Mental Health Flashcards
What are manifestations of delirium?
rapid, inappropriate, incoherent, and rambling speech patterns
What is sublimation?
Unacceptable urges are transformed into more productive and acceptable habits
What is the indication for chlorpromazine?
Antipyschotic medication to decrease hallucinations and other manifestations of schizophrenia
What is an adverse effect of ECT?
Short-term memory loss
T/F: The nurse should allow the patient with OCD to continue their rituals.
True
T/F: Olanzapine is a first generation antipsychotic drug.
False. It is a atypical second generation drug.
What is the suffix for atpical second generation drugs?
-apine
What are the stages of schizophrenia?
Prodome (gradual onset, mild symptoms, occurs months/years prior to acute phase)
Acute (delusions/hallucinations, alterations in speech, perceptions, and behavior)
Stabilization (psychosocial treatment, improved coping, medication controls symptoms)
Maintenance (symptom control maintained, medication adherence, quality of life)
T/F: Autism spectrum patients have fixated interests and is insistent on routine.
True
T/F: The nurse should monitor the patient’s level of attention span for a client newly diagnosed with Autism Spectrum Disorder.
False. This is for ADHD.
What happens when you mix paroxetine with St. John’s Wort?
Seretonin Syndrome
What type of depression is a low-level that lasts more than 2 years?
Persistent depressive disorder
T/F: You should ignore a child when they are having a tantrum.
True
What is anergia, and what is the intervention for it?
Lacking energy. Encourage exercise
What is anhedonia, and what is the intervention for it?
Not finding joys in life. Maintain ADLs
What type of diet should someone with anorexia have?
Small, good quality, high calorie meals
What are the risk factors for suicide?
Ideation
Previous attempt
Family history
Impulsive
What are the warning signs of suicide?
Use of drugs/alcohol
Giving things away
Covert statements
What are the nursing interventions for suicide?
-Assess for plan and ability to initiate plan
-Initiative preventive measures
-Implement 1:1 supervision
What are early signs of lithium carbonate toxicity?
Lethargy
Dehydration
Slurred speech
T/F: Mild thirst is a normal side effect of lithium carbonate.
True
What are symptoms of the manic phase of bipolar disorder?
Anorexia
Accelerated speech
Fragmented thoughts
Lacks impulse control
Inability to sleep
For a patient with dependent personality disorder, what findings indicate a positive response to therapy?
Creates a daily list of short-term goals
Gathers information before decision-making
What personality disorders are part of Cluster A?
Odd and eccentric
Paranoid
Schizoid
Schizotypal
What personality disorders are part of Cluster B?
Dramatic or erratic
Antisocial
Borderline
Histrionic
Narcissistic
What personality disorders are part of Cluster C?
Fearful and anxious
Avoidant
Dependent
Obsessive-Compulsive
What medication is used for the withdrawal process from opioids?
Methadone
What medication is used for the withdrawal process from nicotine and amphetamine?
Bupropion
What is varenicline used for?
Withdrawal response from nicotine
What is clonidine used for?
Opioids
What are opioid withdrawal manifestations?
Fever, diaphoresis, irritability, vomiting
T/F: A client has been admitted for detoxification of CNS stimulant addiction. Decreased appetite is expected 8 hrs after admission.
False. Increased appetite is expected.
T/F: A patient with Stage 2 (Moderate) Alzheimer’s disease cannot balance a checkbook.
True
T/F: A patient with Stage 2 (Moderate) Alzheimer’s disease would not recognize their family members.
False, this is a late sign.
T/F: A patient with Stage 2 (Moderate) Alzheimer’s disease will decline daily basic hygiene needs.
True
T/F: A patient with Stage 2 (Moderate) Alzheimer’s disease is unable to grocery shop independently.
True
T/F: Agitation and confusion in patients with dementia can be increased by routine.
False
A client with anorexia nervosa has lost 14 pounds in the past two weeks. What is the priority therapy?
Initiate IV fluid therapy
What are the components of the cycle of abuse?
Tension-building
Battering
Honeymoon
T/F: For a client who has PTSD, the nurse should allow the expression of the traumatic event.
True.
T/F: For a client who has PTSD, the nurse should reinforce behavioral therapy.
False. The nurse should reinforce cognitive therapy.
What is agnosia?
An ability to recognize objects using the senses
Who would have the greatest risk for factors of PTSD in the following scenario: bombing at a school lunchroom.
-First responders arriving just after the bombing
-Cafeteria workers at the site closest to the bomb
-Disaster-trained health care school nurses
Cafeteria workers at the site closest to the bomb.
The closer the individual is the actual site and the longer they are exposed to it, the greater the psychological distress the individual will experience.
What is the primary focus of group therapy?
Personal feelings that affect behavior. In a group setting, clients have the opportunity to receive feedback that may enhance discovery of how feelings and situations drive behavior.
Who is at increased risk for depression: male or female gender?
Female
T/F: A client with anorexia nervosa can be expected to have orthostatic hypertension.
True. Low weight, electrolyte imbalance, starvation, and dehydration cause orthostatic hypertension
What is a situational crisis?
An unexpected event occurs.
i.e. A client recently loses a grandparent in a motor vehicle crash.
What is an adventitious crisis?
When an external disaster occurs.
i.e. The client’s town was hit by a tornado.
What is a maturational crisis?
Happens during a natural life event.
i.e. The client’s youngest child is leaving for college.
i.e. The client is ambivalent about their upcoming retirement.
What are examples of negative symptoms?
Flat affect
Anergia
Anhedonia
Thought blocking
What are examples of positive symptoms?
Alterations in behavior, perception, speech and though
Motor agitation
Echopraxia
T/F: Patients taking disulfiram should avoid having pure vanilla extract in their diet.
True.
