Download Exam 1: NUR208/ NUR 208 (2024/ 2025 Update) Mental Health Nursing Review| Q&A and more Exams Nursing in PDF only on Docsity!
Exam 1 : NUR20 8 / NUR 20 8 (2024/ 2025
Update) Mental Health Nursing Review|
Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
what are SSRI's? give examples of them Answer: antidepressants
- increase the availability of serotonin by not reuptaking it and instead inhibiting it. ex: prozac, zoloft, paxil, celexa, lexapro, Luvox
QUESTION
What are monoamine oxidase inhibitors? (MAOI's) Answer: a broad class of antidepressant drugs ex: PA NA MA
QUESTION
what is a bad side effect of MAOI's? Answer: if patient has too much tyramine they can go into a leathal hypertensive crisis
QUESTION
tyramine containing foods
Answer: aged cheese, pickeled or smoked fish, wine sandwhich meats, figs, bananas, raisins, beer
QUESTION
what is Lithium? what should you monitor for? Answer: medication for bipolar has a small therapeutic range, give at same time of day
QUESTION
what are the first generation antipsychotics?
- give examples Answer: drugs that block the action of dopamine (D2) ex: haldol and thorazine
QUESTION
what are the negative side effects of the first generation antipsychotics? Answer: extraparamidal symptoms, impairs muscles and movements
QUESTION
what are the second generation antipsychotics?
- give examples Answer: first line treatment for antipsychotics. ex: clozapine, risperdal, seroquel, zyprexa
Answer: clarify their own personal attitudes, values, and beliefs. (nurse needs to have self-awareness)
QUESTION
What is restatement? Answer: repeating the main idea of what the client has said, it allows the client to know the nurse is listening and understands them
QUESTION
when should you use open vs close ended questions? Answer: open: when you need to gather more information closed: asking if they are thinking about hurting themselves or others
QUESTION
how does the hispanic culture express their grief? Answer: they are usually dramatic, and loud when expressing their greif
QUESTION
what are the environmental risk factors for mental health? Answer: childhood neglet, sposual abuse, parental substance use
QUESTION
what are the psychological risk factors for mental health? Answer: temperature and resilience
QUESTION
what is a fluency disorder? Answer: stuttering, manifested by hesitations and repetition
QUESTION
what is a learning disroder? Answer: difficulty learning words or inability to complete coherent sentences. ex: dyslexia
QUESTION
what to do first when someone is calling to ask about patient information? Answer: always check to make sure pt signed consent for that person to know their information
QUESTION
can involuntary admits leave the facility whenever they want? Answer: no, they cannot leave against medical advise until cleared
repressed memories, passions, and unacceptable urges that are deep below the surface of awareness
QUESTION
what is transference? Answer: When client views a member of healthcare team as having characteristics of another person who has been significant to the patient's personal life. Can be positive or negative.
- ex: "you remind me of someone", this is common
QUESTION
what is countertransference? Answer: When the nurse unconsciously and inappropriately displaces feelings onto the patient. this can developfrom overinvolvment or innapropriate feelings that impairs the therapeutic relationship
QUESTION
What is the id, superego, and ego? Answer: id: devil on our shoulder superego: angel on our shoulder
- ego: decision making part of the mind
QUESTION
which ego or id is underdeveloped in a criminal? Answer: their superego, they do not know right from wrong
QUESTION
what are the stages of maslow's hierarchy? Answer: 1 - physiological needs (ABC,s hydration, nutrition) 2 - safety 3 - love and belongning 4 - self esteem 5 - self actualization (all needs met)
QUESTION
what are the high sedative anti-anxiety meds? Answer: ativan, valium, klonopin, xanax
QUESTION
what is GABA? Answer: a major inhibitory neurotransmitter (calming)
QUESTION
what is Buspar? Answer: reduces anxiety without having strong sedative or addictive properties.
- pt should take this after being on antianxieties for awhile
QUESTION
patient teaching for prozac and orthostatic hypotension
Answer: ask them if they want us to report the abuse, if they do not want us to we should provide them with resources they can use
QUESTION
what to do if a patient refuses their meds? Answer: discuss the clients right to refuse the meds
QUESTION
what to do if a patient that is drunk falls asleep while you are asking them questions? Answer: ask the family member about their health history (do not give the doctor a blank chart)
QUESTION
what is Erikson's therory about integrity vs despair? Answer: over 65 years old integrity: old grandma is happy with her life and how she lived it. despair: old man is grumpy and yells at kids in his yard
QUESTION
what needs to be done if a patient is on restraints? Answer: the doctor MUST do an in person evaluation within an hour of ordering the restraints
QUESTION
what should the nurse do if the patient puts their head down and is quiet when the nurse is asking them questions? Answer: remain silent and allow the client to have time.
QUESTION
what is DSM-5? Answer: this gives the criteria for a definable diagnosis for a meantal health illness
QUESTION
What is the diathesis-stress model? Answer: a theory that says a persons family and environment (genetics or biologists) influences their mental health and wellbeing
QUESTION
what is the mental health parity act? Answer: this makes the insurance pay for equal treatment for medsurg care and mental health care
QUESTION
what is the therapeutic milieu? Answer:
what interventions should always be used first? Answer: the least restrictive method should always be used first
QUESTION
what interventions should the nurse do when working with a sundowning demented patient? Answer: use an ankle monitor on them because it is the least restrictive
QUESTION
what is battery? Answer: Touching or striking a patient without patients consent
QUESTION
what is assault? Answer: Making threat to do something harmful.
