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Mental Health Flashcards | StudBud
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Mental Health
Mental Health
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Answers
1
which of the following best describes alzheimer’s disease
Normal part of aging
Atrophy of cerebral cortex
Steady decline in physical and mental functioning
Death of neurons
2
A client was brought to the ED after an overdose. What is best to give?
Naltrexone
Diazepam
Disulfiram
Naloxone
3
A client with a history of heavy alcohol use is brought to an ED Which symptom should be reported right away
BP 190/89
Dehydration
Tactile hallucinations
Altered mood
4
An addict is serious about treatment when
Go to AA
Show behaviors of co dependency
They admit they have a problem
Are non compliant with medication
5
A client with disturbed thought process says to the nurse you are poisoning my food
Share personal preferences about eating
Ask open ended questions and silence
Document why they won’t eat
Offer opinions about the importance of nutrition
6
A patient hospitalized with pneumonia is disoriented and confused. How do we know it is delirium?
Patient was alert and oriented on admission
Speech is fragmented and incoherent
Patient is oriented to person but not to place or time
The patient has been confused for years
7
What assessment findings will the nurse expect in an individual who just injected heroin?
Heightened sexuality, insomnia, euphoria
Anxiety, Restlessness, paranoid
Muscle aches, dilated pupils, tachycardia
Drowsiness constricted pupils slurred speech
8
A patient with AD is admitted for surgery Which intervention is best?
Provide the patient with current newspaper
Encourage discussion of events from past
Maintain a consistent routine
Reorient patient every hour
9
What symptoms do you initially monitor with an alcoholic initial 6-8 hours
Delusions
Observe for shakes
BP,HR
Nausea and vomiting
10
Which intervention will the nurse include in the plan of care for a patient who has late stage Alzheimer’s disease?
Maintain a consistent daily routine
discuss events from the past
. Reorient the patient frequently
Provide the patient with current newspapers
11
Prenatal use of Cocaine the baby will most likely suffer from?
Cerebral infarct
Irritable, high pitched cry
Microcephaly
All of the above
12
A client motivated to quit drinking will be educated about antibuse
Avoid aftershave lotion
Avoid hand sanitizer
All of the above
Avoid cough syrup
13
A patient admitted who inhaled cocaine complains of SOB and palpitations What should the nurse do FIRST?
Give iv fluids
Check oxygen saturation
Draw labs for toxicology
Get a 12 lead EKG
14
A client who has used pcp is most susceptible to what?
Hallucinations and flashbacks
Anxiety
Infection
Increase potassium
15
Seizures, DT’s, Irritability, Delusions and increased VS are signs of what?
Cocaine abuse
Caffeine abuse
Heroin abuse
Alcohol abuse
16
We LOVE nursing school!
False
True
17
Early signs of ETOH withdrawal
Coma
Sweating and Confusion
Irritability and tremors
Disorientation and paranoia
18
Who would be at most risk for developing Alzheimers disease?
42 year old dancer
63 year old retired football player
73 year old retired engineer
65 year old college professor
19
Which question has the highest priority when assessing a client with alcohol abuse?
Do you have blackouts
Has drinking overtaken your life
When was your last drink
When did you decide to seek treatment
20
Client states the FBI is coming to get me. What is the best response from the nurse?
This must be frightening you are safe
Talk to your counselor
There are no voices
Isolate the client from others
21
Anxiety, weight loss, palpitations and chest pain are signs of addiction to?
Alcohol
Nicotine
Cocaine
Meth
22
Group therapy for someone struggling with an eating disorder is scheduled after meals Why?
Focus on food prep and weight control
Process the anxiety associated with eating
Shifting the focus from food to psychotherapy
Maintain client concentration
23
An 80 year old client with an indwelling catheter becomes confused and combative What is the best intervention
Order a psychiatric consult
Initiate restraints
Move the client to a room closer to the nurse’s station
Have a calendar, clock, and schedule for the day
24
A client who is suffering from delirium What would the nurse observe?
Slurred speech and unilateral weakness
Confusion and visual hallucinations
Gradual onset of forgetting
Mask like face
25
A drug abuser has a broken hip. What consideration does the nurse need to take
Increase dose of pain medication
Lower dose of pain medications
Withhold opioids due to addiction
26
A kid with ADHD presents with jaundice, malaise, fatigue and bloating. They are experiencing adverse effects to what?
Atomoxetine
Lorazepam
Thorazine
Methlyphenidate
27
A patient with hx of ETOH abuse presents with confusion What should be done
Check Thiamine levels
Check Niacin level
Check CBC
Check Vitamin C
28
What are the effects of chronic alcohol abuse? (SATA)
Itching skin
Increased risk for bleeding
Wernicke Encephalopathy
rhinorrhea
29
The most appropriate goal for bulimia is:
Control eating impulses
Limit food shopping
Limit 3 meals a day
Identify anxiety causing situations
30
Which of the following actions is not helpful with Alzheimers disease?
Use symbols on signs instead of writing
Set reminders
Provide consistent routines
Give multi step directions
31
A client admitted with drug withdrawal states I’m leaving, What does the nurse do?
Give them Haldol
Put them in restraints
Sign them out AMA
Give them Ativan
32
A baby born premature and IUGR you would expect the mom abused what drug?
Cocaine
Heroin
Opioids
Nicotine
33
A patient with a hx of addiction comes to the ED with a broken leg. WHAT IS A PRIORITY?
Urine toxicology screen
Charcoal
Thiamine
Liver enzymes
34
This medication is used for mild Alzheimers disease
Methylphenidate (Ritalin)
Parnate
Aricept (Donepezil)
Nardil
35
Which med is the RN most likely to see prescribed as part of the treatment plan for alcoholism and opioid addiction
Disulfiram
Naltrexone
Methadone
Lorazepam
