REVISED ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING QUESTIONS AND ANSWERS

REVISED ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING QUESTIONS AND ANSWERS A client is prescribed duloxetine. Which client education would the nurse provide? - CORRECT ANSWER - The medication should not be discontinued abruptly . A client has been feeling "down in the dumps" because of the loss of a pet 2 years ago. Which condition would the nurse suspect in the client? - CORRECT ANSWER -Persistent depressive disorder A client is scheduled for individual psychotherapy. Which would be the nursing intervention during the first phase of individual psychotherapy? - CORRECT ANSWER -Encouraging the client to continue participating in regular activities While caring for a postpartum client, the nurse suspects the client to have postpartum depression with psychotic features. Which symptom in the client made the nurse suspect this condition? - CORRECT ANSWER -Rejection of the baby An adolescent in a psychiatric unit has a temperamental outburst, saying, "I tried my best but could not reach my parent's expectations. I disappointed them. My life is of no use." Which would the nurse suspect in the client? - CORRECT ANSWER -Disruptive mood dysregulation disorder Which type of treatment modality is beneficial to a client who experiences winter "blues"? - CORRECT ANSWER -Light therapy The primary health-care provider suggests that the nurse schedule light therapy for a client early in the day. Which complication can be prevented in the client as a result of this intervention? - CORRECT ANSWER -Insomnia A nurse, while preparing a client for electroconvulsive therapy (ECT), administers a muscle relaxant. Which further care would the nurse provide to ensure safety during the therapy? - CORRECT ANSWER - Oxygenate the client during the treatment. A nurse, on reviewing the prescription of a client with depression, informs the client to chew sugarless candies occasionally. Which complication can be relieved in the client by implementing the nurse's suggestion? - CORRECT ANSWER -Dry mouth Antidepressant drugs usually cause dry mouth as a complication. The client is advised to chew sugarless candies to prevent dry mouth. The nurse reviews the prescription of a client with depression and informs the client, "You should make sure you slowly rise up from the sitting or lying down position." Which is the nurse expecting to control in the client? - CORRECT ANSWER -*Variation in blood pressure The nurse informs the client on antidepressant therapy to rise slowly from the sitting or lying position to prevent orthostatic hypotension. Orthostatic hypotension refers to a drop in blood pressure when the client rises from a sitting or lying position. How does electroconvulsive therapy (ECT) work to treat a depressed client? - CORRECT ANSWER -*ECT increases serotonin levels. The electrical stimulation of ECT causes significant increase in neurotransmitter levels. This increases serotonin levels. Which interventions would the nurse implement while applying a selegiline transdermal patch? Select all that apply. - CORRECT ANSWER -*Wash hands after applying 3 *Avoid exposing the site of application to direct heat *Apply a new patch to a new site if the patch falls off After applying the patch, the nurse would wash his or her hands to prevent the medication from being absorbed into the skin. The site of application would not be exposed to direct heat because it can affect the therapeutics of the drug. A new patch would be applied to a new site if the patch falls off, and the previous schedule must be resumed. Which neurotransmitter level in the mesolimbic system of the brain is thought to exert a strong influence over human mood and behavior? - CORRECT ANSWER -*Dopamine Dopamine levels in the mesolimbic system of the brain are thought to exert a strong influence over human mood and behavior. The nurse is caring for a client with complicated grieving. Which action of the client would be monitored to evaluate the effectiveness of the nursing care? - CORRECT ANSWER -*The client is expressing appropriate anger about the loss. When the client expresses appropriate anger about the loss, the nursing care is effective.