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Mental Health Nursing Quizlet

Mental Health Nursing Quizlet



Mental Health Nursing Quizlet

Written questions

1. DSM ?

2. Orientation phase ?

3. Neuroleptic malignant syndrome (NMS) ?



4. Akathisia

5. Rationales: concrete messages are clear, direct and easy to understand.

Matching Questions

  1. __________ Toxicity of this mood-stabilizing drug has symptoms that consist of diarrhea, vomiting, drowsiness, muscle weakness, and lack of coordination; and if not treated can worsen and even lead to renal failure, coma, and death.
  2. __________ These drugs have a high potential for abuse (usually not with the child client, however); drug dependence, some of these drugs (e.g. Ritalin) should be used with caution in emotionally unstable clients because they may increase their intake of the drug themselves; and some (e.g. Cylert) can cause life-threatening liver failure).
  3. __________ this psychotropic drug category’s primary medical treatment is for schizophrenia and used in psychotic episodes of acute mania, psychotic depression, and drug-induced psychosis; also with dementia who have psychotic symptoms.
  4. __________ Are these techniques therapeutic or nontherapeutic:
    advising, agreeing, belittling, disagreeing, disapproving, giving approval, giving literal responses, indicating the existence of an external source, interpreting, introducing an unrelated topic, making stereotyped comments, probing, reassuring, rejecting, requesting an explanation, testing, appraising, and using denial.
  5. __________ These psychotropic drug category are primarily used in the treatment of major depressive illness, anxiety disorders, the depressed phase of bipolar disorder, and psychotic depression.

 

  • Lithium toxicity
  • Nontherapeutic
  • Stimulants
  • Antidepressants
  • Antipsychotics

Multiple choice questions

1. atypical (second-generation) antipsychotics

a. what antidepressant is dangerous due to its capabilities of causing seizures?
b. This is a potentially fatal idiosyncratic reaction to an antipsychotic ( or neuroleptic drug )
c. What category are these drugs? Chozapine (Clozaril); olanzapine (Zyprexa); ziprasidone (Geodon)
d. What category is this drugs? Aripiprazole (abilify)

 

2. Axiss II

a. This axis describes MR/personality disorders only

b. This is concept of safe refuge/haven offering protection at institutions, where the menatally ill were beaten, whipped, and starved; and was the idea created by Phillippe Pinel and William Tukes.

c. What are the current trends in treatment of people with mental illness?

d. Client A is 54 year old male with sever mental reardation; was diagnosed with CHF 2 months ago and currently is jumping between shelters. What DSM axis levels is Client A classified under?

 

3. Late 1800s

a. This axis describes potentially relevant-current medical conditions

b. Psychiatric nursing is recognized but not yet required in nursing schools during what period of history?

c. What is extremely important for the nurse to have, in order for them to help maintain the boundaries of the professional relationship?

d. What category are these drugs? Chopazine (Clozaril); olanzapine (Zyprexa); ziprasidone (Geodon)

 

4. Axiss III

a. This axis describes potentially relevant-current medical conditions

b. Client A is 54 year old male with sever mental reardation; was diagnosed with CHF 2 months ago and currently is jumping between shelters. What DSM axis levels is Client A classified under?

c. This includes disorders that affect mood, behavior, and thinking and these often cause significant distress, impaired functioning, or both; these are characteristics of what?

d. These are amongst the most widely prescribed medications today.

 

5. Serotonin syndrom ( or serotonergic syndrome ); antidepresants

a. This phase of the nurse-client relationship is usually divided into two subphases, where the client identifies the issues or concerns causing problems and then into where the nurse guides the client to examine feelings and responses and to develop better coping skills and a more positive self-image.

b. Which of the following drugs would the nurse expect to administer to a client with ADHD?

-          Disulfiram

-          Methylphenidate

-          Buspirone

-          Lithium

c. This uncommon yet potentially serious drug interaction can result from taking an MAOI and an SSRI at the same time. What syndrome is this talking about and what category is this talking about?

d. These are important for accurate information exchange; the words are explicit and need no interpretation; the speaker uses nouns instead of pronouns; clear, direct, and easy to understand.

