What are signs and symptoms you'll see with depressive disorders? select all that apply

Isolation, trouble with ADL's, suicidal ideation, sleep disturbance

An antisocial personality demonstrates a false sense of privileged revenge against others. result of his thinking?

Persistent disregard and indifference to loss of society and humanity

The client with MAOI prescribed should be taught to avoid which of the following dietary items? Select all that apply

Yogurt and sour cream, Swiss, cheddar, Parmesan cheese, Smoked or processed meat

Which of these is an example of Conversion disorder?

Woman can't walk Bcuz her husband died (no scientific evidense showing why)

What is the appropriate intervention you can do for a schizophrenic patient? (like autism)

let them know ahead of time, consistant predictable environment

How do we treat anxiety medically?

anxiolytics (along with some antidepressant agents)

What is an adverse reaction to your typical anti-psychotics?

Neuromaleptic malignant syndrome

What are some medications that are used for clients with psychosis? (Anti-Psychotic Agents)

A-typical (risperdol, aripiprazole, clozaril,seroquel, latuda), Typical (thorazine, prolixin, halodol, loxitane)

What do you tell a patient having a hallucination?

I'm so sorry you see monkey's on the wall but there aren't any, you R safe

Which of the following statements best describes poverty of speech?

Decrease in amount or speed with which a person talks

What would be an example of an auditory hallucination?

hearing voices, (talking to self)

What does it mean when a client repeats words that are spoken to them?

Echolalia (seen in schizophrenia)

Protruding tongue movements and finger rolling motions in a client taking the drug Haloperidol, recognize this as?

Signs of extrapyramidal side effects of the drug

Initially, which nursing intervention would receive the highest priority for the client with OCD?

Allow extra time for client to perform rituals

Which of these are nursing interventions during a manic phase?

Insure safety, calm, quiet environment

Client states “why am I here, there is nothing left here for me” Whats the most therapeutic response for the nurse?

You feel as though life is meaningless right now?

What are some complications with our typical older generation antiolytics?

sedation, light headedness, decreased cognitive functioning

Which of the following types of behavior could be interpreted as a form of self-destruction?

Involvement in no-win relationships

What are some signs and symptoms of Bi-Polar? select all that apply

impulsive, increased sexual permiscuity, mood swings

What happens right after electroconvulsive therapy?

prepare them for some memory loss

What is a hallucination?

auditory, and visual ( ex: there's monkeys on the wall)

Symptoms become part of the person's day-to-day experience, never disappearing for more than 2 months at a time?

Persistant Depressive Disorder (Dysthymia)

What are some symptoms of lithium toxicity? select all that apply

tinnitus (ringing in ears), nausea, tremors

Agoraphobia may cause problems with what?

Vocalization, Employment, ADL's, Education

Long term use of typical anti-anxiety medications can cause what?

dependence (withdrawals when stopped)

A client with generalized anxiety disorder states he feels dizzy. What would be the best response for the nurse to make?

Can you tell me what happened at the time you started feeling this way

What is conversion disorder?

client says somethings wrong but there's no evidense, its real to them thgh

What is narcissis act? What will you see?

They don't care about you or your life, its about them, They will want you to sit there and listen to them, you'll never get a word in, very demanding, hard to have a converstaion with

What do you do if a client thinks that their food has been poisoned?

open-ended questions, listen to them, silence

Which nursing intervention would be the most important to implement with a client having a panic attack?

