ATI MENTAL HEALTH PROCTORED RETAKE REVISION
What muscle relaxant is used - ANS succinylcholine (anectine)
Electrical stimulus time vs seizure time - ANS 0.2-0.8 for electrical stimulus
25-60 for seizure activity
complications of TMS - ANS -mild discomfort
-tingling sensation at the ...
What muscle relaxant is used - ANS succinylcholine (anectine)
Electrical stimulus time vs seizure time - ANS 0.2-0.8 for electrical stimulus
25-60 for seizure activity
complications of TMS - ANS -mild discomfort
-tingling sensation at the site of the electromagnet
-lightheadness
-seizures are rare but a potential
complications of VNS - ANS -voice changes
-hoarsness
-throat or neck pain
-dysphagia
-dyspnea with exertion
What standardized screen tools would be used for anxiety disorders? - ANS -Hamilton rating
scale for anxiety
-modified speilberger state anxiety scale
-Yale brown obsessive compulsive scale
-hoarding scale self report
-national stressful events survey
,What is the first line of treatment for anxiety disorders? - ANS -SSRI such as zoloft
Then they can also benefit from antidepressants, sedative hypnotic anxiolytics such as valium,
non barbiturate anxiolytics such as buspar, beta blockers, antihistamines.
What are the standardized screen tools for depressive disorders? - ANS -Hamilton depression
scale
-beck depression inventory
-geriatirc depression scale (short form)
-zung self rating depression scale
What SSRI's are used for depression? - ANS -celexa
-prozac
-zoloft
What TCA's are used for depression? - ANS -Elavil
What MAOI's are used for depression - ANS -Nardil
What Atypical antidepressants are used for depression? - ANS -Wellbutrin
What SNRI's are used for depression? - ANS -Effexor
-Cymbalta
When patient is taking SSRI for depression what client teaching needs to be done? - ANS -may
cause nausea, headache and CNS stimulation (agitation, insomnia, anxiety)
-sexual dysfunciton may occur
-observe for serotonn syndrome
-No st. Johns wort
-watch diet
,What are affective symptoms - ANS hopelessness
suicidal ideation
What client teaching is needed with a depressive patient when they are taking TCA? - ANS -
Change positions slowly
-Chew sugarless gum, eat foods high in fiber, increase fluids to reduce anticholinergic effects
What client teaching is need with a depressive patient taking MAOI's - ANS - avoid tyramine
foods
-avoid all medications including OTC talk to DR first
What client teaching is needed with a depressive patient that is taking atypical antidepressants -
ANS - watch for HA, dry mouth, GI distress, constipation, increased HR, nausea restlessness or
insomnia. Notify DR
-monitor diet
-dont give to seizure patients
What client teaching is needed with a depressive patient that is taking SNRI's - ANS -adverse
effects include nausea, weight gain, and sexual dysfunction
the client has at least one episode of mania alternating with major depression - ANS Bipolar I
The client has one or more hypomanic episodes alternating with major depressive episodes -
ANS Bipolar II
The client has atlas 2 years of repeated hypomanic manifestations that do not meet the criteria
for hypomania episodes alternating with minor depressive episodes. - ANS cyclothymia
Risk factors of Bipolar - ANS -Genetics having an immediate family member who has a bipolar
disorder
, -psychological such as a stressful event or major life event
-physiological such as neurobiological or neuroendocrine disorder.
-substance use disorder
What are the standardized screening tools for Bipolar disorders? - ANS -The mood disorders
questionnaire.
What medications are given for patients that have bipolar disorder? - ANS -Mood stabilizers:
Lithium
-Anticonvulsants that act as mood stabilizers: Depakote, Klonopin, Lamictal, nuerontin, Topaz
-Benzo's: Ativan, for sleep
-Antidepressants such as Prozac to manage depression
The client has psychotic thinking or behavior present for atlas 6 months. Areas of functions
including school or work, self care, and interpersonal realties are significantly impaired - ANS
schizophrenia
the client has impairments of personality functioning. However impairment is no as severe as
with schizophrenia - ANS Schizotypal personality disorder
The client experiences delusional timing for atlas 1 month. Self or interpersonal function is not
markedly impaired - ANS delusional disorder
What atypical antipsychotics would be prescribed for patients with psychotic disorders? - ANS -
risperdal
-zyprexa
-seroquel
-Geodon
-Abilify
-Clozaril
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