Mental Health Exam 2 Rasmussen
1. Which nursing diagnosis supports the psychoanalytic theory of
develop- ment of major depressive disorder?: Social isolation R/T self
directed danger
2. Which patient is at the highest risk for the diagnosis of major
depressive disorder?: 24 yr old married woman
3. A patient diagnosed with MDD is being considered for ECT. Which patient
teaching should the nurse prioritize?: Discuss with the patient and family
expect- ed short term memory loss
4. Which nursing intervention takes priority when working with a newly
admit- ted patient experiencing suicidal ideations?: Monitor the patient at
a close, but irregular intervals.
5. A patient diagnosed with major depressive disorder is prescribed Nardil.
Which teachings should the nurse prioritize?: Intruct the patient & family
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, about the many food-drug & drug-drug interactions?
6. What symptoms would the nurse expect to assess i a patient
experienc- ing serotonin syndrome?: Confusion, restlessness,
Tachycardia, Labile BP, & diaphoresis
7. Which of the following meds would be classified as Tricyclic antidepres-
sants?: Nortriptyline (Pamelor)
8. Which of the following are examples of anticholinergic side effects
from tricyclic antidepressants?: Urinary hesitancy, constipation, and
blurred vision
9. A patient seen in the ED is experiencing irritability, pressured speech,
and increased levels of anxiety. The priority is?: Assess vital signs and
complete a physical assessment
10.A patient diagnosed with bipolar 1 in the manic phase is yelling at
another peer in the milieu. The priority intervention is?: Calmly redirect and
remove the patient from the milieu.
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1. Which nursing diagnosis supports the psychoanalytic theory of
develop- ment of major depressive disorder?: Social isolation R/T self
directed danger
2. Which patient is at the highest risk for the diagnosis of major
depressive disorder?: 24 yr old married woman
3. A patient diagnosed with MDD is being considered for ECT. Which patient
teaching should the nurse prioritize?: Discuss with the patient and family
expect- ed short term memory loss
4. Which nursing intervention takes priority when working with a newly
admit- ted patient experiencing suicidal ideations?: Monitor the patient at
a close, but irregular intervals.
5. A patient diagnosed with major depressive disorder is prescribed Nardil.
Which teachings should the nurse prioritize?: Intruct the patient & family
1/4
, about the many food-drug & drug-drug interactions?
6. What symptoms would the nurse expect to assess i a patient
experienc- ing serotonin syndrome?: Confusion, restlessness,
Tachycardia, Labile BP, & diaphoresis
7. Which of the following meds would be classified as Tricyclic antidepres-
sants?: Nortriptyline (Pamelor)
8. Which of the following are examples of anticholinergic side effects
from tricyclic antidepressants?: Urinary hesitancy, constipation, and
blurred vision
9. A patient seen in the ED is experiencing irritability, pressured speech,
and increased levels of anxiety. The priority is?: Assess vital signs and
complete a physical assessment
10.A patient diagnosed with bipolar 1 in the manic phase is yelling at
another peer in the milieu. The priority intervention is?: Calmly redirect and
remove the patient from the milieu.
2/4
