NR 326 Mental Health - Exam 2 Questions with
Verified Correct Answers
suicide risk factors
single (2x), divorced, gender (women attempt more, men succeed more often), having
someone close to person who committed suicide, increase with age, religion, socioeconomic
status, mental illness, stressful life events, alcohol/ drug use, family hx of suicide, bullying
priority intervention for pt. w/ suicidal ideation
-Placing the client on suicide precautions with one-to-one observation provides a safe
environment for an actively suicidal client. •Maintaining client safety should always be a
priority nursing intervention.
positive symptoms of schizophrenia
(presence of things not normally present) hallucinations, delusions (false, fixed beliefs),
strange motor movements, speech alterations, agitation.
negative symptoms of schizophrenia
(absence of things that are normally present) 5 A's: Affect (flat affect) Alogia (decrease
thought/speech), Anergia (lack of energy), Anhedonia (lack of pleasure), Avolition (lack of
motivation for activities)
Lithium toxicity
toxic >1.5: coarse tremors, confusion, hypotension, seizures, tinnitus, coma/death
patient teaching for lithium
-if going outside for activity, need to rehydrate
-Take the medication regularly.•Do not drive or operate dangerous machinery.•Do not skimp
, on dietary sodium and maintain appropriate diet.•Know pregnancy risks.•Carry identification
noting taking lithium.•Be aware of side effects and symptoms of toxicity.•Notify physician if
vomiting or diarrhea occur.•Have serum lithium level checked every 1 to 2 months.
nursing intervention for pt. in manic episode of bipolar disorder
· Provide safe environment. Protect pt from poor judgement (giving away money, sexual
indiscretions)
· Decrease stimulation
· 1:1 observation, seclusion, or restraints may be necessary if pt is risk for self or others
· Provide frequent rest periods
· Monitor sleep, fluid and food intake.
· Provide high-calorie portable snacks (finger food)
· Set limits, give concise explanations, use calm approach
· Medications: lithium, anticonvulsants, antipsychotic meds, anti-anxiety meds,
antidepressants.
bipolar mania
excessively elevated mood, lasting more than a week.
MAOI's (what not to eat)
No tyramine foods
core of OCD
anxiety
s/s of PTSD
Verified Correct Answers
suicide risk factors
single (2x), divorced, gender (women attempt more, men succeed more often), having
someone close to person who committed suicide, increase with age, religion, socioeconomic
status, mental illness, stressful life events, alcohol/ drug use, family hx of suicide, bullying
priority intervention for pt. w/ suicidal ideation
-Placing the client on suicide precautions with one-to-one observation provides a safe
environment for an actively suicidal client. •Maintaining client safety should always be a
priority nursing intervention.
positive symptoms of schizophrenia
(presence of things not normally present) hallucinations, delusions (false, fixed beliefs),
strange motor movements, speech alterations, agitation.
negative symptoms of schizophrenia
(absence of things that are normally present) 5 A's: Affect (flat affect) Alogia (decrease
thought/speech), Anergia (lack of energy), Anhedonia (lack of pleasure), Avolition (lack of
motivation for activities)
Lithium toxicity
toxic >1.5: coarse tremors, confusion, hypotension, seizures, tinnitus, coma/death
patient teaching for lithium
-if going outside for activity, need to rehydrate
-Take the medication regularly.•Do not drive or operate dangerous machinery.•Do not skimp
, on dietary sodium and maintain appropriate diet.•Know pregnancy risks.•Carry identification
noting taking lithium.•Be aware of side effects and symptoms of toxicity.•Notify physician if
vomiting or diarrhea occur.•Have serum lithium level checked every 1 to 2 months.
nursing intervention for pt. in manic episode of bipolar disorder
· Provide safe environment. Protect pt from poor judgement (giving away money, sexual
indiscretions)
· Decrease stimulation
· 1:1 observation, seclusion, or restraints may be necessary if pt is risk for self or others
· Provide frequent rest periods
· Monitor sleep, fluid and food intake.
· Provide high-calorie portable snacks (finger food)
· Set limits, give concise explanations, use calm approach
· Medications: lithium, anticonvulsants, antipsychotic meds, anti-anxiety meds,
antidepressants.
bipolar mania
excessively elevated mood, lasting more than a week.
MAOI's (what not to eat)
No tyramine foods
core of OCD
anxiety
s/s of PTSD
