Deck 8: Mental Health Treatments

Question 1

A therapeutic environment in mental health terminology is called a ________________.

Answer 1

milieu

Question 2

Which of the following items should be included when providing patient teaching about monoamine oxidase inhibitor (MAOI) antidepressants (select all that apply):
1)Avoid foods containing the amino acid tyramine.
2)Have blood levels screened weekly for leukopenia.
3)Need sun exposure at least 1 hour a day.
4)Do not take prescribed or over-the-counter medications without consulting the physician.
5)Take the selective serotonin reuptake inhibitor with the MAOI at lunch.

Answer 2

1, 4

Question 3

When teaching Mary, who has depression, about foods to avoid while taking phenelzine (Nardil), which of the following would Audrey LPN include?
1)Peanut butter
2)Fresh fish
3)Salami
4)Soup

Answer 3

3

Question 4

A patient comes to the outpatient mental health clinic 2 days after being discharged from the hospital. The patient was given a 1-week supply of clozapine (Clozaril). The nurse reviews information about clozapine with the patient. Which patient statement indicates an accurate understanding of the nurse's teaching about this medication?
1)"I don't need to see my doctor for a new prescription when this runs out."
2)"I need to keep my appointment this week for a blood test."
3)"I can have a martini with this medication."
4)"I don't need to come into the clinic for a few months if I don't have side effects."

Question 5

A patient consents to be hospitalized for psychiatric treatment. This is a(n) ____________________ admission.

Question 6

Pete has recently been admitted to the hospital and is being treated for bipolar disorder. When you go to check in on him, he tells you that he is feeling very weak and has been vomiting. He is also running a fever and has severe diarrhea. You suspect that Pete's problem is caused by:
1)Anxiety over his new surroundings after being admitted to the hospital for treatment.
2)Side effects of the lithium therapy he is receiving.
3)A hospital-acquired viral infection.
4)Food poisoning.

Question 7

The form of therapy that focuses on the cause of the problem, originated from Sigmund Freud, is _____________________.

Question 8

A patient being medicated with haloperidol for more than 4 weeks has started to display symptoms of involuntary movements of the mouth that resemble chewing. Of the following extrapyramidal adverse reactions, the patient is showing signs of:
1)Dystonia.
2)Akathisia.
3)Drug-induced parkinsonism.
4)Tardive dyskinesia.

Question 9

Lynn, the LPN/LVN, is providing care for a patient diagnosed with depression. The patient is not responding to any of the medications ordered. The nurse foresees this patient may be a candidate for:
1)Neuroleptic medication.
2)Short-term seclusion.
3)Psychosurgery.
4)Electroconvulsive therapy.

Question 10

Which of the following should be included in patient teaching about antidepressants (select all that apply)?
1)Medications take 1 week to become effective.
2)Encourage patients to continue taking the medication.
3)Not all antidepressant medications have to be tapered gradually.
4)Patients do not have to be monitored for suicidal ideations.
5)If it is an MAOI antidepressant, the patient should avoid foods containing the amino acid tyramine.

Question 11

Nursing preparations for a patient undergoing electroconvulsive therapy (ECT) resemble those used for general anesthesia (select all that apply):
1)Monitor the patient's vital signs before and after the procedure.
2)Medicate before procedure if ordered.
3)Educate patient and patient's family.
4)Do not obtain patient's signature for informed consent.
5)Monitor the patient for confusion after the procedure.

Question 12

The following medications are used for treatment in mental health disorders (select all that apply):
1)Antipsychotics
2)Antibiotics
3)Antifungals
4)Stimulants
5)Mood stabilizers

Question 13

When observing a patient receiving tricyclic antidepressant therapy, ________________would bring attention to the nurse that the patient was undergoing anticholinergic side effects.
1)urinary retention
2)respiratory depression
3)delirium
4)cardiac arrhythmias

Question 14

Andrea, the charge nurse, spoke to the director of nursing about one of the staff nurses having a crisis. The nurse suggested a crisis intervention group to the staff nurse. Crisis intervention is successful because:
1)The crisis intervention worker is a psychologist and understands the presenting behavior patterns.
2)It supplies an A-B-C format to change the patient's way of thinking.
3)The patient is encouraged to identify triggers to change negative behaviors.
4)The patient is assisted to develop skills and return to the precrisis phase.

Question 15

When developing a care plan for Ms. Smith, who was diagnosed with schizophrenia and is receiving haloperidol, which of the following medications would Nurse Janet expect to administer if the patient developed extrapyramidal side effects (EPS)?
1)Olanzapine (Zyprexa)
2)Paroxetine (Paxil)
3)Benztropine mesylate (Cogentin)
4)Lorazepam (Ativan)