Psychiatric

Question 1

Setting realistic limits on a client behavior would work best on a patient with what kind of personality disorder?

Answer 1

Antisocial personality disorder

Question 2

Behaving in a friendly manner toward a client would work best with a client with which type of personality disorder?

Answer 2

Avoidant personality disorder

Question 3

Showing respect for the clients need for isolation would be best with a client with what type of personality disorder?

Answer 3

Schizotypal personality disorder

Question 4

Acting as role model for assertiveness would work best with what type of personality disorder ?

Answer 4

Dependent or histrionic personality disorder

Question 5

What is benztropine normally given for?

Answer 5

Parkinsonian manifestations such as shuffling gait

Question 6

Weight criteria that meets requirement to be hospitalized

Answer 6

75% of body weight
Of less than 10% of body fat

Rapid weight loss or greater than 30% of body weight in less than 6 months

ECG changes

Electrolyte disturbances

Psychosis, suicidal, depression, family crisis

Question 7

Why does a patient taking lithium need to make sure they intake sodium and fluids normally?

Answer 7

This maintains adequate lithium excretion
If there are low amounts of sodium the body compensates by also lowering lithium excretion which can lead to lithium toxicity

Question 8

Intervention that should be a priority when newly admitting a patient after attempting suicide?

Answer 8

One on one watch and assessment of patient

Question 9

What is a situational crisis?

Answer 9

Something unexpected

Like a traumatic death

Question 10

What is an adventitious crisis?

Answer 10

An external disaster such as town getting hit by a tornado

Question 11

What supplement interacts adversely with paroxetine?

Answer 11

St. John’s worts.

These can cause serotonin syndrome

Question 12

What is an adverse effect of taking atomoxine?

What are common side effects

Answer 12

Liver damage which can turn into liver failure then death
So check for dark urine. Not good

-appetite suppression, weight loss, growth supression

Question 13

Lamotagrine, an anticonvulsant often used as a mood stabilizer can cause what adverse affect?

Answer 13

Rash. Can be life threatening

Question 14

Tasks a nurse can delegate to pns (practical nurses)

Answer 14

Monitoring finding
Reinforcing client teaching from standard care plan
Tracheostomy care
Suctioning
CheckingPeg tube placement
Administering enteral feedings
Inserting a urinary catheter
Administering meds

Question 15

Example of situational or external crisis

Answer 15

Unanticipated loss or change experience in everyday, unanticipated life events
Divorce or job Change

Question 16

What do you do for a client with fine hand tremors?

Answer 16

• administer beta blockers like propranolol
• adjust dosage of lithium
• advise patient to let you know if their tremors get worse this could mean lithium toxicity

Question 17

What to tell your patient when educating about Hepatoxicity

Answer 17

Flu like manifestations, yellowing of skin eyes, or abdominal pain

Question 18

A nurse who spends adequate time with a verbally abusive is showing which ethical principle?

Answer 18

Justice
Because though the patient is verbally abusive she is ensuring that alll clients no matter what the case is receiving good patient care

Question 19

For then12 step program the nurse should advice the patient to

Answer 19

Get a sponsor.

It has showen to give a higher success rate

Question 20

What severe adverse effect can clozapine cause?

Answer 20

Agranulocytosis

A wbc could of under 3000 can indicate agranulocytosis and clozapine should be withheld

Question 21

Example for primary, secondary, and tertiary prevention

Answer 21

Primary- provide teaching of positive coping mechanisms
Secondary- screening tools
Tertiary- legal advocacy team, group therapy

Question 22

Alcohol withdrawal symptoms

Answer 22

Hypertension
Tachycardia
Fever above 101

Question 23

Care plans for clients with depression

Answer 23

Starts with same care plan but then you begin to change depending on patient

Question 24

Signs that a child who lost parents has ptsd

Answer 24

Lack of interest in upcoming holiday events

Question 25

Tranylcypromine is what kind of drug and shouldn’t be mixed with what

Answer 25

It’s an moi antidepressant

Nothing with phenylnephrine or like congestion stuff because the sns effect. It can cause a hypertensive crisis

Question 26

How often do you need to renew seclusion orders

Answer 26

Every 4 hrs