ATI Mental Health Drugs, Mental
Health ATI
___ increases the likelyhood of family violence - substance use
"my son has a few drinks each night to unwind" is a sign
"Im not going to my family reunion because no one asked me to help plan it" - sign of
uselessness is a sign of depression
"im relieved now that my finanical affairs are in order" - more at risk when afairs are in order
"thank you for taking such good care of me" - more at risk- people show an appreciation for
loved ones when contemplating suicide
1. During the procedure I will have a cardiac monitor in place
2. I can expect to have two treatments a week for the next 4 to 6 weeks
3. Following the procedure the patient will have short term memory loss - Client undergoing
ECT what do we need to inform the patient about?
15 to 30 mins - How often do we nurses need to document when a patient is on restraints?
a client is experiencing alcohol withdrawal delerium- which roommate is most appropriate for
this patient - one with depression- will allow client to rest
pt with acl withdrawal needs uninterrupted rest
a client is taking an SSRI like paroxetine- what should you tell the client to report to you if they
notive - FEVER- Serotnonin syndrome
,not sex dysfunciton- this is normal
a client says about ECT "I will be able to stop taking my antidepressants after the tx" - nope=
sorry need maintenacne
a client that demonstrates a dedication to his job that excludes time for leisure activitites - OCD
a client was admitted as involuntary for substance abuse and is refusing the lorazepam- what
do you do - dont give it- they still have the right to refuse treatment
a client who has trouble starting new relationships unless he feels accepted - avoidant
personality disorder
A family member using alcohol - What shows signs of abuse in an elderly?
a nurse in a 24 hr mental health facility is planning DC for a client with a long history of alcohol
use disorder- what postdischarge activity should the nurse plan to inlcude - attending a relapse
prevention group several times each week
like AA 12 steps
a nurse is caring for a client with a hx of agression, the client is playing cards and throws them
at other patients- what should you do - ask the client how he is feeling (therapeutic cmcn)
not take the cards away (this will increase aggression)
explaining unit rules will not help either
a nurse is developing a plan of care for a patient who exhibits anger, aggression, and violent
behavior, what is the priority nursing intervention - create a large personal space- this helps
provide safety
not use therapeutic communiciton (this only prevent escalation of agression and is a part of
ongoing therapy)
,a nurse is planning DC teaching to a family member of a pt newly diangosed with depression=
what should the nurse teach about relapse - early identification of changes such as decreased
social involvement is important
a pt is getting a new Rx of haldol- what symptom should you tell them to report - shuffling gait
(dry mouth and blurred vision are common- also teach the client to stay out of sun)
A realistic self-concept - What does a healthy mentally adolescent show or exhibit?
A temperature lower than 98.6- severe hypothermia
30 % of weight loss in 6 months of total body weight
HR less than 40 - What requires immediate hospitalization in patients who have anorexia
nervosa?
acamprosate - Campral - abstinence maintenance, decrease anxiety
Acute Alcohol withdrawal - What is chlordiazepoxide used for?
adheres to a rigid set of rules - OCD
Adjustment disorder. Expected finding? - Parents divorced two months ago
administering meds to minimize long term efects of violence - secondary
admitting a pt experiencing alcohol withdrawal, is nauseas, shaking, and irritable- priority
interventin - date and time of last drink (worst withdrawal 24-48 hrs after last drink)
, Adventitious crisis - situational crisis is external crisis, maturational crisis deals with age related
events, and natural disasters or 9/11 is an example of this crisis
adventitious crisis - town hit by tornado
external disaster
Adverse effects of imipramine - Urinary retention, tinnitus, weight gain & tachycardia
After Alcohol detoxification to maintain abstinence - What is Naltrexone and Disulfiram use for?
After the attack has subsided to prevent further anxiety - When should the nurse establish an
exercise routine or a relaxation technique or help identify triggers for anxiety?