Assure client you will remain until the panic attack subsides

Which behavior assessments would be considered a positive symptom of schizophrenia? Select all that apply

Describing bizarre thoughts, Having auditory hallucinations

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Mental Health Exam 2 Review included

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Answers

1
First priority nursing intervention for a client with major depressive disorder would be?
Social isolation
Self-care deficit
Low self-esteem
2
What else can be used for anxiety besides antiolytics?
SSRI's (anti-depressants)
Anti-pruritics
3
What are signs and symptoms you'll see with depressive disorders? select all that apply
Isolation
trouble with ADL's
suicidal ideation
sleep disturbance
4
Creates overly dramatic scene of emotional behavior to attract attention of others is typical in what personalities?
Schizotypal
Histrionic
Dependent
Obsessive compulsive
5
An antisocial personality demonstrates a false sense of privileged revenge against others. result of his thinking?
Persistent disregard and indifference to loss of society and humanity
Repeated unsuccessful attempts to secure stability in relationships
Unrealistic expectations and standards of perfection
An outward focus of control over inner pain
6
The client with MAOI prescribed should be taught to avoid which of the following dietary items? Select all that apply
Yogurt and sour cream
Almonds, Brazil nuts, cashews
Swiss, cheddar, Parmesan cheese
Bread
Fresh shrimp, salmon, trout
Smoked or processed meat
7
Which of these is an example of Conversion disorder?
Woman develops lung cancer from smoking for 30 years
Woman can't walk Bcuz her husband died (no scientific evidense showing why)
8
What is the appropriate intervention you can do for a schizophrenic patient? (like autism)
let them know ahead of time, consistant predictable environment
plan activities and introduce at last minute to avoid outburst
9
How do we treat anxiety medically?
anxiolytics (along with some antidepressant agents)
antipsychotics
10
What is an adverse reaction to your typical anti-psychotics?
Neuromaleptic malignant syndrome
Reye Syndrome
11
What are some medications that are used for clients with psychosis? (Anti-Psychotic Agents)
A-typical (risperdol, aripiprazole, clozaril,seroquel, latuda)
Typical (thorazine, prolixin, halodol, loxitane)
12
Behaviors of which the person is unaware that are aimed at relieving anxiety?
Automatic relief behaviors
Tsunami behaviors
13
What are some examples of anxiolytics (anti-anxiety drug)?
Librium (typical agent,dont like to use Bcuz side effects)
Valium (typical)
14
A clients been diagnosed with panic disorder. What symptoms would the nurse expect to observe?
Feelings of suffocation
Hypotension
Logical thought processes
Constipation
15
Bipolar d/o have a younger age of onset and shorter cycles than major depressive d/o
False
True
16
What do you tell a patient having a hallucination?
You are seeing things that aren't real, sit down and breath, you'll be fine
I'm so sorry you see monkey's on the wall but there aren't any, you R safe
17
Which of the following statements best describes poverty of speech?
Thoughts of others can be inserted in one’s mind
Decrease in amount or speed with which a person talks
Insignificant rhyming of words
A jumble of unconnected and disorganized thoughts
18
Free floating anxiety occurs when a person is unable to connect the anxiety to?
a time
a stimulus
19
What would be an example of an auditory hallucination?
Seeing something that isnt there
hearing voices, (talking to self)
20
What does it mean when a client repeats words that are spoken to them?
Echolalia (seen in schizophrenia)
Alkolia
21
A-typical ant-anxiety agents don't cause sedation and can be used long term!
True
False
22
Protruding tongue movements and finger rolling motions in a client taking the drug Haloperidol, recognize this as?
Part of the illness and unrelated to the medication
Normal response to long-term use of the medication
Signs of extrapyramidal side effects of the drug
Indications of increased dosage may be needed
23
Initially, which nursing intervention would receive the highest priority for the client with OCD?
Isolate the client to reduce proximity to others
Confront the client about the ridiculous nature of the behavior
Set limits for client to conform to unit schedule
Allow extra time for client to perform rituals
24
What is an example of obsessive behavior in someone that has OCD? (tell-tell sign)
