Mental Health (Psychology) Exit HESI

Mental Health (Psychology) Exit HESI Client diagnosed with major depression being allowed a week-end pass from psych unit. Which instruction for the family Involve the client in usual at-home activities Within 4 wks of birth client is admitted for disorganized speech, bizarre behavior and strange thoughts about infant being possessed by demons. “altered thought process, secondary to “ what Postpartum psychosis Child appears frightened and withdrawn in the presence of parent or adult Behavior of child who is abused Tx for a client admitted to the hospital with a diagnosis of bulimia nervosa Blood work to evaluate electrolyte status 13 yr old female is evaluated at a mental health clinic because her parents suspect she is using drugs. Symptoms: sleep disturbance, slurred speech, mild hand tremors, trouble hearing. Which substance Paint thinner A male who is in the day room becomes increasingly angry and aggressive when he is denied a day-pass. Which action Decrease the volume on the TV set Nurse is planning care for 48 yr old, diagnosed with Schizophrenia at age 25, taking antipsychotics. Long-term use is associated with Tardive dyskinesia Psych nurse called to a train derailment likely caused by terrorist bomb. Triage in order Middle-aged man wandering around Woman sitting on ground with blanket Crying child held by another passenger Mother and father just arrived on scene Patient with Alzheimer’s Dz. What comment by family member needs further follow-up “sometimes I feel like I can’t go on” Most important nursing action for patient that is confused or demented at night Leave night light on to promote familiarity Patient not wanting to go to dining hall to eat Have patient eat finger foods suicide assessment plan method support system history of previous attempts Teen demanding mom to stay in hospital room Patient is insecure Nurse’s role in preparing clients for electroconvulsive therapy (ECT) Give accurate, non-judgmental information about the treatment Explore client’s concerns Administer Atropine sulfate to dry oral secretions, a quick-acting barbiturate to induce anesthesia and a muscle relaxant Check emergency equipment and O2 are available Patient on benzos Answer is not narcan Patient talking to self and whispering-what to do Ask patient if hears voices Patient confused saying seeing dead grandma is sign of what Delirium Patient Dx with bipolar-how to know if meds are effective Family states patient is doing better with manic phases Most suicides occur after beginning of improvement with increase in energy levels noted MAOIs-hypertensive crisis with Tyramine foods Nardil, Marplan, Parnate Third week of cocaine rehabilitation program, returns from an unsupervised pass who is euphoric and socializing with others more than he has in the past Notify the physician of change in behavior, get a urine drug screen and confront the patient Need 2 week gap from stopping SSRIs and TCAs before administering MAOIs Lithium-therapeutic range = 0.5-1.5 Phenothiazines (typical antipsychotics) EPS and photosensitivity Atypical antipsychotics work on positive and negative symptoms with less EPS Patient with anorexia nervosa and nursing Dx of imbalanced nutrition: less than body requirements. Long term outcome body mass index will be 20 by the 6 month follow up appointment Benzos (ativan, lorazepam, etc) Good for alcohol withdrawal and status epilepticus Antabuse for alcohol detox Sick when alcohol ingested while taking Alcohol withdrawal-delerium tremens-S/S Tachy, tachypneic, anxiety, nausea, shakes, hallucinations, paranoia .................................................................