ATI CAPSTONE MENTAL HEALTH

Question text Match the anxiety disorder with the associated findings. Horror, intense fear, flashbacks, irritability, difficulty with concentrating and sleep disturbance Answer 1 Avoids being outside and impaired ability to perform duties Answer 2 Posttraumatic Stress Disorder (PTSD) Agoraphobia Palpitations, chest pain, shortness of breath, nausea, feelings of depersonalization, fear of dying or insanity Answer 3 Engages in ritualistic, compulsive behaviors and recurrent thoughts Answer 4 Feedback The correct answer is: Horror, intense fear, flashbacks, irritability, difficulty with concentrating and sleep disturbance – Posttraumatic Stress Disorder (PTSD), Avoids being outside and impaired ability to perform duties – Agoraphobia, Palpitations, chest pain, shortness of breath, nausea, feelings of depersonalization, fear of dying or insanity – Panic Disorder, Engages in ritualistic, compulsive behaviors and recurrent thoughts – Obsessive Compulsive Disorder (OCD) Question 2 Correct Mark 1.00 out of 1.00 Flag question Question text Match the type of Behavioral Therapy to its definition or use in mental health nursing. A therapist or treatment team may use unpleasant stimuli, such as bitter taste or mild electric shock, as punishment for behaviors such as alcoholism, violence, self-mutilation, and thumb sucking. Answer 1 The planned, progressive, or graduated exposure to anxietyprovoking stimuli in real-life situations, or by imagining events that cause anxiety. During this exposure, the anxiety response is suppressed through the use of relaxation techniques. Answer 2 Agoraphobia Panic Disorder Obsessive Compulsive Disorder (OCD) Aversion therapy Systematic desensitization Can be used in the acute care milieu to help clients improve interpersonal skills. The therapist demonstrates appropriate behavior in a stressful situation with the goal of having the client imitate the behavior. Answer 3 Positive rewards are given for positive behavior (positive reinforcement). Answer 4 Feedback The correct answer is: A therapist or treatment team may use unpleasant stimuli, such as bitter taste or mild electric shock, as punishment for behaviors such as alcoholism, violence, self-mutilation, and thumb sucking. – Aversion therapy, The planned, progressive, or graduated exposure to anxiety-provoking stimuli in real-life situations, or by imagining events that cause anxiety. During this exposure, the anxiety response is suppressed through the use of relaxation techniques. – Systematic desensitization, Can be used in the acute care milieu to help clients improve interpersonal skills. The therapist demonstrates appropriate behavior in a stressful situation with the goal of having the client imitate the behavior. – Modeling, Positive rewards are given for positive behavior (positive reinforcement). – Operant conditioning Question 3 Correct Mark 1.00 out of 1.00 Flag question Question text Match the communication skills and techniques to the correct definition or influence on communication. Used to help the client focus on what is actually happening and to dispel delusions, hallucinations, or faulty beliefs. Answer 1 Modeling Operant conditioning Presenting reality Used to determine if the message received was accurate and uses techniques such as restating, reflecting, paraphrasing, exploring. Answer 2 Demonstrates a willingness to spend time with the client. Limited personal information may be shared, but the focus should return to the client as soon as possible. Relevant self-disclosure by the nurse allows the client to see that his experience is shared by others and understood. Answer 3 Allows time for meaningful reflection. Answer 4 Emphasizes important points and reviews what has been discussed. Answer 5 Feedback The correct answer is: Used to help the client focus on what is actually happening and to dispel delusions, hallucinations, or faulty beliefs. – Presenting reality, Used to determine if the message received was accurate and uses techniques such as restating, reflecting, paraphrasing, exploring. – Clarifying techniques, Demonstrates a willingness to spend time with the client. Limited personal information may be shared, but the focus should return to the client as soon as possible. Relevant self-disclosure by the nurse allows the client to see that his experience is shared by others and understood. – Offering self, Allows time for meaningful reflection. – Silence, Emphasizes important points and reviews what has been discussed. – Summarizing Question 4 Correct Mark 1.00 out of 1.00 Clarifying techniques Offering self Silence Summarizing Flag question Question text A nurse is caring for a client prescribed chlorpromazine. Match the following complications of antipsychotics like chlorpromazine to the correct manifestations. Inability to sit or stand still; Continual pacing and agitation. Answer 1 Sudden high fever; Blood pressure fluctuations; Dysrhythmias; Muscle rigidity; Changes in level of consciousness; Coma. Answer 2 Involuntary movements of the tongue and face, such as lip smacking; Involuntary movements of the arms, legs, and trunk. Answer 3 Severe spasm of the tongue, neck, face, and back. Answer 4 Bradykinesia, rigidity, shuffling gait, drooling, tremors. Answer 5 Feedback The correct answer is: Inability to sit or stand still; Continual pacing and agitation. – Akathisia, Sudden high fever; Blood pressure fluctuations; Dysrhythmias; Muscle rigidity; Changes in level of consciousness; Coma. – Neuroleptic malignant, Involuntary movements of the tongue and face, such as lip smacking; Involuntary movements of the arms, legs, and trunk.