Mental health exam 3 EXAM QUESTIONS
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2024 – 2025 ALREADY GRADED A+
Delirium 6 nursing diagnoses - ANSWERS-1. risk for injury
2. acute confusion
3. disturbed sensory perception
4. disturbed thought processes
5. risk for deficient fluid volume
6. risk for imbalanced nutrition
Delirium 5 outcomes - ANSWERS-1. free of injury
2. demonstrate increased orientation & reality contact
3. maintain an adequate balance of activity & rest
4. maintain adequate nutrition & fluid balance
5. return to optimal level of functioning
,Delirium 4 nursing interventions - ANSWERS-1. promote client's safety
-teach client to request assistance for activities
-close supervision during activities
-promptly respond to calls for assistance
2. manage client's confusion
-speak in calm manner in a clear low voice; use simple sentences
-allow adequate time for client to comprehend & respond
-allow client to make decisions
-use supportive touch if appropriate
3. control environment to reduce sensory overload
-validate clients anxiety & fears, but don't reinforce misinterpretations
4. promote sleep & proper nutrition
-discourage daytime napping
-encourage some exercise during the day
The primary mood disorders are: (2) - ANSWERS-1. major depressive disorder
2. bipolar disorder
A major depressive episode lasts how long? - ANSWERS-At least *2 weeks, during
which the person experiences a depressed mood or loss of pleasure* in nearly all
activities
,-twice as common in women
-1.5 to 3 times greater incidence in first-degree relatives
-Decreases with age in women; increases with age in men; *highest in single,
divorced people*
-50% to 60% will suffer recurrence
-Approximately 20% will develop a chronic form of depression
-Symptoms range from mild to severe
Major depressive 7 symptoms - ANSWERS-1. changes in eating habits, resulting in
unplanned weight gain or loss
2. hypersomnia (excessive sleepiness) or insomnia
3. impaired concentration, decision making, or problem solving abilities
4. inability to cope with daily life
5. feelings of worthlessness, hopelessness, guilt, or despair
6. thoughts of death/suicide
7. pessimistic thinking with no hope of improvement
Selective serotonin reuptake inhibitors (SSRI) - ANSWERS-*Newest category; has
the fewest side effects* making them safer for older adults
-more compliant to treatment regimen
-insomnia decreases in 3-4 days
-appetite returns to normal in 5-7 days
, -energy returns in 4-7 days
-mood, concentration, & interest in life improve in 7-10 days
5 SSRI antidepressants names & nursing considerations - ANSWERS-1. fluoxetine
(prozac)
-HA, nervousness, anxiety, sedation, tremor, sexual dysfunction, anorexia,
constipation, nausea, diarrhea, weight loss
-*administer in AM if nervous; PM if drowsy*
-*monitor for hyponatremia*
-encourage fluids
-report sexual difficulties
2. sertraline (zoloft)
-dizziness, sedation, HA, insomnia, tremor, sexual dysfunction, diarrhea, dry
mouth/throat, NV, sweating
-*admin in PM if drowsy*
-sugar free beverages & hard candy; drink adequate fluids
-*monitor for hyponatremia*
-report sexual difficulties
3. paroxetine (paxil)
-dizziness, sedation, HA, insomnia, weakness, fatigue, constipation, dry
mouth/throat, NVD, sweating
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2024 – 2025 ALREADY GRADED A+
Delirium 6 nursing diagnoses - ANSWERS-1. risk for injury
2. acute confusion
3. disturbed sensory perception
4. disturbed thought processes
5. risk for deficient fluid volume
6. risk for imbalanced nutrition
Delirium 5 outcomes - ANSWERS-1. free of injury
2. demonstrate increased orientation & reality contact
3. maintain an adequate balance of activity & rest
4. maintain adequate nutrition & fluid balance
5. return to optimal level of functioning
,Delirium 4 nursing interventions - ANSWERS-1. promote client's safety
-teach client to request assistance for activities
-close supervision during activities
-promptly respond to calls for assistance
2. manage client's confusion
-speak in calm manner in a clear low voice; use simple sentences
-allow adequate time for client to comprehend & respond
-allow client to make decisions
-use supportive touch if appropriate
3. control environment to reduce sensory overload
-validate clients anxiety & fears, but don't reinforce misinterpretations
4. promote sleep & proper nutrition
-discourage daytime napping
-encourage some exercise during the day
The primary mood disorders are: (2) - ANSWERS-1. major depressive disorder
2. bipolar disorder
A major depressive episode lasts how long? - ANSWERS-At least *2 weeks, during
which the person experiences a depressed mood or loss of pleasure* in nearly all
activities
,-twice as common in women
-1.5 to 3 times greater incidence in first-degree relatives
-Decreases with age in women; increases with age in men; *highest in single,
divorced people*
-50% to 60% will suffer recurrence
-Approximately 20% will develop a chronic form of depression
-Symptoms range from mild to severe
Major depressive 7 symptoms - ANSWERS-1. changes in eating habits, resulting in
unplanned weight gain or loss
2. hypersomnia (excessive sleepiness) or insomnia
3. impaired concentration, decision making, or problem solving abilities
4. inability to cope with daily life
5. feelings of worthlessness, hopelessness, guilt, or despair
6. thoughts of death/suicide
7. pessimistic thinking with no hope of improvement
Selective serotonin reuptake inhibitors (SSRI) - ANSWERS-*Newest category; has
the fewest side effects* making them safer for older adults
-more compliant to treatment regimen
-insomnia decreases in 3-4 days
-appetite returns to normal in 5-7 days
, -energy returns in 4-7 days
-mood, concentration, & interest in life improve in 7-10 days
5 SSRI antidepressants names & nursing considerations - ANSWERS-1. fluoxetine
(prozac)
-HA, nervousness, anxiety, sedation, tremor, sexual dysfunction, anorexia,
constipation, nausea, diarrhea, weight loss
-*administer in AM if nervous; PM if drowsy*
-*monitor for hyponatremia*
-encourage fluids
-report sexual difficulties
2. sertraline (zoloft)
-dizziness, sedation, HA, insomnia, tremor, sexual dysfunction, diarrhea, dry
mouth/throat, NV, sweating
-*admin in PM if drowsy*
-sugar free beverages & hard candy; drink adequate fluids
-*monitor for hyponatremia*
-report sexual difficulties
3. paroxetine (paxil)
-dizziness, sedation, HA, insomnia, weakness, fatigue, constipation, dry
mouth/throat, NVD, sweating
