Psych Study Session

Question 1

Client is to receive halodol - Nurse should

Answer 1

-Administer in z-track method

Question 2

No foods with Tyramine with:

Answer 2

-MAOI’s

Question 3

Client who has taken anti psychotics begins to have lip smacking, facial grimacing. These are signs of:

Answer 3

-Tardive dyskinesia

Question 4

Activities for depressed client

Answer 4

-Take more time to complete

Question 5

Sx of risk for suicide

Answer 5

• Previous attempts
• Giving away things
• Feels hopeless
• Detailed plan

Question 6

Hospitalized client taken off suicide precautions, found in room with belt around neck
Treatment team needs to:

Answer 6

-Debrief

Question 7

ypo manic client doesn’t have time to eat or drink. Nurse should provide:

Answer 7

-Finger foods

Question 8

Client in ed boyfriend broke up with her, she cut wrists in bathroom
*Initial intervention is

Answer 8

-Assess the degree of lacerations

Question 9

Hx of client with manic episode, behavior prior would be

Answer 9

• Insomnia
• pressured speech
• going from one thing to another
• pacing

Question 10

Nurse on ip psych unit assesses which first

Answer 10

• Client pacing and irritable

* NOT CLIENT ON CONSTANT SUPERVISION -read question

Question 11

Lithium fine hand tremors are

Answer 11

-Normal side effects

Question 12

Client receiving lithium

should receive instructions to:

Answer 12

-Check blood levels

Question 13

Lithium toxicity is suspected when clients demonstrates

Answer 13

• coarse tremors
• ataxia
• diarrhea

Question 14

Bipolar client diagnosed with renal failure, lithium discontinued-
Which med would be prescribed:

Answer 14

-Tegretol

Question 15

Recently divorced client pacing - Which characteristics of paranoid client

Answer 15

• Rigid
• hypersensitive
• suspicious

Question 16

People with personality disorders exhibit -

Answer 16

-maladaptive coping skills

Question 17

Nursing care for client with paranoid personality disorder

Answer 17

• Do not touch them

- be simple and be direct - give explanation for what you’re doing

Question 18

Origins of bpd (Sarah)

Answer 18

• Abuse

- Dysfunctional family

Question 19

Characteristic of narcissists

Answer 19

• Person who thinks everyone is there to fulfill their needs
• Entitlement complex

Question 20

Bpd demonstrates self mutilative behavior mood swings feelings of hopelessness what is the most appropriate nursing dx

Answer 20

-Risk for self harm

Question 21

Appropriate nursing dx for client with personality disorder

Answer 21

-Difficulty with -Interpersonal relationships/social interaction

Question 22

Neglect examples

Answer 22

-Parent fails to give prescribed meds

Question 23

Tourette’s syndrome

Answer 23

• ticks

- vocal outbursts

Question 24

Eight year old argumentative, defiant, increasingly hostile, problems at home and school is:

Answer 24

-ODD

Question 25

Eight year old been in foster care - regresses to toddler like behavior. Which intervention is most beneficial

Answer 25

-Consistent, structured and predictable toilet pattern

Question 26

Nurse aware primary reason that ADHD children at risk in hospital environment is:

Answer 26

- Risk for injury | - SAFETY

Question 27

In planning care for child with ADHD

Answer 27

-Provide structure in activities

Question 28

Nurse working with child with ADHD, provide might prescribe

Answer 28

- Amphetamine - Dexmethylphenidate - Methylphenidate

Question 29

In art therapy session , client with anorexia is asked to draw herself

Answer 29

-Overweight person

Question 30

Patient with anorexia is

Answer 30

-Perfectionist

Question 31

During team meeting, client with bulimia is not responding to treatment - *Teaching plan for what drug:

