Medications/Therapeutic communication | Mental Health/ Illness | Safety Precaution | Nursing Diagnosis | Alcohol Withdrawal |
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Mention 4 common side effects of psychiatric medications?
Dry mouth, constipation,
postural hypotension, drowsiness and sedation. |
14. Which of the following would be a major barrier affecting the treatment of individuals with mental health problems?
A) Lack of a diagnostic criteria B) Inability to obtain epidemiologic data C) Stigma associated with mental health problems D) Limited hope for recovery
Ans= C
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What are coping strategies of family members of hospitalized patients with psychiatric disorders?
Encourage to release emotions
distracting oneself managing hostile feelings meditating Use system relaxation procedures. |
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Mention 4 guidelines to administering medications
and monitoring medication.
1.follow 10 rights
2.monitor for effectiveness 3. perform 3 checks before administering medications 4. monitor for side effects hi |
Examine the description of people with mental illness in the media including T.V, News and newspaper.
Name 3 connotations you observed.
crazy, maniac, psychotic, cannot function in the society.
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A client who is hospitalized with depression tells the nurse, I don't want to take the medication because I'm afraid I"ll become suicide, Which response by the nurse would be most appropriate?
A) "Have you thought about hurting yourself? B) It is important that you take this medicine C) "I agree with you. I would not want to take this medication either"
ANS= A
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Define Anhedonia? What measures can you take to help pt who has anhedonia?
Loss of interest or pleasure
Social or physical Physical anhedonia is the inability to feel tactile pleasure such as eating or having sex. Encourage aerobic activity e,g running, jogging and high intensity workout that raise heart rate. Physical activity activates the sympathetic nervous system,the body's prompt to switch into high gear and stress response. The stress response creates adrenaline. Nutrition high protein diet, decrease saturated fats intake, Take iron, niacin, folate and vitamin B6 |
Identify 3 defense mechanisms or coping skills and give an example of each one?
confrontation e.g Pt;my friend never calls, she hates me. Nurse: I was there in the room when she called. Denial Humor Validation clarifying the nurse's understanding of the situation. |
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13. A nurse is assessing a client to evaluate the client's mental health and wellness. Applying the eight dimensions of wellness, which of the following would the nurse identify as reflecting emotional wellness? A) Finding ways to expand creative abilities B) Recognizing the need for sleep and nutrition C) Searching for meaning in life D) Developing skills for dealing with stress
D
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Name 3 Atypical anti psychotic medications
Clozapine
Risperdal, Zyprexa Ablify brand name ( Aripiprazole generic) or aripiprazole Maintena |
. When assessing a client with a mental illness, a nurse determines that the client is experiencing label avoidance when the client states which of the following?
A) I'm at the cause of my illness. B) I'm as crazy as everybody thinks I am C) I really don't need to see anyone
Ans= D
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Mention 3 tyramine restriction foods that inhibits MAOIs effectiveness and causes hypertensive crisis.
Cheese
sausages, all dried aged and fermented meats alcoholic beverages, fruits and vegetables. Patient may have fresh meat, poultry,fish, white wines, soy milk, cottage cheese, cream cheese, cooked slice ham. MAOIs= Parnate, Nardil, Marplan, selegiline( Emsam) |
Explain Bioavailability and first pass effect of medication?
Bioavailability is the fraction of administered drug that reaches the systemic circulation. First pass effect it is the fraction of drug lost during the process of absorption which is generally related to the liver and and gut wall. |
When engaged in therapeutic communication with a client who has a mental disorder, which of the following is the most important for a nurse to keep in mind?
A) The nurse should self disclose when indicated B) The nurse should have an empathetic relationship with the client. C) The client is the primary focus of the interaction.
Ans= C
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