Rasmussen: Mental Health Exam 2 Latest Version(2021/2022)

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Rasmussen: Mental Health Exam 2 Latest Version(2021/2022) Which nursing diagnosis supports the psychoanalytic theory of development of major depressive disorder? - CORRECT ANSWER Social isol... ation R/T self directed danger Which patient is at the highest risk for the diagnosis of major depressive disorder? - CORRECT ANSWER 24 yr old married woman A patient diagnosed with MDD is being considered for ECT. Which patient teaching should the nurse prioritize? - CORRECT ANSWER Discuss with the patient and family expected short term memory loss Which nursing intervention takes priority when working with a newly admitted patient experiencing suicidal ideations? - CORRECT ANSWER Monitor the patient at a close, but irregular intervals. A patient diagnosed with major depressive disorder is prescribed Nardil. Which teachings should the nurse prioritize? - CORRECT ANSWER Intruct the patient & family about the many food-drug & drug-drug interactions? What symptoms would the nurse expect to assess i a patient experiencing serotonin syndrome? - CORRECT ANSWER Confusion, restlessness, Tachycardia, Labile BP, & diaphoresis Which of the following meds would be classified as Tricyclic antidepressants? - CORRECT ANSWER Nortriptyline (Pamelor) Which of the following are examples of anticholinergic side effects from tricyclic antidepressants? - CORRECT ANSWER Urinary hesitancy, constipation, and blurred vision A patient seen in the ED is experiencing irritability, pressured speech, and increased levels of anxiety. The priority is? - CORRECT ANSWER Assess vital signs and complete a physical assessment A patient diagnosed with bipolar 1 in the manic phase is yelling at another peer in the milieu. The priority intervention is? - CORRECT ANSWER Calmly redirect and remove the patient from the milieu. A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of ideas. Which meds would you expect to give? - CORRECT ANSWER Risperidone (Risperdal) & Lamotrigine (Lamictal) A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors and muscular irritability. The RN should? - CORRECT ANSWER Assess a serum Lithium level of 2.6mEq/L A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse takes priority? - CORRECT ANSWER Make sure your salt intake is consistent. Which is an example of an behavioral response to a moderate level of anxiety? - CORRECT ANSWER Restlessness Which is an example of a physiological response to a panic level of anxiety? - CORRECT ANSWER Dilated pupils. A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would the nurse expect to assess? - CORRECT ANSWER Diminished participation in significant activities. A patient on an in patient unit is experiencing a flash back. Which intervention takes priority? - CORRECT ANSWER Maintain and reassure the patient of his or her safety and security Patienta diagnosed with OCD, Commonly use which defense mechanism? - CORRECT ANSWER Undoing A patient diagnosed with OCD, Which behavioral symptoms would the RN expect to assess? - CORRECT ANSWER The patient uses excessive hand washing to relieve anxiety. These meds can be used to treat patients with anxiety disorders: Catapres, Luvox, Buspar, and Xanax? - CORRECT ANSWER True Resperidone is to hallucinations as Clonazepam is to ? - CORRECT ANSWER Anxiety Although symptoms of schizophrenia occur at various times in the life span, what patient would more likely be diagnosed? - CORRECT ANSWER A 20 yr old man The children saying "step on a crack and you break mothers back" is an example of which type of thinking? - CORRECT ANSWER Magical thinking The nurse documents that a patient diagnosed with schizophrenia is expressing a flat affect? What is an example of this symptom? - CORRECT ANSWER The patient exhibits no emotional expressions A patient is experie [Show More]

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