UPDATED Mental Health FINAL EXAM Rasmussen WITH SOLUTIONS

What type of patients go to memory care? - CORRECT ANSWERS Dementia or Alzheimers What type of environment is a memory care unit? - CORRECT ANSWERS Locked unit, 24-7 supervision. What type of activities do you implement to interact with memory care patients? - CORRECT ANSWERS Activities that help them to recall their past-show old photos, ask questions like what was your first job? where did you grow up? what was your parents names? If a patient is not engaged in a group of people sharing photos what might they be feeling? - CORRECT ANSWERS Depressed, Isolated, Angry Can a social worker make a decision about placement for an elderly person if that person has living family members, a POA? - CORRECT ANSWERS No, they cannot make the decision. Nurses must educate family about decisions. What does agnosia mean? - CORRECT ANSWERS Inability to interpret sensations and hence to recognize things, typically as a result of brain damage. Example of something that could cause agnosia? - CORRECT ANSWERS TBI, vascular dementia. Characteristics of delirium. - CORRECT ANSWERS Rapid in onset, 24-72 hours, related to infection, NOT common with aging. What is an important intervention for patients with delirium? - CORRECT ANSWERS Reorient them. What are the primary characteristics of borderline personality disorder? - CORRECT ANSWERS splitting people (Pitting a group against each other). Self-defeating cycle of behavior. What do you give a patient who has overdosed on PCP? - CORRECT ANSWERS Benzodiazepine Example of a benzodiazpine antidote? - CORRECT ANSWERS Flumazenil What type of personality disorder might a patient who still lives at home at 30 and depends on their mother for everything, have? - CORRECT ANSWERS dependent personality disorder Give an example of a positive statement made by a recovering alcohol that made signal that they are getting better? - CORRECT ANSWERS I will identify things that trigger my cravings Symptoms of patient with suspected opioid abuse/overdose? - CORRECT ANSWERS Contracted pupils, increased HR, shallow Resp., increased temp (but not always). What do you give a opioid overdose patient? - CORRECT ANSWERS Narcan (Naloxone) S/S of acute alcohol withdrawal? - CORRECT ANSWERS Everything is increased! RR, BP, Temp, HR, delerium Characteristics of histrionic personality disorder? - CORRECT ANSWERS Mania, melodramatic, manipulative, emotional attention seeking behavior, often seductive and flirtatious. Interventions for histrionic personality disorder patient - CORRECT ANSWERS They are very manipulative. Set fine lines, do not offer relationship advice, avoid situations where they are the center of attention. Mental Health FINAL EXAM Rasmussen Possible fatal complications of patient withdrawing from CNS stimulant - CORRECT ANSWERS Respiratory failure, suicide, and depression. What is a hypochondriac? - CORRECT ANSWERS Someone who thinks that everything is wrong with them. Ex. their acute headache is caused by a brain tumor. How does cocaine stimulate the body? What do cocaine users use to combat these effects? - CORRECT ANSWERS It is an upper. Alcohol-allows them to sleep. Characteristics of borderline personality disorder - CORRECT ANSWERS Split people apart and are very manipulative. Interventions for nurses dealing with borderline personality disorder patients - CORRECT ANSWERS Keep all the staff on the same page. Set limits and rules. What is a personality disorder in general? What type of issues do these patients have? - CORRECT ANSWERS When people rely on others to make decisions. They have difficulties in their social life, work, relationships, family problems. Place the blame on others. Many go undiagnosed. What is conversion disorder?` - CORRECT ANSWERS Something psychological happens and it then manifests somatically. Ex. Someone has fake blindness What is the difference between objective and subjective data? - CORRECT ANSWERS Subjective is what the patient tells you, objective is what you see and obtain from the physical assessment of the patient. What is somatoform disorder? - CORRECT ANSWERS A mental illness that causes bodily symptoms that cannot be tracked back to any specific cause. Are the symptoms real for a patient with somatoform disorder? - CORRECT ANSWERS Yes, the symptoms are real. It is frustrating because many doctors will perform tests but find nothing. Many go undiagnosed. What are younger patients with body image problems at risk for? - CORRECT ANSWERS Suicide A nurse caring for a patient with borderline personality disorder should try to find out what? - CORRECT ANSWERS What the patients secondary gains are. What are they trying to get? Attention? Money? Pain pills? Characteristics of an antisocial personality disorder patient in a locked setting with other clients? - CORRECT ANSWERS Manipulative, aggressive, angry, yelling. What is a main cause of death for anorexia nervosa patients? - CORRECT ANSWERS Cardiac problems d/t potassium imbalances *hypokalemia What is re-feeding syndrome? - CORRECT ANSWERS Occurs when malnourished patient begins to receive nourishment again. Severe change in intake and electrolyte increases cause heart to work harder and can cause dysrhythmias. What is the difference between bulimia and anorexia? - CORRECT ANSWERS Bulimia is the binging of food and then purging. Anorexia is starving self from food. If you're throwing up and or taking a laxative? What electrolyte might be out of balance? - CORRECT ANSWERS Potassium What are hallucinations? - CORRECT ANSWERS Experiences that are real to the patient but are not actually real., What should you do for a patient that is having hallucinations? - CORRECT ANSWERS Make sure they have everything they need (Glasses, hearing aid etc), keep lights on in room, do not place large clocks or calendars on the walls.