PSYCH PN 155/PRN NURSING EXAM 2 REVIEW QUESTIONS AND ANSWERS.

PSYCH PN 155/PRN NURSING EXAM 2 REVIEW QUESTIONS AND ANSWERS. Psychosocial Nursing Exam 2 Review WI18 1. What is the nurse’s responsibility before, during and after an ECT treatment? a. Assess vital signs and Neuro checks q15 min then a 1 hr until stable b. Neurochecks need to be done by nurse 2. What diagnosis is the Electroconvulsive Therapy (ECT) used most often? a. Major Depressive disorder 3. Bipolar patient is on Lithium, know the patient teaching that the nurse needs to give the client on diet while taking this drug? a. Do not increase salt intake, drink plenty of fluids to prevent dehydration and no fasting 4. The nurse will teach the client, while taking Lithium, not to decrease their sodium intake because it will cause their Lithium level to INCREASE (Become toxic). 5. A client is on an antidepressant for 2 and a half weeks and states they are still depressed, what should the nurse teach the client about what to expect when on an antidepressant? a. The medication needs to be taken for 3-6 weeks before client may see results in mood 6. When the client asks the nurse why the doctor is changing their antidepressant from a tricyclic antidepressant (TCA) to a selective serotonin reuptake inhibitors (SSRI). The nurse should explain why this is being done, what is the reason? a. SSRI’s have less side effects then TCA’s. 7. A parent of a teen put on an SSRI for depression, what must the nurse educate the parent to watch for once the client starts feeling better? a. Monitor for suicidal ideation bc their energy level returns 8. The nurse knows that she/he should ask this of a patient when they say things like, “I just can’t go on like this.” a. Monitor for psychotic features; paranoia, neglect of self and others b. If they are suicidal (if yes then) i. Do they have a plan? If so is it realistic? Do they have access to a gun, meds, car, etc. 9. A new client is brought up from ER with Major Depressive Disorder and Panic Disorder, what should the nurse put this patient on immediately? What are they most likely thinking of doing? a. Thinking about suicide or harming others. Place on one to one with staff members continuously 10. The psychiatrist states the patient has dysthymia, what does that mean? a. A mood disorder characterized by chronic mildly depressed or irritable mood often accompanied by other symptoms (eating, sleeping disturbances, fatigue and poor self esteem) Feeling drained of energy and having little joy in life. b. Little pleasure in life