Psych and pharm final exam

• A patient’s wandering and hostility levels have increased per family reports. What should concern the nurse in this patient who is taking memantine (Namenda) 10 mg/d? - The patient is not taking enough of the medication • What statement by the patient indicates an understanding of how to relieve some side effects associated with the use of benzotropine mesylate (Cogentin)? “I can suck on hard candy or chew sugarless gum to prevent dry mouth” varcol is 1.A person shoplifts merchandise from a community cancer thrift shop. When confronted the thief replies “all this stuff was donated, so I can take it.” this comment suggestsfeatures of which personality disorder? -Antisocial 2.After a power outage, a facility must serve a dinner of sandwiches and fruit to clients. Which comment is most likely from a client diagnosed with a narcissistic personality disorder? -"You should have ordered a to-go meal from a local restaurant for me." 3.A nurse plans care for a patient diagnosed with borderline personality disorder. Which nursing diagnosis is most likely to apply to this patient? -ineffective relationships related to frequent splitting 4.The nurse assesses a new patient suspected of having a schizotypal personality disorder. Which assessment question is this patient most likely to answer affirmatively? -”is anyone in your family diagnosed with a mental illness?” 5.A mental health nurse assesses a client diagnosed with antisocial personality disorder. Which co-morbid problem is most important for the nurse to include in the assessment? -Alcohol use and abuse Chapter 14 varcolis 1.The school nurse assesses four adolescents, all of whom outward appear healthy. Which adolescent meets one criterion for anorexia nervosa with mild severity? -5’7” tall; weight 110 lbs 2.A nurse assesses four adolescents diagnosed with various eating disorders. Which comment would the nurse most expect from the adolescent diagnosed with anorexia nervosa ? -"I have lost 60 lb but I'm still a size 2. I want to be a size 0." • While weighing clients on an eating disorders unit, a psychiatric technician says to the client, "I wish that an eating disorder; maybe I'd lose a little weight." A nurse overhears the comment. What is the nurse's best action? -Privately discuss the importance of sensitivity with the psychiatric technician. • shortly after hospitalization, an adolescent diagnosed with anorexia nervosa says to the nurse, “being flat is the worst thing in the world. I hope it never happens to me.” which response by the nurse is appropriate? -”tell me how your world would be different if you were fat.” • client is hospitalized with a diagnosis of anorexia nervosa. The nurse reviews the client's laboratory results. Which action should the nurse take next? -Auscultate the client's heart rate, rhythm, and sounds Chapter 15 varcolis 1.A 28 year old second-grade teacher is diagnosed with major depressive disorder. She grew up in Texas but moved to Alaska 10 years ago to separate from an abusive mother. Her father died by suicide when she was 12 years old. Which combination of factors in this scenario best demonstrates the stress- diathesis model? -Family history of mental illness coupled with history of abuse 2.A patient tells the nurse , “no matter what i do, i feel like there’s always a dark cloud following me.” select the nurse's initial action. -say to the patient, “tell me more about what you mean by a dark cloud” 3.A patient experiencing depression says to the nurse, "my health provider said i need 'talk' therapy but i think i need a prescription for an antidepressant medication. what should i do? Select the nurses best response. -“let’s consider some ways to address your concerns with your healthcare provider.” • the nurse cares for a hospitalized adolescent diagnosed with major depressive disorder. The health care provider prescribes a low does antidepressant. In consideration of published warnings about use of antidepressant medications in younger patients, which action should the nurse employ? -monitor the adolescent closely for evidence of adverse effects, particularly suicidal thinking or behavior