Mental health second questionnary

A psychiatric nurse routinely administers the following drugs to patients in the community mental health center. The patients who should be most carefully assessed for untoward cardiac side effects are those receiving:
Clozapine
Lithium
Diazepam
Sertraline
Two days ago, a client was admitted to the inpatient psychiatric unit with a diagnosis of PTSD and a history of violence. Currently, he continues to have sleep problems, trouble with concentration, and has been feeling increased anger toward another patient who reminds him of a former colleague. Select the priority nursing diagnosis.
Risk for violence
Ineffective individual coping
Sleep depravation
Decisional conflict
Mr. R presents with a history of having assumed a new identity in a distant locale. He has no recollection of his former identity. Which DSM-IV-TR diagnosis can the nurse expect the psychiatrist to make?
Hypochondriasis
Conversion disorder
Dissociative fugue
Depersonalization disorder
Which of the following best describes people with PTSD?
They readily assume the roles of compromiser and harmonizer
The often seek help to change maladaptive behaviors
They have the ability to tolerate high levels of anxiety
They have difficulty working & loving
After completing an assessment of a client diagnosed with borderline personality disorder, the nurse finds which of the following to be true?
Flexible coping skills
Socially appropriate behavior
Eagerness to learn new coping skills
Self defeating cycle of behavior
For the nurse working with patients with PTSD, which nursing intervention must be an ongoing prority?
Offering professional advice
Probing for etiological factors
Encouraging diversional activity
Setting appropriate limits
Which interventions are appropriate to demands from a client with borderline personality disorder?
Assign 2 staff members per shift to this client
Design a strict activity schedule
Hold frequent staff meetings
Be consistent in response to client demands
Typical goals of inpatient hospitalization for an anorexic patient do not include:
Stabilization of the patient's immediate condition
Limited weight restoration
Determination of the causes of the eating disorder
Restoration of normal electrolyte balance
Which patient with an eating disorder would be at great risk for hypokalemia?
Anorexia who loses weight by restricting food intake
Anorexia or bulimia who purges to promote weight loss
Bulimia whose predominant pathological behavior is excessive nocturnal eating
An eating disorder who exercises intensely more than 4 hours per day but maintains a normal electrolyte balance
Which medication is likely to be used in the treatment of patients with eating disorders?
SSRI such as fluoxetine
Antipsychotic such as risperidone
Anxiolytic such as alprazolam
Anticonvulsant such as carbamazepine
Which statement from a depressed patient might precede a suicide attempt?
I want to be the best I can
I have decided to solve all my problems
I have the most horrendous family
I will try and work with the staff
Electroconvulsive therapy (ECT)
Is useful in treatment of patients with depressive disorders
Can cause memory deficits
Has a usual course of therapy that includes 2-3 treatments
Can achieve 90% remission rate in 1-2 months
When the nurse is caring for a depressed patient, the problem that should receive the highest nursing priority is:
Powerlessness
Suicidal ideation
Inability to cope effectively
Anorexia and weight loss
A patient has a lithium level of 1.1
Below the therapeutic level
Above the therapeutic level
Within the therapeutic range
Not needed as lithium does not require blood levels
Which symptoms of schizophrenia are most amenable to treatment with both low and high potency antipsychotic medications?
Hallucinations and delusions
Lack of motivation and initivative
Inadequate hygiene and grooming
Social withdrawal and isolation
Which nursing diagnosis is universally applicable to patients with schizophrenia?
Noncompliance
Disturbed body image
Disturbed thought processes
Risk for othe-directed violence
a nurse is assessing a patient with suspected delirium will expect to find that the patient's symptoms developed:
Over a period of hours to days
Over a period of weeks to months
With no relationship to another condition
During middle age
 
 
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