Unit 26 - Caring for Individuals with Additional Needs

Varcarolis‘ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition A+ Varcarolis‘ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition UNIT I: FOUNDATIONS IN THEORY 1. Mental Health and Mental Illness 2. Theories and Therapies 3. Psychobiology and Psychopharmacology UNIT II: FOUNDATIONS FOR PRACTICE 4. Treatment Settings 5. Cultura...

MULTIPLE CHOICE 1. When providing care for a pregnant woman, the nurse should be aware that one of the most frequently reported maternal medical risk factors is a. diabetes mellitus. b. mitral valve prolapse (MVP). c. chronic hypertension. d. anemia. ANS: A The most frequently reported maternal medical risk factors are diabetes and hypertension associated with pregnancy. Both of these conditions are associated with maternal obesity. There are no studies that indicate MVP is among the mo...

ATI RN MENTAL HEALTH FORM C 1. A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline? a. Wafarin b. Fluoxetine c. Calcium carbonate d. Acetaminophen 2. A nurse in a long-term care facility is assessing a client who has dementia. Which of the following findings should the nurse iden...

Medications for depression – SSRIs SNRIs SDRIs TCAs MAOIs SSRIs – -Action: inhibit 5 -HT reuptake -Examples: citalopram, escitalopram, fluoxetine, paroxetine, sertraline -Adverse effects: • nausea • agitation • diarrhea • headache • weight gain • sexual side effects SNRIs – -inhibit 5-HT reuptake -inhibit NE reuptake (↑ energy, focus) -increase DA in prefrontal cortex (↑ cognition) -Examples: desvenlafaxine, duloxetine, levomilnacipran, venlafaxine -Ad...

1. A nurse is caring for a client who has BMI of 29 and expresses a desire to lose weight. Which of the following actions should the nurse take first? A. Refer the client to a nutritionist B. Discuss eating strategies with the client C. Determine the client's intention to change current eating habits D. Instruct the client to perform 30 min of vigorous exercise daily C 2. A nurse is completing dietary teaching with a client who has heart failure and is prescribed a 2g sodium diet. ...

ATI Mental Health 1. A nurse in a community health center is working with a group of clients who have post- traumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members? - Response prevention - Guided imagery * - Aversion therapy - Light therapy 2. A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, ...

The nurse is caring for four clients on a medical-surgical unit. Which client should the nurse see initially? 1. A client admitted with hepatitis A who has had severe diarrhea for the last 24 hours 2. A client admitted with pneumonia who is has small amounts of yellow productive sputum 3. A client admitted with fever of unknown origin (FUO) who has been without fever for the last 48 hours 4. A client admitted with a wound infection whose WBC is 8,500 mm3 - Answer: 1 Rationale: The nurs...

1. An older client with metastatic breast cancer is experiencing shortness of breath as a result of a bilateral pneumonia the client has a living will and the family is requesting hospice care which information should the practical nurse (PN) reinforce with the client and family regarding hospice? • Instructions for care should be included in the clients living will • Care can be provided in home where client resides • Care focuses on comfort dignity and emotion support 2. An ol...

ATI RN MENTAL HEALTH (60 QUESTIONS AND ANSWERS) 1. A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make: a. "It will be better for you to keep busy to avoid thinking about your child's death." Encouraging the client to avoid thinking about the child's death will not allow the client to begin anticipatory grieving. b. "You will comple...

1. `The practical nurse (PN) observes hematuria in the urinary catheter drainage tubing of a client who is receiving intravenous heparin. Which action should the PN implement first? a. Obtain a urine specimen for urinalysis b. Check the client’s gums for bleeding c. Document the finding in the client’s medical record d. Irrigate the urinary catheter with sterile normal saline 2. The practical nurse (PN) explains the 2-week dosage prescription of prednisone to a client who has poison i...