True/False questions

1. Social relationship. → This category of drugs are used to treat bipolar disorder by stabilizing the client’s mood, preventing or minimizing the highs and lows that characterize bipolar illness, and treating acute episodes of mania. ( True / False )

2. Pseudoparkinsonism → These psychotropic drug category are primarily used in the treatment of major depressive illness, anxiety disorders, the depressed phase of bipolar disorder, and psychotic depression. ( True / False )

3. Lithium (mood-stabilizer) and chlorpromazine (Thorazine)-antipsychotic → what category is this drug? aripiprazole (Abilify).  ( True / False )

4. antipysychotics → This drug category is divided into four groups: tricyclic and the related cyclic antidepressants; selective serotonin reuptake inhibitors (SSRIs); MAO inhibitors (MAOIs); and others. ( True / False )

5. extrapyramidal symptoms (EPSs) → this symptom is reported by the client at an intense need to move about; client appears restless or anxious and agitated, often with a rigid posture or gait and a lack of spontaneous gestures. This feeling internal restlessness and the inability to sit still or rest often leads clients to discontinue their use of antipsychotic meds. ( True / False )

Key Answer

Written questions

  1. DSM – This is revised when needed (it’s not “set in stone”) and describes all mental disorders, outlining specific diagnostic criteria. or this provides standardized language; defines characteristics/symptoms; identifies underlying causes; and has 5 axis.
  2. Orientation phase – This phase begins when the nurse and client meet and ends when the client begins to identify problems to examine. or during this phase, the nurse establishes roles, purpose of meeting, and the parameters of subsequent meetings; identifies the client’s problems; and clarifies expectations.
  3. Neuroleptic malignant syndrome (NMS) – this is a potentially fatal idiosyncratic reaction to an antipsychotic (or neuroleptic) drug or The symptoms of this syndrome are: rigidity; high fever; autonomic instability such as unstable BP, diaphoresis, and pallor; delirium; and elevated levels of enzymes(particularly creatine phosphokinase); and these most often occurs in the first 2 weeks during or after an increase in dosage-but can also occur at anytime during drug therapy.
  4. Akathisia - this symptom is reported by the client at an intense need to move about; client appears restless or anxious and agitated, often with a rigid posture or gait and a lack of spontaneous gestures. This feeling internal restlessness and the inability to sit still or rest often leads clients to discontinue their use of antipsychotic meds.
  5. Rationales: concrete messages are clear, direct and easy to understand. – Judy, a PN, is given an exercise from her teacher. Her teacher wants her to observe four different patients; and write down the questions and statements that are said to these clients by their nurses. Her teacher then has Judy look over what she has written, and pick out where concrete messaging has occur and not. Her teacher knows that Judy has an understanding of what concrete messages are when she chooses? Select all that apply.
  • “How did you get here, Mrs Smith?”
  • “What health symptoms caused you to come to the hospital today Mr Jones?”
  • “When was the last time you took your antidepressant medications?”
  • “Did you eat or drink anything after midnight?”

Matching questions

  1. Lithium toxicity
  2. Stimulants
  3. Antipsychotics
  4. Nontherapeutic
  5. Antidepressants

Multiple choice questions

  1. what category are these drugs? chozapine (Clozaril); olanzapine (Zyprexa); ziprasidone (Geodon)
  2. this axis describes MR/personality disorders only
  3. psychiatric nursing is recognized but not yet required in nursing schools during what period of history?
  4. this axis describes potentially relevant-current medical conditions
  5. This uncommon yet potentially serious drug interaction can result from taking an MAOI and an SSRI at the same time. What syndrome is this talking about and what category is this talking about?

True/False questions

1. False

It should be → This type of relationship is primarily initiated for the purpose friendship, socialzation, companionship, or accomplishment of a task; communication that occurs is sharing of ideas, feelings, advice is given.

2. False

It should be → this symptom is a “drug-induced” parkinsonism; is often referred to by the generic label of EPS; resemble those of Parkinson’s disease and include a stiff, shuffling, festinating gait (with small steps); cogwheel rigidity (ratchet-like movements of joints); drooling ; tremor, bradycardia, and coarse pill-rolling movements of the thumb and fingers while at rest.

3. False

It should be → what were the first psychotropic drugs to be developed?

4. False

It should be → these psychotropic drugs have extrapyramidal symptoms, neuroleptic malignant syndrome, tardive dyskinesia, anticholinergic side effects.

5. False

It should be → These symptoms, are usually categorized together in dealing with antipsychotics are acute dystonia (acute muscular rigidity), pseudoparkinsonism (Parkinson like syndromes), and akathisia (appearing restless or anxious). When grouped together, these are referring to what type of side effects?



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