
diarrhea
dry mouth
tardive dyskinesia
movement disorders
61
What statement is true regarding the civil rights of a mental health patient?
Their rights are always ensured by appointment of a guardian
Their rights are altered to prevent use of poor judgment
Their rights are limited to provision of humane treatment
They are assured the same as those of any other citizen
62
Manifestations of neuroleptic malignant syndrome are? SATA
muscle rigidity
Changes in BP, tachycardia, tachypnea
drooling
Sudden high fever
63
Which behavior best supports the dx of PTSD in a 4 year old?
Overeating
A drive to be perfect
Hypervigilance
Passivity
64
Repeated suicide attempts, self harm, manipulation, frequent interpersonal relationship probs:
Antisocial personality disorder
obsessive-compulsive personality disorder
Narcissistic personality disorder
Borderline personality disorder
65
Which imaging technique can provide information about brain function?
Computed tomography (CT) scan
Positron emission tomography (PET) scan
Skull radiograph
Magnetic resonance imaging (MRI) scan
66
1st gen, high potency anti-psychotic: Which symptoms are least likely? SATA
sedation
dry mouth
tardive dyskinesia
blurred vision
67
Which of the following meds would the RN administer to treat ETOH withdrawal sx?
Disulfiram
Ativan
Naltrexone
Paroxetine
68
The complication most likely from 2/3rd gen antipsychotic meds is:
metabolic syndrome
hypertension
anticholinergic affects
seizures
69
Which client problem would be most suited to the use of interpersonal therapy?
Impaired sensory perception
Dysfunctional grieving
Medication noncompliance
Disturbed sensory perception
70
Possible side effects from risperidone include all but one of the following:
galactorrhea
Sexual dysfunction
Heartburn
Weight gain
71
What type of crisis is a newly unemployed person most likely to experience?
adventitious
reactive
maturational
situational
72
Guidance on operate conditioning to a toddler's mom- temper tantrums are best handled by?
Scolding the child when he/she has a tantrum
spanking the child at onset of tantrum
Ignoring the tantrum, giving attn with appropriate actions
Giving the child what he/she wants
73
What is the #1 risk factor for Alzheimer's disease?
Age
Diabetes
Gender
Cardiovascular disease
74
Polyuria is an expected side effect of lithium.
False
True
75
Which assumption serves as a foundation for the use of crisis intervention?
Long term dysfun. can be addressed w/ crisis intervention.
Crisis intervention nurses need to remain passive.
Anxious person unlikely to try new problem-solving strats.
The individual is mentally healthy but in disequilibrium.
76
Which of the following is a negative symptom of schizophrenia?
Hallucinations
Agitation
Hostility
Anhedonia
77
Which nursing intervention demonstrates the theory behind operant conditioning?
Demonstrating deep breathing techniques to clients
Rewarding w/ a token for avoiding argument with another pt
Explaining the consequences of not following unit rules
Showing how to be assertive without being aggressive
78
28 yr, bipolar pt, manic state. Which patient symptom has priority? Ref: Maslow
Hyperactive behavior
Rapid, pressured speech
Grandiose thoughts
Lack of sleep
79
Pt with schizophrenia states voices are saying food is poisoned. How should the RN respond?
I know the voices are very real to u, but I don't hear them.
"The voices are wrong."
"You are safe here in the hospital."
"Other people are eating the food and they are okay."
80
Benzos are useful for treating alcohol withdrawal b/c they are associated with which action?
exerting a calming effect
blocking cortisol secretion
increasing dopamine release
decreasing serotonin availability
81
A cognitive therapist would help a client restructure the thought “I am stupid!” to what?
"Things like this should not happen to anyone."
"I am not as smart as others."
"What I did was stupid."
"Things usually go wrong for me."
82
Benzodiazepines work by increasing which neurotransmitter?
acetylcholine
GABA
dopamine
serotonin
83
Which ethical principal refers to the individual's right to make his/her own decisions?
Beneficence
Fidelity
Autonomy
Veracity
84
Which item should be removed from the tray of a suicidal client?
plastic plate
styrofoam cup
cloth napkin
metal utensils
85
If a nurse left a suicidal pt unattended, her behavior violated what ethical principal?
Veracity
Fidelity
Justice
Autonomy
86
Pt w/ no danger to himself/others is forced to take medication against his will. This is:
defamation
invasion of privacy
battery
assault
87
Acute dystonia is a crisis situation that requires rapid treatment. True or false?
False
True
88
What medications can be beneficial in treating acute dystonia? SATA
diphenhydramine
risperidol
ziprasidone
benztropine
89
Selective inattention is noted at what level of anxiety?
panic
moderate
severe
Mild
90
The RN is caring for a hostile patient. What factor re: hostility should the RN keep in mind?
Pt may be at high risk for self-harm
It's a sign pt is developing assertiveness and improving.
Pt may be projecting.
