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Mental Health Q3 > Q3 > Flashcards

Q3 Flashcards

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1
Q

Aricept

is drug choice for Alzheimer’s-what does it do?

A

Slows down the progression of the disease= NOT a cure

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2
Q

PT suffering from dementia Alzheimer’s what’s the main nursing priority?

A

Nutrition; Hydration

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3
Q

What is Stereotypic movement disorder? drug choice?

A

Repetitive purposeless movement- hand waving,rocking, head banging, nail bitting, teeth grinding

Naltrexone

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4
Q

What is Tourette Syndrome?

Drug choice

A

Motor and verbal tic syndrome-
Pill rolling, rocking back & forth, rogue protrusion

Orap

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5
Q

What is denial

A

Pretending the truth is not real

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6
Q

Projection

A

Person blames others for their unacceptable behavior or thoughts

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7
Q

Displacement

A

Person shifts their feelings from an object, person, or situation to somewhere less threatening

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8
Q

Rationalization

A

Creating reasonable answers for their unacceptable behavior

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9
Q

Alcohol withdrawal symptoms

& when does manifestation begin

A 
Nausea
Vomiting 
Increase BP RR HR TEMP 
anxiety
Restlessness/ inability to sleep
Hallucinations 
Tonic clonic seizures

4-12 hours after last intake

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10
Q

Alcohol withdrawal delirium occurs when

A

2-3 days after withdrawal and last 2-3 days= MEDICAL EMERGENCY

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11
Q

Alcohol detox med
Diazepam (vallium)
What does it do

A

Prevents seizures & sedation

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12
Q

Alcohol adjunct med-
Propranolol (Inderal)
What does it do?
Intervention

A

Decreases HR & BP, cravings

Seizure precaution- bed padding & sanction equipment

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13
Q

Alcohol abstinence maintenance med- Disulfiram (Antabuse)

What type of therapy?
And if taken with alcohol what will happen? & how long does it last?

A 
Disulfiram (Antabuse)-
Aversion therapy
If taking alcohol with this med, acetaldehyde syndrome can occur- 
Nausea
Vomiting
Hypotension
Palpitation
Sweating

2 weeks

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14
Q

Alcohol abstinence maintenance med-
Naltrexone (Vivitrol)
What does it do

A

Suppress cravings to alcohol

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15
Q 
Alcohol abstinence maintenance med-
Amcamprosate (Camprol)
What does it do?
Take it how many times a day?
Maintain fluid intake bc...
A

Reduces cravings to alcohol
Oral 3x daily
Diarrhea

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16
Q 
Sedative/Hypnotics 
Benzodiazepines (Diazepam)
Or 
Barbiturates (Pentobarbital)
What are main nursing priority after withdrawal occurs?

Antidote for Benzodiazepine and barbiturates

A

Safety, seizure potential, slowly taper down med

Benzodiazepines- Flumazenil (Romazicon)
Barbiturates- no antidote

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17
Q

Nicotine replacement therapy med-
Varenicline (Chantix)
What type of PT to monitor for?

A

Diabetes PT because loss of glucose control or new onset of diabetes on PT

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18
Q

Nicorette Gum
Do not take for longer than
What not to before and after taking?
How long to chew for?

A

Not recommended for longer than 6 months

Chew 30 min, slow, intermittently
No food/drink 15

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19
Q

Opioid antidote

Given how

A

Naloxone (Narcan)

IV

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20
Q

What is somatic disorder?
S&S
PT say they have an pain? What do u do

A

PT who act like they have a physical medical issue

Anxiety, depression, personality disorder

May be experiencing REAL pain, check physically before giving med

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21
Q

A nurse is caring for a pt diagnosed with somatic disorder. When acting with you, pt focuses on severe headaches, which of the following interventions would be appropriate?

