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Mental Health 1
| Question | Answer |
|---|---|
| The primary purpose of the Community Mental Health Center Act of 1963 was to | move patients to their home communities for treatment. |
| Managed care is designed to | maintain a balance between the quality and costs of health care. |
| Hospitals established by Dorothea Dix were designed to provide | asylum |
| Hildegard Peplau is best known for her writing about | therapeutic nurse–client relationship. |
| Mental health parity laws ensure | equality in insurance coverage for mental illness. |
| first American psychiatric nurse | Linda Richards |
| moral treatment of the mentally ill | Dorothea Dix |
| therapeutic nurse–client relationship | Peplau |
| asylum as a safe refuge | Philippe pinel or William Dukes |
| classification of mental disorders according to symptoms | Emil Kraepelin |
| The nurse is teaching a client taking an MAOI about foods with tyramine that he or she should avoid. Which statement indicates that the client needs further teaching? | I’m so glad I can have pizza as long as I don’t order pepperoni.” |
| A client who has been depressed and suicidal started taking a tricyclic antidepressant 2 weeks ago and is now ready to leave the hospital to go home. Which is a concern for the nurse as discharge plans are finalized? | The nurse will evaluate the risk for suicide by overdose of the tricyclic antidepressant |
| The signs of lithium toxicity include which? | Severe vomiting, diarrhea, and weakness |
| Which is a concern for children taking stimulants for ADHD for several years? | Growth suppression |
| The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client complains of restlessness, cannot sit still, and has muscle stiffness. Of the following prn medications, which would the nurse administer? | Benztropine (Cogentin), 2 mg PO |
| Client teaching for lamotrigine (Lamictal) should include which instructions? | Report any rashes to your doctor immediately. |
| Which physician order would the nurse question for a client who has stated, “I’m allergic to phenothiazines?” | Prolixin, 5 mg PO tid |
| Clients taking which type of psychotropic medications need close monitoring of their cardiac status? | Antipsychotics |
| atypical antipsychotic | Clozapine (Clozaril) |
| SSRI antidepressant | Fluoxetine (Prozac) |
| Tricyclic antidepressant | Amitriptyline (Elavil) |
| Anticholinergic | Benztropine (Cogentin) |
| Stimulant | Methylphenidate (Ritalin) |
| Anticonvulsant used as a mood stabilizer | Carbamazepine (Tegretol) |
| Benzodiazepine | Clonazepam (Klonopin) |
| Atypical antipsychotics | Quetiapine (Seroquel) |
| rationale for tapering psychotropic medication doses before the client discontinues the drug. | Abrupt cessation results in a rebound effect, recurrence of the original symptoms. Tapering gradually alleviate or minimizes these problems |
| PET | A radioactive substance will be injected into bloodstream. will take 2-3 hours |
| Which theorist believed that a corrective interpersonal relationship with the therapist was the primary mode of treatment? | Harry Stack Sullivan |
| Dream analysis and free association are techniques in which modality? | Psychoanalysis |
| Four levels of anxiety were described by | Hildegard Peplau. |
| Correcting how one thinks about the world and oneself is the focus of | Cognitive therapy. |
| The personality structures of id, ego, and superego were described by | Sigmund Freud. |
| The nursing role that involves being a substitute for another, such as a parent, is called | surrogate. |
| Psychiatric rehabilitation focuses on | client’s strengths. |
| When a nurse develops feelings toward a client that are based on the nurse’s past experience, it is called | countertransference. |
| A group that was designed to meet weekly for 10 sessions to deal with feelings of depression would be a(n) | closed group. |
| The client is the key to his or her own healing | Carl Rogers |
| Social and psychological factors influence development. | Erik Erikson |
| Client-centered therapy | Carl Rogers |
| Hierarchy of needs | Abraham Maslow |