Rasmussen College | MENTAL HEALTH FINAL EXAM
PRACTICE QUESTIONS & ANSWERS LATEST
In many cases, the early symptoms of tardive dyskinesia disappear when the
antipsychotic medication is discontinued. In other cases, however, early symptoms are
not reversible and may progress.
Nursing interventions: No known treatment. Discontinuing the drug does not always
relieve symptoms. Occurs in 15% to 20% of patients taking these drugs for more than 2
years. Eating difficulties; malnutrition can occur because of tongue and mouth
involvement. Frequent screening with the AIMS test can help detect TD in early stages.
- answers-Tardive dyskinesia
Characterized by decreased level of consciousness; greatly increased muscle tone; and
autonomic dysfunction, including hyperpyrexia, labile hypertension, tachycardia,
tachypnea, diaphoresis, and drooling.
Treatment consists of early detection, discontinuation of the antipsychotic agent,
management of fluid balance, reduction of temperature, and monitoring for
complications.
Mild cases of neuroleptic malignant syndrome are treated with bromocriptine (Parlodel),
whereas more severe cases are treated with intravenous dantrolene (Dantrium) and
even with electroconvulsive therapy in some cases. - answers-Neuroleptic malignant
syndrome (NMS)
• AGRANULOCYTOSIS
• High seizure rate
• Increased risk for diabetes
• Significant weight gain
• High lipid abnormalities
• Excessive salivation
• Tachycardia - answers-Clozapine (Clozaril) - Side effects/Adverse reactions
Severe neutropenia, with less than 200 cells/mm3.
Symptoms include:
-Sores in the mouth, throat, or gastrointestinal tract
-Chronic infections of the gums, throat, or skin
-Malaise
-Chills
-Fever
,-Weakness
-Severe fatigue
-Hypotension - answers-Agranulocytosis
• Hypotension/dizziness
• Insomnia
• Sedation
• Rarely NMS, TD
• Sexual dysfunction
• Weight gain
• Moderate lipid abnormalities
• Increased risk for diabetes - answers-Risperidone (Risperdal) - Side effects/Adverse
reactions
• Low sedative properties; used in large doses with assaultive patients to avoid severe
side effect of hypotension
• Lessens chance of falls from dizziness or hypotension
• High EPS symptoms
• Can prolong the QT interval, leading to dysrhythmias
• Tardive dyskinesia - answers-Haloperidol (Haldol) - Side effects/Adverse reactions
• Increased sensitivity to sun (as with other phenothiazines)
• Highest sedative and hypotensive effects
• High Anticholinergic effects
• Sedation
• Lowers seizure threshold
• Rare: agranulocytosis and NMS - answers-Chlorpromazine (Thorazine) - Side
effects/Adverse reactions
Characterized by persistent disregard for and violation of the rights of others with an
absence of remorse for hurting others.
Lack regard for the law and the rights of others and have a history of persistent lying,
use of aliases, conning others for personal profit or pleasure, and stealing
(deceitfulness).
Have a sense of entitlement and are very callous
Manipulative - answers-Antisocial personality disorder
Unstable and intense relationships, and, instability of affect.
Emotional liability
Poor impulse control
,Primitive defense mechanism of projected identification and splitting
Always seeking relationships to avoid feelings of abandonment and chronic feelings of
emptiness - answers-Borderline personality disorder
People with dependent personality disorder traits believe they are incapable of surviving
if left alone and have an excess need to receive care. They solicit caretaking by clinging
and being perversely and excessively submissive.
If others do not initiate or take responsibility for them, their needs remain neglected.
Their intense fear of separation and being alone is so great that they tolerate poor, even
abusive treatment in order to stay in a relationship, and once a relationship ends there
is an urgent need to get into another.
Milieu refers to the environment in which holistic treatment occurs and includes all
members of the treatment team in a positive physical setting, with interactions among
those who are hospitalized and activities that promote recovery.
The psychiatric mental health registered nurse provides, structures, and maintains safe,
therapeutic, recovery oriented environment collaboration with health care consumers,
families, and other health care clinicians.
Among other things milieu management includes orienting patients to their rights and
responsibilities. Milieu management also includes informing patients in a culturally
competent manner about the need for structure, maintenance of a safe environment,
and limits set on the unit.
