NR 326 Mental Health - Exam 2 |
Questions and Answers | 2026/27 Updates |
100% correct
suicide risk factors - ANSWER- -single (2x), divorced, gender (women attempt more, men
succeed more often), having someone close to person who committed suicide, increase with
age, religion, socioeconomic status, mental illness, stressful life events, alcohol/ drug use, family
hx of suicide, bullying
priority intervention for pt. w/ suicidal ideation - ANSWER- --Placing the client on suicide
precautions with one-to-one observation provides a safe environment for an actively suicidal
client. •Maintaining client safety should always be a priority nursing intervention.
positive symptoms of schizophrenia - ANSWER- -(presence of things not normally present)
hallucinations, delusions (false, fixed beliefs), strange motor movements, speech alterations,
agitation.
negative symptoms of schizophrenia - ANSWER- -(absence of things that are normally
present) 5 A's: Affect (flat affect) Alogia (decrease thought/speech), Anergia (lack of energy),
Anhedonia (lack of pleasure), Avolition (lack of motivation for activities)
Lithium toxicity - ANSWER- -toxic >1.5: coarse tremors, confusion, hypotension, seizures,
tinnitus, coma/death
patient teaching for lithium - ANSWER- --if going outside for activity, need to rehydrate
-Take the medication regularly.•Do not drive or operate dangerous machinery.•Do not skimp on
dietary sodium and maintain appropriate diet.•Know pregnancy risks.•Carry identification
, noting taking lithium.•Be aware of side effects and symptoms of toxicity.•Notify physician if
vomiting or diarrhea occur.•Have serum lithium level checked every 1 to 2 months.
nursing intervention for pt. in manic episode of bipolar disorder - ANSWER- -· Provide safe
environment. Protect pt from poor judgement (giving away money, sexual indiscretions)
· Decrease stimulation
· 1:1 observation, seclusion, or restraints may be necessary if pt is risk for self or others
· Provide frequent rest periods
· Monitor sleep, fluid and food intake.
· Provide high-calorie portable snacks (finger food)
· Set limits, give concise explanations, use calm approach
· Medications: lithium, anticonvulsants, antipsychotic meds, anti-anxiety meds, antidepressants.
bipolar mania - ANSWER- -excessively elevated mood, lasting more than a week.
MAOI's (what not to eat) - ANSWER- -No tyramine foods
core of OCD - ANSWER- -anxiety
s/s of PTSD - ANSWER- -Flashbacks, distressing dreams, difficulty concentrating, insomnia,
anxiety, irritability, detachment from others, hypervigilance, exaggerated startle response,
feeling of guilt and negative self-image.
pt. attempts suicide (even if only once) - ANSWER- -pt. put at high suicide risk immediately
initiated
Questions and Answers | 2026/27 Updates |
100% correct
suicide risk factors - ANSWER- -single (2x), divorced, gender (women attempt more, men
succeed more often), having someone close to person who committed suicide, increase with
age, religion, socioeconomic status, mental illness, stressful life events, alcohol/ drug use, family
hx of suicide, bullying
priority intervention for pt. w/ suicidal ideation - ANSWER- --Placing the client on suicide
precautions with one-to-one observation provides a safe environment for an actively suicidal
client. •Maintaining client safety should always be a priority nursing intervention.
positive symptoms of schizophrenia - ANSWER- -(presence of things not normally present)
hallucinations, delusions (false, fixed beliefs), strange motor movements, speech alterations,
agitation.
negative symptoms of schizophrenia - ANSWER- -(absence of things that are normally
present) 5 A's: Affect (flat affect) Alogia (decrease thought/speech), Anergia (lack of energy),
Anhedonia (lack of pleasure), Avolition (lack of motivation for activities)
Lithium toxicity - ANSWER- -toxic >1.5: coarse tremors, confusion, hypotension, seizures,
tinnitus, coma/death
patient teaching for lithium - ANSWER- --if going outside for activity, need to rehydrate
-Take the medication regularly.•Do not drive or operate dangerous machinery.•Do not skimp on
dietary sodium and maintain appropriate diet.•Know pregnancy risks.•Carry identification
, noting taking lithium.•Be aware of side effects and symptoms of toxicity.•Notify physician if
vomiting or diarrhea occur.•Have serum lithium level checked every 1 to 2 months.
nursing intervention for pt. in manic episode of bipolar disorder - ANSWER- -· Provide safe
environment. Protect pt from poor judgement (giving away money, sexual indiscretions)
· Decrease stimulation
· 1:1 observation, seclusion, or restraints may be necessary if pt is risk for self or others
· Provide frequent rest periods
· Monitor sleep, fluid and food intake.
· Provide high-calorie portable snacks (finger food)
· Set limits, give concise explanations, use calm approach
· Medications: lithium, anticonvulsants, antipsychotic meds, anti-anxiety meds, antidepressants.
bipolar mania - ANSWER- -excessively elevated mood, lasting more than a week.
MAOI's (what not to eat) - ANSWER- -No tyramine foods
core of OCD - ANSWER- -anxiety
s/s of PTSD - ANSWER- -Flashbacks, distressing dreams, difficulty concentrating, insomnia,
anxiety, irritability, detachment from others, hypervigilance, exaggerated startle response,
feeling of guilt and negative self-image.
pt. attempts suicide (even if only once) - ANSWER- -pt. put at high suicide risk immediately
initiated