Rigid perfectionism
Lack of concentration
25
What is electroconvulsive therapy?
to eleviate OCD
eleviate depression
26
Which of these are nursing interventions during a manic phase?
Insure safety
calm, quiet environment
isolate to prevent escalation
keep them busy with simple activities
27
Client states “why am I here, there is nothing left here for me” Whats the most therapeutic response for the nurse?
Why did you want to die?
What do you mean there is nothing here for you?
There is always a reason things happen as they do
You feel as though life is meaningless right now?
28
What are some complications with our typical older generation antiolytics?
sedation, light headedness, decreased cognitive functioning
diarrhea, vomiting, nausea, low glucose levels
29
social phobia is characterized by excessive fear of any social situation in which ___ is possible.
danger
embarrassment
30
1 or more somatic symptoms that are disturbing to the individual and cause disruption in his/her daily functioning?
Somatic Symptom Disorder
Shizoeffect Disorder
31
What is lithium used for?
Depression
Bi-Polar Disorder
32
The usefulness of the anxiolytic drug, lies in their ___ ___ of symptom relief that causes an inhibitory/calming effect.
rapid onset
dose level
33
Which of the following types of behavior could be interpreted as a form of self-destruction?
Eccentric dress habits and mannerisms
Involvement in no-win relationships
Avoiding close relationships and intimacy
Exaggerated sense of importance
34
Fear of crossing a bridge?
Microphobia
Gephyrophobia
35
What do you monitor when your patient is on lithium?
urine output
blood work
36
What are some signs and symptoms of Bi-Polar? select all that apply
impulsive
increased sexual permiscuity
calm nature
mood swings
37
What happens right after electroconvulsive therapy?
prepare them for possibility of nausea and vomiting
prepare them for some memory loss
38
What is a hallucination?
Something tht can be seen
auditory, and visual ( ex: there's monkeys on the wall)
39
fear of Heights
arachnophobia
acrophobia
40
Symptoms become part of the person's day-to-day experience, never disappearing for more than 2 months at a time?
Bipolar D/O (manic depression)
Persistant Depressive Disorder (Dysthymia)
41
What are some symptoms of lithium toxicity? select all that apply
tinnitus (ringing in ears)
nausea
tremors
jaundice
42
Agoraphobia may cause problems with what?
Vocalization
Employment
ADL's
Education
43
Long term use of typical anti-anxiety medications can cause what?
decreased nerve sensations
dependence (withdrawals when stopped)
44
A client with generalized anxiety disorder states he feels dizzy. What would be the best response for the nurse to make?
Don’t worry it is just one of the symptoms you can expect
Can you tell me what happened at the time you started feeling this way
I’ll help you to your room so you can lie down and rest
Stay right here, I will be back with some medication
45
A student w/ social anxiety disorder has 2 give presentation; student drops class. What led to his actions?
Free-floating anxiety
Uncued anxiety
Anticipatory anxiety
Automatic relief behavior
46
What is conversion disorder?
client has an illness because of long-term use of something
client says somethings wrong but there's no evidense, its real to them thgh
47
What is narcissis act? What will you see?
They don't care about you or your life, its about them
They will want you to sit there and listen to them
you'll never get a word in, very demanding
They like to isolate themselves, does NOT like attention
They can not stand to talk about themselves, they are extremely guarded
hard to have a converstaion with
48
What do you do if a client thinks that their food has been poisoned?
open-ended questions, listen to them, silence
Tell them that is absolutely NOT true and offer to eat a bite yourself
49
What is the normal lithium level?
1.2-2.4
0.6-1.2
50
Which nursing intervention would be the most important to implement with a client having a panic attack?
Provide detailed documentation of what causes panic attack
Administer a PRN dose of anti-anxiety med
Assure client you will remain until the panic attack subsides
Hug the client to show empathy for the distress
51
Which behavior assessments would be considered a positive symptom of schizophrenia? Select all that apply
Presents with blunted affect
Describing bizarre thoughts
Having auditory hallucinations
Expresses indications of abolition
52
Lack of interest in previously enjoyed activities?
