ATI Mental Health Proctor Dynamic Quiz Review Questions with 100% Correct Answers

range of lithium - 0.8-1.2 A nurse is caring for a client who has anxiety disorder. The client states that she forgot her partner's birthday after they had an argument. The nurse recognizes this action as which of the following defense mechanisms? - Repression Defined as an unconscious exclusion of unpleasant or unwanted experiences, emotions, or ideas from conscious awareness. Splitting - A pathological defense mechanism in which clients have an inability to accept positive and negative qualities of themselves or others in a cohesive image. "Black or white thinking" Conversion - Pathological defense mechanism in which clients unconsciously transform anxiety or stress into a physical manifestation with no organic cause Projection - Immature defense mechanism in which clients subconsciously reject emotionally unacceptable features in themselves and attribute them to others Teaching clients with Anxiety disorder about Lorazepam - "This medication must be discontinued gradually over time" Remember that Lorazepam is under the class of Benzodiazepines. They are also highly addictive. Rapid withdrawal from lorazepam has been associated with manifestations of withdrawal (e.g anxiety, sleeplessness, and irritability). It is discontinued by gradually tapering over time to avoid any adverse responses Contraindicated for use during pregnancy Buspirone - antianxiety, GAD, does not cause sedation, does not cause dependence, do not take as PRN, and this med will become effective in 2-4 weeks The common adverse effect is - Dizziness/Drowsiness, - nausea, - headaches, - sedation, - lightheadedness - Tachycardia and palpations - May cause Xerostomia (dry mouth) Never ask "Why" to patients - Never ask "why" to patients Smoking cessation using nicotine gum - Recommend a different type of cessation product if the patient uses: - Dentures Nicotine gum does not use animal fats like traditional gum so vegans can use it. Neologism - A completely made up word by Schizophrenic patients. Indicators of Acute Mania - Spends excessive amounts Speaks crassly using a loud voice Patient with bipolar disorder is being aggressive, what do you do? - Give the client 2 options for ending the situation Avoid ending the conversation with the client. It is important to speak calmly and quietly to the patient using open ended state MAOI drugs - isocarboxazid (Marplan) phenelzine (Nardil) tranylcypromine (Parnate) selegiline (Emsam) Remember: TIPS