REVISED ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING QUESTIONS AND ANSWERS

REVISED ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING QUESTIONS AND ANSWERS A client is prescribed duloxetine. Which client education would the nurse provide? - CORRECT ANSWER The medication should not be discontinued abruptly . A client has been feeling "down in the dumps" because of the loss of a pet 2 years ago. Which condition would the nurse suspect in the client? - CORRECT ANSWER -Persistent depressive disorder A client is scheduled for individual psychotherapy. Which would be the nursing intervention during the first phase of individual psychotherapy? - CORRECT ANSWER -Encouraging the client to continue participating in regular activities While caring for a postpartum client, the nurse suspects the client to have postpartum depression with psychotic features. Which symptom in the client made the nurse suspect this condition? - CORRECT ANSWER -Rejection of the baby An adolescent in a psychiatric unit has a temperamental outburst, saying, "I tried my best but could not reach my parent's expectations. I disappointed them. My life is of no use." Which would the nurse suspect in the client? - CORRECT ANSWER -Disruptive mood dysregulation disorder Which type of treatment modality is beneficial to a client who experiences winter "blues"? - CORRECT ANSWER -Light therapy The primary health-care provider suggests that the nurse schedule light therapy for a client early in the day. Which complication can be prevented in the client as a result of this intervention? - CORRECT ANSWER -Insomnia A nurse, while preparing a client for electroconvulsive therapy (ECT), administers a muscle relaxant. Which further care would the nurse provide to ensure safety during the therapy? - CORRECT ANSWER Oxygenate the client during the treatment. A nurse, on reviewing the prescription of a client with depression, informs the client to chew sugarless candies occasionally. Which complication can be relieved in the client by implementing the nurse's suggestion? - CORRECT ANSWER -Dry mouth Antidepressant drugs usually cause dry mouth as a complication. The client is advised to chew sugarless candies to prevent dry mouth. The nurse reviews the prescription of a client with depression and informs the client, "You should make sure you slowly rise up from the sitting or lying down position." Which is the nurse expecting to control in the client? - CORRECT ANSWER -*Variation in blood pressure The nurse informs the client on antidepressant therapy to rise slowly from the sitting or lying position to prevent orthostatic hypotension. Orthostatic hypotension refers to a drop in blood pressure when the client rises from a sitting or lying position. How does electroconvulsive therapy (ECT) work to treat a depressed client? - CORRECT ANSWER -*ECT increases serotonin levels. The electrical stimulation of ECT causes significant increase in neurotransmitter levels. This increases serotonin levels.