NUR 256 Mental Health Exam 3 Worksheet | Actual verified
study complete Solutions | A+ Graded | 2026 Updates | 100%
correct
Define the following term: Understand what each means and how to manage those patients.
Visual hallucinations: When the patient state they are seen something that is not
there.
Auditory hallucinations: The patient is hearing things, but it is not actually there.
Delusion: That false belief that something is true. EX: a patient says that he is the
president even though he is not. In their mind that thing is true
Illusion: When they actually see something, but they mistake it for something else.
EX: there is a pen on the table, but they mistake it as a snake. Bring them back to
reality, tell them it is a pen and not a snake.
Splitting: This occurs in personality disorder. They believe that either you are good
or bad. Ex: you form a good nurse-patient relationship with a client then the client
asks for something and you say no, this is going to make the patient hate you and
they will find your replacement by attach to someone else and they will let
everyone else know that you are a bad nurse.
Projection: When someone project their feelings, blames into someone else.
Understand why the patient use this type of defense mechanism.
Physical abuse: Physical child abuse occurs when a child is purposely physically
injured or put at risk of harm by another person.
Emotional abuse: Emotional child abuse means injuring a child's self-esteem or
emotional well-being. It includes verbal and emotional assault — such as
continually belittling or berating a child — as well as isolating, ignoring or rejecting
a child.
Sexual abuse: Sexual child abuse is any sexual activity with a child, such as
fondling, oral-genital contact, intercourse, exploitation, or exposure to child
pornography.
Pharmacology: Clinical indication, side effects, adverse reactions, and patient teaching
(diet, safety, contra) Chapter 21
, Donepezil (Aricept): for Alzheimer. Help improve cognition and help enhance the
patient ability to remember early on.
• Side effect: GI upset, bradycardia, syncope, severe dermatological issues
• Contra: Nsaids (Motrin, ibuprofen)
• Teaching: It is usually taken once a day with or without food, in the evening just
before bedtime. Take donepezil at around the same time every day. Take
donepezil exactly as directed.
Lithium (mood Stabilizer): for personality disorder, bipolar, antisocial, Narcissistic
PD, monitor for hyponatremia and lithium toxicity, ensure patient has good fluid
intake.
• Teaching: Take lithium exactly as directed. Swallow the extended-release tablet
whole; do not split, chew, or crush it. Too little salt in your diet could lead to serious
side effects. Adequate fluid intake
• A safe blood level of lithium is 0.6 and 1.2 liter (mEq/L). Lithium toxicity can happen
when this level reaches 1.5 mEq/L or higher. Severe lithium toxicity happens at a
level of 2.0 mEq/L and above, which can be life-threatening in rare cases.
Methylphenidate (Stimulant) Ritalin: For ADHD patient which is diagnosed around the
age of 7-20. This is an amphetamine like drug, it is a stimulant.
• Side effect: It can cause weight loss because it suppresses appetite thus anorexia
tachycardia, insomnia.
• Teaching: Take in the morning to prevent patient from staying up late. If an ADHD
child take this it calms them down, if a child that do not need it and take it will
make them very hyper. Monitor nutritional intake especially age 7-11 that is
missing school lunch, and their Blood glucose is dropping, monitor height weight
and other issues in grade school. If prescribe for twice a day, then do not give
after 4pm otherwise the child will be up all night. Because this is a amphetamine
like drug the patient can get aggressive when take the drug. monitor I&O and
cardiac function, ensure patient is getting a yearly EKG from cardiologist, watch
sleep pattern. Drug holiday is okay it’s the great time to gain weight while not in
school during the summer.
Cholinesterase (ChE) inhibitor: For Alzheimer’s disease. There is not enough
acetylcholine, so these medications work to increase the availability of acetylcholine.
Disease modifying not cures (effectiveness wanes after 1 - 2 years)
• Side effect: Nausea, Vomiting, Diarrhea, Muscle cramps, Weight loss, Headache,
Insomnia, Abnormal dreams, blurred vision, bradycardia, dry mouth
• Medications: Donepezil (Aricept), Rivastigmine (Exelon, Exelon patch), Galantamine
(Razadyne, Razadyne ER)
Manifestations for depression, know S/S, know how this patient present will, plan of
care (how will we treat this patient): These patient sleep overtime, they loss interest in
things around them. Teenagers tend to want to be left alone and parents mistake that
sign as a teen phase. Monitor for suicidal ideation. Ensure safety, provide coping
study complete Solutions | A+ Graded | 2026 Updates | 100%
correct
Define the following term: Understand what each means and how to manage those patients.
