NURS 222 Mental Health Final Exam Answers 2023 Score A+.

NURS 222 Mental Health Final Exam Answers 2023 Score A+. Finals 1. Conduct Disorder (Cruelty to Animals) Demonstrate a persistent pattern of behavior that violates the rights of others or rules/norms of society. In simpler words… CONDUCT DISORDER = BREAKS LAWS! MAKE SURE THEY ARE AWARE OF THE RULES OF THE UNIT AND ANY CONSEQUENCES OF VIOLATING THOSE RULES Categories include: *Assess Aggression towards people & animals *Destruction property *Deceitfulness or theft *Serious violation of rules 2. Alcohol Abuse It declines as you age! 3. A nurse is caring for a client with bipolar disorder. Client comes to the nurses’ station at 3 am asking the nurse to call the doctor. Which response is the most appropriate? a. You are being unreasonable b. Go back to your room & I will get in touch later c. I can’t call the doctor until later unless it’s an emergency d. You seem upset, can I help you? 4. Benztropine (Cogentin) Why is it given? *To treat Parkinson disease and also to control tremors and stiffness of the muscles due to antipsychotic medications (antipsychotics 1st-gen) Treats EPS symptoms: (usually the 1st choice – can be given PPX *Acute dystonia- severe spasm of the tongue, neck, face, & back (crisis) *Parkinsonism- bradykinesia, rigidity, shuffling gait, tremors, drooling *Akathisia- inability to sit/stand still & continual pacing & agitation. *Tardive dyskinesia- late EPS, involuntary movement of tongue & face, such as lip smacking & tongue fasciculation, involuntary movement of arms, legs, & trunk. NURS 222 Mental Health Final Exam Answers 5. A client is sleepwalking. The nurse should include following discharge (SATA) a. Clutter free b. Sleep on the ground floor c. Lock doors & windows d. Alarm on bed e. Hide car keysc NURS 222 Mental Health Final Exam Answers DO NOT rearrange furniture 6. A client fell & had an abrasion on the forehead. Who can write an incident report/variance report? Anyone who actually SAW the incident can write it (NOT he said, she said): *CNA, LVN, or RN the person who witnessed the fall (cosigned by the RN) 7. S/S of Acute Grief Grief is the inner emotional response to loss & is exhibited in as many ways as there are individuals. Emotional S/S: anger, restlessness, resentment, withdrawal, hopelessness, & guilt Somatic S/S: chest pain (tightness), palpitations, headaches, nausea, changes in sleep, fatigue 8. S/S of ADHD Inability of a person to control behaviors requiring sustained attention S/S: impulsive, hyperactive, inattention, & not able to focus well 9. Erikson’s Stages of Development Trust vs. Mistrust (Infancy 0-1½ years) *Forming attachment to mother, which lays foundation for later trust in others. Autonomy vs. Shame & Doubt (Early Childhood 1½-3 years) *Gaining some basic control of self & environment (toilet training, exploration) Initiative vs. Guilt (Preschool 3-6 years) *Becoming purposeful & directive Industry vs. Inferiority (School Age 6-12 years) *Developing social, physical, & school skills Identity vs. Role Confusion (Adolescence 12-20 years) *Making transition from childhood to adulthood; developing sense of identity Intimacy vs. Isolation (Early Adulthood 20-25 years) *Establishing intimate bonds of love & friendship Generativity vs. Self-Absorption (Middle Adulthood 35-65 years) *Fulfilling life goals that involve family, career, & society; developing concerns that embrace future generations Integrity vs. Despair (Later Years 65 years-death) *Looking back over one’s life & accepting its meaning 10. Ziprasidone (Geodon) 40 mg b.i.d. Is it a safe dose? – YES! 11. Antipsychotic 2nd-gen (Atypical) The medication affects both dopamine & serotonin, so it can be used for clients who have concurrent depression. **It has a low risk of EPS, diabetes, weight gain, & dyslipidemia Therapeutic Range: *Oral: 100 mg MAX per day (although greater than 80 mg is not recommended) *IM: 40 mg MAX per day NURS 222 Mental Health Final Exam Answers 12. Clozapine (Clozaril) 13. Antipsychotic 2nd-gen (Atypical) WBC count: 5,000-10,000 Absolute neutrophil count: 2,000+ Agranulocytosis NURS 222 Mental Health Final Exam Answers If it is increased, what do you do? a. Hold the medication; infectious process – take vitals – assess for fever 14. A young female has experienced partner violence. The client is most likely at risk for the following findings: Self-esteem disturbances 15. Denial 16. A LOT of alcoholics/substance users use this defense mechanism! Pretending the truth is not reality to manage the anxiety of acknowledging what is real. Example: * You have a nurse who is abusing alcohol. She is questioned by her supervisor. *A parent who is informed that his son was killed in combat tells everyone he is coming home for the holidays. *A man reacts to the death of a loved one by saying, “No, I don’t believe you,” to initially protect himself from the overwhelming news. * A woman whose husband died 3 years earlier still keeps his clothes in the closet & talks about him in present tense 17. Projection Blaming others for unacceptable thoughts & feelings Example: *A young adult blames his substance use disorder on his parents’ refusal to buy him a new car. *A woman who has a repressed an attraction toward other women refuses to socialize. She fears another woman will make homosexual advances toward her. 18. Rationalization Creating reasonable & acceptable explanations for unacceptable behavior Example: *A young adult explains he had to drive home from a party after drinking alcohol because he had to feed his dog. *An employee says, “I didn’t get a raise because the boss doesn’t like me.” *A man who thinks his son was fathered by another man excuses his malicious treatment of the boy y saying, “He is lazy & disobedient,” when that is not the case.