NR 326 Mental Health - exam 2 Questions with 100% Correct Answers

Suicide risk factors Correct Answer 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 Priority intervention for pt. W/ suicidal ideation Correct Answer -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. Positive symptoms of schizophrenia Correct Answer (presence of things not normally present) hallucinations, delusions (false, fixed beliefs), strange motor movements, speech alterations, agitation. Negative symptoms of schizophrenia Correct Answer (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) Lithium toxicity Correct Answer toxic 1.5: coarse tremors, confusion, hypotension, seizures, tinnitus, coma/death Patient teaching for lithium Correct Answer -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. Nursing intervention for pt. In manic episode of bipolar disorder Correct Answer • 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.