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Psychiatric Mental Health Nursing
Psychiatric Mental Health Nursing
[Show more]Psychiatric Mental Health Nursing
[Show more]What are the common symptoms of Depression? - ANSWER-1. Anergia - lack of 
energy 
2. Feelings of worthlessness 
3. Lack of self-esteem 
4. Guilt 
5. Helplessness 
6. Hopelessness 
7. Anger and irritability 
8. Changes in eating patterns 
9. Changes in sleep patterns 
10. Insomnia or hypersomnia 
11...
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Add to cartWhat are the common symptoms of Depression? - ANSWER-1. Anergia - lack of 
energy 
2. Feelings of worthlessness 
3. Lack of self-esteem 
4. Guilt 
5. Helplessness 
6. Hopelessness 
7. Anger and irritability 
8. Changes in eating patterns 
9. Changes in sleep patterns 
10. Insomnia or hypersomnia 
11...
A patient became severely depressed when the last of six children moved out of 
the home 4 months ago. The patient repeatedly says, No one cares about me. Im 
not worth anything. Which response by the nurse would be the most helpful? 
a. Things will look brighter soon. Everyone feels down once in a ...
Preview 4 out of 46 pages
Add to cartA patient became severely depressed when the last of six children moved out of 
the home 4 months ago. The patient repeatedly says, No one cares about me. Im 
not worth anything. Which response by the nurse would be the most helpful? 
a. Things will look brighter soon. Everyone feels down once in a ...
A 48-year-old Hispanic woman is seen by a psychiatric clinical nurse specialist 
after receiving a call by her son. According to the son, since his father's death 7 
months ago, his mother has lost 30 pounds and can't sleep. During her initial 
visit, the patient states, 'My husband talks to me i...
Preview 3 out of 18 pages
Add to cartA 48-year-old Hispanic woman is seen by a psychiatric clinical nurse specialist 
after receiving a call by her son. According to the son, since his father's death 7 
months ago, his mother has lost 30 pounds and can't sleep. During her initial 
visit, the patient states, 'My husband talks to me i...
Flumazenil (Romazicon) has been ordered for a male client who has overdosed 
on oxazepam (Serax). Before administering the medication, the nurse should be 
prepared for which common adverse effect? 
A. Seizures 
B. Shivering 
C. Anxiety 
D. Chest pain - ANSWER-A. Seizures 
Rationale: Seizures are th...
Preview 3 out of 22 pages
Add to cartFlumazenil (Romazicon) has been ordered for a male client who has overdosed 
on oxazepam (Serax). Before administering the medication, the nurse should be 
prepared for which common adverse effect? 
A. Seizures 
B. Shivering 
C. Anxiety 
D. Chest pain - ANSWER-A. Seizures 
Rationale: Seizures are th...
Ask what it means even if we have an idea (unless there's a more therapeutic 
response, such as conveying what you DO understand) - ANSWER-How do we 
respond when we hear a neologism? 
Do whatever it takes to make them feel safe - ANSWER-If a pt is having a 
delusion that is paranoid in nature and ...
Preview 3 out of 24 pages
Add to cartAsk what it means even if we have an idea (unless there's a more therapeutic 
response, such as conveying what you DO understand) - ANSWER-How do we 
respond when we hear a neologism? 
Do whatever it takes to make them feel safe - ANSWER-If a pt is having a 
delusion that is paranoid in nature and ...
Which theorist originally developed the concept of milieu therapy? 
a. Sigmund Freud 
b. William Glasser 
c. Hildegard Peplau 
d. Harry Stack Sullivan - ANSWER-d 
Dream analysis and free association are techniques in which modality? 
a. Patient-centered therapy 
b. Gestalt therapy 
c. Psychoanalysis...
Preview 2 out of 6 pages
Add to cartWhich theorist originally developed the concept of milieu therapy? 
a. Sigmund Freud 
b. William Glasser 
c. Hildegard Peplau 
d. Harry Stack Sullivan - ANSWER-d 
Dream analysis and free association are techniques in which modality? 
a. Patient-centered therapy 
b. Gestalt therapy 
c. Psychoanalysis...
What is given to reduce muscle movement during therapy? 
Succinylcholine 
A pt has schizophrenia and reports auditory hallucinations - what intervention 
should the nurse include in plan? 
Promote the use of music to compete with client's auditory hallucinations 
Pt experiencing Mania what should t...
Preview 2 out of 11 pages
Add to cartWhat is given to reduce muscle movement during therapy? 
Succinylcholine 
A pt has schizophrenia and reports auditory hallucinations - what intervention 
should the nurse include in plan? 
Promote the use of music to compete with client's auditory hallucinations 
Pt experiencing Mania what should t...
