Mental Health Exam 2 Rasmussen
Which nursing diagnosis supports the psychoanalytic theory of development of major
depressive disorder? - Answer Social isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major depressive disorder? -
Answer 24 yr old married woman
A patient diagnosed with MDD is being considered for ECT. Which patient teaching
should the nurse prioritize? - Answer Discuss with the patient and family expected short
term memory loss
Which nursing intervention takes priority when working with a newly admitted patient
experiencing suicidal ideations? - Answer Monitor the patient at a close, but irregular
intervals.
A patient diagnosed with major depressive disorder is prescribed Nardil. Which
teachings should the nurse prioritize? - Answer Intruct the patient & family about the
many food-drug & drug-drug interactions?
What symptoms would the nurse expect to assess i a patient experiencing serotonin
syndrome? - Answer Confusion, restlessness, Tachycardia, Labile BP, & diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants? - Answer
Nortriptyline (Pamelor)
Which of the following are examples of anticholinergic side effects from tricyclic
antidepressants? - Answer Urinary hesitancy, constipation, and blurred vision
A patient seen in the ED is experiencing irritability, pressured speech, and increased
levels of anxiety. The priority is? - Answer Assess vital signs and complete a physical
assessment
A patient diagnosed with bipolar 1 in the manic phase is yelling at another peer in the
milieu. The priority intervention is? - Answer Calmly redirect and remove the patient
from the milieu.
A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of
ideas. Which meds would you expect to give? - Answer Risperidone (Risperdal) &
Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors
and muscular irritability. The RN should? - Answer Assess a serum Lithium level of
2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse
takes priority? - Answer Make sure your salt intake is consistent.
, Mental Health Exam 2 Rasmussen
Which is an example of an behavioral response to a moderate level of anxiety? -
Answer Restlessness
Which is an example of a physiological response to a panic level of anxiety? - Answer
Dilated pupils.
A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would
the nurse expect to assess? - Answer Diminished participation in significant activities.
A patient on an in patient unit is experiencing a flash back. Which intervention takes
priority? - Answer Maintain and reassure the patient of his or her safety and security
Patienta diagnosed with OCD, Commonly use which defense mechanism? - Answer
Undoing
A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to
assess? - Answer The patient uses excessive hand washing to relieve anxiety.
These meds can be used to treat patients with anxiety disorders: Catapres, Luvox,
Buspar, and Xanax? - Answer True
Resperidone is to hallucinations as Clonazepam is to ? - Answer Anxiety
Although symptoms of schizophrenia occur at various times in the life span, what
patient would more likely be diagnosed? - Answer A 20 yr old man
The children saying "step on a crack and you break mothers back" is an example of
which type of thinking? - Answer Magical thinking
The nurse documents that a patient diagnosed with schizophrenia is expressing a flat
affect? What is an example of this symptom? - Answer The patient exhibits no
emotional expressions
A patient is experiencing paranoid thinking. Which intervention would aid in facilitating
other interventions? - Answer Assign consistent staff members
Which atypical anti-psychotic med has the highest potential for a patient to experience
serious side effects? - Answer Clozapine (Clozaril)
A patient with schizophrenia says "We can pan, scan, ran, plan". The nurse identifies
this as? - Answer Clang association
A schizophrenic patient began taking haldol 1 week ago and is now exhibiting jerking
movements of the neck and mouth. This is? - Answer Dystonia
Which nursing diagnosis supports the psychoanalytic theory of development of major
depressive disorder? - Answer Social isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major depressive disorder? -
Answer 24 yr old married woman
A patient diagnosed with MDD is being considered for ECT. Which patient teaching
should the nurse prioritize? - Answer Discuss with the patient and family expected short
term memory loss
Which nursing intervention takes priority when working with a newly admitted patient
experiencing suicidal ideations? - Answer Monitor the patient at a close, but irregular
intervals.
A patient diagnosed with major depressive disorder is prescribed Nardil. Which
teachings should the nurse prioritize? - Answer Intruct the patient & family about the
many food-drug & drug-drug interactions?
What symptoms would the nurse expect to assess i a patient experiencing serotonin
syndrome? - Answer Confusion, restlessness, Tachycardia, Labile BP, & diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants? - Answer
Nortriptyline (Pamelor)
Which of the following are examples of anticholinergic side effects from tricyclic
antidepressants? - Answer Urinary hesitancy, constipation, and blurred vision
A patient seen in the ED is experiencing irritability, pressured speech, and increased
levels of anxiety. The priority is? - Answer Assess vital signs and complete a physical
assessment
A patient diagnosed with bipolar 1 in the manic phase is yelling at another peer in the
milieu. The priority intervention is? - Answer Calmly redirect and remove the patient
from the milieu.
A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of
ideas. Which meds would you expect to give? - Answer Risperidone (Risperdal) &
Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors
and muscular irritability. The RN should? - Answer Assess a serum Lithium level of
2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse
takes priority? - Answer Make sure your salt intake is consistent.
, Mental Health Exam 2 Rasmussen
Which is an example of an behavioral response to a moderate level of anxiety? -
Answer Restlessness
Which is an example of a physiological response to a panic level of anxiety? - Answer
Dilated pupils.
A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would
the nurse expect to assess? - Answer Diminished participation in significant activities.
A patient on an in patient unit is experiencing a flash back. Which intervention takes
priority? - Answer Maintain and reassure the patient of his or her safety and security
Patienta diagnosed with OCD, Commonly use which defense mechanism? - Answer
Undoing
A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to
assess? - Answer The patient uses excessive hand washing to relieve anxiety.
These meds can be used to treat patients with anxiety disorders: Catapres, Luvox,
Buspar, and Xanax? - Answer True
Resperidone is to hallucinations as Clonazepam is to ? - Answer Anxiety
Although symptoms of schizophrenia occur at various times in the life span, what
patient would more likely be diagnosed? - Answer A 20 yr old man
The children saying "step on a crack and you break mothers back" is an example of
which type of thinking? - Answer Magical thinking
The nurse documents that a patient diagnosed with schizophrenia is expressing a flat
affect? What is an example of this symptom? - Answer The patient exhibits no
emotional expressions
A patient is experiencing paranoid thinking. Which intervention would aid in facilitating
other interventions? - Answer Assign consistent staff members
Which atypical anti-psychotic med has the highest potential for a patient to experience
serious side effects? - Answer Clozapine (Clozaril)
A patient with schizophrenia says "We can pan, scan, ran, plan". The nurse identifies
this as? - Answer Clang association
A schizophrenic patient began taking haldol 1 week ago and is now exhibiting jerking
movements of the neck and mouth. This is? - Answer Dystonia
