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mental health
| Question | Answer |
|---|---|
| Client exaggerates symptoms and holds on to something is physically wrong despite evidence there is not called | Hypochondriasis |
| what 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 |
| what is an expected finding for a pt that has alcohol withdrawal | seizure activity |
| what kind of patient should not take benzodiazepines such as alprazolam (Xanax) | a pt with alcohol use disorder |
| expected symptoms for a pt who has extrapyramidal symptom (EPS) | fidgeting impaired gait muscle contractions |
| term used to describe the type of incontinence of a bladder trained child due to stressful event | secondary enuresis |
| Personality disorder: describe a client dressing in flamboyant clothing and pretends to have an accent | histrionic |
| Personality disorder: pervasive pattern of disregard for and violation of the rights of others | antisocial |
| what does crack do | it is a processed stimulant that reaches the brain immediately and produces an intense but short lived high |
| what drug is most abused in adolescence | alcohol |
| suicide is attempted three times more frequently by | women |
| suicide is more successfully completed by which sex | men |
| what is something that is seen twice as much in women who experience abuse during pregnancy | preterm delivery |
| 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 |
| what are sleep terrors | theses usually occur only one a night during stage 3-4 of NREM sleep and is associated with intense stress |
| antipsychotic med complications involving protruding of the tongue, grimacing and lip smacking | tardive dyskinesia |
| foods high in what should be avoided when taking an MAOI (example of food to avoid is aged cheese) | tyramine |
| what should you monitor for a patient taking lithium | sodium levels |
| what should you do with a pt that has paranoid delusions | you give them individual items that have sealed packaging |
| what med is given to help reduce the desire for alcohol | disulfiram (Antabuse) |
| St John Worts 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 and tremors are manifestation of what medication toxicity | lithium |
| what med used for schizophrenia can cause dizziness due to orthostatic hypotension | risperidone |
| defense mechanism: temporarily blocking memories and perception from consciousness | dissociation |
| Defense mechanism: client creating reasonable and acceptable explanations for unacceptable behavior | rationalization |
| normal value for lithium | 0.6-1.2 |
| what lithium value causes toxicity | anything greater than 1.5 |
| manifestations of lithium toxicity | tremors n/v diarrhea confusion ataxia slurred speech |
| interventions for a pt who has attempted to suicide | 1:1 removal harmful objects safe environment suicide precautions ask about suicidal thoughts do not leave alone |
| side effects of risperidone | wt gain sedation EPS orthostatic hypotension increased prolactin |
| why should you use PRN benzos | panic attacks severe anxiety alcohol withdrawal acute agitation |
| manifestations of a major depressive disorder (MDD) | sadness loss of interest sleep changes appetite changes fatigue poor concentration feelings of worthlessness suicidal thoughts |
| manifestations of alcohol withdrawal | tremors sweating anxiety nausea seizures hallucinations |
| food to avoid on MAOIs | aged cheese wine beer avocado bananas processed meats soy sauce |
| pt who has EPS would experience what | acute dystonia shuffling gait, tremor can't sit still tardive dyskinesia |
| primary nocturnal enuresis | never achieved bladder control |
| secondary enuresis | had bladder control, then started bedwetting again |
| therapeutic techniques used to support effective communication, | active listening open ended questions restating clarifying questions silence reflection offering self |
Created by:
destiny638