Periods of mental illness or dysfunction marked by an increase in the signs, 
symptoms, and seriousness are called: 
icity 
2.Acute episodes 
3.Remissions 
4.Exacerbations - ANSWER-4.Exacerbations 
The sexual practices of many people with chronic mental illness place them at 
increased risk for cont...
Preview 4 out of 44 pages
Add to cartPeriods of mental illness or dysfunction marked by an increase in the signs, 
symptoms, and seriousness are called: 
icity 
2.Acute episodes 
3.Remissions 
4.Exacerbations - ANSWER-4.Exacerbations 
The sexual practices of many people with chronic mental illness place them at 
increased risk for cont...
the stereotyped repetition of words or phrases that may or may not have 
meaning to the listener - ANSWER-verbigeration 
ideas that are related to one another based on sound or rhyming rather than 
meaning. - ANSWER-Clang associations 
words invented by the client. - ANSWER-Neologisms 
a combination...
Preview 2 out of 12 pages
Add to cartthe stereotyped repetition of words or phrases that may or may not have 
meaning to the listener - ANSWER-verbigeration 
ideas that are related to one another based on sound or rhyming rather than 
meaning. - ANSWER-Clang associations 
words invented by the client. - ANSWER-Neologisms 
a combination...
What disorder goes hand in hand with mood disorders? - ANSWER-ANXIETY 
Comorbidities: 
*substance abuse 
*schizophrenia 
*eating disorders 
Medical diagnoses often concurring with depression - ANSWER-*diabetes 
*cancer 
*stroke 
*epilepsy 
*cardiac disease 
Serotonin Syndrome - ANSWER--caused by exc...
Preview 2 out of 12 pages
Add to cartWhat disorder goes hand in hand with mood disorders? - ANSWER-ANXIETY 
Comorbidities: 
*substance abuse 
*schizophrenia 
*eating disorders 
Medical diagnoses often concurring with depression - ANSWER-*diabetes 
*cancer 
*stroke 
*epilepsy 
*cardiac disease 
Serotonin Syndrome - ANSWER--caused by exc...
Which response by a 15-year-old demonstrates a common symptom observed in 
patients diagnosed with major depressive disorder? 
a. "I'm so restless. I can't seem to sit still." 
b. "I spend most of my time studying. I have to get into a good college." 
c. "I'm obsessed with counting telephone...
Preview 4 out of 37 pages
Add to cartWhich response by a 15-year-old demonstrates a common symptom observed in 
patients diagnosed with major depressive disorder? 
a. "I'm so restless. I can't seem to sit still." 
b. "I spend most of my time studying. I have to get into a good college." 
c. "I'm obsessed with counting telephone...
Mental Health Exam 2 UAMS 
What are the common myths about suicide? 
People who talk about suicide DO NOT attempt suicide 
People who talk about suicide are only trying to get attention 
Telling someone to cheer up is helpfulIf you mention the word suicide, you might plant the idea into someone's m...
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Add to cartMental Health Exam 2 UAMS 
What are the common myths about suicide? 
People who talk about suicide DO NOT attempt suicide 
People who talk about suicide are only trying to get attention 
Telling someone to cheer up is helpfulIf you mention the word suicide, you might plant the idea into someone's m...
1. You are caring for Maggie, a 78-year-old with Alzheimer's disease and Stage 
III breast cancer who can no longer communicate verbally. What is the 
appropriate way to assess Maggie's pain? 
a. The Wong-Baker FACES Pain Rating Scale 
b. The McGill Pain Questionnaire 
c. Direct questioning with t...
Preview 4 out of 32 pages
Add to cart1. You are caring for Maggie, a 78-year-old with Alzheimer's disease and Stage 
III breast cancer who can no longer communicate verbally. What is the 
appropriate way to assess Maggie's pain? 
a. The Wong-Baker FACES Pain Rating Scale 
b. The McGill Pain Questionnaire 
c. Direct questioning with t...
What are groups 
- used to help solve problems and develop coping mechanism 
- can treat a large number of patient care 
- group members help each other 
advantages of groups 
- engages multiple people at once in a treatment plan 
- saves resources 
- benefits all members 
- provide a safe setting f...
Preview 2 out of 10 pages
Add to cartWhat are groups 
- used to help solve problems and develop coping mechanism 
- can treat a large number of patient care 
- group members help each other 
advantages of groups 
- engages multiple people at once in a treatment plan 
- saves resources 
- benefits all members 
- provide a safe setting f...