Pt dx w/ somatic disorder. Nursing dx of Social isolation r/t fatigue and pain AED decreased contact w/ family and friends. Which nursing outcome would be appropriate

A

Shift focus of somatic concerns to more positive coping strategies & mechanisms

Pt will seek support from a nurse when feelings of anxiety become difficult to handle or physical symptoms increase by the third day

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22
Q

What is conversion disorder?
La belle Indifference
History of

A

Mental disorder not physical that occurs unconsciously
PT has “no neurological disorder”

PT shows no emotional concern on their symptoms

Hx of Childhood sexual or physical abuse

Examples
-pt has physical abnormal results (negative CTC, blood scan), but pt constantly complains
-“leg may be paralyzed after falling from a horse even though they were not physically injured”

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23
Q

Factitious Disorder

A

PT who consciously pretends to be ill to get emotional needs met and attain the status of ‘patient’

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24
Q

A nurse is performing an admission assessment for a pt who has delirium due to UTI
Which are expected findings? (select all)

A

Hallucinations
Confusion
Sundowning- PT becomes confused at night

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25
CNS Drugs withdrawal
Fatigue Anxiety Depression
26
What type of PT is Anafranil used on? Important teaching for adolescents on this drug
OCD patients Eat a diet with high fiber
27
ADHD meds such as Methylphenidates and Amphetamines... Exacerbate what? Should be taken when? Last dose? If stopped abruptly what are the symptoms?
Tourette Tic disorder Before or after meals & give last dose before 4pm bc may cause insomnia Depression, fatigue, anxiety
28
Norepinephrine Selective reuptake inhibitor - Atomoxetine (Strattera) PT should report what
Liver problems Flu like symptoms Yellowing of the skin Abdominal pain
29
Tricyclic Antidepressants | Imipramine (Tofranil) treats what disorder
OCD
30
ADHD in school-aged child | What is the main risk factor
Hyperactive | Risk for injury
31
Client diagnosed with Dissociative identity disorder asks what alters are, which statement is correct?
Separate personalities with their own characteristics that take over during times of STRESS
32
12-year-old child with ADHD is put on Ritalin (long-acting) 10mg – what is the correct duration of action?
8-12 hours
33
Detoxification
Inpatient, 24 hours medical coverage
34
How would a 7-year-old pt express their feelings?
Journaling and drawing
35
A newly married man has a dx of schizophrenia states that a demon is sticking needles in his penis... what do you do?
-Assess for physical S&S -Arrange for the pt to be seen by HCP bc pt may be experiencing real pain
36
You have a care plan. Pt is expiring withdraws from Kolopin. Priority nursing care plan?
Orient pt to place, time, Offer fluids Implement seizure complications
37
What med should the nurse give to maintain abstinence from alcohol?
Disulfiram (Antabuse)
38
A PT is experiencing crisis what med would be prescribed
Paroxetine (Paxil) | Lorazepam (Ativan)
39
Benzodiazepine withdrawal, what is the main priority
Seizure precautions
40
A nurse suspects a client is experiencing delirium. Which specific assessment info would support this suspicion?
Decrease level of consciousness and intermittent hyper vigilance
41
A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicates an understanding of this form of therapy?
The therapist will focus on my past relationships during our sessions
42
A nurse is discussing free association as a therapeutic tool with a client who has major depressive disorder. Which of the following client statements indicates understanding of this technique?
I should say the first thing that comes to my mind
43
A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following are appropriate to include in the plan of care?
Priority restructuring Monitoring thoughts Journal keeping
44
A nurse is caring for a client who has a new prescription for Disulfiram (Antabuse) for the treatment of his alcohol use disorder. The nurse informed the client that this medication can cause nausea and vomiting if you drink alcohol. This form of treatment is an example of which of the following?
Aversion therapy
45
A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following is appropriate with implementing this form of therapy?
Gradually expose the client to an elevator while practicing relaxation techniques
46
A nurse wants to use Democratic leadership group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this form a group leadership when she demonstrates which of the following actions?
Ask for group suggestions and then supports discussions
47
A nurse is planning group therapy for clients dealing with bereavement. Which of the following should the nurse include in the initial phase
Defined the purpose of the group Discuss termination of the group Establish an expectation of confidentiality within the group
48
A nurse working on an acute mental health unit forms a group to focus on self management of medications. At each of the meetings, two of the members use the opportunity to discuss the common interest and gambling on sports. This is an example of which of the following?
Hidden agenda
49
Nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans to make his sister look bad so his parents will believe he's the better sibling, which he believes will give him more privileges. The nurse should identify this dysfunctional behavior as which of the following?
