NUR2459 Mental Health Exam 2 Rasmussen Which nursing diagnosis supports the psychoanalytic theory of development of major depressive disorder?(ANS- Social isolation R/T self directed danger
Which patient is at the highest risk for the diagnosis of major depressive disorder?(ANS- 24 yr old married woman
A patient diagnosed with MDD is being considered for ECT. Which patient teaching should the nurse prioritize?(ANS- Discuss with the patient and family expected short term memory loss
Which nursing intervention takes priority when working with a newly admitted patient experiencing suicidal ideations?(ANS- Monitor the patient at a close, but irregular intervals.
A patient diagnosed with major depressive disorder is prescribed Nardil. Which teachings should the nurse prioritize?(ANS- Instruct the patient & family about the many food-drug & drug-drug interactions
What symptoms would the nurse expect to assess i a patient experiencing serotonin syndrome?(ANS- Confusion, restlessness, Tachycardia, Labile BP, & diaphoresis
Which of the following meds would be classified as Tricyclic antidepressants?(ANS- Nortriptyline (Pamelor)
Which of the following are examples of anticholinergic side effects from tricyclic antidepressants?(ANS- Urinary hesitancy, constipation, and blurred vision
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A patient seen in the ED is experiencing irritability, pressured speech, and increased levels of anxiety. The priority is?(ANS- Assess vital signs and complete a physical assessment
A patient diagnosed with bipolar 1 in the manic phase is yelling at another peer in the milieu. The priority intervention is?(ANS- Calmly redirect and remove the patient from the milieu.
A patient diagnosed with bipolar 1 is experiencing auditory hallucinations and a flight of ideas. Which meds would you expect to give?(ANS- Risperidone (Risperdal) & Lamotrigine (Lamictal)
A patient prescribed Lithium is experiencing excessive output of dilute urine, tremors and muscular irritability. The RN should?(ANS- Assess a serum Lithium level of 2.6mEq/L
A patient is newly prescribed Lithium carbonate. Which teaching point by the nurse takes priority?(ANS- Make sure your salt intake is consistent.
Which is an example of an behavioral response to a moderate level of anxiety?(ANS- Restlessness
Which is an example of a physiological response to a panic level of anxiety?(ANS- Dilated pupils.
A newly admitted patient is diagnosed with PTSD. Which behavioral symptoms would the nurse expect to assess?(ANS- Diminished participation in significant activities.
A patient on an in patient unit is experiencing a flash back. Which intervention takes priority?(ANS- Maintain and reassure the patient of his or her safety and security
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