Questions 
Which are negative symptoms associated with schizophrenia? (Select all that 
apply) 
a) Hallucinations 
b) Delusions 
c) ambivalence 
d) avolition 
e) anhedonia - ANSWER-c) ambivalence -unsure / indifferent feelings 
d) avolition- lack of motivation 
e) anhedonia - lack of feeling pleasur...
Preview 3 out of 20 pages
Add to cartQuestions 
Which are negative symptoms associated with schizophrenia? (Select all that 
apply) 
a) Hallucinations 
b) Delusions 
c) ambivalence 
d) avolition 
e) anhedonia - ANSWER-c) ambivalence -unsure / indifferent feelings 
d) avolition- lack of motivation 
e) anhedonia - lack of feeling pleasur...
The nursing student correctly identifies which statements are true of the etiology 
of obsessive-compulsive disorder (OCD)? (Select all that apply.) 
- The cognitive model for OCD etiology focuses on childhood and environmental 
experiences of growing up. 
- The etiology of OCD is not definitively e...
Preview 4 out of 43 pages
Add to cartThe nursing student correctly identifies which statements are true of the etiology 
of obsessive-compulsive disorder (OCD)? (Select all that apply.) 
- The cognitive model for OCD etiology focuses on childhood and environmental 
experiences of growing up. 
- The etiology of OCD is not definitively e...
what is the most important tool a psychiatric nurse can use? 
a. PRN meds 
b. assessment 
c. restraints and seclusion 
d. therapeutics - ANSWER-therapeutics 
what is NOT considered an environmental consideration? 
a. privacy 
b. temperature 
c. furniture 
d. assessment - ANSWER-assessment 
which is ...
Preview 3 out of 21 pages
Add to cartwhat is the most important tool a psychiatric nurse can use? 
a. PRN meds 
b. assessment 
c. restraints and seclusion 
d. therapeutics - ANSWER-therapeutics 
what is NOT considered an environmental consideration? 
a. privacy 
b. temperature 
c. furniture 
d. assessment - ANSWER-assessment 
which is ...
Q&A 
A patient is brought to the ED by a friend. The patient displays constricted pupils, 
slurred speech, bradycardia, and shallow respirations. Based on these symptoms, the 
nurse should evaluate the patient for which of the following? 
Opioid intoxication 
A patient is brought to the ED by a frie...
Preview 3 out of 25 pages
Add to cartQ&A 
A patient is brought to the ED by a friend. The patient displays constricted pupils, 
slurred speech, bradycardia, and shallow respirations. Based on these symptoms, the 
nurse should evaluate the patient for which of the following? 
Opioid intoxication 
A patient is brought to the ED by a frie...
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 ...
Preview 3 out of 24 pages
Add to cartA 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 ...
The nurse is caring for a patient experiencing mania. Which is the most 
appropriate nursing intervention? 
A. Provide consistency among staff members when working with the patient. 
B. Negotiate limits so the patient has a voice in the plan of care. 
C. Allow only certain staff members to interact ...
Preview 3 out of 19 pages
Add to cartThe nurse is caring for a patient experiencing mania. Which is the most 
appropriate nursing intervention? 
A. Provide consistency among staff members when working with the patient. 
B. Negotiate limits so the patient has a voice in the plan of care. 
C. Allow only certain staff members to interact ...
questions 
a client with delirium becomes agitated and confused at night. The best initial 
intervention by the nurse is to: 
 the client next to the nurse's station 
 a night light and turn off the television 
 up the television and a soft light on during the night. 
 soft music during the night a...
Preview 2 out of 13 pages
Add to cartquestions 
a client with delirium becomes agitated and confused at night. The best initial 
intervention by the nurse is to: 
 the client next to the nurse's station 
 a night light and turn off the television 
 up the television and a soft light on during the night. 
 soft music during the night a...
frontal lobe - ANSWER-lobe of brain that controls voluntary movement, mood, 
expression of feelings, thinking, and judgment 
parietal lobe - ANSWER-lobe of brain that controls perception and interpretation 
of sensory information, pain, touch, taste, and body position 
temporal lobe - ANSWER-lobe of...
Preview 2 out of 6 pages
Add to cartfrontal lobe - ANSWER-lobe of brain that controls voluntary movement, mood, 
expression of feelings, thinking, and judgment 
parietal lobe - ANSWER-lobe of brain that controls perception and interpretation 
of sensory information, pain, touch, taste, and body position 
temporal lobe - ANSWER-lobe of...
Questions 
A patient diagnosed with major depressive disorder tells the community mental 
health nurse, "I usually spend all day watching television. If there's nothing good 
to watch, I just sleep or think about my problems." What is the nurse's best 
action? 
a. Refer the patient for counselin...
