MENTAL HEALTH EXAM 2
RASMUSSEN UNIVERSITY
2021 WITH QUESTION
AND ANSWERS
CONFIRMLTD
,MAOI meds - correct ans:Isocarboxazid (Marplan)
Phenelzine (Nardil)
Tranylcypromine (Parnate)
Selegiline (Eldepril)
Phenelzine (Nardil) patient education
(MAOI) - correct ans:● Avoidance of foods high in tyramine
● Check with the pharmacist before taking any OTC (examples are cold
medications)
risk of taking an SSRI and MAOI inhibitor together - correct ans:● Serotonin
syndrome
● Hypertensive crisis
Bipolar patient is making demands and disrupting the unit, how do you
respond - correct ans:● Set clear limits
● Distraction techniques
● Use a firm calm approach
High level suicide precautions for inpatients include - correct ans:● 1:1 staff
within arm's length of patient at all times
● Removal of any hard removals at meal times
● Removal of anything that the patient potentially uses to harm themselves
When can a patient stop taking their mood stabilizer? - correct ans:They
should not stop taking their mood stabilizer.
Inpatient, you are accessing your patient for depression 3 days after starting
medication treatment, your client is in a cheerful mood and says "I feel
,great", you should change his care plan to include which of the following -
correct ans:Keep a closer eye on the patient, consider asking for an order for
staff view at all times.
Your patient is experiencing acute mania, what type of environment should
you put the patient in? - correct ans:A neutral colored room with minimal
furnishing
Your patient with acute mania now seems to be responding well to
treatment, how are you able to tell. - correct ans:Participating in groups,
taking turns speaking, appropriately dressed.
Pick healthy coping strategies - correct ans:● Exercise
● Journaling
● Using learned coping strategies
Your patient tells you "They are after me, they want to kill me", what is your
best response? - correct ans:That must make you scared, how does that
make you feel?
Your patient is experiencing auditory hallucinations, what is your next step? -
correct ans:Ask your patient what the voices are saying.
Should you assess for depression and suicidal ideation in a schizophrenic
patient - correct ans:yes
Anhedonia - correct ans:the inability to feel pleasure. It's a common
symptom of depression as well as other mental health disorders. Most people
understand what pleasure feels like.
, Anergia - correct ans:Abnormal lack of energy is among the negative
symptoms common to schizophrenia and depression.
SSRI patient/family teaching points - correct ans:● Medications of any kind —
prescribed, over-the-counter, or herbal supplements — should never be
mixed without consulting the doctor
● Alcohol (wine, beer and hard liquor) or street drugs, may reduce the
effectiveness of antidepressants
● Avoid consuming certain foods that contain high levels of tyramine, such
as many cheeses, wines, fermented meat and pickles.
Lithium adverse reactions - correct ans:● Excessive urination and thirst
(polyuria and polydipsia) are consistently found to be among the most
common side effects associated with lithium
● Hives; difficulty breathing; swelling of face, lips, tongue, or throat.
● Too much lithium in the body can cause death.
What activities can put someone at risk for lithium toxicity? - correct ans:●
Lithium toxicity can occur if you take only slightly more than a recommended
dose. Risk factors for lithium toxicity include older age and factors that lead
to disturbances in renal blood flow and water-salt homeostasis, such as
fever, diarrhea or vomiting, and use of nonsteroidal anti-inflammatory drugs
(NSAIDs), diuretics, and renin- -angiotensin-aldosterone system (RAAS)
inhibitors. Female sex has also been associated with a higher risk of lithium
toxicity
Lithium patient education - teaching points - correct ans:● Stop using lithium
and call the doctor for symptoms of lithium toxicity: muscle weakness,
twitching, drowsiness, feeling light-headed, mood changes, blurred vision,
ringing in the ears(tinnitus), irregular heartbeats, confusion, slurred speech,
clumsiness, trouble breathing, or seizures.
RASMUSSEN UNIVERSITY
2021 WITH QUESTION
AND ANSWERS
CONFIRMLTD
,MAOI meds - correct ans:Isocarboxazid (Marplan)
Phenelzine (Nardil)
Tranylcypromine (Parnate)
Selegiline (Eldepril)
Phenelzine (Nardil) patient education
(MAOI) - correct ans:● Avoidance of foods high in tyramine
● Check with the pharmacist before taking any OTC (examples are cold
medications)
risk of taking an SSRI and MAOI inhibitor together - correct ans:● Serotonin
syndrome
● Hypertensive crisis
Bipolar patient is making demands and disrupting the unit, how do you
respond - correct ans:● Set clear limits
● Distraction techniques
● Use a firm calm approach
High level suicide precautions for inpatients include - correct ans:● 1:1 staff
within arm's length of patient at all times
● Removal of any hard removals at meal times
● Removal of anything that the patient potentially uses to harm themselves
When can a patient stop taking their mood stabilizer? - correct ans:They
should not stop taking their mood stabilizer.
Inpatient, you are accessing your patient for depression 3 days after starting
medication treatment, your client is in a cheerful mood and says "I feel
,great", you should change his care plan to include which of the following -
correct ans:Keep a closer eye on the patient, consider asking for an order for
staff view at all times.
Your patient is experiencing acute mania, what type of environment should
you put the patient in? - correct ans:A neutral colored room with minimal
furnishing
Your patient with acute mania now seems to be responding well to
treatment, how are you able to tell. - correct ans:Participating in groups,
taking turns speaking, appropriately dressed.
Pick healthy coping strategies - correct ans:● Exercise
● Journaling
● Using learned coping strategies
Your patient tells you "They are after me, they want to kill me", what is your
best response? - correct ans:That must make you scared, how does that
make you feel?
Your patient is experiencing auditory hallucinations, what is your next step? -
correct ans:Ask your patient what the voices are saying.
Should you assess for depression and suicidal ideation in a schizophrenic
patient - correct ans:yes
Anhedonia - correct ans:the inability to feel pleasure. It's a common
symptom of depression as well as other mental health disorders. Most people
understand what pleasure feels like.
, Anergia - correct ans:Abnormal lack of energy is among the negative
symptoms common to schizophrenia and depression.
SSRI patient/family teaching points - correct ans:● Medications of any kind —
prescribed, over-the-counter, or herbal supplements — should never be
mixed without consulting the doctor
● Alcohol (wine, beer and hard liquor) or street drugs, may reduce the
effectiveness of antidepressants
● Avoid consuming certain foods that contain high levels of tyramine, such
as many cheeses, wines, fermented meat and pickles.
Lithium adverse reactions - correct ans:● Excessive urination and thirst
(polyuria and polydipsia) are consistently found to be among the most
common side effects associated with lithium
● Hives; difficulty breathing; swelling of face, lips, tongue, or throat.
● Too much lithium in the body can cause death.
What activities can put someone at risk for lithium toxicity? - correct ans:●
Lithium toxicity can occur if you take only slightly more than a recommended
dose. Risk factors for lithium toxicity include older age and factors that lead
to disturbances in renal blood flow and water-salt homeostasis, such as
fever, diarrhea or vomiting, and use of nonsteroidal anti-inflammatory drugs
(NSAIDs), diuretics, and renin- -angiotensin-aldosterone system (RAAS)
inhibitors. Female sex has also been associated with a higher risk of lithium
toxicity
Lithium patient education - teaching points - correct ans:● Stop using lithium
and call the doctor for symptoms of lithium toxicity: muscle weakness,
twitching, drowsiness, feeling light-headed, mood changes, blurred vision,
ringing in the ears(tinnitus), irregular heartbeats, confusion, slurred speech,
clumsiness, trouble breathing, or seizures.
