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NUR 180 MH exam 2 WITH 70+ CORRECT
QUESTIONS AND ANSWERS
Fluoxetine (prozac) SATA - ANSWERWeight gain, suicidal tendencies, aspirin- GI bleed Clonazepam (benzo) Further education is needed if patient states what? SATA - ANSWERCannot stop taking abruptly, safe because there are no side effects, Don't need to worry about taking OTC medications with it Clonazepam- Which lab test would you want to monitor? - ANSWERCBC & LFT Implement for dying patients (SATA) - ANSWERAllowing patients to voice their fears, can get them on good pain program so they are not in pain while dying, assess for hopelessness and loneliness and offer assistance. New patient admitted on mental health unit. They have panic/anxiety disorder. What would be some interventions to help decrease the patient's anxiety? (SATA) - ANSWERAdministering anti-anxiety medication (end in PAM!) find therapy that reduces stress such as aromatherapy, cognitive therapy, help them identify their strengths and weaknesses. What symptoms to look for in substance abuse? (SATA) - ANSWERRapid changes in mood and demeanor, Neglect and personal hygiene, continues to use despite negative consequences. Substance abuse, and you are planning group therapy. What would you want to base group therapy on? (SATA) - ANSWERIsolation from your job or relationships, missing a lot of work, Increase in accidents Clonazepam-teaching patient, - ANSWERDr. may order lab to test liver function Clonazepam, what information would you give to the patient? - ANSWERPrescribed as needed basis, not on regular schedule.
PTSD is elevated and normally takes alprazolam (Xanax). They can get it PRN. What would you do? - ANSWERMonitor for jaundice and sore throat-give meds Administering Buspar (buspirone-not a controlled medication) Which intervention would you take when giving this medication? - ANSWERMonitor for dizziness Generalized anxiety disorder. What would you ask the patient? - ANSWERDo you find it difficult to control your anxiety? Patient is sweating, having hard time breathing, has numbness, and has pins and needles through the body. Which medication would you want to give this patient? - ANSWERLorazepam Patient who has constricted pupils, euphoria, respiratory depression, and drowsiness. Which would you treat first? - ANSWERRespiratory Depression Patient is going through alcohol withdrawal. Patient has developed seizures through this withdrawal, what medication would you give them? - ANSWERLorazepam (Benzodiazepine) Patient has lost lbs in the last couple months. They were referred to you because of their eating disorder. What would you say to the patient? - ANSWERWhat do you eat in a typical day? Patient getting treatment for bulimia nervosa. What medication will the nurse provide teaching on? - ANSWERSSRI's Patient states to you "I have the urge to vomit after eating" What would be your response? - ANSWERSeek out a staff member to talk about your feelings. Mental health unit. Patient dx with anorexia and asks to leave right after meal? - ANSWERI will go with you to the restroom. Recently dx patient has anorexia nervosa. What will be the first thing the nurse will do? - ANSWERFormulate a nurse to patient contract
Caring for patient with anxiety disorder. Sweaty, dry mouth, and muscular rigidity. What action would you take? - ANSWERDeveloping a therapeutic relationship to explore. (do not fall for the medications answer, think MENTAL health) Child lost an appendage, how would the child react to the loss? - ANSWERBlame the boogy-man for the loss Adult with anxiety disorder. What action would you put in use for your plan of care? - ANSWERChanges in eating habits and sleep patterns Someone just experienced a loss of a loved one. What would be the nursing intervention? - ANSWEREncourage the patient to express feelings and allow periods of silence. Just had amputation, feeling upset. "I am not sure how I can ride the bicycle anymore" How is the patient coping with this loss? - ANSWERPreparing themselves for the loss Patient asks what Hospice is. How would you respond to this? - ANSWERThe goal is ensure the remaining time is meaningful and comfortable. Defence mechanism-displacement. Which statement represents displacement mechanism? - ANSWERI yelled at my dog because I was mad at my husband Patient with OCD. They have a ritual that causes them to do something every 1/2 hour every 4 hours. They refuse to attend group because of this compulsion. What action would you take? - ANSWERSet limits for the patient and allow the compulsion then have the patient attend the meeting afterward. Patient is having complicated grief. What would you want to implement? - ANSWERBe aware they could have difficulty with their mood and self-esteem. You have a dying child (12 year old) and the family is concerned with how the child will see death. How would you respond to the family? - ANSWERChildren are more concerned with the interference with the activities they enjoy doing more than the illness itself.