Anhedonia
Anomia
53
Depressive disorders are more common in who? select all that apply
women
women with family history
men
men with family history
54
Which statement by the client would indicate a need for further teaching regarding Risperdol?
I can still ride on my bike in the afternoon like I usually do
I need to take the med when I eat so it doesn’t upset my stomach
I better sit on the edge of my bed while before I get up in the morning
It may be a week or two before I feel really good
55
Rather use A-typical anti-anxiety agents, what are some A-typicals?
Xanxax (typical agent)
BuSpar (no sedation, can be used long term)
56
Which of the following statements is true regarding clients with personality disorders?
Most have a sincere motivation to change behaviors
Most recognize how their behavior affects others
Manipulative patterns often render treatment ineffective
They are aware that they have a behavior problem
57
Which of these is the most appropriate initial outcome to set for client experiencing panic level anxiety?
Will identify alternate methods of coping
Will develop a trusting relationship with the nurse
Will demonstrate insight into cause of anxiety
Will reduce anxiety at least one level
58
What does it mean if you have someone with schizophrenia and they say they are sad but they are smiling?
Appropriate AFFECT
Inappropriate AFFECT
59
A patient who has 4 or more mood shifts within a year is said to be?
Depressed
Rapid Cycling
60
Agoraphobia will cause a patient to avoid certain places, and situations that may cause anxiety.
True
False
61
Which indicators is most demonstrated that improvement has occurred related to treatment strategies?
Is able to define what is meant by personality disorder
Relates the requirements for compliance with treatment plan
Ability to recognize personality traits in others
Demonstrates behavior changes following discharge
62
What do you do if a patient is having a panic attack?
offer them a snack
quiet calm environment, deep breaths
63
Why do patients have to do blood work while taking lithium?
to monitor mood chemical imbalances
monitor levels (appropriate levels, not lithium toxicity)
64
What do we say anti-social personality disorder is? What would you see?
they are afraid to go outside the home
they are aggressive
they break the law
they are mischievious
65
An intense feeling of fear or terror that occurs suddenly and intermittently without warning?
Panic Disorder
Social Phobia
66
Do you try to facilitate conversation with someone in a manic phase?
no, your going to be there awhile they will talk forever, keep short/sweet
yes, you may could redirect them and calm their manic phase
67
Plan of care with a diagnosis of major depressive disorder should include which of the following interventions?
No socializing activities unless the client asked to be included
Encourage participation in competitive games of chess or ping-pong
Group physical activity that will provide exercise and socialization
Provide structured schedule of activities that offers client participating
68
“Radio sending signal 2my intellectual processes to inflict damage on myself”What should the nurse include in document?
Experiencing auditory hallucinations
Demonstrating thought insertion
Speaking in loose associations
Having delusions of perception
69
What can cause a depressive episode? select all that apply
loss of loved one
loss of job
trauma/ lack of support system
financial difficulties
70
A nurse should focus on what with bi-polar patients?
redirect conversation
offer finger foods or snacks (toddler foods)
safety
in manic phase, make sure they eat
Boundaries
let them talk it through amongst themselves
71
What must we have before we do electroconvulsive therapy?
Consent from phycisian, it can be done involuntarily
Consent from patient, its strictly Voluntary now
72
What are extraparamidal side effects? select all that apply
dystonias
akathisia
tardive dyskinesia
Drug-induced parkinsonism
Neuroleptic malignant syndrome
Reye syndrome
73
Nurse is caring for a client who is serum lithium carbonate level is 1.5. Nurse would expect the healthcare provider to?
Order the next dose of the drug to be held
Stop the medication
Order an additional dose to be given one time only
Increase the daily dosage of the medication
74
What is facticious disorder?
the belief that you have an illness that is undiagnosed
the falsification of medical or psychological s/s
75
What are some of the anxiety disorders? select all that apply