Pt may be experiencing transference.
91
Pt on fluoxetine shows an understanding of the medication teaching when making which statement?
I will report increased thirst and urination.
I will report fever, fast heartbeat, and stomach pain.
I will not take any OTC meds when taking fluoxetine.
I will get plenty of sunshine to avoid a skin reaction.
92
The relaxation response to stress calls upon the initiation of what process?
Parasympathetic activation
Brainstem deactivation
Sympathetic activation
Increased cortisol production by the adrenals
93
How did Freud believe individuals cope with anxiety?
Security operations
Cognitive distortions
Defense mechanisms
The superego
94
Which statement re: antidepressants in general can serve as a basis for pt/family teaching?
They often cause nocturnal urination.
They tend to be more effective for men.
Recent memory impairment is commonly observed
Onset of action: 1-3 weeks or longer
95
RN teaches pt a technique for examining neg thoughts and restating pos. What is this called?
cognitive reframing
confrontational assertion
wishful thinking
Guided imagery
96
What is a treatment option appropriate for all personality disorders?
medication
psychotherapy
ECT
lobectomy
97
A pt w/ depression distrusts staff,wants to go home. Initially what is the RN priority?
Making the client feel physically and emotionally safe
Focusing on preparing the client for a speedy discharge
Identifying the client’s positive traits
Teaching the client effective coping skills
98
Priority ND: Risk for self-directed violence. What is the priority outcome?
Attend self-help group daily
Refrain from self harm
Be placed on suicide precautions
State absence of feelings of powerlessness
99
The RN suspects neuroleptic malignant syndrome in her patient. Interventions? SATA.
Administer dantrolene or bromocriptine
Increase fluid intake
Stop antipsychotic meds
Apply cooling blankets, give antipyretics
100
Manifestations of pseudoparkinsonism include: SATA
shuffling gait
bradykinesia
drooling
fever
101
Dep. pt: "I can never do anything right!" Nurse can best address this cognitive distortion:
That is the most unrealistic thing I have ever heard.
Let's look at that, '"I can never do anything right"
Tell me things you think you are not able to do correctly
Is this why you think no one likes you?
102
Which intervention is appropriate when communicating with a pt who is depressed and withdrawn?
Avoid asking for the patient's preferences regarding care
Be prepared to wait for the client to respond
Give detailed explanations to maintain the pt's focus
Encourage the pt to use gestures if talking is difficult
103
Pts dx with child-onset conduct disorder are at high risk for developing which comorbid d/o?
Depression
Kleptomania
Antipersonality disorder
Obsessive-compulsive disorder
104
Which nursing intervention for schizophrenia is designed to prevent relapse?
Remind pt to return for periodic blood draws
Teach family/patient behaviors associated with relapse
Schedules group therapy that includes those who have relapse
Help pt and family adapt to stigma of diagnosis
105
Pt is prescribed clozapine. Which is a priority nursing intervention?
monitoring for cholinergic fx
monitoring I/O's
monitoring daily weights
monitoring for s/s infection
106
Phrase of the therapeutic relationship that may cause pt anxieties to reappear?
Working
Orientation
Termination
Preorientation
107
Which event would an pt diagnosed with early Alzheimer’s have greatest difficulty remembering?
The story of a teenage escapade
The births of his or her children
His or her high school graduation
What he or she ate for breakfast
108
A nursing diagnosis serves what purpose with considering the plan of care?
Justifying the use of certain psychotropic medications
Providing data essential for insurance reimbursement
Completing the medical diagnostic statement
Framework for choosing appropriate interventions
109
Beck's cognitive theory suggests depression is caused by what factor?
Negative processing of information
Serotonin circuit dysfunction
The believe that no one has control over outcomes
Sleep abnormalities
110
How does Sullivan's Interpersonal theory view anxiety?
A sign of guilt in adults
An emotional experience felt after age 5
A painful emotion arising from social insecurity
The result of trying to go beyond experiences of guilt, pain
111
Pt d/c'd with med with anticholinergic side fx. SATA- interventions to treat these fx.
Regular exercise
Chewing sugarless gum
Limiting calories in diet
Fluid intake between 2-3L a day
112
What is a possible outcome for pt with anxiety disorder?
Pt demonstrates persistent avoidance behaviors
Pt reports feelings of tension and fatigue
Pt demonstrates effective coping strategies
Pt reports reduced hallucinations
113
Which medication affects both positive and negative symptoms of schizophrenia?
aripiprazole
trifluoperazine
haloperidol
loxapine
114
Bipolar: 4 or more mood episodes in 12 months is called what?
Cyclothymic
Incongruent
Dyssynchronous
Rapid cycling
115
A poorly developed sense of empathy is thought to be the result of having what life experience?
unmet physical and emotional needs
a low serum testosterone level
A family history of mental illness
suffered head trauma at an early age
116
Which of the following behaviors supports a dx of dependent personality disorder?