The nurse selects activities (both individual and group) that meets the patient's physical
and mental health needs. The patient should always be maintained in the least
restrictive environmen - answers-Milieu Therapy
Successful performance of mental functions, resulting in the ability to engage in
productive activities, enjoy fulfilling relationships, adapt to change, and cope with
adversity.
Mental health is the foundation of thinking, communication skills, learning, emotional
growth, resilience, and self-esteem throughout the life span.
It is a STATE OF WELL-BEING in which individuals are able to realize their abilities as
well as contribute to their community within the context of life stressors. - answers-
Mental health
Actual diagnoses, gets in the way of obtaining mental health.
, Medical conditions that affect a person's thinking, feeling, mood, ability to relate to
others, and daily functioning. Basically, mental illness can be seen as the result of
flawed biological, psychological, or social processes.
Fortunately mental illnesses are treatable, and individuals can experience symptom
relief, and complete cure in some cases, with treatment and support. - answers-Mental
illness
Needs are placed conceptually on a pyramid, with the most basic and important needs
on the lower level.
The higher levels, the more distinctly human needs, occupy the top sections of the
pyramid. According to Maslow, when lower level needs are met, higher level needs are
able to emerge.
**Physiological needs first, safety second - answers-Maslow's hierarchy of needs
Food, water, oxygen, elimination, rest, and sex - answers-Physiological needs
Security, protection, stability, structure, order, and limits. - answers-Safety needs
Affiliation, affectionate relationships, and love - answers-Love and belonging needs
Self-esteem related to competency, achievement, and esteem from others. - answers-
Esteem needs
Becoming everything one is capable of. - answers-Self-actualization needs
When a person experiences a sense of identity that transcends or extends beyond the
personal self. - answers-Self-transcendence
The primitive, pleasure-seeking part of our personalities that lurks in the unconscious
mind. - answers-The Id
Our sense of self. (Also unconscious mind)
Acts as an intermediary between the id and the world by using ego defense
mechanisms, such as repression, denial, and rationalization. - answers-The Ego
Conscious mind.
Our conscience (our sense of what is right or wrong) and is greatly influenced by our
parents' or caregivers' moral and ethical stances. - answers-The Superego
Freud believed that personality development is based on stages. During these stages,
the id focuses on an erogenous zone of the body. These zones are oral, anal, and
PRACTICE QUESTIONS & ANSWERS LATEST
In many cases, the early symptoms of tardive dyskinesia disappear when the
antipsychotic medication is discontinued. In other cases, however, early symptoms are
not reversible and may progress.
Nursing interventions: No known treatment. Discontinuing the drug does not always
relieve symptoms. Occurs in 15% to 20% of patients taking these drugs for more than 2
years. Eating difficulties; malnutrition can occur because of tongue and mouth
involvement. Frequent screening with the AIMS test can help detect TD in early stages.
- answers-Tardive dyskinesia
Characterized by decreased level of consciousness; greatly increased muscle tone; and
autonomic dysfunction, including hyperpyrexia, labile hypertension, tachycardia,
tachypnea, diaphoresis, and drooling.
Treatment consists of early detection, discontinuation of the antipsychotic agent,
management of fluid balance, reduction of temperature, and monitoring for
complications.
Mild cases of neuroleptic malignant syndrome are treated with bromocriptine (Parlodel),
whereas more severe cases are treated with intravenous dantrolene (Dantrium) and
even with electroconvulsive therapy in some cases. - answers-Neuroleptic malignant
syndrome (NMS)
• AGRANULOCYTOSIS
• High seizure rate
• Increased risk for diabetes
• Significant weight gain
• High lipid abnormalities
• Excessive salivation
• Tachycardia - answers-Clozapine (Clozaril) - Side effects/Adverse reactions
Severe neutropenia, with less than 200 cells/mm3.
Symptoms include:
-Sores in the mouth, throat, or gastrointestinal tract
-Chronic infections of the gums, throat, or skin
-Malaise
-Chills
-Fever
,-Weakness
-Severe fatigue
-Hypotension - answers-Agranulocytosis
• Hypotension/dizziness
• Insomnia
• Sedation
• Rarely NMS, TD
• Sexual dysfunction
• Weight gain
• Moderate lipid abnormalities
• Increased risk for diabetes - answers-Risperidone (Risperdal) - Side effects/Adverse
reactions
• Low sedative properties; used in large doses with assaultive patients to avoid severe
side effect of hypotension
• Lessens chance of falls from dizziness or hypotension
• High EPS symptoms
• Can prolong the QT interval, leading to dysrhythmias
• Tardive dyskinesia - answers-Haloperidol (Haldol) - Side effects/Adverse reactions
• Increased sensitivity to sun (as with other phenothiazines)
• Highest sedative and hypotensive effects
• High Anticholinergic effects
• Sedation
• Lowers seizure threshold
• Rare: agranulocytosis and NMS - answers-Chlorpromazine (Thorazine) - Side
effects/Adverse reactions
Characterized by persistent disregard for and violation of the rights of others with an
absence of remorse for hurting others.
