Anxiety Disorders
Somatoform & Sleep Disorders
Dissociative Disorders
Mood Disorders
Suicide
100
A patient who has a reduction in their perceptual field, focuses on specific details and has difficulty thinking about anything else. The patient is most likely experiencing which level of anxiety?
What is severe anxiety
100
A patient that wishes to harm her abusive husband develops paralysis of her arms and legs. The patient is most likely experiencing what type of disorder?
What is conversion disorder
100
The ultimate goal for a patient with a diagnosis of dissociative identity disorder (DID) would be
What is the integration of all the personalities in to one
100
Which type of antidepressants are rarely fatel in OD?
What is SSRI
100
A nurse finds a patients note that has details of how she will commit suicide including time, place and date. What is the priority nursing intervention?
What is place the patient on one-on-one observation
200
A 45 y/o female has feelings of attraction to on eof her husband's friends but is constantly rude to him. What type of ego defense mechanism is she exhibiting?
What is reaction formation
200
What is the priority nursing action for a patient with chronic pain?
What is assess for risk of suicide
200
A patient on the mental health unit is unable to multiple recall past events about times when he has left his home. What is the patient most likely suffering from?
What is dissociative fugue
200
A client is diagnosed with depression and is taking pheneizine (Nardil). The nurse should teach the client to avoid foods containing what
What is thyramine
200
What is the priority nursing outcome when planning care for a suicidal patient?
What is the client will remain safe during their stay
300
A cab driver is stuck in traffic. He starts to become lightheaded, tremulous, diaphoretic, and experiences tachycardia and dyspnea. An extensive workup in the ER shows no pathology. Which medical diagnosis is suspected?
What is panic disorder
300
When assessing a client for obstructive sleep apnea (OSA), the nurse understands the most common symptom is
What is excessive daytime sleepiness
300
A patient is admitted to the mental health unit and tells everyone that her name is Katy. She is shy and reserved. The next day during therapy, Katy starts yelling and running around the day room. When the nurse says, "Katy can you tell me what wrong?" Katy screams in the nurse's face, "MY NAME IS NOT KATY! I HATE KATY! MY NAME IS MONA!" The nurse suspects that the patient has which disorder
What is dissociative identity disorder
300
It is late Novemeber. A patient is admitted to the mental health unit and states that only a 2 months ago she was fine and that she feels better in the spring when the flowers are out. The patient most like has what disorder?
What is seasonal affective disorder
300
A client with a history of 3 suicide attempts has been taking fluoxetine (Prozac) for 1 month. The client suddenly presents with with a bright affect, rates mood as a 9/10, and is much more communicative. What is the priority nursing action?
What is increase the frequency of observation
400
What is the drug class of choice most used for anxiety disorders?
What is benzodiazepines
400
What is the most prevalent sleep disorder that 30% of the population has sought out help for?
What is insomnia
400
A client constantly believes that the world around her is not real and feels detached from her body. What is she experiencing
What is depersonalization
400
Which lab value should you watch with a patient on Lithium?
What is sodium
400
A nursing student is developing a plan of care for a suicidal patient. Which documentation intervention should the student imlement first?
What is assess suicide-risk
500
Counselors have been sent to a location that has experienced a natural disaster to assist the populaiton to deal with the devestation. This is an example of what kind of prevention?
What is primary prevention. Primary prevention reduces the incidence of mental disorders within the population by helping individuals cope more effectively with stress early in the grieving process.
500
A patient is admitted to the ER with an OD of a benzodiazepine. The nurse immediately prepares to administer which medicaiton as an antidote?
What is flumazenil (Romazicon)
500
The ultimate goal of therapy for patients with DID is most likely achieved through
What is psychotherapy and hypnosis
500
What is the priority nursing intervention for a patient with bipolar disorder and is in the manic state?
What is safety
500
A patient is recently admitted for a suicide attempt. He is placed on amitriptyline (Elavil). Based on what we know about the therapeutic range of Elavil, the patient can expect to recieve how much at a time with follow-up appointments in between?
What is once a week (7 days)
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