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Mental Health Exam 2 Rasmussen
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Mental Health Exam 2 Rasmussen QuestionsWith Correct Solutions
Which nursing diagnosis supports the psychoanalytic theory of development of major depressive
disorder? - correct answer...Social isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major depressive disorder? - correct
answer...24 yr old married woman
A patient diagnosed with MDD is being considered for ECT. Which patient teaching should the nurse
prioritize? - correct answer...Discuss with the patient and family expected short term memory loss
Which nursing intervention takes priority when working with a newly admitted patient experiencing
suicidal ideations? - correct answer...Monitor the patient at a close, but irregular intervals.
A patient diagnosed with major depressive disorder is prescribed Nardil. Which teachings should the
nurse prioritize? - correct answer...Intruct the patient & family about the many food-drug & drug-drug
interactions?
What symptoms would the nurse expect to assess i a patient experiencing serotonin syndrome? -
correct answer...Confusion, restlessness, Tachycardia, Labile BP, & diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants? - correct
answer...Nortriptyline (Pamelor)
Which of the following are examples of anticholinergic side effects from tricyclic antidepressants? -
correct answer...Urinary hesitancy, constipation, and blurred vision
A patient seen in the ED is experiencing irritability, pressured speech, and increased levels of anxiety.
The priority is? - correct answer...Assess vital signs and complete a physical assessment
A patient diagnosed with bipolar 1 in the manic phase is yelling at another peer in the milieu. The
priority intervention is? - correct answer...Calmly redirect and remove the patient from the milieu.
A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of ideas. Which
meds would you expect to give? - correct answer...Risperidone (Risperdal) & Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors and muscular
irritability. The RN should? - correct answer...Assess a serum Lithium level of 2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse takes priority? -
correct answer...Make sure your salt intake is consistent.
Which is an example of an behavioral response to a moderate level of anxiety? - correct
answer...Restlessness
, Which is an example of a physiological response to a panic level of anxiety? - correct answer...Dilated
pupils.
A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would the nurse expect
to assess? - correct answer...Diminished participation in significant activities.
A patient on an in patient unit is experiencing a flash back. Which intervention takes priority? - correct
answer...Maintain and reassure the patient of his or her safety and security
Patienta diagnosed with OCD, Commonly use which defense mechanism? - correct answer...Undoing
A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to assess? - correct
answer...The patient uses excessive hand washing to relieve anxiety.
These meds can be used to treat patients with anxiety disorders: Catapres, Luvox, Buspar, and
Xanax? - correct answer...True
Resperidone is to hallucinations as Clonazepam is to ? - correct answer...Anxiety
Although symptoms of schizophrenia occur at various times in the life span, what patient would more
likely be diagnosed? - correct answer...A 20 yr old man
The children saying "step on a crack and you break mothers back" is an example of which type of
thinking? - correct answer...Magical thinking
The nurse documents that a patient diagnosed with schizophrenia is expressing a flat affect? What is
an example of this symptom? - correct answer...The patient exhibits no emotional expressions
A patient is experiencing paranoid thinking. Which intervention would aid in facilitating other
interventions? - correct answer...Assign consistent staff members
Which atypical anti-psychotic med has the highest potential for a patient to experience serious side
effects? - correct answer...Clozapine (Clozaril)
A patient with schizophrenia says "We can pan, scan, ran, plan". The nurse identifies this as? - correct
answer...Clang association
A schizophrenic patient began taking haldol 1 week ago and is now exhibiting jerking movements of
the neck and mouth. This is? - correct answer...Dystonia
A nursing care plan for a hospitalized patient who is hyperactive in a manic episode must include? -
correct answer...attention to adequate fluid and food intake
An example of a situation crisis is - correct answer...death of a loved one
Which of the following symptoms would be classified as positive symptoms of psychosis? - correct
answer...Delusions
Neuroleptic Malignant Syndrome is characterized by which of the following symptoms? - correct
answer...Muscle rigidity, hyperpyrexia, tachypnea, diaphoresis, drooling
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