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Exam 2: NUR2488/ NUR 2488 (Latest 2024/ 2025 Update) Mental Health Review| Questions and Verified Answers| 100% Correct| Grade A- Rasmussen

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Exam 2: NUR2488/ NUR 2488 (Latest 2024/ 2025 Update) Mental Health Review| Questions and Verified Answers| 100% Correct| Grade A- Rasmussen Q: How to monitor a client with depression? Answer: Monitor behavior and mood with discrete observation. Q: What is allowing to a client to discuss their feelings/concerns? Answer: Decreases overwhelming anxiety, helps focus, and explore alternatives. Q: What are safety concerns when dealing with schizophrenic? Answer: Staying arms length away having an exit no touching. Q: What is urinary retention? Answer: This is a side effect of TCAs, this would be a concern. Q: What are overt statements/verbal clues of suicide? Answer: "I can't take it anymore." "Life isn't worth living." Q: What are extremely lethal methods of suicide? Answer: Guns, hanging, carbon monoxide Q: What are covert statements/verbal clues to suicide? Answer: "It's okay now everything will be fine." "Things will never work out." Q: What are interventions for a suicidal client? Answer: Remove potential weapons, one-on-one observation, no-suicide contract. Q: What are risk factors for suicide the elderly? Answer: Social isolation, solitary living arrangements, widowhood, lack of finical resources, poor health Q: What are early signs of lithium toxicity? Answer: Nausea, vomiting, diarrhea, thirst, polyuria, lethargy, slurred speech, muscle weakness, and fine hand tremor Q: What are interventions for acute mania? Answer: Maintain low level of stimuli in patient environment, provide frequent high-calorie foods, and provide frequent rest periods. Q: What are expected outcomes for bipolar patient? Answer: Appropriate mood, speech and dress Q: What advanced signs of lithium toxicity? Answer: Coarse hand tremors, persistent GI upset, mental confusion, muscle irritability Q: What is distractibility/use of distraction? Answer: The most effective tool for a patient during a manic phase. Q: Tom said "I hear my mother's voice saying terrible things about me." What is the nursing response? Answer: "That must be very upsetting Tom. Are you feeling upset?" Q: What is Disturbed Sensory Perception: auditory/visual? Answer: Use this nursing diagnosis for a person experiencing hallucinations. Q: What is clanging? Answer: Silly Sally looks longingly at the wall. Head turned, eyes away avoiding the call. Christmas time is no where near, but in a sing song voice Sally says, "Do you hear what I hear?" (word choice based on sound, not meaning, includes nonsense rhymes and puns) Q: What are examples of neologisms? Answer: Jumoing, netula, confustion (psychology : a new word that is coined especially by a person affected with schizophrenia and is meaningless except to the coiner, and is typically a combination of two existing words or a shortening or distortion of an existing word.)

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ExamI2:INUR2488/INURI2488I(LatestI2024
/I2025IUpdate)IMentalIHealthIReview|I
QuestionsIandIVerifiedIAnswers|I100%I
Correct|IGradeIA-IRasmussen

Q:IHowItoImonitorIaIclientIwithIdepression?

Answer:
MonitorIbehaviorIandImoodIwithIdiscreteIobservation.




Q:IWhatIisIallowingItoIaIclientItoIdiscussItheirIfeelings/concerns?

Answer:
DecreasesIoverwhelmingIanxiety,IhelpsIfocus,IandIexploreIalternatives.




Q:IWhatIareIsafetyIconcernsIwhenIdealingIwithIschizophrenic?

Answer:
StayingIarmsIlengthIawayIhavingIanIexitInoItouching.




Q:IWhatIisIurinaryIretention?

Answer:
ThisIisIaIsideIeffectIofITCAs,IthisIwouldIbeIaIconcern.

,Q:IWhatIareIovertIstatements/verbalIcluesIofIsuicide?

Answer:
"IIcan'tItakeIitIanymore."
"LifeIisn'tIworthIliving."




Q:IWhatIareIextremelyIlethalImethodsIofIsuicide?

Answer:
Guns,Ihanging,IcarbonImonoxide




Q:IWhatIareIcovertIstatements/verbalIcluesItoIsuicide?

Answer:
"It'sIokayInowIeverythingIwillIbeIfine."
"ThingsIwillIneverIworkIout."




Q:IWhatIareIinterventionsIforIaIsuicidalIclient?

Answer:
RemoveIpotentialIweapons,Ione-on-oneIobservation,Ino-suicideIcontract.




Q:IWhatIareIriskIfactorsIforIsuicideItheIelderly?

Answer:
SocialIisolation,IsolitaryIlivingIarrangements,Iwidowhood,IlackIofIfinicalIresources,IpoorIhealt
h

,Q:IWhatIareIearlyIsignsIofIlithiumItoxicity?

Answer:
Nausea,Ivomiting,Idiarrhea,Ithirst,Ipolyuria,Ilethargy,IslurredIspeech,ImuscleIweakness,IandIfin
eIhandItremor




Q:IWhatIareIinterventionsIforIacuteImania?

Answer:
MaintainIlowIlevelIofIstimuliIinIpatientIenvironment,IprovideIfrequentIhigh-
calorieIfoods,IandIprovideIfrequentIrestIperiods.




Q:IWhatIareIexpectedIoutcomesIforIbipolarIpatient?

Answer:
AppropriateImood,IspeechIandIdress




Q:IWhatIadvancedIsignsIofIlithiumItoxicity?

Answer:
CoarseIhandItremors,IpersistentIGIIupset,ImentalIconfusion,ImuscleIirritability




Q:IWhatIisIdistractibility/useIofIdistraction?

Answer:

, TheImostIeffectiveItoolIforIaIpatientIduringIaImanicIphase.




Q:ITomIsaidI"IIhearImyImother'sIvoiceIsayingIterribleIthingsIaboutIme."IWhatIisItheInursing
Iresponse?


Answer:
"ThatImustIbeIveryIupsettingITom.IAreIyouIfeelingIupset?"




Q:IWhatIisIDisturbedISensoryIPerception:Iauditory/visual?

Answer:
UseIthisInursingIdiagnosisIforIaIpersonIexperiencingIhallucinations.




Q:IWhatIisIclanging?

Answer:
SillyISallyIlooksIlonginglyIatItheIwall.IHeadIturned,IeyesIawayIavoidingItheIcall.IChristmasIti
meIisInoIwhereInear,IbutIinIaIsingIsongIvoiceISallyIsays,I"DoIyouIhearIwhatIIIhear?"I(wordIc
hoiceIbasedIonIsound,InotImeaning,IincludesInonsenseIrhymesIandIpuns)




Q:IWhatIareIexamplesIofIneologisms?

Answer:
Jumoing,Inetula,IconfustionI(psychologyI:IaInewIwordIthatIisIcoinedIespeciallyIbyIaIpersonIaf
fectedIwithIschizophreniaIandIisImeaninglessIexceptItoItheIcoiner,IandIisItypicallyIaIcombinati
onIofItwoIexistingIwordsIorIaIshorteningIorIdistortionIofIanIexistingIword.)

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