PRN 1562 Mental Health Exam 2 Questions
With Correct Answers A+
Interventions when a client is at risk for suicide? - Answer✔Remove shoestrings, curtain Rods
and glass items. Give the client plastic wear to eat with.
Signs of a bipolar manic episode? - Answer✔Risky behavior, high self esteem
When a client is manic the best therapeutic communication is? - Answer✔calm but firm, be
consistent, short explanations, redirect energy, Identify expectations and consequences.
Mini mental statues exam (MMSE) is used to? - Answer✔assess dementia by assessing the
client's cognitive status through a series of questions such as: word recall and following
directions such as drawing a clock face
Clients are at higher risk for suicide if? - Answer✔they have a family history or is abused
Compassion fatigue (Secondary Traumatic Stress) - Answer✔emotional effect that nurses and
other health care workers may experience by being indirectly traumatized when helping or trying
to help a person who has experienced primary traumatic stress
Restraints are used if? - Answer✔-patient is a danger to themselves or others
-patient is interfering with medical therapies
Signs of anxiety includes? - Answer✔impending doom, chest tightness, increased blood pressure
Lamictal(lamotrigine) - Answer✔Used to treat bipolar disorder and can cause a rash called
steven-Johnson syndrome
Celexa (citalopram) used to treat? - Answer✔depression
Citalopram and selegiline should? - Answer✔not be combined. It can cause serotonin syndrome.
Signs include confusion, hallucination, seizure, changes in blood pressure, increased heart rate,
blurred vision, tremor, nausea, vomiting, and diarrhea. Severe cases may result in coma or death
Fluvoxamine (Luvox) used to treat? - Answer✔OCD (obsessive compulsive disorder) side
effects are sexual dysfunction and suicidal thinking
Obsessions are what? - Answer✔what they think thoughts
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A compulsion is what? - Answer✔what they do actions
Compulsions includes? - Answer✔repetitive or irresistible behaviors like counting, chanting,
checking, washing, tapping and ordering
. Buspirone used to treat? - Answer✔anxiety
side effects are sedation
Valproic Acid (Depakote) - Answer✔anticonvulsant also used as a mood stabilizer
used to treat bipolar disorder. You must monitor liver function. Side effects include birth defects
Tricyclic Antidepressants (TCAs) - Answer✔Antidepressants that increase the action of
neurotransimtters by blocking their removal (reuptake) from the synapses (spaces between nerve
cells). (1)
Side effects: dry mouth, blurred vision, urine retention, tachycardia, constipation
Lithium - Answer✔First line drug to treat bipolar. There is a narrow therapeutic range that places
the client at a high risk for toxicity signs of toxicity are vomiting, diarrhea, thirst, slurred speech,
and muscle weakness coma, cardiac dysrhythmias, and death.
Agnosia definition - Answer✔a symptom of dementia: The loss of sensory ability to recognize
objects
The primary symptom of PTSD is - Answer✔flash backs and are often in conjunction with
substance abuse
The primary concern for Alzheimer's clients at home is? - Answer✔safety
Donepezil treats - Answer✔Alzheimer's disease
persistent depressive disorder - Answer✔Chronic Depressive mood lasting over two years
Major Depressive Disorder (MDD) - Answer✔Acute resolvable depression
Delirium(confusion) is? - Answer✔a neurocognitive disorder that is always secondary to another
condition. Use the assessment tool CAM
Dementia is? - Answer✔a neurocognitive disorder, which is slow progress and directly impacts a
client's ability to function. Impairment in memory is a key feature
exacerbations are? - Answer✔Periods of mental illness or dysfunction marked by an increase in
the signs, symptoms, and seriousness
ineffective coping is? - Answer✔when anxiety is a maladaptive response in an individual
s/s of an anxiety disorder - Answer✔increased vial signs, urinary urgency and frequency,
diaphoresis, and rigid and tense muscles
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