NUR2488 EXAM 3/ NUR 2488 EXAM 3 LATEST (50 QUESTIONS AND ANSWERS) MENTAL HEALTH NURSING – RASMUSSEN| COMPLETE EXAM/ BRAND NEW VERSION!!!

NUR2488 EXAM 3/ NUR 2488 EXAM 3 LATEST (50 QUESTIONS AND ANSWERS) MENTAL HEALTH NURSING – RASMUSSEN| COMPLETE EXAM/ BRAND NEW VERSION!!! Interventions for serotonin syndrome - AnswerDiscontinue offending agent(s). Initiate symptomatic treatment: • Serotonin receptor blockade: cyproheptadine, methysergide, propranolol • Cooling blankets, chlorpromazine for hyperthermia • Dantrolene, diazepam for muscle rigidity or rigors • Anticonvulsants • Artificial ventilation • Paralysis Patient teaching for SSRI's - Answer-may cause sexual dysfunction, may cause insomnia and anxiety, may interact with other medications, no OTC drugs should be taken without consulting provider, alcohol should be avoided, do not discontinue drug abruptly. monitor for increased risk of suicidal ideation Common adverse reactions for MAOI's - AnswerHypotension, Sedation, weakness, fatigue, Insomnia, Changes in cardiac rhythm, Muscle cramps, Anorgasmia or sexual impotence, Urinary hesitancy or constipation, Weight gain Hypertensive crisis signs and symptoms - Answer-A severe headache, Stiff, sore neck Flushing; cold, clammy skin, Tachycardia Severe nosebleeds, dilated pupils, Chest pain, stroke, coma, death, Nausea, and vomiting Foods that interact with MAOI's - Answer-avocados, figs, ripe banana, smoked or cured meats, pickled herring, smoked salmon, all cheeses, yeast products, some beers and wines, Chianti, soy sauce, chocolate, fava beans, ginseng, caffeinated beverages Drugs that interact with MAOI's - Answer-Over-thecounter medications for colds, allergies, or congestion, Tricyclic antidepressants, Narcotics, Antihypertensives (e.g., methyldopa, guanethidine, reserpine) Amine precursors (e.g., levodopa, L-tryptophan), Sedatives (e.g., alcohol, barbiturates, benzodiazepines)General anesthetics, Stimulants (e.g., amphetamines, cocaine) Potential adverse reactions to ECT - Answer-the patient may be confused and disoriented. Many patients state that they have memory deficits for the first few weeks after treatment. Memory usually, although not always, recovers, 50% to 60% of patients will respond to treatment Light Therapy - Answer-first-line treatment for seasonal affective disorder with or without medication. Full-spectrum wavelength light is the specific type of light used Communication interventions for acute mania - Answer-Use firm and calm approach: "John, come with me. Eat this sandwich." Use short and concise explanations or statements. Remain neutral; avoid power struggles and value judgments. Be consistent with approach and expectations. Have frequent staff meetings to plan consistent approaches and to set agreed-on limits. Firmly redirect energy into more appropriate and constructive channels. Safety and physical interventions for acute mania - Answer-Monitor intake, output, and vital signs. Offer frequent high-calorie protein drinks and finger foods (e.g., sandwiches, fruit, milkshakes). Frequently remind patient to eat. Encourage frequent rest periods during the day. Keep patient in areas of low stimulation. At night, provide warm baths, soothing music, and medication when indicated. Avoid giving patient caffeine. Monitor bowel habits; offer fluids and foods that are high in fiber. Evaluate need for laxative. Encourage patient to go to the bathroom. potential nursing diagnosis for bipolar disorder - Answer-risk for injury, impaired mood regulation, imbalanced nutrition, risk for self-directed violence, labile emotional control, risk for suicide, interrupted family process, ineffective coping, ineffective impulse control Indications for Lithium - Answer-effective in the acute treatment of mania and depressive episodes and in the prevention of recurrent mania and depressive episodes