Lack regard for the law and the rights of others and have a history of persistent lying,
use of aliases, conning others for personal profit or pleasure, and stealing
(deceitfulness).
Have a sense of entitlement and are very callous
Manipulative - answers-Antisocial personality disorder
Unstable and intense relationships, and, instability of affect.
Emotional liability
Poor impulse control
,Primitive defense mechanism of projected identification and splitting
Always seeking relationships to avoid feelings of abandonment and chronic feelings of
emptiness - answers-Borderline personality disorder
People with dependent personality disorder traits believe they are incapable of surviving
if left alone and have an excess need to receive care. They solicit caretaking by clinging
and being perversely and excessively submissive.
If others do not initiate or take responsibility for them, their needs remain neglected.
Their intense fear of separation and being alone is so great that they tolerate poor, even
abusive treatment in order to stay in a relationship, and once a relationship ends there
is an urgent need to get into another.
Milieu refers to the environment in which holistic treatment occurs and includes all
members of the treatment team in a positive physical setting, with interactions among
those who are hospitalized and activities that promote recovery.
The psychiatric mental health registered nurse provides, structures, and maintains safe,
therapeutic, recovery oriented environment collaboration with health care consumers,
families, and other health care clinicians.
Among other things milieu management includes orienting patients to their rights and
responsibilities. Milieu management also includes informing patients in a culturally
competent manner about the need for structure, maintenance of a safe environment,
and limits set on the unit.
The nurse selects activities (both individual and group) that meets the patient's physical
and mental health needs. The patient should always be maintained in the least
restrictive environmen - answers-Milieu Therapy
Successful performance of mental functions, resulting in the ability to engage in
productive activities, enjoy fulfilling relationships, adapt to change, and cope with
adversity.
Mental health is the foundation of thinking, communication skills, learning, emotional
growth, resilience, and self-esteem throughout the life span.
It is a STATE OF WELL-BEING in which individuals are able to realize their abilities as
well as contribute to their community within the context of life stressors. - answers-
Mental health
Actual diagnoses, gets in the way of obtaining mental health.
, Medical conditions that affect a person's thinking, feeling, mood, ability to relate to
others, and daily functioning. Basically, mental illness can be seen as the result of
flawed biological, psychological, or social processes.
Fortunately mental illnesses are treatable, and individuals can experience symptom
relief, and complete cure in some cases, with treatment and support. - answers-Mental
illness
Needs are placed conceptually on a pyramid, with the most basic and important needs
on the lower level.
The higher levels, the more distinctly human needs, occupy the top sections of the
pyramid. According to Maslow, when lower level needs are met, higher level needs are
able to emerge.
**Physiological needs first, safety second - answers-Maslow's hierarchy of needs
Food, water, oxygen, elimination, rest, and sex - answers-Physiological needs
Security, protection, stability, structure, order, and limits. - answers-Safety needs
Affiliation, affectionate relationships, and love - answers-Love and belonging needs
Self-esteem related to competency, achievement, and esteem from others. - answers-
Esteem needs
Becoming everything one is capable of. - answers-Self-actualization needs
When a person experiences a sense of identity that transcends or extends beyond the
personal self. - answers-Self-transcendence
The primitive, pleasure-seeking part of our personalities that lurks in the unconscious
mind. - answers-The Id
Our sense of self. (Also unconscious mind)
Acts as an intermediary between the id and the world by using ego defense
mechanisms, such as repression, denial, and rationalization. - answers-The Ego
Conscious mind.
Our conscience (our sense of what is right or wrong) and is greatly influenced by our
parents' or caregivers' moral and ethical stances. - answers-The Superego
Freud believed that personality development is based on stages. During these stages,
the id focuses on an erogenous zone of the body. These zones are oral, anal, and