Manipulation
50
A nurse is working with an established and identifies various member roles. Which of the following should the nurse identify as an individual role?
Member who brags about accomplishments
51
Nurse is caring for a client who has Alzheimer's disease and is beginning to experience noticeable short-term memory loss. When discussing a new prescription for Donepezil (Aricept), the nurse should include which of the following in the teaching?
You can expect the progression of cognitive decline to slow with Donezepil
52
A nurse in a long-term care facility is caring for a resident who has major neurocognitive disorder and attempts to wonder out of the building. The client states, I have to get home. Which of the following is an appropriate response by the nurse?
I am your nurse. Let's walk together to your room
53
A nurse is making a home visit with client who has Alzheimer's disease to assess the home for safety. Which of the following are appropriate suggestions to decrease the clients risk for injury
Install childproof doorlocks Please the clients mattress on the floor Install light fixtures above stairs
54
A nurse is making a home visit to a client who is in the late stages of Alzheimer's disease. The client spouse, who is the primary caregiver, wishes to discuss concerns about the clients nutrition and the stress of providing care. Which of the following is an appropriate action by the nurse
Provide information on resources for respite care
55
A nurse is performing an admission assessment for a client who has delirium related to an acute urinary tract infection. Which of the following are expected findings?
Family report of personality changes Hallucinations Restlessness
56
The nurse is teaching the parents of a child with a new prescription for Imipramine (Tofranil) and his parents about the indications of toxicity. Which of the following should the nurse include in the teaching?
Seizures Agitation Irregular pulse
57
A nurse is teaching an adolescent client who has a new prescription for Clomipramine (Anafranil) for OCD. which of the following should the nurse my name to minimize one of the adverse effects of his medication?
Eat a diet high in fiber
58
The nurse is providing teaching to an adolescent Who is to begin taking Atomoxetine (Strattera) for ADHD. The nurse should instruct the client to monitor for and report which of the following indications of liver damage
Yellowing of the skin Malaise Fever
59
A nurses caring for a school age child who has a new prescription for Methylphenidate (Daytrana) to treat ADHD. which of the following should the nurse teach the client and tell me about this medication?
Remove the patch each day after nine hours
60
A nurse is teaching a school age child and his parents about a new prescription for Lisdexamefetamine dimesylate (Vyvanse). Which of the following is appropriate for the nurse to include in the teaching?
Administer the medication right before breakfast Monitor BP while taking this medication
61
A nurse is providing teaching to a client who has a new prescription for Carbamazepine (Tegretol) which of the following should the nurse include in the teaching?
This medication will help prevent seizures during alcohol withdrawal
62
A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse should anticipate prescriptions for which of the following medications to promote long-term abstinence from alcohol?
Disulfiram (Anatabuse) Naltrexone (Vivitrol) Acamprosate (Campral)
63
A nurse is evaluating a clients understanding of a new prescription for clonidine (catapres). Which of the following statements by the client indicates an understanding of the teaching?
While taking this medication, I should keep a pack of sugarless gum
64
Nurse is teaching a client who has tobacco use disorder about the use of nicotine gum (Nicorette). Which of the following is appropriate to include in the teaching?
Avoid eating 15 minutes prior to Chewing the gum
65
A nurse is discussing the use of methadone (Dolophine) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?
Methadone increases the clients risk for acetaldehyde syndrome
66
A nurse is assisting the parents of a school age child who has oppositional defiant disorder in identifying strategies to promote positive behavior. Which of the following is an appropriate strategy for the nurse to recommend?
Develop a reward system for acceptable behavior encourage the child to participate in school sports be consistent when addressing unacceptable behavior
67
A nurse is performing an admission assessment on a adolescent client who has depression. Which of the following is an expected finding?
Substance use Irritability Aggressiveness
68
Hayners working in a pediatric clinic is caring for a preschool age child who has a new diagnosis of ADHD. When teaching the parent about this disorder, which of the following statements should the nurse include in the teaching?
Because of this disorder, your child is at an increased risk for injury
69
A nurse is obtaining a health history from the parents of a 12-year-old client who has conduct disorder. Which of the following are expected findings?
Bullying of others Threats of suicide Law breaking activities
70
A nurse is assessing a four-year-old child for indications of autism spectrum disorder. For which of the following indication should the nurse assess?
Repetitive counting
71
Methylphenidates Short acting ADHD meds Duration
Ritalin, Focalin, Methylin | 3-4 hours

Mental Health Q3 (1 decks)

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