Mental Health Exam #4

Question 1

what is bulimia?

Answer 1

patients may have a normal weight or be overweight

Question 2

what is the difference between bulimia and anorexia?

Answer 2

bulimia: includes purging
anorexia: significant side effects like cardiac problems

Question 3

how do we care for patients with eating disorders?

Answer 3

nurses that do not have a power struggle

Question 4

why do we nourish emaciated patients slowly?

Answer 4

avoid the body from going into shock since it has not received nutrients in a while. electrolyte shift and they can die. S and S: decreased HR, hyperactive, no menses, altered body image

Question 5

how do patients with conduct disorder behave?

Answer 5

loud, distributive, bullies, aggressive

Question 6

how do patients with paranoid PD behave?

Answer 6

suspicious, distressed, hold grudges: CLUSTER A

Question 7

what is antisocial personality disorder?

Answer 7

manipulates and violates the rights of others without remorse

Question 8

what are signs and symptoms of autism?

Answer 8

stoic, overly emotional, move around a lot (repetitive behavior)

Question 9

what is avoidant PD?

Answer 9

patients avoid all social encounters, have low self-esteem, low self-worth

Question 10

how do we care for patients with avoidant PD?

Answer 10

have patients say one good thing about themselves

Question 11

interventions for an adolescent with conduct disorder

Answer 11

therapy, family therapy, safety (untreated can become CLUSTER B disorder) Rule out: substance abuse, MSE

Question 12

what are some expected findings of PTSD?

Answer 12

insomnia, fatigue, isolation, withdrawal

Question 13

how do personality disorders usually start? what behaviors do you see with patients with antisocial PD?

Answer 13

conduct disorder (CLUSTER B)
acting out as a child, doing bad in school, entitlement

Question 14

what are manipulative behaviors?

Answer 14

feed off of fear, obligation, and guilt (CLUSTER B: antisocial)

Question 15

CLUSTER A

Answer 15

odd and eccentric, exploit and deceive, magical thinking, delusions, hallucinations, uncooperative, don’t interact with others

Question 16

what is bipolar disorder? how should we care for these patients?

Answer 16

“manic phase” monitor in quiet dimmed area, decrease stimulation

Question 17

what is OCD? how should we care for patients with OCD? what characteristics do these patients have?

Answer 17

obsessions and compulsions
weaning process: identify what triggers the compulsion
repetitive action that causes distration

Question 18

how should a nurse handle a patient who is escalation?

Answer 18

“What is upsetting you?”, de-escalate the situation, clear the room

Question 19

what is the difference between conduct disorder and ODD?

Answer 19

conduct disorder: aggression

ODD: do not exhibit physical abuse

Question 20

autonomy

Answer 20

patients have the right to choose their care

Question 21

what to do with a patient who is acting out?

Answer 21

decreased stimulation

Question 22

what do you do ist for a patient who comes into the ER with bulimia?

Answer 22

EKG monitor, vitals, CBC, CMP, BMP, fluids, assess for depression, education

Question 23

why is St. Johns’s wort not the best treatment choice for depression?

Answer 23

increases SI and has a lot of contraindications

educate patient that this is not the best choice

Question 24

what are some side effects of escitalopram (Lexapro)?

Answer 24

sexual dysfunction decreased libido

Question 25

what patient education should be provided for a patient who has just been prescribed amitriptyline?

Answer 25

don’t stop abruptly, if you miss a dose do not double up, increased SI, takes 6-8 weeks to work, follow up with a provider, make sure to get refills

Question 26

what medications should a patient on phenelzine avoid?

Answer 26

tyramine foods (aged cheese, turkey, caffeine) can cause hypertensive crisis: increased BP if taken with OTC meds

Question 27

what education should be provided for a patient who is prescribed sertraline?

Answer 27

makes you drowsy so take at bedtime, may benefit from therapy

Question 28

transference

Answer 28

person redirects their feelings for another person to a different person
EX: the new pt reminds the nurse of one of their ex-relationships, so the nurses treats the patient like their ex

Question 29

what are positive signs?

Answer 29

delusions, hallucinations, somatic delusions, confused thoughts and speech, trouble concentrating, movement disorders

Question 30

what health risks do patients with anorexia face?

Answer 30

osteopenia, osteoporosis, heart problems due to lack of electrolytes, malnutrition, SI Decreasd HR, BP, temp

Question 31

how should we care for a client who is cognitively impaired?

Answer 31

something from home, pictures, make them feel comfortable

Question 32

what are erotomanic delusions?

Answer 32

patient thinks celebrity is in love with them

Question 33

who is most likely to be a victim of domestic violence? what do we know about the abusers?

Answer 33

women or anyone in vulnerable position
gets worse when they are pregnant
abuser: keeps them isolated, is manipulative, have lo self-eteem

Question 34

what is the underlying cause of somatic symptom disorder?

Answer 34

childhood trauma or abuse
repress anxiety by focusing on made-up illness, repression of feelings
many doctor and hospital visits
decreased serotonin and endorphina

Question 35

what is narcissistic PD?

Answer 35

people think they are perfect and rules don’t apply to them