Preview 2 out of 15 pages
Add to cartQuestions 
A patient diagnosed with major depressive disorder tells the community mental 
health nurse, "I usually spend all day watching television. If there's nothing good 
to watch, I just sleep or think about my problems." What is the nurse's best 
action? 
a. Refer the patient for counselin...
A person has had difficulty keeping a job because of arguing with co-workers and 
accusing them of conspiracy. Today the person shouts, "They're all plotting to 
destroy me. Isn't that true?" Select the nurse's most therapeutic response. 
a. "Everyone here is trying to help you. No one wants t...
Preview 3 out of 30 pages
Add to cartA person has had difficulty keeping a job because of arguing with co-workers and 
accusing them of conspiracy. Today the person shouts, "They're all plotting to 
destroy me. Isn't that true?" Select the nurse's most therapeutic response. 
a. "Everyone here is trying to help you. No one wants t...
Mental Health Exam 2 - practice questions 
The nurse finds a client crying in his room. The client states, "I'm so sad and 
lonely. I'm sitting here crying like a baby." The nurse's best response is: 
a. "I think you are a fine man". 
b. "Why don't you get involved in the activity group?" ...
Preview 3 out of 27 pages
Add to cartMental Health Exam 2 - practice questions 
The nurse finds a client crying in his room. The client states, "I'm so sad and 
lonely. I'm sitting here crying like a baby." The nurse's best response is: 
a. "I think you are a fine man". 
b. "Why don't you get involved in the activity group?" ...
Three feet - ANSWER-The amount of personal space most people need 
Nursing communication - ANSWER-Patient centered to establish trust and build 
relationship 
Blocking - ANSWER-Loses train of thought; stops speaking because of an 
unconscious block. Example: Then my father... what was I saying? 
Cir...
Preview 3 out of 18 pages
Add to cartThree feet - ANSWER-The amount of personal space most people need 
Nursing communication - ANSWER-Patient centered to establish trust and build 
relationship 
Blocking - ANSWER-Loses train of thought; stops speaking because of an 
unconscious block. Example: Then my father... what was I saying? 
Cir...
Discuss prioritizing as you triage your patient admissions when there are limited 
beds available in the inpatient setting. - answer-Seperate those who need rapid 
medical care from those with minor injuries, 
1, rescue, evacuation, food and shelter, medical attention, and safety. 
maturational cris...
Preview 2 out of 8 pages
Add to cartDiscuss prioritizing as you triage your patient admissions when there are limited 
beds available in the inpatient setting. - answer-Seperate those who need rapid 
medical care from those with minor injuries, 
1, rescue, evacuation, food and shelter, medical attention, and safety. 
maturational cris...
Lithium - ANSWER-Mood stabilizer, used for treatment of bipolar disorder 
Narrow therapeutic window 
Lithium Levels - ANSWER-0.4-1.0 therapeutic 
1.5 mild toxicity 
1.5-2.0 advanced toxicity 
2.0- 2.5 severe toxicity 
> 2.5 death 
Signs & Symptoms of Lithium Toxicity - ANSWER-Thirst, Tremors, Vom...
Preview 2 out of 8 pages
Add to cartLithium - ANSWER-Mood stabilizer, used for treatment of bipolar disorder 
Narrow therapeutic window 
Lithium Levels - ANSWER-0.4-1.0 therapeutic 
1.5 mild toxicity 
1.5-2.0 advanced toxicity 
2.0- 2.5 severe toxicity 
> 2.5 death 
Signs & Symptoms of Lithium Toxicity - ANSWER-Thirst, Tremors, Vom...
Nurse Alex recommends that Ben come to the clinic . Based on the conversation 
with Jordan and Ben , which of the following findings supports Nurse Alex's 
recommendation for Ben and Jordan to come to the clinic ? - ANSWER-Ben's 
current mood 
Nurse Alex is reviewing assessment findings along with...
Preview 1 out of 3 pages
Add to cartNurse Alex recommends that Ben come to the clinic . Based on the conversation 
with Jordan and Ben , which of the following findings supports Nurse Alex's 
recommendation for Ben and Jordan to come to the clinic ? - ANSWER-Ben's 
current mood 
Nurse Alex is reviewing assessment findings along with...
The nursing instructor talks with the student nurse in the adult psychiatric unit. 
The student tells the instructor that the cradle cap appears to be around a 
specific client's face. The instructor explains that this may be an indication of 
long-term lack of care as a consequence of what disorde...
Preview 2 out of 12 pages
Add to cartThe nursing instructor talks with the student nurse in the adult psychiatric unit. 
The student tells the instructor that the cradle cap appears to be around a 
specific client's face. The instructor explains that this may be an indication of 
long-term lack of care as a consequence of what disorde...
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