Exam 2 - Mental Health Review questions

Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia? Always afraid another student will steal her belongings Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia? Screening a group of males between the ages of 15 and 25 for early symptoms To provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? - Alcohol use disorder - Major depressive disorder - Polydipsia - Metabolic syndrome A female patient diagnosed with schizophrenia has been prescribed a first generation antipsychotic medication. What information should the nurse provide to the patient regarding her signs and symptoms? She should experience a reduction in hallucinations Which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia? Paranoia Gilbert, age 19, is described by his parents as a moody child with an onset of odd behavior about at age 14, which caused Gilbert to suffer academically and socially. Gilbert has lost the ability to complete household chores, he's reluctant to leave the house, and is obsessed with the locks on the windows and doors. Do you to Gilberts early And slow onset of what is now recognized as schizophrenia, his prognosis is considered: To have a less positive outcome Which therapeutic communication statement by a psychiatric mental health registered nurse use when a patient's nursing diagnosis is altered thought processes? "You say you hear voices, what are they telling you?" When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that: They are not actually ill Kyle, a patient with schizophrenia, began to take the first generation antipsychotic haloperidol last week. One day you find him sitting very stiffly and not moving. He is diaphoretic, and when you ask if he is OK he seems unable to respond verbally. His vital signs are BP 170/100, P 110, T 104.2 F. What is the priority nursing intervention? - Hold his medication and contact his prescriber - Wipe him with a washcloth wet with cold water or alcohol Thomas a 21 year old Male with a recent diagnosis of schizophrenia. Thomas is a nurse recognizes that self medicating with excessive alcohol is common in this disease and King Cole occur along with: anxiety and depression Which nursing response demonstrates accurate information that should be discussed with the female patient diagnosed with bipolar and her support system? - Remember that alcohol and caffeine can trigger a relapse of your symptoms - It's critical to let your healthcare provider know immediately if you aren't sleeping well - Is your family prepared to be actively involved in helping manage this disorder? - The symptoms tend to come and go and so you need to be able to recognize the early signs Which statement made by the patient demonstrates an understanding of the effective use of newly prescribed lithium to manage bipolar mania? - "I have to keep reminding myself to consistently drink 6, 12 ounce glasses of fluid every day" - "I discussed the diuretic my cardiologist prescribed with my psychiatric care provider" - "I've already made arrangements for my monthly lab work" The nurse is providing medication education to a patient who has been prescribed lithium to stabilize mood. Which early signs and symptoms of toxicity should the nurse stress to the patient? - An upset stomach for no apparent reason - Shaky hands that make holding a cup difficult Hey male patient calls to tell the nurse that his monthly lithium level is 1.7mEq/L. Which nursing intervention well the nurse implement initially? Instruct the patient to hold the next dose of medication and contact the prescriber Which intervention should the nurse implement when caring for a patient demonstrating manic behavior? - Monitor the patient's vital signs frequently - Provide the patient with frequent milkshakes and protein drinks - Reduce the volume on the television and dim bright lights in the environment - Use a firm but calm voice to give specific concise directions to the patient Substance abuse is often present in people diagnosed with bipolar disorder. Laura, a 28 year old with a diagnosis of bipolar disorder, drinks alcohol instead of taking her prescribed medications. The nurse caring for this patient recognizes that: Alcohol ingestion is a form of self-medication Ted a former executive is now unemployed due to manic episodes at work. He was diagnosed with bipolar 18 years ago. Ted has a history of IV drug abuse which resulted in hepatitis see. He is taking his lithium exactly as scheduled a fact that both Ted's wife and his blood test confirm. To reduce Tasmania the psychiatric nurse practitioner recommends: Electroconvulsive Therapy (ECT) A 33 year old female diagnosed with bipolar one disorder has been functioning well on lithium for 11 months. At her most recent check up, the psychiatric nurse practitioner states "you are ready to enter the maintenance therapy stage so at this time I'm going to adjust your dosage by prescribing": A lower dosage Tatyana has been hospitalized for an acute manic episode. On admission nurse suspects lithium toxicity. What assessment findings would indicate the nurses suspicion as correct? Ataxia, severe hypotension, large volume of dilute urine Luc's family comes home one evening to find him extremely agitated and they suspect in a full manic episode. The family calls emergency medical services. While one medic is talking with Luc and his family, the other medic is counting something on his desk. What is the medic most likely counting? Energy drink containers What assessment question is focused on identifying a long-term consequence of chronic stress on physical health? "How many infections have you experienced in the past 6 months?" Which nursing assessments are directed at monitoring a patient's fight-or-flight response? BP HR Respiratory rate Dilated pupils The patient you are assigned unexpectedly suffers a cardiac arrest. During this emergency situation, your body will produce a large amount of: epinephrine Which question is focused on the assessment of an individual's personal ability to manage stress? "do you engage in any hobbies now that you have retired?" "Who can you rely on if you need help after you're discharged from the hospital?" "What do you do to help manage the demands of parenting a 4 year old and a newborn?" When considering stress, what is the primary goal of making daily entries into a personal journal? Identifying stress triggers Jackson has suffered from migraine headaches all of his life. Fatima, his nurse practitioner, suspects muscle tension as a trigger for his headaches. Fatima teaches him a technique that promotes relaxation by using: Progressive muscle relaxation Hugo is 21 and dx w/ schizophrenia. His hx includes significant turmoil as a child and adolescent. Hugo reports his father was abusive and routinely beat him, all of his siblings, and his mother. Hugo's early exposure to stress most likely: Increased his future vulnerability to psychiatric disorders Hugo has a fraternal twin named franco who is unaffected by mental illness even though they were raised in the same dysfunctional household. Franco asks the nurse, "Why Hugo and not me?" The nurse replies: "Hugo likely has a genetic vulnerability" First responders and emergency department healthcare providers often use dark humor in an effort to: reduce stress and anxiety Your 39-year-old patient, Samantha, who was admitted with anxiety, asks you what the stress-relieving technique of mindfulness is. The best response is: Mindfulness is focusing on the here and now, not the past or future, and paying attention to what is going on around you Which response by a 15 year old demonstrates a common symptom observed in patient's diagnosed with major depressive disorder? "I go to sleep around 11 pm. but I'm always up by 3 am. and can't go back to sleep" Which assessment question asked by the nurse demonstrates an understanding of comorbid mental health conditions associated with major depressive disorder? "What do you do to manage anxiety?" "Do you have a history of disordered eating?" "Do you think that you drink too much?" Which nursing intervention focuses on managing a common characteristic of major depressive disorder associated with the older population? Conducting routine suicide screenings at a senior center