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Mental Health Final
Mental Health Final Exam from study guide
| Question | Answer |
|---|---|
| Explain what hypochondriasis is: | constantly worried they have a serious illness even though medical tests show they are healthy |
| What is conversion disorder? | a somatic symptom disorder in which individual presents problems related to the sensory or motor functions |
| What is the main feature of someone having a factitious disorder? | intentionally faking or causing symptoms of a sickness |
| Wat are nursing interventions for a client who is having a panic disorder? | -stay calm and quiet -decrease stimuli |
| Nursing interventions for a client experiencing a manic episode? | -Decrease environmental stimuli - Set clear, firm limits - Use short, simple communication |
| Medication complications of antipsychotics: | Tardive dyskinesia |
| List examples of aggressive statements: | F U |
| 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: | - 1:1 observation - Remove harmful objects -Assess suicide risk |
| 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? | Primary: constituently wets bed secondary: only wets bed due to trauma |
| What are therapeutic techniques used to support effective communication? | -acceptance -rapport -genuineness |
| 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? | Provide sealed or unopened food items |
| 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 |
| What is passive suicide? | refusing to eat, drink, or cooperate with care |
| Manifestations of neglect of a child: | Poor hygiene, Malnutrition, Lack of supervision, Delayed development |
| Explain what exploitation is: | the use of an individual for selfish purposes, profit, or gain |
| 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: | Intermittent explosive disorder: when a client has sudden, uncontrollable episodes of anger Oppositional defiant disorder : when a client shows a consistent pattern of defiant, disobedient, and hostile behavior toward authority figures |
| Explain conduct disorder and how a client would act being diagnosed with it: | repeatedly violates the rights of others and breaks social rules or laws |
| Manifestations of a client who has depression: | -Feelings of worthlessness or guilt -Decreased concentration -Thoughts of death or suicide |
| Nursing interventions for a client who is escalating with behaviors: | Remain calm and use a low, firm voice |
| What personality disorders are considered to be in the erratic cluster? | -Antisocial personality disorder -Borderline personality disorder -Histrionic personality disorder -Narcissistic personality disorder |
| Most common CNS side effects of taking antipsychotic medications: | Sedation and drowsiness |
| Manifestations of neuroleptic malignant syndrome (NMS): | -Hyperthermia (high fever) -Severe muscle rigidity -Altered mental status -Autonomic instability (tachycardia, unstable blood pressure, diaphoresis) |
| Taking St. John's Wort in combination with an SSRI (i.e. sertraline "Zoloft"), what can occur? | Serotonin syndrome |
| What time frame does it take for a client with a newly prescribed antidepressant to notice improvement in overall well-being? | 2 to 4 weeks |
| Client exaggerates symptoms and holds on to that something is physically wrong despite evidence there is not is called | Hypochondriasis |
| ____________ is the term used to describe a client who consciously produces symptoms to meet a recognizable goal | Malingering |
| Defense mechanism: refusal to acknowledge conflict and thus escapes reality of situation | Denial |
| Which of the following is an expected finding of alcohol withdrawal? | Seizure activity |
| Alcohol use disorder is a contraindicated reason for a client taking benzodiazepines such as alprazolam (xanax) | True |
| Which of the following is NOT an extrapyramidal symptom (EPS) | Fluctuating vital signs |
| Term used to describe the type of incontinence of a bladder trained child due to stressful event | Secondary enuresis |
| Personality disorder: Describing a client dressing in flamboyant clothing and pretending to have an accent | Histrionic |
| Personality disorder: Pervasive pattern of disregard for and violation of the rights of others | Antisocial |
| Crack is a processed stimulant that reaches the brain immediately and produces an intense but short-lived high | True |
| Alcohol is the drug most often abused by adolescents | True |
| Suicide is attempted three times more frequently by _______ but is more often successfully completed by _______ | Adult women; men |
| Preterm delivery is a complicating factors that is seen twice as much in women experiencing abuse during pregnancy | True |
| Stage of assault involving a period of guilt and attempts to reconcile, or make up, with others; assaulter feels bad | Depression |
| Stage of assault cycle where people are unable to listen to reason, follow directions, or engage in mental exercises | Crisis |
| Sleep terrors usually occur only one a night during stage 3 and 4 NREM sleep and is associated with intense stress | True |
| Antipsychotic med complication involving protruding of the tongue, grimacing and lip smaking | Tardive dyskinesia |
| Foods high in what should be avoided when taking an MAOI (example of food to avoid: aged cheese) | Tyramine |
| Client taking lithium must monitor this electrolyte in their diet | Sodium |
| Client with paranoid delusions are to be given individual items have sealed packaging | True |
| ___________ is a drug that is taken to help reduce the desire for alcohol | Disulfiram (antabuse) |
| St. John's Wort when taken with an SSRI can cause what to happen? | Serotonin Syndrome |
| A solider arrives to the airport and reports new onset of blindness, but, he was able to identify his wife in the crowd | Conversion disorder |
| During a manic episode, a client is disruptive on the unit. What nursing intervention would be appropriate? | Setting limits and be consistent |
| Vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, drowsiness and tremor are manifestations of what medication toxicity | lithium |
| Which medication used for schizophrenia can cause dizziness due t orthostatic hypotension? | Risperidone |
| Defense mechanism: temporarily blocking of memories and perceptions from consciousness | Dissociation |
| Defense mechanism: client creating reasonable and acceptable behavior | Rationalization |
Created by:
efilchner
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