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Exam 2 - Mental Health Review questions

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Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia? Always afraid another student will steal her belongings Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophreni...

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  • July 6, 2023
  • 10
  • 2022/2023
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Exam 2 - Mental Health Review
questions

Which characteristic in an adolescent female is sometimes associated with the
prodromal phase of schizophrenia? - Correct AnswerAlways afraid another student will
steal her belongings


Which nursing intervention is particularly well chosen for addressing a population at
high risk for developing schizophrenia? - Correct AnswerScreening a group of males
between the ages of 15 and 25 for early symptoms

To provide effective care for the patient diagnosed with schizophrenia, the nurse should
frequently assess for which associated condition? - Correct Answer- Alcohol use
disorder
- Major depressive disorder
- Polydipsia
- Metabolic syndrome

A female patient diagnosed with schizophrenia has been prescribed a first generation
antipsychotic medication. What information should the nurse provide to the patient
regarding her signs and symptoms? - Correct AnswerShe should experience a
reduction in hallucinations

Which characteristic presents the greatest risk for injury to others by the patient
diagnosed with schizophrenia? - Correct AnswerParanoia

Gilbert, age 19, is described by his parents as a moody child with an onset of odd
behavior about at age 14, which caused Gilbert to suffer academically and socially.
Gilbert has lost the ability to complete household chores, he's reluctant to leave the
house, and is obsessed with the locks on the windows and doors. Do you to Gilberts
early And slow onset of what is now recognized as schizophrenia, his prognosis is
considered: - Correct AnswerTo have a less positive outcome

Which therapeutic communication statement by a psychiatric mental health registered
nurse use when a patient's nursing diagnosis is altered thought processes? - Correct
Answer"You say you hear voices, what are they telling you?"

When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse
medication, believing that: - Correct AnswerThey are not actually ill

Kyle, a patient with schizophrenia, began to take the first generation antipsychotic
haloperidol last week. One day you find him sitting very stiffly and not moving. He is

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diaphoretic, and when you ask if he is OK he seems unable to respond verbally. His
vital signs are BP 170/100, P 110, T 104.2 F. What is the priority nursing intervention? -
Correct Answer- Hold his medication and contact his prescriber
- Wipe him with a washcloth wet with cold water or alcohol

Thomas a 21 year old Male with a recent diagnosis of schizophrenia. Thomas is a nurse
recognizes that self medicating with excessive alcohol is common in this disease and
King Cole occur along with: - Correct Answeranxiety and depression

Which nursing response demonstrates accurate information that should be discussed
with the female patient diagnosed with bipolar and her support system? - Correct
Answer- Remember that alcohol and caffeine can trigger a relapse of your symptoms
- It's critical to let your healthcare provider know immediately if you aren't sleeping well
- Is your family prepared to be actively involved in helping manage this disorder?
- The symptoms tend to come and go and so you need to be able to recognize the early
signs

Which statement made by the patient demonstrates an understanding of the effective
use of newly prescribed lithium to manage bipolar mania? - Correct Answer- "I have to
keep reminding myself to consistently drink 6, 12 ounce glasses of fluid every day"
- "I discussed the diuretic my cardiologist prescribed with my psychiatric care provider"
- "I've already made arrangements for my monthly lab work"

The nurse is providing medication education to a patient who has been prescribed
lithium to stabilize mood. Which early signs and symptoms of toxicity should the nurse
stress to the patient? - Correct Answer- An upset stomach for no apparent reason
- Shaky hands that make holding a cup difficult

Hey male patient calls to tell the nurse that his monthly lithium level is 1.7mEq/L. Which
nursing intervention well the nurse implement initially? - Correct AnswerInstruct the
patient to hold the next dose of medication and contact the prescriber

Which intervention should the nurse implement when caring for a patient demonstrating
manic behavior? - Correct Answer- Monitor the patient's vital signs frequently
- Provide the patient with frequent milkshakes and protein drinks
- Reduce the volume on the television and dim bright lights in the environment
- Use a firm but calm voice to give specific concise directions to the patient

Substance abuse is often present in people diagnosed with bipolar disorder. Laura, a 28
year old with a diagnosis of bipolar disorder, drinks alcohol instead of taking her
prescribed medications. The nurse caring for this patient recognizes that: - Correct
AnswerAlcohol ingestion is a form of self-medication

Ted a former executive is now unemployed due to manic episodes at work. He was
diagnosed with bipolar 18 years ago. Ted has a history of IV drug abuse which resulted
in hepatitis see. He is taking his lithium exactly as scheduled a fact that both Ted's wife

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