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Semester 3 Mental Health #2 Flashcards | StudBud
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Semester 3 Mental Health #2
Semester 3 Mental Health #2
50 terms
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NCLEX style questions
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50 cards
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Questions
50
Answers
1
When a Pt projects their own personal concerns, often shift the emphasis to the Rns feelings/needs?
Unconditional positive regard
Empathy
Genuineness
Sympathy
2
Pt states "if only I had gone to the dr sooner I might not have cancer" Stage of grief?
Bargaining
Depression
Denial
Acceptance
3
Pt Prozac, cc restlessness, confusion, tremors, HTN, tachycardia, Rn knows Pt is experiencing?
Toxic Shock Syndrome
Thyroid Storm
Serotonin Syndrome
Seroquel Syndrome
4
Suicidal Pt states they want to leave AMA,what is the first thing the RN must do?
Tell the patient they cant leave
Call the doctor to get orders for haldol
Check to see if patient has a court order
Call the doctor for AMA orders
5
Ho long can a patient be held through an involuntary hold before a court order has to be placed?
1 week
48 to 72 hours
5 days
24 hours
6
Which degree of anxiety is the day to day tensiom?
Panic
Severe
Moderate
Mild
7
Therapeutic communication that conveys positive regard.
Offering self
Accepting
Making ovservations
Encouraging comparision
8
At what age does Erikson's Ego Integrity vs. Despair approximately occur?
65-Death Maturity
20-39 years Early adulthood
13-19 years Adolescence
40-64 years Adulthood
9
Pt started on Buspar 1 day ago, Pt asking why it is not working,best Rn response?
Buspar takes 3-4 days before relieving anxiety symptoms
You should ask the doctor about increasing the dose
Buspar takes 10-14 days before relieving anxiety symptoms
Buspar should be working right away I don't know why it isn't working
10
Which is the last basic human need in Maslow's hierarchy of needs?
Love and belonging needs
Safety and security needs
Self-esteem needs
Self-actualization needs
11
Which does NOT influence patients in regards to therapeutic communication?
Religion
Gender
Time of day
The environment
12
Pt told to be off MAOI for 2 weeks prior to starting new antidepressant, this is known as?
wash out period
cleansing period
downtime
referral period
13
Patients behavior disorders often worsen at night with Delirium
True
False
14
Which stage of the general adaptation syndrome occurs when prolonged exposure to stressor,causes diseases o f adaptation
Stage of exhaustion
Stage of completion
Alarm reaction stage
Stage of resistance
15
How can the level or degree of dementia impairment be determined?
Ekg
CT
Mini-mental state exam
MRI
16
Pt w/ renal disease prescribed Lithium, Rn priority action?
Ask patient if they want to take their Lithium
Question medication prescribed
Give smaller dose then prescribed
Give medication as prescribed
17
Which stage of the general adaptation syndrome is the Pt attempting to adapt to the stressor?
Alarm reaction stage
Stage of resistance
Stage of exhaustion
Stage of completion
18
Rn teaching Pt taking Xanax about med, which indicates the need for further teaching?
Pt knows the effects of the drug are related to the dosage of drug
Pt knows this drug can be given routinely or PRN depending on order
Pt states they should talk to their doctor before taking any pain meds
Pt states they can continue drinking 2 glasses of wine a day
19
In order for a court hold to be placed a patient must be deemed a threat to self or others with a recent overt act
True
False
20
Patient would have a sudden, acute onset of symptoms with Dementia
False
True
21
Therapeutic communication that allows Pt to take control of discussion if they desire.
Offering selft
Accepting
Using silence
Giving recognition
22
Which degree of anxiety might an average nursing student face on an exam day?
moderate
severe
panic
mild
23
Pt was caught in a flood and having disorganized thoughts and hallucinations, what degree of anxiety do you expect?
moderate
mild
panic
severe
24
Pt suddenly stopped taking Prozac,cc insomnia, nausea, hyperarousal, flu-like symptoms, Rn knows Pt experiencing?
Discontinuation Syndrome
Serotonin Syndrome
Alcoholic withdawals
The Flu
25
What type of relationship focuses on the needs, epseriences, goals and feeling of Pt only?