Alcoholic cardiomyopathy. What lab value should the nurse expect? - Increased creatine
phosphokinase (CPK)
alprazolam - Xanax - benzodiazepine
Amenorrhea - Anorexia nervosa we need to expect or look for what?
amitryptaline - Elavil - TCA
amoxapine - Asendin - TCA
amphetamine mixture - Adderal - CNS stimulant
an impotant consideration in promoting client adherence to treatment regiment - providing care
to a clients physical health needs
Health ATI
___ increases the likelyhood of family violence - substance use
"my son has a few drinks each night to unwind" is a sign
"Im not going to my family reunion because no one asked me to help plan it" - sign of
uselessness is a sign of depression
"im relieved now that my finanical affairs are in order" - more at risk when afairs are in order
"thank you for taking such good care of me" - more at risk- people show an appreciation for
loved ones when contemplating suicide
1. During the procedure I will have a cardiac monitor in place
2. I can expect to have two treatments a week for the next 4 to 6 weeks
3. Following the procedure the patient will have short term memory loss - Client undergoing
ECT what do we need to inform the patient about?
15 to 30 mins - How often do we nurses need to document when a patient is on restraints?
a client is experiencing alcohol withdrawal delerium- which roommate is most appropriate for
this patient - one with depression- will allow client to rest
pt with acl withdrawal needs uninterrupted rest
a client is taking an SSRI like paroxetine- what should you tell the client to report to you if they
notive - FEVER- Serotnonin syndrome
,not sex dysfunciton- this is normal
a client says about ECT "I will be able to stop taking my antidepressants after the tx" - nope=
sorry need maintenacne
a client that demonstrates a dedication to his job that excludes time for leisure activitites - OCD
a client was admitted as involuntary for substance abuse and is refusing the lorazepam- what
do you do - dont give it- they still have the right to refuse treatment
a client who has trouble starting new relationships unless he feels accepted - avoidant
personality disorder
A family member using alcohol - What shows signs of abuse in an elderly?
a nurse in a 24 hr mental health facility is planning DC for a client with a long history of alcohol
use disorder- what postdischarge activity should the nurse plan to inlcude - attending a relapse
prevention group several times each week
like AA 12 steps
a nurse is caring for a client with a hx of agression, the client is playing cards and throws them
at other patients- what should you do - ask the client how he is feeling (therapeutic cmcn)
not take the cards away (this will increase aggression)
explaining unit rules will not help either
a nurse is developing a plan of care for a patient who exhibits anger, aggression, and violent
behavior, what is the priority nursing intervention - create a large personal space- this helps
provide safety
not use therapeutic communiciton (this only prevent escalation of agression and is a part of
ongoing therapy)
,a nurse is planning DC teaching to a family member of a pt newly diangosed with depression=
what should the nurse teach about relapse - early identification of changes such as decreased
social involvement is important
a pt is getting a new Rx of haldol- what symptom should you tell them to report - shuffling gait
(dry mouth and blurred vision are common- also teach the client to stay out of sun)
A realistic self-concept - What does a healthy mentally adolescent show or exhibit?
A temperature lower than 98.6- severe hypothermia
30 % of weight loss in 6 months of total body weight
HR less than 40 - What requires immediate hospitalization in patients who have anorexia
nervosa?
acamprosate - Campral - abstinence maintenance, decrease anxiety
Acute Alcohol withdrawal - What is chlordiazepoxide used for?
adheres to a rigid set of rules - OCD
Adjustment disorder. Expected finding? - Parents divorced two months ago
administering meds to minimize long term efects of violence - secondary
admitting a pt experiencing alcohol withdrawal, is nauseas, shaking, and irritable- priority
interventin - date and time of last drink (worst withdrawal 24-48 hrs after last drink)
, Adventitious crisis - situational crisis is external crisis, maturational crisis deals with age related
events, and natural disasters or 9/11 is an example of this crisis
adventitious crisis - town hit by tornado
external disaster
Adverse effects of imipramine - Urinary retention, tinnitus, weight gain & tachycardia
After Alcohol detoxification to maintain abstinence - What is Naltrexone and Disulfiram use for?
After the attack has subsided to prevent further anxiety - When should the nurse establish an
exercise routine or a relaxation technique or help identify triggers for anxiety?
Alcoholic cardiomyopathy. What lab value should the nurse expect? - Increased creatine
phosphokinase (CPK)
alprazolam - Xanax - benzodiazepine
Amenorrhea - Anorexia nervosa we need to expect or look for what?
amitryptaline - Elavil - TCA
amoxapine - Asendin - TCA
amphetamine mixture - Adderal - CNS stimulant
an impotant consideration in promoting client adherence to treatment regiment - providing care
to a clients physical health needs
