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MH exam 2
48問 • 2年前
  • V Farris
    • 通報

    問題一覧

  • 1

    lithium toxicity, level 2.0 what to do

    stop the med 0.5 - 1.5 therapeutic range sodium intake = maintain normal intake

  • 2

    antipsychotics s/e one med starts w/ cand ends in “ine”

    1st gen. Chlorpromazine 2nd gen. Clozapine

  • 3

    Fluoxetine (SSIR) pt said they are having diarrhea, fever and other s/s

    Eps and metabolic syndrome and serotonin syndrome and anticholinergic side effects can be used to treat OCD

  • 4

    positive & neg s/e of schizophrenia select all that apply that are neg s/e

    (2,3) behavior problems social interactions

  • 5

    what to d/w acute anxiety

    beta blockers, antihistamines, anticonvulsants

  • 6

    2nd gen vs gen antipsychotics

    -

  • 7

    pt using words like “cat run” makes no sense, etc, in sentence what is this called

    word salad… form of speech w/ schizophrenia

  • 8

    what to do for ECT prep (initiate seizure to help w depression)

    stop Benzos ECt only causes short term memory loss

  • 9

    how often to over hydration/ food to pt in restraints

    Q1H every hour

  • 10

    pt hasn’t ate/ slept in 48 hrs what to do

    calm mood deal w/ physical s/s (bc Maslow)

  • 11

    TCA drug

    cause anticholinergic OD = toxic

  • 12

    pt taking SSIR, “ I have twice dose to make it work faster”

    causes serotonin syndrome

  • 13

    nurse notice pt in group rubbing head, what is this a sign of?

    reflection

  • 14

    Why is nurse telling me about anxiety when I have OCD

    Most people with OCD also have anxiety

  • 15

    What to do with Acute anxiety

    -

  • 16

    If person's manic

    check chart look for falls risk

  • 17

    Nurse talking to young girl, a lot of people don't think she's pretty so she is going to do something else besides Instagram/fb

    Compensation

  • 18

    Group session, I wish I could have a marriage like my siblings

    Ask class if anyone else feels that way

  • 19

    Nurse listening to pt who states “no matter how early l get up I’m always late”

    s/s of generalized anxiety

  • 20

    Male finds coworker attractive, takes it out on wife

    Projection

  • 21

    Nurse telling Coworker "This dr doesn't like me"

    Suppression

  • 22

    Pt who can't stop washing hands (OCD)

    Help find other ways to burn off energy

  • 23

    Pt put mom in LTC, as nurse how do you respond

    I see you are concerned about your mom

  • 24

    Which situation would you assess first

    Have you ever wanted to end your life?

  • 25

    Pt asking about s/s of panic attack

    Impending doom

  • 26

    serotonin syndrome expected findings

    flu like symptoms

  • 27

    planning phase

    focus on objectives and goals naming the group

  • 28

    tardive dyskinesia

    antipsychotics side effect

  • 29

    TCA med + anticholinergic drug

    lethal overdose too much TCA cause anticholinergic OD

  • 30

    culture pt manic may be latino, wanted to use a root healer instead of taking meds how do you respond

    don't be dismissive, involve root healer in plan of care

  • 31

    what to do for ECT prep ( initiate seizure to help w/ depression)

    step benzo ECT causes short term memory loss

  • 32

    how often to offer hydration/ food to pt in restraints

    Q1H/ every hr

  • 33

    pt hasn’t ate/ slept in 48hrs what to do

    calm mood deal w/ physical s/s (bc of Maslow)

  • 34

    TCA drug (triptyline/ pramine) ( drugs end in ine)

    causes Anticholinergic OD (can’t pee, can’t spit, can’t shit) is toxic

  • 35

    pt taking SSRI, I have x2 dose to make it work faster

    causes serotonin syndrome

  • 36

    nurse notic pt in group rubbing head what is this a sign of

    reflection

  • 37

    pt manic

    offer finger food cut sandwich into fourths

  • 38

    which pt to see first

    involuntary pt admitted w/ unfinished assessment

  • 39

    pt tells nurse I never realized so many people have the same problem, what is this

    Universalizing

  • 40

    diathesis model, nurse talking to preceptor says “I’ve known someone else w/ same kind of depression, why is this other person having such a hard time”

    more stree = more depression

  • 41

    before ECT what to check for

    brain tumor

  • 42

    pt admitted 1st time for schizophrenia, sister calls to check up, what is important

    ask about family hx of schizophrenia

  • 43

    nurse caring for pt who lost all their stuff in tornado, what type of crisis

    adventitious

  • 44

    agranulocytosis, 2nd gen antipsychotic ( calzone) what lab value to pay attention to

    low WBC for neutropenioa

  • 45

    1st gen (chorpromazine) if develope EPS, NMS, fever, increased HR, increase Vitals

    call 911 go to ER

  • 46

    *pt placed on 1:1 observation bc expressing suicidal thoughk/ self harm, 2 hr later pt. wants to take a private shower (says they’re feeling much better. What do you tell them?

    explain they how to iad on 1:1

  • 47

    therapeutic group therapy - how to manage a pt. who is monopolzing group therapy and had already been "warned", , what to do wext?

