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Mental Health Final
Mental Health Final Exam from study guide
| Question | Answer |
|---|---|
| Explain what hypochondriasis is: | |
| What is conversion disorder? | |
| What is the main feature of someone having a factitious disorder? | |
| Wat are nursing interventions for a client who is having a panic disorder? | |
| Nursing interventions for a client experiencing a manic episode? | |
| Medication complications of antipsychotics: | |
| List examples of aggressive statements: | |
| Normal values for lithium is ______________. | 0.6-1.2 mEq/L |
| Lithium toxicity is a value greater than ______________. | >1.5 mEq/L |
| Manifestations of lithium toxicity is: | Early: nausea, vomiting, diarrhea Moderate: tremor, confusion Severe: seizures, coma |
| Priority nursing interventions for a client who has attempted suicide: | |
| Side effects of risperidone: | Weight gain, Sedation, EPS, high prolactin |
| Indications for the use of PRN benzodiazepines: | Acute anxiety/panic attacks, Agitation, Alcohol Withdrawal, Seizure precautions |
| Describe Denial: | Refusing reality |
| Describe Dissociation: | Detachment from reality/self |
| Describe Rationalization: | Making excuses to justify behavior |
| Manifestations of major depressive disorder (MDD): | Persistent sadness, Anhedonia, Sleep disturbances, Low energy, Poor concentration, Feeling of worthlessness, Suicidal thoughts |
| Manifestations of alcohol withdrawal: | Tremors, Sweating, Anxiety, Hallucinations, Seizures |
| Client is prescribed a monoamine oxidase inhibitor (MAOI). What types of food should be avoided and give examples? | Avoid Tyramine foods (Aged cheese, Wine, Cured meats, Fermented foods) |
| List what a client would experience having extrapyramidal symptoms (EPS) | Acute dystonia (muscle spasms), Akathisia (restlessness), Parkinsonism (shuffling gait, tremor), Tardive dyskinesia (lip smacking) |
| What drug classification is contraindicated in those with alcohol use disorder? | Benzodiazepines (long-term), Also avoid CNS depressants (addictive effects) |
| Explain the difference between secondary enuresis and primary nocturnal enuresis? | |
| What are therapeutic techniques used to support effective communication? | |
| Clients on lithium need to monitor this electrolyte in their diet? | Monitor sodium |
| Client having paranoid delusions how would the nurse present their food tray? | |
| Manifestations of Histrionic: | Attention-seeking, Dramatic, Seductive |
| Manifestations of Narcissistic: | Grandiosity, Lack of empathy, Entitlement |
| Manifestations of Antisocial: | No remorse, manipulative, violates rights of others |
| _____________________ is the drug that helps reduce the desire for alcohol | Naltrexone |
| What is passive suicide? | |
| Manifestations of neglect of a child: | Poor hygiene, Malnutrition, Lack of supervision, Delayed development |
| Explain what exploitation is: | |
| Describe the stage of assault: Triggering | Agitation begins |
| Describe the stage of assault: Escalation | Loss of control |
| Describe the stage of assault: Crisis | Violent behavior |
| Describe the stage of assault: Recovery | Calm |
| Describe the stage of assault: Depression | Remorse |
| Describe the difference between intermittent explosive disorder and oppositional defiant disorder: | |
| Explain conduct disorder and how a client would act being diagnosed with it: | |
| Manifestations of a client who has depression: | |
| Nursing interventions for a client who is escalating with behaviors: | |
| What personality disorders are considered to be in the erratic cluster? | |
| Most common CNS side effects of taking antipsychotic medications: | |
| Manifestations of neuroleptic malignant syndrome (NMS): | |
| Taking St. John's Wort in combination with an SSRI (i.e. sertraline "Zoloft"), what can occur? | |
| What time frame does it take for a client with a newly prescribed antidepressant to notice improvement in overall well-being? |