You have a patient who suffers from palpitations, nausea, and dyspnea. They have been recently unsuccessful on trying to find job. What actions would you take? - ANSWERHelp the patient develop more adaptive ways to cope to stressful situations. You have a patient that just lost their wife of years. He states "I am very lonely, and I do not want to see my daughter or grandchildren" What stage of grief is he in? - ANSWERDepression The patient consistently has thoughts regarding locking their front door as they leave their home. What type of behavior is this? - ANSWERObsession You have a patient that just got raped. What type of reaction are you looking for? - ANSWERTraumatic stress reactions Patient feeling lots of anxiety after witnessing the death of a coworker and the patient is requesting sleep medication. What type of mental health issue would you suspect? - ANSWERPTSD Teaching patient about new medication ordered. They state they are anxious, attentive and able to repeat what you stated to them? What state of anxiety are they in? - ANSWERModerate state What type of anxiety expresses anxious reactions to situations that are low-stress situations? - ANSWERAnxiety trait Patient with OCD and you begin to implement a plan of extending the periods of time of their OCD actions. - ANSWERDesensitization (do not fall for the behavior modification!) You have a patient with terminal illness, who thinks there is something wrong with them because they frequently cry. What type grief is this? - ANSWERAnticipatory Grief The patient is in the final stages of dying and their family is around them. What therapeutic technique would you use when communicating with family? - ANSWEREncourage expression of their feelings, concerns, and fears.
Wernicke's encephalopathy, what do you need to give them? - ANSWERGive them thymine Alcohol-patient's last drink was 10 hours ago. They have hand tremors. How do you interpret this? - ANSWERPatient is having withdrawls, need seizure treatment. Patient is a few months pregnant and asks how many drinks they can consume before becoming a risk to their baby. How do you respond? - ANSWERIt is the safest for your baby to avoid all alcohol during pregnancy Mother has hx of cocaine use during pregnancy. What symptoms may the child manifest? - ANSWERIrritability, sleeping, and eating problems Signal anxiety - ANSWERlarge response to anticipated event Anxiety trait - ANSWERLearned component of the personality MAOIS inhibitors - ANSWERDo not give fermented foods such as (pickles, jarred foods, etc) HEalthcare team preparing intervention for group of mentally ill patients who attend a community health center. What important factor will the team consider? - ANSWERUp to 75% of mentally ill patients also have a substance abuse disorder The nurse is caring for a patient withdrawing from meth. What will the nurse monitor when assessing the patient? - ANSWERLow mood and fatigue Caring for patient who stopped taking heroin for the past 3 months and now is prescribed medication to help prevent relapse. Which medication may be given? - ANSWERSuboxone Nurse is caring for a patient who comes into the ER with euphoria, constricted pupils, What symptoms should be addressed first? - ANSWERRespiratory depression What is Selye known for - ANSWERstress model known as General Adaptation Syndrome
Stage 1: Alarm Stage 2: Resistance Stage 3: Exhaustion What stage is someone in experiencing hormones such as cortisol and adrenalin released into the bloodstream to meet the threat or danger. (fight and flight) - ANSWERStage 1: Alarm What stage is someone is experiencing when they have a increased HR, BP, breathing. Cortisol and adrenaline continue to circulate at elevated levels, but outward appearance of organism seems normal. - ANSWERStage 2: Resistance If stressor continues beyond body's capacity, organism exhausts resources and becomes susceptible to disease and death what stage of General Adaption would they exhibit? - ANSWERStage 3: Exhaustion What are the levels of anxiety - ANSWERMild Moderate Severe Panic Panic Disorder/Attack - ANSWERSudden episodes of helpless terror with high physiological arousal Very frightening—sufferers live in fear of having them Feels like you're going to die (having a heart attack maybe) Phobias - ANSWERIntense, irrational fear Can be of anything you want to avoid fear of a "thing" = Specific Phobia Repression and Displacement. What is having a fear of having a panic attack in public - ANSWERAgoraphobia
