Exam 2 - Mental Health Review questions
Which characteristic in an adolescent female is sometimes associated with the
prodromal phase of schizophrenia? - ANS-Always afraid another student will steal her
belongings
Which nursing intervention is particularly well chosen for addressing a population at
high risk for developing schizophrenia? - ANS-Screening 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? - ANS-- 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? - ANS-She should experience a reduction in
hallucinations
Which characteristic presents the greatest risk for injury to others by the patient
diagnosed with schizophrenia? - ANS-Paranoia
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: - ANS-To 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? - ANS-"You
say you hear voices, what are they telling you?"
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse
medication, believing that: - ANS-They 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
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? -
ANS-- 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: - ANS-anxiety and depression
Which nursing response demonstrates accurate information that should be discussed
with the female patient diagnosed with bipolar and her support system? - ANS--
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? - ANS-- "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? - ANS-- 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? - ANS-Instruct 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? - ANS-- 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
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