The client needs excessive external input to make decisions
The client adheres to a rigid set of rules
The client is dedicated to a job that excludes leisure time
The client has difficulty starting new relationships
117
After formulating the nursing diagnosis for a new patient, what is a nurse’s next action?
Designing interventions to include in the plan of care
Implementing the nursing plan of care
Determining the goals and outcome criteria
Completing the spiritual assessment
118
Role-playing is associated with which type of psychotherapy?
Operant conditioning
Modeling
Psychoanalysis
Systematic desensitization
119
An adult was molested at age 10, but can't remember it. What defense mechanism is in use?
Projection
Displacement
Reaction formation
Repression
120
Which client behavior demonstrates the characteristic of resilience?
"My mother made decisions about my husband's funeral."
"In spite of all the treatment, I know I'll never be healthy
"My kid's happiness is worth any sacrifice I have to make."
"Losing my job was hard but I will get another one."
121
Depressed pt: paces, pulls at clothes, wrings her hands. Behaviors demonstrate:
Senile dementia
Psychomotor agitation
Hypertensive crisis
Central serotonin syndrome
122
Which of the following is not an anticholinergic side effect?
Constipation
Memory dysfunction
Blurred vision
Dry mouth
123
Initial RN intervention when pt expresses intent to hit another pt?
Initiate physical confrontation
Set verbal limits
Prepare the client for seclusion
Question the pt's motive
124
A client who has OCD is applying, removing, and then reapplying makeup. What behavior is this?
adverse effect of antidepressant
fear of rejection
attempt to reduce anxiety
narcissistic
125
What is the priority nursing intervention for pt with borderline personality disorder?
Respect the client’s need for attention.
Assess for suicidal and self-mutilating behaviors.
Protect other clients from manipulation.
Provide clear, consistent limits and boundaries.
126
SNRI given. What behavior demonstrates this medication is working?
Going to his room to "calm down".
Laughing at a joke.
Writing down his telephone number.
Apologizing for being sarcastic.
127
Besides schizophrenia, 2/3rd gen antipsychotics can also be useful in treating what? SATA
impulse control disorders
bipolar mania with psychotic manifestations
anxiety
depression
128
Which comorbid conditions are commonly associated with oppositional defiant disorder? SATA
Attention deficit hyperactivity disorder (ADHD)
Anxiety
Conversion disorder
Depression
129
Homeostasis is mediated by component of the nervous system?
The sympathetic nervous system
The autonomic nervous system
The parasympathetic nervous system
The central nervous system
130
Due to effects on dopamine and serotonin, which med is good for schizophrenia w/ depression?
quetiapine
lithium
risperidone
ziprasidone
131
Which assessment can the RN use to screen for EPS?
Body attitude test
PHQ-2
SAD scale
AIMS test
132
1st gen, high potency antipsychotic: which symptoms are most likely?
constipation
EPS
urinary retention
dry mouth
133
Technique shown by, "Please tell me what was happening that led to your hospitalization here?"
paraphrasing
Open- ended question
using minimal encourager
reflecting
134
“I will always be alone because nobody could ever love me.” What cognitive-behavioral concept?
Aversion
Actualization
Schema
Emotional consequence
135
Which medication affects primarily positive rather than negative symptoms of schizophrenia?
haloperidol
ziprasidone
olanzapine
clozapine
136
A client is experiencing a manic episode. What should the nurse include in the plan of care?
Use a relaxed approach with communication
Disregard client complaints
Establish consistent limits
Provide flexible client behavior expectations
137
Clients with bipolar II often experience psychosis.
True
False
138
The pt reports that she is hearing voices to "kill your doctor." What would you do next?
Initiate one to one observation of client
focus the client on reality
Assess if pt is able to resist commands
notify the provider of the client's statement
139
Which statement best shows acceptance of a depressed, mute client?
You should share with me; I can help evaluate your thinking.
Daily we will visit to talk about what's bothering you.
I will sit with you for 30 minutes daily.
I will spend time with you daily to improve your mood.
140
1st gen, med. potency: which side effect is most likely?
dry mouth
urinary retention
constipation
sedation
141
1st gen anti-psychotics primarily work by blocking which neurotransmitter?
dopamine
Serotonin
glutamate
GABA
142
A client has schizophrenia. Which statement indicates depersonalization?
"I know that you are stealing my thoughts"
"I am no one, and everyone is me"
"I feel monsters pinching me all over"
" I am a superhero and am immortal"
143
When treating mental illnesses with psychotropic drugs what is the focus of the treatment?
Altering brain neurochemistry.
Activating the body’s normal response to stress.
Regulating social behaviors.
Correcting brain anatomical defects.
144
Which would be an inappropriate nursing plan for a pt antisocial personality disorder?
Completing chores on unit
Assigning to lead groups
Enforcing boundaries
Discussing unit rules

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