    tell the pt to limit themselves to 2-3 examples per session

  • 48

    main purpose for defense mechanisms

    reduce anxiety

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    問題一覧

  • 1

    lithium toxicity, level 2.0 what to do

    stop the med 0.5 - 1.5 therapeutic range sodium intake = maintain normal intake

  • 2

    antipsychotics s/e one med starts w/ cand ends in “ine”

    1st gen. Chlorpromazine 2nd gen. Clozapine

  • 3

    Fluoxetine (SSIR) pt said they are having diarrhea, fever and other s/s

    Eps and metabolic syndrome and serotonin syndrome and anticholinergic side effects can be used to treat OCD

  • 4

    positive & neg s/e of schizophrenia select all that apply that are neg s/e

    (2,3) behavior problems social interactions

  • 5

    what to d/w acute anxiety

    beta blockers, antihistamines, anticonvulsants

  • 6

    2nd gen vs gen antipsychotics

    -

  • 7

    pt using words like “cat run” makes no sense, etc, in sentence what is this called

    word salad… form of speech w/ schizophrenia

  • 8

    what to do for ECT prep (initiate seizure to help w depression)

    stop Benzos ECt only causes short term memory loss

  • 9

    how often to over hydration/ food to pt in restraints

    Q1H every hour

  • 10

    pt hasn’t ate/ slept in 48 hrs what to do

    calm mood deal w/ physical s/s (bc Maslow)

  • 11

    TCA drug

    cause anticholinergic OD = toxic

  • 12

    pt taking SSIR, “ I have twice dose to make it work faster”

    causes serotonin syndrome

  • 13

    nurse notice pt in group rubbing head, what is this a sign of?

    reflection

  • 14

    Why is nurse telling me about anxiety when I have OCD

    Most people with OCD also have anxiety

  • 15

    What to do with Acute anxiety

    -

  • 16

    If person's manic

    check chart look for falls risk

  • 17

    Nurse talking to young girl, a lot of people don't think she's pretty so she is going to do something else besides Instagram/fb

    Compensation

  • 18

    Group session, I wish I could have a marriage like my siblings

    Ask class if anyone else feels that way

  • 19

    Nurse listening to pt who states “no matter how early l get up I’m always late”

    s/s of generalized anxiety

  • 20

    Male finds coworker attractive, takes it out on wife

    Projection

  • 21

    Nurse telling Coworker "This dr doesn't like me"

    Suppression

  • 22

    Pt who can't stop washing hands (OCD)

    Help find other ways to burn off energy

  • 23

    Pt put mom in LTC, as nurse how do you respond

    I see you are concerned about your mom

  • 24

    Which situation would you assess first

    Have you ever wanted to end your life?

  • 25

    Pt asking about s/s of panic attack

    Impending doom

  • 26

    serotonin syndrome expected findings

    flu like symptoms

  • 27

    planning phase

    focus on objectives and goals naming the group

  • 28

    tardive dyskinesia

    antipsychotics side effect

  • 29

    TCA med + anticholinergic drug

    lethal overdose too much TCA cause anticholinergic OD

  • 30

    culture pt manic may be latino, wanted to use a root healer instead of taking meds how do you respond

    don't be dismissive, involve root healer in plan of care

  • 31

    what to do for ECT prep ( initiate seizure to help w/ depression)

    step benzo ECT causes short term memory loss

  • 32

    how often to offer hydration/ food to pt in restraints

    Q1H/ every hr

  • 33

    pt hasn’t ate/ slept in 48hrs what to do

    calm mood deal w/ physical s/s (bc of Maslow)

  • 34

    TCA drug (triptyline/ pramine) ( drugs end in ine)

    causes Anticholinergic OD (can’t pee, can’t spit, can’t shit) is toxic

  • 35

    pt taking SSRI, I have x2 dose to make it work faster

    causes serotonin syndrome

  • 36

    nurse notic pt in group rubbing head what is this a sign of

    reflection

  • 37

    pt manic

    offer finger food cut sandwich into fourths

  • 38

    which pt to see first

    involuntary pt admitted w/ unfinished assessment

  • 39

    pt tells nurse I never realized so many people have the same problem, what is this

    Universalizing

  • 40

    diathesis model, nurse talking to preceptor says “I’ve known someone else w/ same kind of depression, why is this other person having such a hard time”

    more stree = more depression

  • 41

    before ECT what to check for

    brain tumor

  • 42

    pt admitted 1st time for schizophrenia, sister calls to check up, what is important

    ask about family hx of schizophrenia

  • 43

    nurse caring for pt who lost all their stuff in tornado, what type of crisis

    adventitious

  • 44

    agranulocytosis, 2nd gen antipsychotic ( calzone) what lab value to pay attention to

    low WBC for neutropenioa

  • 45

    1st gen (chorpromazine) if develope EPS, NMS, fever, increased HR, increase Vitals

    call 911 go to ER

  • 46

    *pt placed on 1:1 observation bc expressing suicidal thoughk/ self harm, 2 hr later pt. wants to take a private shower (says they’re feeling much better. What do you tell them?

    explain they how to iad on 1:1

  • 47

    therapeutic group therapy - how to manage a pt. who is monopolzing group therapy and had already been "warned", , what to do wext?

    tell the pt to limit themselves to 2-3 examples per session

  • 48

    main purpose for defense mechanisms

    reduce anxiety