NSG 221 Mental Health With 86 Questions & Correct Answers
Tardive Dyskinesia - ANSWER-Tardive dyskinesia (TD), a syndrome of permanent involuntary movements, is most commonly caused by the long-term use of conventional antipsychotic drugs. Tongue thrusting and protruding, lip smacking, blinking, grimacing, and other excessive unnecessary facial movements are characteristic. After it has developed, TD is irreversible, although decreasing or discontinuing antipsychotic medications can arrest its progression
Civial Rights-Psychiatric Clients - ANSWER-Clients receiving mental health care retain all civil rights afforded to all people except the right to leave the hospital in the case of involuntary commitment. Any restrictions (e.g., mail, visitors, clothing) must be made for a verifiable, documented reason. These decisions can be made by a court or a designated decision-making person or persons, for example, a primary nurse or treatment team, depending on local laws or regulations.
Group Therapy - ANSWER-In group therapy, clients participate in sessions with a group of people. The members share a common purpose and are expected to contribute to the group to benefit others and receive benefit from others in return.Group rules are established, which all members must observe. These rules vary according to the type of group. Being a member of a group allows the client to learn new ways of looking at a problem or ways of coping with or solving problems and also helps him or her learn important interpersonal skills.
Crisis Intervention-Empathy - ANSWER-Empathy is the ability to place oneself into the experience of another for a moment in time. Nurses develop empathy by gathering as much information about an issue as possible directly from the client to avoid interjecting their personal experiences and interpretations of the situation. 1 / 3
The nurse asks as many questions as needed to gain a clear understanding of the client's perceptions of an event or issue.
Clarification Communication - ANSWER-Understanding the context of communication is extremely important in accurately identifying the meaning of a message. To clarify context, the nurse must gather information from verbal and nonverbal sources and validate findings with the client.
Depressed Adolescent Rapport (use of self disclosure) - ANSWER-Self-disclosure means revealing personal information such as biographical information and personal ideas, thoughts, and feelings about oneself to clients. Now, however, it is believed that some purposeful, well-planned self-disclosure can improve rapport between the nurse and the client. The nurse can use self-disclosure to convey support, educate clients, and demonstrate that a client's anxiety is normal and that many people deal with stress and problems in their lives.
Depressed Adolescent Rapport (Establishing Rapport) - ANSWER-When assessing a new patient, establish rapport first. If not much time is available to establish rapport, or if the patient is guarded or suspicious, you can say, "The questions I am about to ask you I ask all of my patients," and then proceed. Some
other tips include the following:
Establish rapport and connection by showing interest in the patient and by listening.
Codependent Behaviors & Alcohol Abuse - ANSWER-Codependence is a maladaptive coping pattern on the part of family members or others resulting from a prolonged relationship with the person who uses substances. Characteristics of codependence are poor relationship skills, excessive anxiety and worry, compulsive behaviors, and resistance to change. Family members learn these dysfunctional behavior patterns as they try to adjust to the behavior of the substance user. One type of codependent behavior is called enabling, which is a 2 / 3
behavior that seems helpful on the surface but actually perpetuates the substance use.
Clonidine (Catapress) - ANSWER-Suppresses opiate withdrawal symptoms It is given to clients with opiate dependence to suppress some effects of withdrawal or abstinence. It is most effective against nausea, vomiting, and diarrhea, but produces modest relief from muscle aches, anxiety, and restlessness is an alpha-2-adrenergic agonist used to treat hypertension. It is given to clients with opiate dependence to suppress some effects of withdrawal or abstinence. It is most effective against nausea, vomiting, and diarrhea, but produces modest relief from muscle aches, anxiety, and restlessness
Disulfiram (Antabuse) - ANSWER-Maintains abstinence from alcohol Disulfiram (Antabuse) may be prescribed to help deter clients from drinking. If a client taking disulfiram drinks alcohol, a severe adverse reaction occurs with flushing, a throbbing headache, sweating, nausea, and vomiting. In severe cases, severe hypotension, confusion, coma, and even death may result.
Alcohol Detoxification - ANSWER-Alcohol detoxification through pharmacologic means generally takes place in a hospital setting but may occur in the home. The home care nurse shares the responsibility for teaching patients how to use chlordiazepoxide effectively and how to recognize medication responses that should be reported to the health care provider. The nurse instructs the patient and/or caregivers to recognize signs and symptoms of alcohol withdrawal and reviews the pharmacologic treatment regimen with them.
Anxiety Cognitive Behavioral Techniques - ANSWER-Cognitive-behavioral therapy (CBT) is used successfully to treat anxiety disorders.
Positive reframing means turning negative messages into positive messages
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