N322 Mental Health Exam 2 Questions With Correct Answers

What are the early signs of lithium toxicity? - Answer Nausea, vomiting, diarrhea, thirst, polyuria, slurred speech, muscle weakness What are interventions for acute mania? - Answer Maintain low level of stimuli in patient environment, provide frequent high-calorie foods, and provide frequent rest periods Appropriate mood, speech, and dress - Answer What are expected outcomes for bipolar patient? What are advanced signs of lithium toxicity? - Answer Coarse hand tremors, persistent GI upset, mental confusion, muscle irritability What is distractibility/ use of distraction? - Answer The most effective tool for a patient during a manic phase What are negative symptoms of schizophrenia? - Answer Poverty of thought, loss of motivation, inability to experience, pleasure or joy, feelings of emptiness, blunted affect What are examples of neologisms? - Answer Jumoing, netula, confustion What is clanging? - Answer Silly Sally looks longingly at the wall. Head turned, eyes away avoiding the call. Christmas time is no where near, but in a sing song voice Sally says, "Do you hear what I hear?" What is Disturbed Sensory Perception: auditory/visual? - Answer Use this nursing diagnosis for a person experiencing hallucinations "That must be very upsetting, Tom. Are you feeling upset?" - Answer Tom said " I hear my mother's voice saying terrible things about me."... best nursing response? What are common cause of delirium? - Answer Surgery, drugs, urinary tract infections, pneumonia, cerebrovascular disease, and congestive heart failure What are glasses/hearing aids? - Answer Provide these when a client is misinterpreting reality What is at risk for injury? - Answer Consider this nursing diagnosis as a priority What are antipsychotics and benzodiazepines? - Answer Use these judiciously to help with behavioral problems What is to return client back to baseline? - Answer Long-term goal of delirium treatment What are teaching points for taking anxiolytic drugs (benzodiazapines)? - Answer Do not increase dosage without prior approval, avoid alcohol, avoid drinking caffeinated beverages, may be taken with food to decrease GI discomfort What is to use a long-acting IM injection form of medication? - Answer Alternative option for medication compliance with a schizophrenic client What is Neuroleptic malignant syndrome? - Answer Decreased level of consciousness, greatly increased muscle tone, hyperpyrexia, labile hypertension, tachycardia, diaphoresis What is Clozapine (Clozaril)? - Answer May cause high seizure rate, significant weight gain, excessive salivation, agranulocytosis What are SSRIs and MAOIs? - Answer Mixing these meds places patient at higher risk for developing serotonin syndrome