RASMUSSEN : MENTAL HEALTH EXAM 2 UPDATED AND VERIFIED VERSIONS 100% GRADED A+

Which nursing diagnosis supports the psychoanalytic theory of development of major depressive disorder? Social isolation R/T self directed danger Which patient is at the highest risk for the diagnosis of major depressive disorder? 24 yr old married woman A patient diagnosed with MDD is being considered for ECT. Which patient teaching should the nurse prioritize? Discuss with the patient and family expected short term memory loss Which nursing intervention takes priority when working with a newly admitted patient experiencing suicidal ideations? Monitor the patient at a close, but irregular intervals. A patient diagnosed with major depressive disorder is prescribed Nardil. Which teachings should the nurse prioritize? Intruct the patient & family about the many food-drug & drug-drug interactions? What symptoms would the nurse expect to assess i a patient experiencing serotonin syndrome? Confusion, restlessness, Tachycardia, Labile BP, & diaphoresis Which of the following meds would be classified as Tricyclic antidepressants? Nortriptyline (Pamelor) Which of the following are examples of anticholinergic side effects from tricyclic antidepressants? Urinary hesitancy, constipation, and blurred vision A patient seen in the ED is experiencing irritability, pressured speech, and increased levels of anxiety. The priority is? Assess vital signs and complete a physical assessment A patient diagnosed with bipolar 1 in the manic phase is yelling at another peer in the milieu. The priority intervention is? Calmly redirect and remove the patient from the milieu. A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of ideas. Which meds would you expect to give? Risperidone (Risperdal) & Lamotrigine (Lamictal) A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors and muscular irritability. The RN should? Assess a serum Lithium level of 2.6mEq/L A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse takes priority? Make sure your salt intake is consistent. Which is an example of an behavioral response to a moderate level of anxiety? Restlessness Which is an example of a physiological response to a panic level of anxiety? Dilated pupils. A newly admitted patient is diagnosed with PTSD.