Exam 2 - Mental Health Review questions
Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia? correct answersAlways afraid another student will steal her belongings
Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia? correct answersScreening a group of males between the ages of 15 and 25 for early symptoms
To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? correct answers- Alcohol use disorder - Major depressive disorder - Polydipsia - Metabolic syndrome
A female patient diagnosed with schizophrenia has been prescribed a first generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms? correct answersShe should experience a reduction
in hallucinations
Which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia? correct answersParanoia
Gilbert, age 19, is described by his parents as a moody child with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, he's reluctant to leave the house, and is obsessed with the locks on the windows and doors. Do you to Gilberts early And slow onset of what is now recognized as schizophrenia, his prognosis is considered: correct answersTo have a less positive outcome
Which therapeutic communication statement by a psychiatric mental health registered nurse use when a patient's nursing diagnosis is altered thought processes? correct answers"You say you hear voices, what are they telling you?"
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse
medication, believing that: correct answersThey are not actually ill
Kyle, a patient with schizophrenia, began to take the first generation antipsychotic haloperidol last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is OK he seems unable to respond verbally. His vital signs are BP 170/100, P 110, T 104.2 F. What is the priority nursing intervention? correct answers- Hold his medication and contact his prescriber - Wipe him with a washcloth wet with cold water or alcohol
Thomas a 21 year old Male with a recent diagnosis of schizophrenia. Thomas is a nurse
recognizes that self medicating with excessive alcohol is common in this disease and King Cole occur along with: correct answersanxiety and depression
Which nursing response demonstrates accurate information that should be discussed with the female patient diagnosed with bipolar and her support system? correct answers- Remember that alcohol and caffeine can trigger a relapse of your symptoms - It's critical to let your healthcare provider know immediately if you aren't sleeping well
- Is your family prepared to be actively involved in helping manage this disorder?
- The symptoms tend to come and go and so you need to be able to recognize the early
signs
Which statement made by the patient demonstrates an understanding of the effective use of newly prescribed lithium to manage bipolar mania? correct answers- "I have to keep reminding myself to consistently drink 6, 12 ounce glasses of fluid every day" - "I discussed the diuretic my cardiologist prescribed with my psychiatric care provider" - "I've already made arrangements for my monthly lab work"
The nurse is providing medication education to a patient who has been prescribed lithium to stabilize mood. Which early signs and symptoms of toxicity should the nurse stress to the patient? correct answers- An upset stomach for no apparent reason - Shaky hands that make holding a cup difficult
Hey male patient calls to tell the nurse that his monthly lithium level is 1.7mEq/L. Which nursing intervention well the nurse implement initially? correct answersInstruct the patient to hold the next dose of medication and contact the prescriber
Which intervention should the nurse implement when caring for a patient demonstrating manic behavior? correct answers- Monitor the patient's vital signs frequently - Provide the patient with frequent milkshakes and protein drinks - Reduce the volume on the television and dim bright lights in the environment - Use a firm but calm voice to give specific concise directions to the patient
Substance abuse is often present in people diagnosed with bipolar disorder. Laura, a 28
year old with a diagnosis of bipolar disorder, drinks alcohol instead of taking her prescribed medications. The nurse caring for this patient recognizes that: correct answersAlcohol ingestion is a form of self-medication
Ted a former executive is now unemployed due to manic episodes at work. He was diagnosed with bipolar 18 years ago. Ted has a history of IV drug abuse which resulted in hepatitis see. He is taking his lithium exactly as scheduled a fact that both Ted's wife
Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia? correct answersAlways afraid another student will steal her belongings
Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia? correct answersScreening a group of males between the ages of 15 and 25 for early symptoms
To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? correct answers- Alcohol use disorder - Major depressive disorder - Polydipsia - Metabolic syndrome
A female patient diagnosed with schizophrenia has been prescribed a first generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms? correct answersShe should experience a reduction
in hallucinations
Which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia? correct answersParanoia
Gilbert, age 19, is described by his parents as a moody child with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, he's reluctant to leave the house, and is obsessed with the locks on the windows and doors. Do you to Gilberts early And slow onset of what is now recognized as schizophrenia, his prognosis is considered: correct answersTo have a less positive outcome
Which therapeutic communication statement by a psychiatric mental health registered nurse use when a patient's nursing diagnosis is altered thought processes? correct answers"You say you hear voices, what are they telling you?"
When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse
medication, believing that: correct answersThey are not actually ill
Kyle, a patient with schizophrenia, began to take the first generation antipsychotic haloperidol last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is OK he seems unable to respond verbally. His vital signs are BP 170/100, P 110, T 104.2 F. What is the priority nursing intervention? correct answers- Hold his medication and contact his prescriber - Wipe him with a washcloth wet with cold water or alcohol
Thomas a 21 year old Male with a recent diagnosis of schizophrenia. Thomas is a nurse
recognizes that self medicating with excessive alcohol is common in this disease and King Cole occur along with: correct answersanxiety and depression
Which nursing response demonstrates accurate information that should be discussed with the female patient diagnosed with bipolar and her support system? correct answers- Remember that alcohol and caffeine can trigger a relapse of your symptoms - It's critical to let your healthcare provider know immediately if you aren't sleeping well
- Is your family prepared to be actively involved in helping manage this disorder?
- The symptoms tend to come and go and so you need to be able to recognize the early
signs
Which statement made by the patient demonstrates an understanding of the effective use of newly prescribed lithium to manage bipolar mania? correct answers- "I have to keep reminding myself to consistently drink 6, 12 ounce glasses of fluid every day" - "I discussed the diuretic my cardiologist prescribed with my psychiatric care provider" - "I've already made arrangements for my monthly lab work"
The nurse is providing medication education to a patient who has been prescribed lithium to stabilize mood. Which early signs and symptoms of toxicity should the nurse stress to the patient? correct answers- An upset stomach for no apparent reason - Shaky hands that make holding a cup difficult
Hey male patient calls to tell the nurse that his monthly lithium level is 1.7mEq/L. Which nursing intervention well the nurse implement initially? correct answersInstruct the patient to hold the next dose of medication and contact the prescriber
Which intervention should the nurse implement when caring for a patient demonstrating manic behavior? correct answers- Monitor the patient's vital signs frequently - Provide the patient with frequent milkshakes and protein drinks - Reduce the volume on the television and dim bright lights in the environment - Use a firm but calm voice to give specific concise directions to the patient
Substance abuse is often present in people diagnosed with bipolar disorder. Laura, a 28
year old with a diagnosis of bipolar disorder, drinks alcohol instead of taking her prescribed medications. The nurse caring for this patient recognizes that: correct answersAlcohol ingestion is a form of self-medication
Ted a former executive is now unemployed due to manic episodes at work. He was diagnosed with bipolar 18 years ago. Ted has a history of IV drug abuse which resulted in hepatitis see. He is taking his lithium exactly as scheduled a fact that both Ted's wife
