Rasmussen: Mental Health Exam 2 Latest Version(2021/2022)
Which nursing diagnosis supports the psychoanalytic theory of development of major
... [Show More] depressive disorder? - CORRECT ANSWER Social isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major depressive disorder? - CORRECT ANSWER 24 yr old married woman
A patient diagnosed with MDD is being considered for ECT. Which patient teaching should the nurse prioritize? - CORRECT ANSWER Discuss with the patient and family expected short term memory loss
Which nursing intervention takes priority when working with a newly admitted patient experiencing suicidal ideations? - CORRECT ANSWER Monitor the patient at a close, but irregular intervals.
A patient diagnosed with major depressive disorder is prescribed Nardil. Which teachings should the nurse prioritize? - CORRECT ANSWER Intruct the patient & family about the many food-drug & drug-drug interactions?
What symptoms would the nurse expect to assess i a patient experiencing serotonin syndrome? - CORRECT ANSWER Confusion, restlessness, Tachycardia, Labile BP, & diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants? - CORRECT ANSWER Nortriptyline (Pamelor)
Which of the following are examples of anticholinergic side effects from tricyclic antidepressants? - CORRECT ANSWER Urinary hesitancy, constipation, and blurred vision
A patient seen in the ED is experiencing irritability, pressured speech, and increased levels of anxiety. The priority is? - CORRECT ANSWER Assess vital signs and complete a physical assessment
A patient diagnosed with bipolar 1 in the manic phase is yelling at another peer in the milieu. The priority intervention is? - CORRECT ANSWER Calmly redirect and remove the patient from the milieu.
A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of ideas. Which meds would you expect to give? - CORRECT ANSWER Risperidone (Risperdal) & Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors and muscular irritability. The RN should? - CORRECT ANSWER Assess a serum Lithium level of 2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse takes priority? - CORRECT ANSWER Make sure your salt intake is consistent.
Which is an example of an behavioral response to a moderate level of anxiety? - CORRECT ANSWER Restlessness
Which is an example of a physiological response to a panic level of anxiety? - CORRECT ANSWER Dilated pupils.
A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would the nurse expect to assess? - CORRECT ANSWER Diminished participation in significant activities.
A patient on an in patient unit is experiencing a flash back. Which intervention takes priority? - CORRECT ANSWER Maintain and reassure the patient of his or her safety and security
Patienta diagnosed with OCD, Commonly use which defense mechanism? - CORRECT ANSWER Undoing
A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to assess? - CORRECT ANSWER The patient uses excessive hand washing to relieve anxiety.
These meds can be used to treat patients with anxiety disorders: Catapres, Luvox, Buspar, and Xanax? - CORRECT ANSWER True
Resperidone is to hallucinations as Clonazepam is to ? - CORRECT ANSWER Anxiety
Although symptoms of schizophrenia occur at various times in the life span, what patient would more likely be diagnosed? - CORRECT ANSWER A 20 yr old man
The children saying "step on a crack and you break mothers back" is an example of which type of thinking? - CORRECT ANSWER Magical thinking
The nurse documents that a patient diagnosed with schizophrenia is expressing a flat affect? What is an example of this symptom? - CORRECT ANSWER The patient exhibits no emotional expressions
A patient is experie [Show Less]