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 comorbid conditions are commonly associated with oppositional defiant disorder? SATA

Depression, Attention deficit hyperactivity disorder (ADHD), Anxiety

Which nursing intervention demonstrates the theory behind operant conditioning?

Rewarding w/ a token for avoiding argument with another pt

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.

Which statement factually describes the act of suicide?

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

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

Pressured speech, racing thoughts, grandiosity

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

Amitriptyline is lethal in overdose

Which client behavior demonstrates the characteristic of resilience?

"Losing my job was hard but I will get another one."

Best room placement for patient in manic episode?

Single room near nurse's station

The RN suspects neuroleptic malignant syndrome in her patient. Interventions? SATA.

Apply cooling blankets, give antipyretics, Increase fluid intake, Stop antipsychotic meds, Administer dantrolene or bromocriptine

A pt w/ depression distrusts staff,wants to go home. Initially what is the RN priority?

Making the client feel physically and emotionally safe

A nursing diagnosis serves what purpose with considering the plan of care?

Framework for choosing appropriate interventions

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

Borderline personality disorder

Pt on fluoxetine shows an understanding of the medication teaching when making which statement?

I will report fever, fast heartbeat, and stomach pain.

Which assumption serves as a foundation for the use of crisis intervention?

The individual is mentally healthy but in disequilibrium.

Which event would an pt diagnosed with early Alzheimer’s have greatest difficulty remembering?

What he or she ate for breakfast

Which nursing intervention for schizophrenia is designed to prevent relapse?

Teach family/patient behaviors associated with relapse

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

Evidence based, Realistic, Safe

Guidance on operate conditioning to a toddler's mom- temper tantrums are best handled by?

Ignoring the tantrum, giving attn with appropriate actions

Dep. pt: "I can never do anything right!" Nurse can best address this cognitive distortion:

Let's look at that, '"I can never do anything right"

The pt reports that she is hearing voices to "kill your doctor." What would you do next?

Assess if pt is able to resist commands

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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.

Flashcards144 cardsFPractice quizPHost liveL

Questions 144

Answers

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

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