NR 326 Mental Health - exam 2 – UPDATED Questions with 100%
Verified Answers
Chamberlain University-Illinois
NR 326
NR 326 Mental Health - exam 2
Study Questions and Answers
Q1 suicide risk factors
A single (2x), divorced, gender (women attempt more, men succeed more often), having someone close to person
who committed suicide, increase with age, religion, socioeconomic status, mental illness, stressful life events,
alcohol/ drug use, family hx of suicide, bullying
Q2 priority intervention for pt. w/ suicidal ideation
A Placing the client on suicide precautions with one-to-one observation provides a safe environment for an actively
suicidal client. •Maintaining client safety should always be a priority nursing intervention.
Q3 positive symptoms of schizophrenia
A (presence of things not normally present) hallucinations, delusions (false, fixed beliefs), strange motor movements,
speech alterations, agitation.
Q4 negative symptoms of schizophrenia
A (absence of things that are normally present) 5 A's: Affect (flat affect) Alogia (decrease thought/speech), Anergia
(lack of energy), Anhedonia (lack of pleasure), Avolition (lack of motivation for activities)
Q5 Lithium toxicity
A toxic >1.5: coarse tremors, confusion, hypotension, seizures, tinnitus, coma/death
Q6 patient teaching for lithium
A if going outside for activity, need to rehydrate Take the medication regularly.•Do not drive or operate dangerous
machinery.•Do not skimp on dietary sodium and maintain appropriate diet.•Know pregnancy risks.•Carry
identification noting taking lithium.•Be aware of side effects and symptoms of toxicity.•Notify physician if vomiting or
diarrhea occur.•Have serum lithium level checked every 1 to 2 months.
Q7 nursing intervention for pt. in manic episode of bipolar disorder
NR 326 Mental Health - exam 2 1
, A · Provide safe environment. Protect pt from poor judgement (giving away money, sexual indiscretions) · Decrease
stimulation · 1:1 observation, seclusion, or restraints may be necessary if pt is risk for self or others · Provide
frequent rest periods · Monitor sleep, fluid and food intake. · Provide high-calorie portable snacks (finger food) · Set
limits, give concise explanations, use calm approach · Medications: lithium, anticonvulsants, antipsychotic meds,
anti-anxiety meds, antidepressants.
Q8 bipolar mania
A excessively elevated mood, lasting more than a week.
Q9 MAOI's (what not to eat)
A No tyramine foods
Q10 core of OCD
A anxiety
Q11 s/s of PTSD
A Flashbacks, distressing dreams, difficulty concentrating, insomnia, anxiety, irritability, detachment from others,
hypervigilance, exaggerated startle response, feeling of guilt and negative self image.
Q12 pt. attempts suicide (even if only once)
A pt. put at high suicide risk immediately initiated
Q13 extrapyramidal EPS
A · dystonia, Parkinson's symptoms, tardive dyskinesia (lip smacking, tongue rolling) akathisia (muscle quivering,
restlessness)
Q14 Neuroleptic malignant syndrome
A Adverse reaction to antipsychotics
Q15 Neuroleptic malignant syndrome (s/s)
A fever, dysrhythmias, BP fluctuations, muscle rigidity
Q16 word salad
A words are jumbled together in meaningless way
Q17 Neologisms
NR 326 Mental Health - exam 2 2
Verified Answers
Chamberlain University-Illinois
NR 326
NR 326 Mental Health - exam 2
Study Questions and Answers
Q1 suicide risk factors
A single (2x), divorced, gender (women attempt more, men succeed more often), having someone close to person
who committed suicide, increase with age, religion, socioeconomic status, mental illness, stressful life events,
alcohol/ drug use, family hx of suicide, bullying
Q2 priority intervention for pt. w/ suicidal ideation
A Placing the client on suicide precautions with one-to-one observation provides a safe environment for an actively
suicidal client. •Maintaining client safety should always be a priority nursing intervention.
Q3 positive symptoms of schizophrenia
A (presence of things not normally present) hallucinations, delusions (false, fixed beliefs), strange motor movements,
speech alterations, agitation.
Q4 negative symptoms of schizophrenia
A (absence of things that are normally present) 5 A's: Affect (flat affect) Alogia (decrease thought/speech), Anergia
(lack of energy), Anhedonia (lack of pleasure), Avolition (lack of motivation for activities)
Q5 Lithium toxicity
A toxic >1.5: coarse tremors, confusion, hypotension, seizures, tinnitus, coma/death
Q6 patient teaching for lithium
A if going outside for activity, need to rehydrate Take the medication regularly.•Do not drive or operate dangerous
machinery.•Do not skimp on dietary sodium and maintain appropriate diet.•Know pregnancy risks.•Carry
identification noting taking lithium.•Be aware of side effects and symptoms of toxicity.•Notify physician if vomiting or
diarrhea occur.•Have serum lithium level checked every 1 to 2 months.
Q7 nursing intervention for pt. in manic episode of bipolar disorder
NR 326 Mental Health - exam 2 1
, A · Provide safe environment. Protect pt from poor judgement (giving away money, sexual indiscretions) · Decrease
stimulation · 1:1 observation, seclusion, or restraints may be necessary if pt is risk for self or others · Provide
frequent rest periods · Monitor sleep, fluid and food intake. · Provide high-calorie portable snacks (finger food) · Set
limits, give concise explanations, use calm approach · Medications: lithium, anticonvulsants, antipsychotic meds,
anti-anxiety meds, antidepressants.
Q8 bipolar mania
A excessively elevated mood, lasting more than a week.
Q9 MAOI's (what not to eat)
A No tyramine foods
Q10 core of OCD
A anxiety
Q11 s/s of PTSD
A Flashbacks, distressing dreams, difficulty concentrating, insomnia, anxiety, irritability, detachment from others,
hypervigilance, exaggerated startle response, feeling of guilt and negative self image.
Q12 pt. attempts suicide (even if only once)
A pt. put at high suicide risk immediately initiated
Q13 extrapyramidal EPS
A · dystonia, Parkinson's symptoms, tardive dyskinesia (lip smacking, tongue rolling) akathisia (muscle quivering,
restlessness)
Q14 Neuroleptic malignant syndrome
A Adverse reaction to antipsychotics
Q15 Neuroleptic malignant syndrome (s/s)
A fever, dysrhythmias, BP fluctuations, muscle rigidity
Q16 word salad
A words are jumbled together in meaningless way
Q17 Neologisms
NR 326 Mental Health - exam 2 2
