mental health exam 2 practice Questions with 100% Correct Answers | Verified | Updated 2024
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Course
Mental health exons A patient
Institution
Mental Health Exons A Patient
A patient comes to the clinic for a 4-week follow-up after starting fluoxetine. What
is the highest priority assessment question the nurse should ask?
"How have you been sleeping?"
"Did you drive to the clinic today?"
"Has your stomach felt uncomfortable?"
"Have you experienced thoughts of hur...
mental
health
exam
2
practice
questions
A
patient
comes
to
the
clinic
for
a
4-week
follow-up
after
starting
fluoxetine.
What
is
the
highest
priority
assessment
question
the
nurse
should
ask?
"How
have
you
been
sleeping?"
"Did
you
drive
to
the
clinic
today?"
"Has
your
stomach
felt
uncomfortable?"
"Have
you
experienced
thoughts
of
hurting
yourself?"
-
ANSWER-"Have
you
experienced
thoughts
of
hurting
yourself?"
Prior
to
initiating
a
tricyclic
antidepressant
(TCA),
the
nurse
should
evaluate
which
of
the
patient's
diagnostic
tests?
Electroencephalogram
(EEG)
Electrocardiogram
Lipids
Complete
blood
count
(CBC)
-
ANSWER-Electrocardiogram
Which
breakfast
selections
demonstrate
that
a
patient
understands
the
nurse's
dietary
instructions
while
taking
monoamine
oxidase
inhibitor
(MAOI)
antidepressants?
Bacon,
eggs,
cheddar
cheese,
and
avocado
slices
in
a
flour
tortilla
Banana
slices
and
raisins
in
whole-grain
cereal
with
milk
Blueberry
pancakes
with
yogurt
Oatmeal
with
almonds
and
milk
-
ANSWER-Oatmeal
with
almonds
and
milk
Which
depressed
patient
could
most
benefit
from
a
trial
prescription
of
bupropion?
A
older
female
adult
with
a
history
of
epilepsy
An
underweight
teenager
A
young
male
adult
with
a
nicotine
addiction
A
young
female
adult
taking
risperidone
-
ANSWER-A
young
male
adult
with
a
nicotine
addiction A
patient
prescribed
a
tricyclic
antidepressant
(TCA)
for
chronic
depression
is
recovering
from
a
myocardial
infarction.
Which
intervention
will
the
nurse
anticipate
as
a
result
of
the
patient's
medical
condition?
Preparing
to
wean
the
patient
off
of
the
prescribed
TCA
medication
Increasing
the
dose
of
the
patient's
prescribed
TCA
medication
Adding
an
monoamine
oxidase
inhibitors
(MAOIs)
to
the
patient's
medication
regime
Discontinuing
the
patient
from
all
antidepressant
medications
temporarily
-
ANSWER-Preparing
to
wean
the
patient
off
of
the
prescribed
TCA
medication
It
has
been
determined
that
a
patient
is
experiencing
life-threatening
toxicity
related
to
tricyclic
antidepressant
(TCA)
use.
Which
intervention
will
the
nurse
anticipate?
Frequently
assessing
for
suicidal
ideations
Administering
the
acetylcholinesterase
inhibitor
physostigmine
(Antilirium)
Inserting
an
indwelling
urinary
catheter
Preparing
the
patient
for
an
EEG
-
ANSWER-Administering
the
acetylcholinesterase
inhibitor
physostigmine
(Antilirium)
The
antidote
for
severe
TCA
poisoning
(anticholinergic
toxicity)
is
physostigmine,
an
acetylcholinesterase
inhibitor
(inhibits
the
breakdown
of
acetylcholine).
A
chronically
depressed
patient
tells
the
nurse,
"My
antidepressant
just
doesn't
seem
to
be
working
as
well
as
it
did."
What
is
the
nurse's
initial
assessment
intervention?
Determining
whether
the
patient
has
been
taking
the
medication
as
prescribed
Asking
the
patient
how
long
he
or
she
has
been
taking
this
particular
antidepressant
Determining
if
the
patient
has
been
experiencing
any
physical
side
effects
Asking
the
patient
to
describe
what
he
or
she
means
by
"not
working
as
well"
-
ANSWER-Asking
the
patient
how
long
he
or
she
has
been
taking
this
particular
antidepressant
A
patient
asks,
"Why
have
I
been
prescribed
a
selective
serotonin
reuptake
inhibitor
(SSRI)
rather
than
one
of
the
other
kinds
of
antidepressants?"
The
nurse
addresses
the
patient's
question
best
when
providing
which
response?
"This
classification
is
usually
effective
and
generally
causes
fewer
side
effects."
"SSRIs
are
far
less
expensive
than
any
other
antidepressant." "Your
mental
health
provider
has
determined
that
your
symptoms
will
be
best
managed
with
this
classification
of
antidepressants."
"It
sounds
like
you
have
some
doubts
about
the
effectiveness
of
this
classification
of
antidepressants."
-
ANSWER-"This
classification
is
usually
effective
and
generally
causes
fewer
side
effects."
Which
side
effect
of
monoamine
oxidase
inhibitor
(MAOI)
therapy
will
the
nurse
be
particular
concerned
about
when
this
classification
of
antidepressants
is
prescribed
to
an
older
adult
patient?
Orthostatic
hypotension
resulting
in
falls
Hypertension-induced
strokes
Hypertensive
crisis
resulting
from
eating
tyramine-rich
foods
Drug-induced
reflex
tachycardia
-
ANSWER-Orthostatic
hypotension
resulting
in
falls
An
individual
calls
the
hospital
during
the
night
shift
in
crisis
and
is
considering
suicide.
The
nurse
will
begin
the
interaction
by
saying
which
assessment
question?
"How
are
you
feeling
today?"
"How
long
have
you
been
this
way?"
"Are
you
willing
to
let
me
help
work
this
out?"
"Who
is
there
with
you
right
now?"
-
ANSWER-"Are
you
willing
to
let
me
help
work
this
out?"
Which
behavior
demonstrates
the
most
lethal
plan
by
an
individual
who
has
recently
expressed
suicidal
ideations?
Driving
to
the
store
and
buys
a
bottle
of
aspirin.
Hoarding
a
large
number
of
barbiturates
Cutting
his
or
her
wrists,
then
calling
his
or
her
significant
other
to
say
goodbye.
Calling
his
or
her
therapist
threatening
to
commit
suicide.
-
ANSWER-Hoarding
a
large
number
of
barbiturates
A
patient
with
a
history
of
aggressive
behavior
begins
pacing
while
talking
on
the
telephone.
The
RN
suspects
that
the
patient
is
in
the
triggering
phases
of
the
assault
cycle
and
implements
which
intervention?
Continues
to
observe
the
patient
and
note
additional
behavioral
changes.
Alerts
the
other
staff
members
that
the
patient
is
likely
to
act
out.
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