MENTAL HEALTH PROCTORED, ATI
PROCTORED MENTAL HEALTH
Wernicke-Korsakoff Expected Finding - Answer - Confusion
Heroin Intoxication Expected Finding - Answer - Respiratory Depression
Reaction of Terminal Cancer Diagnosis - Answer - Denial
Valproic Acid Teaching - Answer - Teach the need to regularly monitor liver function
levels due to the risk of hepatotoxicity
When should Donapezil be taken? - Answer - Bedtime to reduce the risks for injury due
to bradycardia and syncope
Methadone is indicated for TX of.... - Answer - Opiate use disorder
Phenelzine---Finding to report - Answer - Elevated BP: increases risk for hypertensive
crisis
This is an MAOI!
Acute Main---Priority Goal - Answer - Maintain adequate hydration
Binge-eating expected finding - Answer - Abdominal pain
Stage 4 Alzheimers expected finding - Answer - Client is able to identify the names of
family members
Restricting type anorexia expected finding - Answer - Decreased caloric intake due to
excessive fear of weight gain
ECT Potential Complications - Answer - Cardiac arryhthmia
Cocaine intoxication expected finding - Answer - Dilated pupils
Benzo---finding that would indicate questioning the provider - Answer - Hypotension
,Alcohol Withdrawal Medication - Answer - Disulfram
Can give____________with lithium - Answer - Valproic Acid
Both treat bipolar
Common adverse effect of Buspirone - Answer - Dizziness
Confusion develops...... - Answer - SLOWLY with alzheimers
What food type to avoid with Disulfram - Answer - Pure vanilla extract
Conduct Disorder expected finding - Answer - Aggressive behavior toward others
Heroin withdrawal expected findings - Answer - Muscle aches
Alcohol withdrawal expected findings - Answer - Insomnia and restlessness
Mematine is used to treat - Answer - Severe alzheimers
ADHD teaching - Answer - Ignore child's attention seeking behaviors that are not
dangerous
Rape-Trauma Syndrome finding - Answer - Report of intense guilt
Medication that is given during alcohol detox - Answer - Diazepam
ECT expected findings - Answer - Memory loss
Nausea
Tachycardia
ECT is given for - Answer - Bipolar with rapid cycling
Vagus Nerve Stimulation adverse effects - Answer - Voice changes
Dysphagia
Neck pain
Modeling - Answer - Allows client to see a demonstration of appropriate behaviors in a
stressful situation. The goal is that the client will imitate the behaviors
,Systemic Desentization - Answer - Begins with mastering of relaxation techniques. Then
a client is exposed to increasing levels of anxiety-producing stimulus.
Flooding - Answer - Exposing the client to a great deal of undesirable stimulus in an
attempt to turn off anxiety response.
Most useful for phobias
Thought Stopping - Answer - Teaches a client to say "stop" when a negative thought or
compulsive behavior arises and substitute positive thought. The goal is that the client
with time will use command silently
Eye Movement Desentization and Reprocessing (EMDR) - Answer - Therapy for clients
who have PTSD. Encourages eye focus on a separate stimuli while thinking of or talking
about the traumatic event
PTSD expected findings - Answer - Hallucinations
Recurring nightmares
How is seasonal depression treated? - Answer - Light therapy
Dysthymic Disorder - Answer - Mild form of depression that usually has an early onset,
such as in childhood and lasts at least 2 years in length
St. John's Wort adverse effects - Answer - Photosensitivity
Skin rash
Rapid heart rate
GI distress
Abdominal pain
Depressive disorders are most prevalent in... - Answer - Adults between ages of 15-40
Transpersonal Communication - Answer - Addresses an individual's spiritual needs and
providers interventions to meet those needs
Empathy - Answer - UNDERSTANDING of feelings
Rapid Cycling - Answer - 4 or more episodes of acute mania within 1 year
Bipolar I - Answer - Client has at least one episode of mania alternating with major
depression
, More severe
Bipolar II - Answer - Client has one or more hypomanic episodes alternating with MDD
Bipolar Meds - Answer - Lithium=mood stabilizer
Anticonvulsants such as Valproic Acid (Depakote), Clonazapam, Lamitcal, Gabapentin,
and Topiramate
Benzos such as Lorazepam used on a short term basis
SSRIs such as Prozac
A client in a true manic state will... - Answer - Not stop moving, and does not eat or
drink, or sleep. This can become a medical emergency
Alogia - Answer - Poverty of thought or speech; the client may sit with a visitor but may
only mumble or respond vaguely to questions
Avolition - Answer - Lack of motivation in activities and hygiene
Grandeur - Answer - Believes that she is all powerful and important, like a god
Somatic Delusionals - Answer - Believes that his body is changing in an unusual way,
such as growing a third arm
Depersonalization - Answer - Nonspecific feeling that a person has lose their identity,
self is different or unreal
Derealization - Answer - Perception that environment has changed
Global Assessment of Functioning (GAF Scale) - Answer - Helps to determine a client's
ability to perform ADLs and to function independently
Mileu - Answer - Safe, structured environment that decreases anxiety and distracts the
client from constant thinking and hallucinations
Atypical Antipsychotics - Answer - Treat BOTH positive and negative symptoms of
schizophrenia
Abilify
Geodon
Zyprexa
Seroquel