Mental Health Nursing Exam 1 - Jersey College Questions and Answers(A+ Solution guide)

Introductory phase - The purpose and overview of the debriefing process is presented. Confidentiality is assured, team members are identified, and questions are answered. What phase of critical incident stress debriefing is this? Fact phase - Participants are assisted in discussing the facts of the incident from their perspectives. What phase of critical incident stress debriefing is this? Symptom phase - Participants describe cognitive, physical, emotional, or behavioral experiences at the time of the incident and ongoing. What phase of critical incident stress debriefing is this? Thought phase - All participants are asked to discuss their initial thoughts about the incident. What phase of critical incident stress debriefing is this? Reaction phase - Participants engage in freewheeling discussion about the worst, most painful parts of the incident. What phase of critical incident stress debriefing is this? the death of a loved one - Example of a situational crisis? -witnessing a murder -the death of a loved one -a fire that destroyed the client's home -a recent rape episode experienced by the client at the same time each evening - A client's medication sheet contains a prescription for Sertraline (Zoloft). To ensure safe administration of the med, how should the nurse administer the drug?crackers and tossed salad - A hospitalized client is started on phenalzine for the tx of depression. The nurse should instruct the client that which foods are acceptable to consume while taking this medication? SATA -figs -yogurt -crackers -aged cheese -tossed salad -oatmeal raisin cookies white blood cell count - A client with schizophrenia has been started on medication therapy with clozapine. The nurse should assess the results of which laboratory study to monitor for adverse effects from this medication? avoid alcohol while taking this medication - A client is scheduled for discharge and will be taking phenobarbital for an extended period. The nurse would place the highest priority on teaching the client which point that directly relates to client safety? constipation - Side effect of oxazepam: get up slowly when changing positions avoid sunlight 2nd generation/atypical anti-psychotic - Discharge instructions for a patient taking risperidone? 2-3 weeks TCA - trycyclic antidepressant - The nurse is teaching a client who is being started on imipramine about the medication. The nurse should inform the client to expect maximum desired effects at which time period following initiation of the medication? tardive dyskinesia - The nurse notes that the client with schizophrenia and receiving an antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. The nurse determines that the client is experiencing which medication complication?GI dysfunction CNS dysfunction Sleeplessness and/or drowsiness during day SSRI - The nurse is performing a follow up teaching session with a client discharged one month ago. The client is taking fluoxetine (Prozac). Which information would be important for the nurse to obtain during this client visit regarding the side and adverse effects of this medication? rapid heartbeat or anxiety - A client who has been taking busprione for 1 month returns to the clinic for a follow up assessment. The nurse determines that the medication is effective if the absence of which manifestation has occurred? toxic - A client taking lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is 2.5 mEq/L. The nurse plans the care based on which representation of this level? 0.4 to 1 mEq/L - Therapeutic level of lithium? frequent hand washing with hot, soapy water. TCA used to treat OCD - A client gives the home health nurse a bottle of clomipramine. The nurse notes that the medication has not been taken by the client in 2 months. Which behavior observed in the client would validate noncompliance with this medication? seizures - Excessive amounts of bupropion (Wellbutrin) can cause ________? A client's response to a crisis is individualized and what constitutes a crisis for one client may not constitute a crisis for another client. - The nurse is creating a plan of care for a client in a crisis state. When developing the plan, the nurse should consider which factor? overt - obvious and direct statements covert - indirect statements - Difference between overt and covert statements?SAD PERSONS Scale 0-5 may be safe to discharge 6-8 probably requires psychiatric consultation 8 probably requires hospital admission, voluntary or involuntary (need 2 psychiatrists) - Commonly used in emergency departments and helps staff to quickly evaluate the urgency of referral to mental health sources or protective care?