Sympathetic
Nontherapeutic
Therapeutic
Empathetic
26
Pt in ER post overdose on Amitriptyline (Elavil), what would be a nursing priority action?
Call family to inform of overdose
Place patient on a heart monitor
Find out patients known allergies
Take a detailed medical history of previous suicide attempts
27
Amitriptyline (elavil) is part of the oldest group on antidepressants called the?
SNRIs
Monoamine Oxidase Inhibitors
Barbiturates
Tricyclics
28
Bipolar disorder is the what leading cause of disability in the world?
6th
10th
4th
1st
29
Pt expresses a fear of open spaces, crowds, or places where escape might be difficult. This is known as?
Arachnophobia
Agoraphobia
Claustrophobia
Acrophobia
30
Pt witnessed an accident, focus in on scattered details, What degree of anxiety do you expect?
panic
severe
moderate
mild
31
Which electrolyte does Lithium tend to deplete?
Sodium
Potassium
Magnesium
Calcium
32
Which stage of the general adaptation syndrome is the physiological response of the fight or flight syndrome initiated?
Alarm reaction stage
Stage of completion
Stage of resistance
Stage of exhaustion
33
Pt placed on marplan-isocarboxazid, Rn knows further teaching needed when Pt states?
I should take my regualr decongestants for allergies
I should discontinue taking St. John's wart
I should report to my doctor if I have a severe headache
I should avoid avocados, bananas and beets
34
Which is NOT a classic sign of depression?
Loss of self-esteem
Feelings of rage
Feelings of preoccupation morbidness
Feeling of worthlessness
35
Which is the first basic human need in Maslow's hierarchy of needs?
Safety and security needs
Love and belonging needs
Self-esteem needs
Physiologic needs
36
Pt having a sudden onset discrete episode of intense anxiety,sweating,trembling, nausea,dizzy,SOB Pt experiencing?
Depression
Anxiety attack
Panic attack
Hallucinations
37
Which is NOT an adaptive response to stress?
eating a quart of ice cream
having one glass of wine
taking a break from work or studying
taking a bubble bath
38
Pt taking MAOI asks how long does it take for med to take effect, Rn best response?
immediately
4-6 weeks
1-2 days
2 weeks
39
Pt taking valium experiencing dizziness, drowsiness, hypotension, ataxa. Rn knows?
Patient is having an allergic reaction to medicaiton
These are common side effects to medicaiton
Patient is likely overdosed on medicaiton
They should administer narcan
40
Pt w/ bipolar disorder having feelings of elation, inflated self-esteem, hyperactivity.Rn knows pt experiencing?
Suicidal Ideations
Manic Episode
Depression
Sleep deprivation
41
Pt is showing signs of Serotonin Syndrome, what is the best nursing action?
Start an IV for fluid therapy
Lower medication dosage
Stop the medicaiton and manage symptoms
Continue medication and manage symptoms
42
What is described as an unpleasant feeling of impending doom?
Depression
Boderline personality disorder
Anorexia
Anxiety
43
Which is a maladaptive response to stress?
using problem-solving skills
taking a break from studying
drinking a quart of Vodka
eating a serving of ice cream
44
Pt experiencing manic episode w/ bipolar disorder may need education on?
Focusing
Not eating too much
Sleeping
Boundaries
45
Pt is showing signs of anger after a terminal diagnosis, Rn best action?
Tell patient they understand what they are going through
Leave patient alone
Support their feelings while maintaining patient safety
Tell patient there is no point in being angry
46
What is the ability to perceive the meaning and feelings of others and to communicate that w/ the Pt?
Acceptance
Therapy
Sympathy
Empathy
47
Pt placed on Nardil-phenelzine, Rn knows pt needs to avoid foods containing large amounds of?
Gluten
Tyramine
Iron
Dairy
48
Which of these is not a benzodiazepine?
Valium (Diazepam)
Xanax (Alprasolom)
Buspar (Buspirone)
Ativan (Lorazepam)
49
Pt is given news their lab results came back positive for cancer, Pt states "those aren't my labs" Stage of grief?
Denial
Bargaining
Anger
Depression
50
A Pt is wanting to leave the hospital despite the doctor telling them it is not a good idea. What is this called?
Patient Abandonment
Leaving AMA
Leaving with approval
Leaving MMA