Answer 31

-Prozac

Question 32

Client with eating disorder asks to be excused to go to bathroom

Answer 32

-We can go to bathroom together

Question 33

Nurse working with alcoholic recognizes which defense mechanism

Answer 33

-Denial

Question 34

Client states I could get a good high from six , now I need more

Answer 34

-Tolerance

Question 35

Which client waiting to be seen in Ed is

Answer 35

-Cocaine abuser with chest pains

Question 36

Nurse caring for 17 year old boy addicted to cannibus is risk for

Answer 36

- Lower testosterone - Impaired concentration - Cellular changes in lungs

Question 37

Admission assessment client with panic disorder says I'm going to die, nurse should:

Answer 37

-Reduce immediate stress -make them feel safe

Question 38

Client with GAD wants to stop taking Ativan, which important factor should be discussed

Answer 38

-Withdrawal sx

Question 39

Manifestation of post traumatic stress

Answer 39

- Strong startle reflex - Lack of impulse control - Nightmares

Question 40

Doorknobs are contaminated with virulent bacteria has to was repeatedly touch clean knob:

Answer 40

-This is to control/reduce anxiety

Question 41

Which nursing action is therapeutic for client with panic disorder

Answer 41

- Support attempt to discuss feelings - Respect personal space - Reassure safety

Question 42

Client with chronic anxiety is experiencing chest pain

Answer 42

-Obtain vs

Question 43

Patient with agoraphobia refuses to go to group room - what should the nurse do?

Answer 43

-I'll walk with you

Question 44

Which sx with GAD?

Answer 44

- Excessive worry - Muscle tension - Feeling keyed up and on edge

Question 45

Nurse teaches clients taking anxiety taking alcohol

Answer 45

-CNS depression

Question 46

Buspar may not reach full effect for a few weeks

Answer 46

-Not used PRN

Question 47

Client refuses meal try thinking it's poisoned

Answer 47

-This is a delusion

Question 48

Nurse is most concerned when client having hallucinations says

Answer 48

-The voices are telling me to kill my roommate

Question 49

Family members asks since both of my siblings have schizo, why is the brothers sx so diff than sis

Answer 49

-Not all sx are the same

Question 50

Homeless psychotic client , claims he is being bit by insects. What should the nurse do FIRST?

Answer 50

-Check for bites

Question 51

Highly suspicious client, everyone is laughing at me - the priority dx would be

Answer 51

-Risk for violence towards others

Question 52

Paranoid schizophrenia says all you nurses are blidshears

Answer 52

-Neologisms

Question 53

Most appropriate nursing intervention when client states, Voices are telling me to kill myself and others

Answer 53

-Nurse should visit client at regular intervals to build trust

Question 54

Client on cogentin shows drug is working when

Answer 54

-Gait is stronger

Question 55

After three weeks of therapy with prolixin, trouble chewing and swallowing food. What is happening?

Answer 55

-Extra pyramidal reaction

Question 56

Client admitted with ... Should be treated with

Answer 56

-Thorazine

Question 57

Client dxd with thought disorders antichoinergic side effects:

Answer 57

- See - Pee - Spit - Poop

Question 58

Abusers are:

Answer 58

- From all SES backgrounds - Difficulty expressing feelings - Jealous and possessive

Question 59

Survivor of childhood abuse, cutting. Intervention of high priority

Answer 59

-Setting limits on harmful behavior

Question 60

Woman with missing hair, partner is solicitous

Answer 60

-Take him out of the room

Question 61

Sexual assault victim -what do you do?

Answer 61

-Explain what you are doing

Question 62

When working with woman who are abused:

Answer 62

- Best for children - Physical jeopardy after leave - Financially dependent

Question 63

Agitated client gets IM injection of halodol , begins neck up and drooling- signs of:

Answer 63

-Dystrophic reaction

Question 64

Because Onset of schizo is generally gradual, they may have a history of

Answer 64

-Preoccupation with body parts and staring

Question 65

Nurse knows patient at risk for suicide:

Answer 65

-Provide treatment for serious injury

Question 66

She discussing long term effect so rape trauma

Answer 66

-Disruption in daily routine

Question 67

With Tourette's DON'T give

Answer 67

-Stimulants