2024 MENTAL HEALTH EXAM 2 WITH 800
QUESTIONS & CORRECT ANSWERS
- thing you will look for in your patient that's eating lot of tyramine - ANSWER-
Hypertension crisis
Approaching pts with psychiatric disorder - ANSWER-art of touch is different meaning for different individuals
seasonal affective disorder (SAD) - ANSWER-Expose to full spectrum light because it reduces the feeling of sad. Phototherapy
Normal lithium levels - ANSWER-0.6-1.2
What do you use lithium for? - ANSWER-Maniac depressive
If a students say lithium does not interact with meds is that correct? - ANSWER- No because it reacts with multiple meds
Manic pt, runs out the room with no top on, making inappropriate sexual gestures, what would you do - ANSWER-escort her back to room QUIETLY
MOAI and SSRI: what are you going to tell your pt about those two meds and
which do you start first? - ANSWER-MOAI, off for 2 weeks before they can start SSRI
Examples of antidepressants meds - ANSWER-SSRIs and MOAIs
- / 4
Depression affects who? - ANSWER-affects everyone. Often seen in elderly but all age groups.
Is depression treatable? - ANSWER-Yes
Is depression common with illness pts - ANSWER-Yes
Who is depression more common in? - ANSWER-More common to women than men.
Which statement concerning suicide? - ANSWER-"I cannot stand this anymore" "Everyone would be better off without me" "I want to sleep and not wake up" "I'll be glad when it's all over."
Zoloft, certerline: pt is on it for 2 days what can lead to serotonin syndrome? - ANSWER-Confusion Sometimes seizures
OCD: why do they wash hands over and over? - ANSWER-To Reduce anxiety
Benzos(sedative) Education - ANSWER-to not drink alcohol.Or drive
First line treatment of schizophrenia - ANSWER-SSRI (Prozac)
- / 4
What's an Antimanic drug - ANSWER-Lithium
When you have a mental health pt that want to integrate with alternative med into their treatment plan what would you tell them? - ANSWER-Not FDA approved
Antidepressant: #1 priority - ANSWER-Assess for suicide
Benzodiazepine - ANSWER-Used for anxiety
Elderly patients: effective way to reduce anxiety - ANSWER-Talking to them
Pt working in ER coming multiple times during the week. You suspect they be experiencing complex somatic symptoms disorder what is that? - ANSWER-its in their head and having same symptoms.
Nonverbal communication - ANSWER-cultural background influences
- year old child with OCD what kind of behavior would you see? - ANSWER-
ritualistic and repetitive behavior
Bipolar aggressive what intervention can you delegate to a cna? - ANSWER-give high calorie snack
Hypomanic - ANSWER-Low manic monitor for escalating manic behaviors
- / 4
When Giving pt lithium - ANSWER-monitor for fluid balance and watch their sodium intake
Pt says to you "nurse i have intrusive thoughts about home invasion and armed robbery." what symptoms are they experiencing? - ANSWER-Obsessive thoughts
Pt is on MOAI antidepressant: what type of foods will they have? - ANSWER-
Avoid aged foods and high in tyramine: whole wheat, crackers, nothing aged
antipsychotic education - ANSWER-No consumption of alcohol
Pt has panic attack and feels disconnected from themselves. How you going to document that in the record? - ANSWER-Depersonalization
SSRIs: why do we choose it? - ANSWER-Side effects are manageable.
St johns wart can't take with what and why? - ANSWER-can't take with SSRIs.Due to confusion, agitation and muscle spasm.
Pt has OCD: what type of drug will they be on? - ANSWER-Zoloft
Benzos: give for generalized anxiety disorder. What's your education and side
effects - ANSWER-sedation
Most common mental illness diagnosed in the US - ANSWER-Depression
Pt that is depressed and sitting next to others at lunch, what feedback will you give to them? - ANSWER-"I see you are sitting with others" (positive comment)
- / 4