Rasmussen College Mental Health Final Exam 2023 Questions with verified Answers

Effective Therapeutic Communication - ANSWER-Silence Active listening Open-ended questions Clarifying Offering general leads/broad opening statements Showing acceptance and recognition Focusing Asking questions Giving information Presenting information Psych nurse assessment - ANSWER-Establish rapport Obtain an understanding of current problem Involuntary admission - ANSWER-Must be a danger to self or others or unable to meet basic needs Still obtain basic rights Lose right to leave Involuntary suicide admission - ANSWER-Lose right to privacy Beneficence - ANSWER-duty to promote good Autonomy - ANSWER-respecting rights of others to make their own decisions Justice - ANSWER-equal care Fidelity - ANSWER-do no wrong Veracity - ANSWER-truthfulness Antidepressant drugs - ANSWER-SSRI Antidepressants - ANSWER-First-line therapy Can affect sexual performance, dry mouth, mild nausea, loose bowel movements Serotonin syndrome - ANSWER-Abdominal pain, diarrhea, sweating, fever, tachycardia, low blood pressure, altered mental state Tricyclic antidepressants - ANSWER-Inhibits the reuptake of norepinephrine and serotonin by the presynaptic neurons in the CNS increasing the MAOIs - ANSWER-Treat depression Bipolar I disorder - ANSWER-at least 1 week long manic episode that results in excessive activity and energy Bipolar II disorder - ANSWER-low-level mania alternates with profound depression social and occupational impairment euphoric and dysphoric episodes Cyclothymia - ANSWER-symptoms of hypomania alternate with symptoms of mild to moderate depression for at least 2 yrs in adults and 1 yr in children social and occupational impairment First-line for bipolar - ANSWER-Lithium carbonate Lithium therapuetic level - ANSWER-0.4-1.3 mEq/L pt must be able to follow up for blood testing Lithium toxicity - ANSWER-1.5 mEq/L diaphoresis, weakness, nausea, diarrhea Defense Mechanisms - ANSWER-compensation conversion denial displacement Buspiron - ANSWER-only antianxiety that isn't addicting PTSD symptoms - ANSWER-intrusive thoughts nightmares flashbacks efforts to avoid thoughts and feelings feeling detached depression feelings of guilt irritability or angry outbursts hypervigilance hypersensitivity headache disrupted sleep, insomnia PTSD medications - ANSWER-sertraline (Zoloft) paroxetine (Paxil) both SSRIs PTSD nursing interventions - ANSWER-counseling support services Hypothalmus controls what? - ANSWER-heart rate breathing Who first identified anxiety as an important concept and developed the anxiety model? - ANSWER-Hildegard Peplau Levels of anxiety - ANSWER-mild moderate severe panic Positive Schizophrenia symptoms - ANSWER-something that is not normally there Negative Schizophrenia symptoms - ANSWER-something you should have that's missing Neuroleptic malignant syndrome - ANSWER-combination of hyperthermia, rigidity, and autonomy dysregulation Akasthia - ANSWER-psychomotor restlessness evident in pacing or fidgeting Pseudoparkinsonism - ANSWER-medication induced tremor, When did conventional antipsychotics become available? - ANSWER-1950s Atypical antipsychotics - ANSWER-tendency to cause significant weight ga Serotonin-dopamine antagonists - ANSWER-Abilify (Apiprazole) Clozaril (Clozapine) Zyprexa Personality disorders - ANSWER-pathological personality characteristics exhibits impairment in self-identity or self-direction and interpersonal functioning maladaptive behaviors Cluster A disorders - ANSWER-odd/eccentric paranoid schizoid schiotypal Cluster B disorders - ANSWER-set limits and boundaries consistent Cluster C disorders - ANSWER-anxious/fearful avoidant personality disorders dependent personality disorder obsessive-compulsive Eating disorders - ANSWER-anorexia bulimia binge eating priority is to identify triggers Anorexia symptoms - ANSWER->30% of body weight within 6 months temperature below 36 degree C (98.6 degree F) lenuga refuse to maintain a minimally normal weight for height express intense fear of gaining weight loss of appetite is rare Bulimia symptoms - ANSWER-hypokalemia Russel's sign engage in repeated episodes of binge eating followed by inappropriate compensatory behaviors self-induce vomiting Binge eating - ANSWER-feel ashamed after binging feeling of being out-of-control Somatoform disorders - ANSWER-somatic symptom disorder illness anxiety disorder conversion disorder factitious disorder Assessment guidelines for the chemically impaired - ANSWER-withdrawal syndrome overdose that warrants medical attention suicidal thoughts or other self-destructive behaviors physical complications related to drug abuse explore interests in doing something about drug or alchol Nursing diagnoses - ANSWER-***risk for suicide*** risk for other-directed violence imbalanced nutrition: less than body requirements disturbed thought processes disturbed sleep patterns ineffective health maintenance hopelessness ineffective airway clearance ineffective breathing pattern Central Nervous System depressants - ANSWER-alcohol opioids Alcohol withdrawal - ANSWER-develop within a few hours after cessation or reduction of intake, peak after 24-48 hrs Illusion - ANSWER-misinterpretation of reality Delusion - ANSWER-not based on reality Pharmacological interventions treatment of alcoholism - ANSWER-Naltrexone (ReVia) Acamprosate (Campral) Topiramate (Topamax) Disulfiram (Antabuse) Cognitive and degenerative disorders - ANSWER-dementia/Alzheimers