NR 326/ NR326 Mental Health Final Exam Review (FINAL DRAFT) 100% Correct | Grade A

MENTAL HEALTH NR 326 FINAL EXAM REVIEW (DEOCA)



Priority Actions for Depressive
Diagnosis
 Obtain baseline vital sings, including postural BP readings
 Obtain liver and renal function tests
 Provide simple explanations about the drug, its effects, and length of time before
therapeutic effects are expected
 Advise patients to avoid abrupt withdrawal, to change positions slowly, and avoid
alcohol with this medication
 Assess for suicidal tendencies and provide support while client is taking
antidepressants
 Tricyclics need to be weaned and discontinued before surgery to avoid interaction
with anesthetics
 Caffeine and cigarettes may decrease effectiveness of medication
 MAOIs- NO TYRAMINE FOODS and watch for HYPERTENSIVE CRISIS S/S



Nursing Interventions for
Anorexia Nervosa
 Establish trust
 Monitor eating problems
 Promote feelings of control within the environment
 Help patient develop a realistic perception of body image and relationship with
food
 Psychosocial interventions (group therapy, individual therapy)
 Pharmacological interventions (SSRI treatment- but watch for suicidal ideation)
 Health teaching and promotion
 Milieu management- manipulate environment to be therapeutic
o Establish trust with patient, provide support, use active listening and
validation



OCD- Why They Perform
Ritualistic Behaviors
 To reduce anxiety associate with obsessive thoughts

, MENTAL HEALTH NR 326 FINAL EXAM REVIEW (DEOCA)




Highest Risk Patient for Suicide
 Single individuals
 Women at higher risk than men
 45-54 years old and 85 or older
 Protestants and jews at a higher rate
 Individuals in the very highest and lowest social classes
 White ethnicity
 Depressive diagnosis
 Bipolar diagnosis
 Substance use disorder
 Borderline personality disorder


Therapeutic Interventions for
Depression
 Create a safe environment for the patient if they are exhibiting suicidal or harmful
behaviors.
 Identify stage of grief that the patient is in, establish a trusting relationship
showing empathy, concern, and unconditional positive regard.
 Encourage patient to express anger, help patient explore angry feelings to be
directed toward the intended situation or person
 Teach the normal stages of grief
 Therapeutic touch if appropriate, and communicate that crying is acceptable
 Encourage patient to reach out for spiritual support whatever form is desirable to
them.
 Allow the patient to establish their own schedule for self-care activities
 Individual psychotherapy
 Group therapy
 Family therapy
 Cognitive behavior therapy
 Electro-convulsive therapy (ECT)
 Repetitive transcranial magnetic stimulation (rTMS)
 Vagal nerve stimulation (VNS)
 Light therapy
 Psychopharmacology including
o tricyclics (amitriptyline, imipramine)
o MAOIs (Isocarboxazid, selegiline)