Ati RN Mental Health Proctored Exam Newest /Ati RN
Mental Health Proctored Exam Preparation /Ati RN
Mental Health Proctored Practice Exam With 70 Complete
Questions And Correct Detailed Answers |Already Graded
A+|Brand New Version!!
who can ECT be used on? - ans -- MDD
- pt that has rapid cycling of acute manic episodes
- schizophrenia spectrum disorders that are less responsive to neuroleptic meds
such as schizoaffective disorder
High risk pt with ECT - ans --recent MI
- hx of CVA
-Cerebrovascular malformation
-intracranial mass lesion
-increased intracranial pressure
What is ECT not successful in? - ans -substance use
personality disorder
dysthymic disorder
What meds should be discontinued before ECT - ans -MAOI
Seizure med
Lithium
usually 2 weeks ahead of time
What is injected before ECT to decrease secretions and counteract any vagal
stimulation? - ans -atropine sulfate or robinul
what short acting anesthetic is used for ECT - ans -brevital (methohexital) IV bolus
What muscle relaxant is used - ans -succinylcholine (anectine)
Electrical stimulus time vs seizure time - ans -0.2-0.8 for electrical stimulus
25-60 for seizure activity
,complications of TMS (transcranial M stimulation) - ans --mild discomfort
-tingling sensation at the site of the electromagnet
-lightheadness
-seizures are rare but a potential
complications of VNS - ans --voice changes
-hoarsness
-throat or neck pain
-dysphagia
-dyspnea with exertion
What standardized screen tools would be used for anxiety disorders? - ans --
Hamilton rating scale for anxiety
-modified speilberger state anxiety scale
-Yale brown obsessive compulsive scale
-hoarding scale self report
-national stressful events survey
What is the first line of treatment for anxiety disorders? - ans --SSRI such as zoloft
(sertraline)
Then they can also benefit from antidepressants, sedative hypnotic anxiolytics
such as valium, non barbiturate anxiolytics such as buspar, beta blockers,
antihistamines.
What are the standardized screen tools for depressive disorders? - ans --Hamilton
depression scale
-beck depression inventory
-geriatirc depression scale (short form)
-zung self rating depression scale
What SSRI's (selective serotonin reuptake inhibitor) are used for depression? - ans
--celexa (citalopram)
-prozac (fluoxetine)
-zoloft (Sertraline)
,What TCA's(tricyclic antidepressants) are used for depression? - ans --
Elavil(amitriptyline)
What MAOI's are used for depression - ans --Nardil (phenelzine)
What Atypical antidepressants are used for depression? - ans --Wellbutrin
(bupropion)
What SNRI's(serotonin norepinephrine reuptake inhibitor) are used for
depression? - ans --Effexor (venlafaxine)
-Cymbalta (duloxetine)
When patient is taking SSRI for depression what client teaching needs to be done?
- ans --may cause nausea, headache and CNS stimulation (agitation, insomnia,
anxiety)
-sexual dysfunciton may occur
-observe for serotonn syndrome
-No st. Johns wort
-watch diet
What are affective symptoms - ans -hopelessness
suicidal ideation
What client teaching is needed with a depressive patient when they are taking
TCA? - ans --Change positions slowly
-Chew sugarless gum, eat foods high in fiber, increase fluids to reduce
anticholinergic effects
What client teaching is need with a depressive patient taking MAOI's - ans -- avoid
tyramine foods
-avoid all medications including OTC talk to DR first
What client teaching is needed with a depressive patient that is taking atypical
antidepressants - ans -- watch for HA, dry mouth, GI distress, constipation,
increased HR, nausea restlessness or insomnia. Notify DR
-monitor diet
-dont give to seizure patients
, What client teaching is needed with a depressive patient that is taking SNRI's - ans
--adverse effects include nausea, weight gain, and sexual dysfunction
the client has at least one episode of mania alternating with major depression -
ans -Bipolar I
The client has one or more hypomanic episodes alternating with major depressive
episodes - ans -Bipolar II
The client has atlas 2 years of repeated hypomanic manifestations that do not
meet the criteria for hypomania episodes alternating with minor depressive
episodes. - ans -cyclothymia
Risk factors of Bipolar - ans --Genetics having an immediate family member who
has a bipolar disorder
-psychological such as a stressful event or major life event
-physiological such as neurobiological or neuroendocrine disorder.
-substance use disorder
What are the standardized screening tools for Bipolar disorders? - ans --The mood
disorders questionnaire.
