NSG221/ NSG 221 HESI: (Latest 2024/ 2025 Update) Mental Health Review| Questions and Verified Answers| 100% Correct| Grade A – Herzing

NSG221/ NSG 221 HESI: (Latest 2024/ 2025 Update) Mental Health Review| Questions and Verified Answers| 100% Correct| Grade A – Herzing Q: Codependent Behaviors & Alcohol Abuse Answer: Codependence is a maladaptive coping pattern on the part of family members or others resulting from a prolonged relationship with the person who uses substances. Characteristics of codependence are poor relationship skills, excessive anxiety and worry, compulsive behaviors, and resistance to change. Family members learn these dysfunctional behavior patterns as they try to adjust to the behavior of the substance user. One type of codependent behavior is called enabling, which is a behavior that seems helpful on the surface but actually perpetuates the substance use. Q: Clonidine (Catapress) Answer: Suppresses opiate withdrawal symptoms It is given to clients with opiate dependence to suppress some effects of withdrawal or abstinence. It is most effective against nausea, vomiting, and diarrhea, but produces modest relief from muscle aches, anxiety, and restlessness is an alpha-2-adrenergic agonist used to treat hypertension. It is given to clients with opiate dependence to suppress some effects of withdrawal or abstinence. It is most effective against nausea, vomiting, and diarrhea, but produces modest relief from muscle aches, anxiety, and restlessness Q: Disulfiram (Antabuse) Answer: Maintains abstinence from alcohol Disulfiram (Antabuse) may be prescribed to help deter clients from drinking. If a client taking disulfiram drinks alcohol, a severe adverse reaction occurs with flushing, a throbbing headache, sweating, nausea, and vomiting. In severe cases, severe hypotension, confusion, coma, and even death may result. Q: Alcohol Detoxification Answer: Alcohol detoxification through pharmacologic means generally takes place in a hospital setting but may occur in the home. The home care nurse shares the responsibility for teaching patients how to use chlordiazepoxide effectively and how to recognize medication responses that should be reported to the health care provider. The nurse instructs the patient and/or caregivers to recognize signs and symptoms of alcohol withdrawal and reviews the pharmacologic treatment regimen with them. Q: Anxiety Cognitive Behavioral Techniques Answer: Cognitive-behavioral therapy (CBT) is used successfully to treat anxiety disorders. Positive reframing means turning negative messages into positive messages Decatastrophizing involves the therapist's use of questions to more realistically appraise the situation. Assertiveness training helps the person take more control over life situations. These techniques help the person negotiate interpersonal situations and foster self-assurance. They involve using "I" statements to identify feelings and to communicate concerns or needs to others. Q: Valproic Acid (Depakote) Monitoring Lab Answer: Valproic acid (Depakote), also known as divalproex sodium or sodium valproate, is an anticonvulsant used for simple absence and mixed seizures, migraine prophylaxis, and mania. The mechanism of action is unclear. Therapeutic levels are monitored periodically to remain at 50 to 125 µg/mL, as are baseline and ongoing liver function tests, including serum ammonia levels and platelet and bleeding times. Q: Antisocial Personality Disorder Answer: Disregard for rights of others, rules, and laws. People with antisocial personality disorder generally do not seek treatment voluntarily unless they perceive some personal gain from doing so. Clients with antisocial personality disorder have an established pattern of reacting impulsively when confronted with problems. The nurse can teach problem-solving skills and help clients practice them