Visual hallucinations: When the patient state they are seen something that is not
there.
Auditory hallucinations: The patient is hearing things, but it is not actually there.
Delusion: That false belief that something is true. EX: a patient says that he is the
president even though he is not. In their mind that thing is true
Illusion: When they actually see something, but they mistake it for something else.
EX: there is a pen on the table, but they mistake it as a snake. Bring them back to
reality, tell them it is a pen and not a snake.
Splitting: This occurs in personality disorder. They believe that either you are good
or bad. Ex: you form a good nurse-patient relationship with a client then the client
asks for something and you say no, this is going to make the patient hate you and
they will find your replacement by attach to someone else and they will let
everyone else know that you are a bad nurse.
Projection: When someone project their feelings, blames into someone else.
Understand why the patient use this type of defense mechanism.
Physical abuse: Physical child abuse occurs when a child is purposely physically
injured or put at risk of harm by another person.
Emotional abuse: Emotional child abuse means injuring a child's self-esteem or
emotional well-being. It includes verbal and emotional assault — such as
continually belittling or berating a child — as well as isolating, ignoring or rejecting
a child.
Sexual abuse: Sexual child abuse is any sexual activity with a child, such as
fondling, oral-genital contact, intercourse, exploitation, or exposure to child
pornography.
Pharmacology: Clinical indication, side effects, adverse reactions, and patient teaching
(diet, safety, contra) Chapter 21
, Donepezil (Aricept): for Alzheimer. Help improve cognition and help enhance the
patient ability to remember early on.
• Side effect: GI upset, bradycardia, syncope, severe dermatological issues
• Contra: Nsaids (Motrin, ibuprofen)
• Teaching: It is usually taken once a day with or without food, in the evening just
before bedtime. Take donepezil at around the same time every day. Take
donepezil exactly as directed.
Lithium (mood Stabilizer): for personality disorder, bipolar, antisocial, Narcissistic
PD, monitor for hyponatremia and lithium toxicity, ensure patient has good fluid
intake.
• Teaching: Take lithium exactly as directed. Swallow the extended-release tablet
whole; do not split, chew, or crush it. Too little salt in your diet could lead to serious
side effects. Adequate fluid intake
• A safe blood level of lithium is 0.6 and 1.2 liter (mEq/L). Lithium toxicity can happen
when this level reaches 1.5 mEq/L or higher. Severe lithium toxicity happens at a
level of 2.0 mEq/L and above, which can be life-threatening in rare cases.
Methylphenidate (Stimulant) Ritalin: For ADHD patient which is diagnosed around the
age of 7-20. This is an amphetamine like drug, it is a stimulant.
• Side effect: It can cause weight loss because it suppresses appetite thus anorexia
tachycardia, insomnia.
• Teaching: Take in the morning to prevent patient from staying up late. If an ADHD
child take this it calms them down, if a child that do not need it and take it will
make them very hyper. Monitor nutritional intake especially age 7-11 that is
missing school lunch, and their Blood glucose is dropping, monitor height weight
and other issues in grade school. If prescribe for twice a day, then do not give
after 4pm otherwise the child will be up all night. Because this is a amphetamine
like drug the patient can get aggressive when take the drug. monitor I&O and
cardiac function, ensure patient is getting a yearly EKG from cardiologist, watch
sleep pattern. Drug holiday is okay it’s the great time to gain weight while not in
school during the summer.
Cholinesterase (ChE) inhibitor: For Alzheimer’s disease. There is not enough
acetylcholine, so these medications work to increase the availability of acetylcholine.
Disease modifying not cures (effectiveness wanes after 1 - 2 years)
• Side effect: Nausea, Vomiting, Diarrhea, Muscle cramps, Weight loss, Headache,
Insomnia, Abnormal dreams, blurred vision, bradycardia, dry mouth
• Medications: Donepezil (Aricept), Rivastigmine (Exelon, Exelon patch), Galantamine
(Razadyne, Razadyne ER)
Manifestations for depression, know S/S, know how this patient present will, plan of
care (how will we treat this patient): These patient sleep overtime, they loss interest in
things around them. Teenagers tend to want to be left alone and parents mistake that
sign as a teen phase. Monitor for suicidal ideation. Ensure safety, provide coping