Generalized Anxiety Disorder
Panic disorder
PTS (trauma, & stressor-related d/o)
Specific Phobia
Social Anxiety Disorder (SOCIAL Phobia)
OCD
76
What are some examples of PTSD? select all that apply
parents leaving a child
car accident (loss of someone)
weather related tragidies
not getting what you want for lunch
77
Person experiences depressed mood or loss of interest in most activities for most of each day for a period of 2 weeks?
major depressive disorder
cyclothymic disorder
78
What is psychomotor agitation?
Moving rapidly, hitting walls, gestering, throwing hands in air
response of questions, appropriate or nonappropriate
79
What is a huge thing in Mental Health? What are we constantly doing?
DOCUMENTING, everything is documented!
Changing medications for the patients benefit
80
What should you include in client teaching for the client taking a tricyclic antidepressants medication?
Wear hat and long-sleeve shirt when you were outdoors in the sun
Medication can be discontinued after a few weeks of therapy
Take the medication with coffee or tea to enhance its affect
You can omit the morning dose of your med if it makes you too sleepy
81
Fear of blood?
Microphobia
Hematophobia
82
Dr orders (cogentin) for client who’s been taken haloperidol, which would the nurse expect to assess in the client?
Diminished drive and apathy
Intractable hiccups
Increase delusional thinking
Protruding tongue movements
83
What do you want to avoid when taking typical anti-anxiety medications?
Alcohol and other CNS depressants
Diuretics
84
Fear of animals?
Zoophobia
Arachnophobia
85
What is one of the complications of anti-psychotic meds, typicals?
high temp
psychosis
confusion/delirium
muscle rigidity
86
Individuals w/ panic d/o often develop __ or an avoidance of certain places or situations that tend 2cause panic attack.
Alogia
Agoraphobia
87
Which of these chart entries by the nurse would demonstrate progress in the client who experiences agoraphobia?
Has showered and shampooed hair once today
Participated in outing to park this afternoon
Conversing with two other clients during meal time
Attends group therapy sessions four out of five times a week
88
Fear of confined spaces?
Hematophobia
Claustrophobia
89
What is a delusion?
Altered thought of self
false reality (they think something happen that really didn't)
90
Which client would require added health teaching regarding the effects of prescribed benzodiazepine drug agent?
32-year-old who smokes two packs of ciga-dettes a day
47 year old company CEO who works an average 50 hour week
28-year-old client who is an Internet stockbroker
50-year-old who drinks 3 cups of coffee each morning
91
Fear of riding in a car?
Zoophobia
Amaxophobia
92
In client with manic episode, which of these nursing interventions would convey a therapeutic attitude of acceptance?
Walk alongside the client at intervals as long as pacing continues
Allow the client to describe delusional thoughts as long as needed
Tell the client to remain isolated until impulsive actions are controlled
Reprimand the client for inappropriate sexual hand gestures
93
Can you take typical anti-anxiety if your pregnant?
nope
yep
94
What is systematic de-sensitization?
exposing someone to something over and over again
keeping the patient away from the trigger at all times
95
Planning care for paranoid schizophrenic, which perceptual changes should the nurse anticipate?
Client recognizes that he is not responding normally to stimuli
Client excepts and understands the irrational nature of his ideation‘s
Client does not notice nor respond to changes in the environment
Client frequently misinterpret social and environmental stimuli
96
An excessive and persistent irrational fear of objects or situations that pose little threat of danger?
social phobia
specific phobias
97
Seen for having increased symptoms of panic attacks. Ask for “something for my nerves” which comment should nurse report
I am happiest when I am breast-feeding my 2 month old daughter
Sometimes I feel like I’m going crazy and have to leave the room
The Panic attacks happen most when I am in a room full of people
None of my family seems to understand just how bad this feeling is
98
What does it mean when someone forgets their entire life?
local amnesia
generalized amnesia
99
Fear of germs?
Arachnophobia
Microphobia
100
Older adults are sensitive to benzos, what may you need to do to treat them?
lower dosage
Find something that they can tolerate

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