NUR MISC Psychosocial Nursing Exam 2 Review questions and answers solution 2020

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NUR MISC Psychosocial Nursing Exam 2 Review questions and answers solution 2020 1. What is the nurse’s responsibility before, during and after an ECT treatment? 2. What diagnosis is the Elect... roconvulsive Therapy (ECT) used most often? 3. Bipolar patient is on Lithium, know the patient teaching that the nurse needs to give the client on diet while taking this drug? 4. The nurse will teach the client, while taking Lithium, not to decrease their sodium intake because it will cause their Lithium level to ____________. 5. A client is on an antidepressant for 2 and a half weeks and states they are still depressed, what should the nurse teach the client about what to expect when on an antidepressant? 6. When the client asks the nurse why the doctor is changing their antidepressant from a tricyclic antidepressant (TCA) to a selective serotonin reuptake inhibitors (SSRI). The nurse should explain why this is being done, what is the reason? 7. A parent of a teen put on an SSRI for depression, what must the nurse educate the parent to watch for once the client starts feeling better? 8. The nurse knows that she/he should ask this of a patient when they say things like, “I just can’t go on like this.” 9. A new client is brought up from ER with Major Depressive Disorder and Panic Disorder, what should the nurse put this patient on immediately? What are they most likely thinking of doing? 10. The psychiatrist states the patient has dysthymia, what does that mean? 11. The nurse must educate the client why it is so importance to stop taking their old drug, MAOI, once the doctor starts them on an SSRI? 12. What are the symptoms of depression with psychotic features? 13. A 30-year-old lives with her mother, she is diagnosed with severe anxiety, what symptoms will you tell the mother to watch for? 14. In question 13 with these symptoms what does the nurse monitor while in her/his care, and what could the nurse offer to help with these symptoms? (Hint: not medication or ordered by doctor) 15. The nurse needs to teach the client about benzodiazepines, like clonazepam, to keep them safe. 16. Your patient with anxiety complains of, “My heart is racing and I feel like I can’t catch my breath.” The client is diagnosed with severe anxiety, as the nurse, you know you will give the client _____________ ordered PRN for anxiety, because it is the most appropriate to give. 17. The nurse sees the psychiatrist discharged your patient and she ordered the benzodiazepine, Ativan, you know the client is still depressed. You need to tell the physician that you do not feel the client should go home on this medication, why? 18. The client is discharged after being in the hospital 1 week for suicidal ideations. The client states he is upset the doctor would not order Xanax for his anxiety. He asks you, “why did he give me BuSpar instead of Xanax? What is your patient teaching? 19. What does Agoraphobia and Claustrophobia mean? 20. The client is taking a benzodiazepine for anxiety. What beverages must your patient not use? 21. What system would you assess the client’s coping mechanisms when you note she is fidgeting? 22. Know your Benzodiazepines, they will be on this exam frequently. 23. What are some things the nurse can teach the client to do that will help with anxiety and stress? 24. What are the symptoms and signs of Tardive Dyskinesia? 25. What are the symptoms of Neuroleptic Malignant Syndrome? 26. What are the side effects of Extrapyramidal Syndrome (EPS)? 27. A client has schizophrenia, you walk into her room and she states a man in the corner is telling her that everyone here is going to hurt her, as her nurse, you must do what to help this client? 28. What symptoms of schizophrenia are treated with low and high potency antipsychotics? 29. Clozaril is an antidepressant used on those that do not respond to the SSRI. As the nurse, what would you must teach the client how important it is to keep their lab appointments to monitor a decrease in white blood cells, called ______________________. 30. What is the definition of psychosis? 31. The client is on an antipsychotic med what does it mean when the nurse notices the client’s affect is brightening or flattening? 32. Your client comes into your locked unit voluntarily for depression, after 5 hours he comes up to the desk and states, “I want to leave” you explain he has not seen the psychiatrist yet, so he cannot leave, he becomes upset and starts beating on the exit door. You tell him he will not get his freedom displaying this behavior. “I will kill all of you I am voluntary and I can leave any time I want to.” As the nurse what can you do now? (Hint: Threatening, violent, unsafe, may harm himself or others) 33. You, the nurse, try to reason with this client in question #32, you know the other staff members will do this to help the situation? 34. The nurse’s first priority, will be to get the client, in question # 32, to do this? 35. A client with schizophrenia is called psychotic when he loses contact with ______________. 36. As a nurse, I ask a client with schizophrenia to describe the delusion they are having, why would I do that? 37. What is the definition of paranoia? 38. What are some symptoms of Dissociative Amnesia? 39. Patient has PTSD and has a history of violence, what would be your nursing diagnosis? (Hint: High Risk for ____________.) 40. As the nurse in ER you must screen for domestic violence, your first priority is to keep this client safe, what type of questions would you ask this woman to screen for domestic violence? 41. What is meant by dissociative fugue? 42. What are the symptoms of depersonalization disorder? 43. What is the patient teaching, for a client taking an TCA antidepressant, about hypotension, when they complain of feeling dizzy when they stand? 44. Remember as the patient advocate that your first priority, as a nurse is to keep the patient safe from harm 45. Your client is crying and withdrawn when you enter her room, you ask if she is depressed or suicidal. You know she is in __________ when she states, “I am fine, my life is perfect, just tired.” 46. The psychiatrist tells the client he is going to discharge him because he is able to express his emotions in an appropriate and effective way, this is known as _______ ____________. (2 words) 47. SSRIs side effects: 48. PRN Benzos, when to give: 49. Antipsychotic meds: 50. Decanoate: 51.Bipolar Disorder: 51. Delusion: 52. If Pt is not violent, suicidal or homicidal: [Show More]

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