Mental Exam 4
1. Mourning
2. Creating sustainable self-care and balance
3. Your loved one was very special and will not be replaceable
4. Support the family in grieving
5. Would you like to talk about what the experience is like for you?
6. Nonmaleficence
7. Hospice pt in dying process. Family wants feeding tube b/c pt is refusing to eat = it’s
natural for pt to refuse food at this stage and can be difficult for family members.
8. Dying client worked hard whole life = Anger
9. Client with disease = 92-year-old who has pneumonia and late-stage Alzheimer disease
10. Terminal dx pt = Physician assisted suicide is not allowed in every state = NO
11. No, children who are at risk for anorexia, usually strive for academic excellence.
12. Bulimia Nervosa = Potassium level
13. Pt experiencing Alcohol withdrawal and taking Naltrexone what does pt need to know
before taking it = pt has to be opiate free for 10 days
14. Withdrawal
15. 17 yr. old female being d/c w/ dx of Anorexia education = Combination of group and
individualized therapy is recommended
16. New nurse precepting on mental health unit. Says there is an error in pts chart. Has hx
of anorexia. But pts dx is Bulimia = Yes, it is possible for pt to have a hx of both
17. Resource document for eating d/o = nurse includes that anorexia also occurs in anxiety
d/d
18. Fluoxetine = administered at a high dose for bulimia than depression
19. Binge purge Bulimia pt = Complete the client ECG
20. School nurse teaching high school students about the dangers of inhalant abuse. What
should be included? = inhalant abuse may cause a coma to occur
21. Maintenance phase
22. SATA-Reduce stress, reduce coping skills, and reduce the influence of risk factors (1,2,5)
23. I am feeling diaphoretic and SOB
24. Neg. Stem- Psychoactive drugs are (Opiates, Alcohol, Marijuana, and Benzodiazepines)
Beta-Blocker
25. Hypnosis can be successful, is this something you would like to consider?
26. Opiates Intoxication = Hypotension, Slurred Speech, Sedation
Opiate Withdrawal = Tachycardia, rhinorrhea, anxiety
27. Client eligible AA Referral = Client who asks for help to refrain from alcohol
28. I have oral surgery next week, and will tell the dentist to refrain from prescribing
narcotics for my pain
29. Family Violence is the most common type of neglect
30. Establishing trust and building rapport
31. How do you and your partner resolve disagreements?
32. Assess the client and document the information
33. Myocardial Infarction
1. Mourning
2. Creating sustainable self-care and balance
3. Your loved one was very special and will not be replaceable
4. Support the family in grieving
5. Would you like to talk about what the experience is like for you?
6. Nonmaleficence
7. Hospice pt in dying process. Family wants feeding tube b/c pt is refusing to eat = it’s
natural for pt to refuse food at this stage and can be difficult for family members.
8. Dying client worked hard whole life = Anger
9. Client with disease = 92-year-old who has pneumonia and late-stage Alzheimer disease
10. Terminal dx pt = Physician assisted suicide is not allowed in every state = NO
11. No, children who are at risk for anorexia, usually strive for academic excellence.
12. Bulimia Nervosa = Potassium level
13. Pt experiencing Alcohol withdrawal and taking Naltrexone what does pt need to know
before taking it = pt has to be opiate free for 10 days
14. Withdrawal
15. 17 yr. old female being d/c w/ dx of Anorexia education = Combination of group and
individualized therapy is recommended
16. New nurse precepting on mental health unit. Says there is an error in pts chart. Has hx
of anorexia. But pts dx is Bulimia = Yes, it is possible for pt to have a hx of both
17. Resource document for eating d/o = nurse includes that anorexia also occurs in anxiety
d/d
18. Fluoxetine = administered at a high dose for bulimia than depression
19. Binge purge Bulimia pt = Complete the client ECG
20. School nurse teaching high school students about the dangers of inhalant abuse. What
should be included? = inhalant abuse may cause a coma to occur
21. Maintenance phase
22. SATA-Reduce stress, reduce coping skills, and reduce the influence of risk factors (1,2,5)
23. I am feeling diaphoretic and SOB
24. Neg. Stem- Psychoactive drugs are (Opiates, Alcohol, Marijuana, and Benzodiazepines)
Beta-Blocker
25. Hypnosis can be successful, is this something you would like to consider?
26. Opiates Intoxication = Hypotension, Slurred Speech, Sedation
Opiate Withdrawal = Tachycardia, rhinorrhea, anxiety
27. Client eligible AA Referral = Client who asks for help to refrain from alcohol
28. I have oral surgery next week, and will tell the dentist to refrain from prescribing
narcotics for my pain
29. Family Violence is the most common type of neglect
30. Establishing trust and building rapport
31. How do you and your partner resolve disagreements?
32. Assess the client and document the information
33. Myocardial Infarction