What medications are given for patients that have bipolar disorder? - ans --Mood
stabilizers: Lithium
-Anticonvulsants that act as mood stabilizers: Depakote(valproic acid),
Klonopin(clonazepam), Lamictal(lamotrigine), nuerontin(gabapentin),
Topaz(topiramate)
-Benzo's: Ativan(lorazepam) , for sleep
-Antidepressants such as Prozac(fluoxetine) to manage depression
The client has psychotic thinking or behavior present for atlas 6 months. Areas of
functions including school or work, self care, and interpersonal realties are
significantly impaired - ans -schizophrenia
the client has impairments of personality functioning. However impairment is no
as severe as with schizophrenia - ans -Schizotypal personality disorder
Mental Health Proctored Exam Preparation /Ati RN
Mental Health Proctored Practice Exam With 70 Complete
Questions And Correct Detailed Answers |Already Graded
A+|Brand New Version!!
who can ECT be used on? - ans -- MDD
- pt that has rapid cycling of acute manic episodes
- schizophrenia spectrum disorders that are less responsive to neuroleptic meds
such as schizoaffective disorder
High risk pt with ECT - ans --recent MI
- hx of CVA
-Cerebrovascular malformation
-intracranial mass lesion
-increased intracranial pressure
What is ECT not successful in? - ans -substance use
personality disorder
dysthymic disorder
What meds should be discontinued before ECT - ans -MAOI
Seizure med
Lithium
usually 2 weeks ahead of time
What is injected before ECT to decrease secretions and counteract any vagal
stimulation? - ans -atropine sulfate or robinul
what short acting anesthetic is used for ECT - ans -brevital (methohexital) IV bolus
What muscle relaxant is used - ans -succinylcholine (anectine)
Electrical stimulus time vs seizure time - ans -0.2-0.8 for electrical stimulus
25-60 for seizure activity
,complications of TMS (transcranial M stimulation) - ans --mild discomfort
-tingling sensation at the site of the electromagnet
-lightheadness
-seizures are rare but a potential
complications of VNS - ans --voice changes
-hoarsness
-throat or neck pain
-dysphagia
-dyspnea with exertion
What standardized screen tools would be used for anxiety disorders? - ans --
Hamilton rating scale for anxiety
-modified speilberger state anxiety scale
-Yale brown obsessive compulsive scale
-hoarding scale self report
-national stressful events survey
What is the first line of treatment for anxiety disorders? - ans --SSRI such as zoloft
(sertraline)
Then they can also benefit from antidepressants, sedative hypnotic anxiolytics
such as valium, non barbiturate anxiolytics such as buspar, beta blockers,
antihistamines.
What are the standardized screen tools for depressive disorders? - ans --Hamilton
depression scale
-beck depression inventory
-geriatirc depression scale (short form)
-zung self rating depression scale
What SSRI's (selective serotonin reuptake inhibitor) are used for depression? - ans
--celexa (citalopram)
-prozac (fluoxetine)
-zoloft (Sertraline)
,What TCA's(tricyclic antidepressants) are used for depression? - ans --
Elavil(amitriptyline)
What MAOI's are used for depression - ans --Nardil (phenelzine)
What Atypical antidepressants are used for depression? - ans --Wellbutrin
(bupropion)
What SNRI's(serotonin norepinephrine reuptake inhibitor) are used for
depression? - ans --Effexor (venlafaxine)
-Cymbalta (duloxetine)
When patient is taking SSRI for depression what client teaching needs to be done?
- ans --may cause nausea, headache and CNS stimulation (agitation, insomnia,
anxiety)
-sexual dysfunciton may occur
-observe for serotonn syndrome
-No st. Johns wort
-watch diet
What are affective symptoms - ans -hopelessness
suicidal ideation
What client teaching is needed with a depressive patient when they are taking
TCA? - ans --Change positions slowly
-Chew sugarless gum, eat foods high in fiber, increase fluids to reduce
anticholinergic effects
What client teaching is need with a depressive patient taking MAOI's - ans -- avoid
tyramine foods
-avoid all medications including OTC talk to DR first
What client teaching is needed with a depressive patient that is taking atypical
antidepressants - ans -- watch for HA, dry mouth, GI distress, constipation,
increased HR, nausea restlessness or insomnia. Notify DR
-monitor diet
-dont give to seizure patients
, What client teaching is needed with a depressive patient that is taking SNRI's - ans
--adverse effects include nausea, weight gain, and sexual dysfunction
the client has at least one episode of mania alternating with major depression -
ans -Bipolar I
The client has one or more hypomanic episodes alternating with major depressive
episodes - ans -Bipolar II
The client has atlas 2 years of repeated hypomanic manifestations that do not
meet the criteria for hypomania episodes alternating with minor depressive
episodes. - ans -cyclothymia
Risk factors of Bipolar - ans --Genetics having an immediate family member who
has a bipolar disorder
-psychological such as a stressful event or major life event
-physiological such as neurobiological or neuroendocrine disorder.
-substance use disorder
What are the standardized screening tools for Bipolar disorders? - ans --The mood
disorders questionnaire.
What medications are given for patients that have bipolar disorder? - ans --Mood
stabilizers: Lithium
-Anticonvulsants that act as mood stabilizers: Depakote(valproic acid),
Klonopin(clonazepam), Lamictal(lamotrigine), nuerontin(gabapentin),
Topaz(topiramate)
-Benzo's: Ativan(lorazepam) , for sleep
-Antidepressants such as Prozac(fluoxetine) to manage depression
The client has psychotic thinking or behavior present for atlas 6 months. Areas of
functions including school or work, self care, and interpersonal realties are
significantly impaired - ans -schizophrenia
the client has impairments of personality functioning. However impairment is no
as severe as with schizophrenia - ans -Schizotypal personality disorder
