Schizophrenia
Feeding & Eating Disorders
Personality Disorders
Alzheimers & Delirium
Random
100
At what age does schizophrenia usually emerge?
Adolescence or early 20s
100
Explain what a patient with anorexia nervosa would look like.
Extremely thin, brittle hair and nails, dry/yellow skin, possible lanugo.
100
What is an ACE?
Adverse Childhood Event
100
Who should we (as nurses) also be checking on with a patient that has an Alzheimers or dementia diagnosis?
THE CAREGIVER!!!
THIS WILL BE A TEST QUESTION
100
A patient with a diagnosis of major depression who has attempted suicide says to the nurse, “I should have died! I’ve always been a failure. Nothing ever goes right for me.” Which response demonstrates therapeutic communication?
A. You have everything to live for.
B. Why do you see yourself as a failure?
C. Feeling like this is all part of being depressed.
D. You've been feeling like a failure for a while?
D.
200
What is anhedonia? Is it a positive or negative symptom?
Anhedonia is the inability to experience pleasure.
This is a negative symptom.
200
Bulimia nervosa patients are typically what weight?
Normal weight or overweight.
200
What screening tool is common for personality disorders, or other mental diagnoses?
DSM5
200
Explain what symptoms the patient may be experiencing during stage 1 of Alzheimers.
Difficulty finding words (subtle memory loss), frequently misplacing things, disorientation to time and place, possible signs of depression.
200
What type of mask would be best for a patient who is stable, but is a mouth breather?
Simple mask
300
What is the acute phase of schizophrenia?
This is the onset of positive psychotic symptoms
300
What class of medications cannot be given to a patient that has been diagnosed with anorexia nervosa?
SSRI
300
What therapy is used to focus on skills training, coping mechanisms, and problem solving?
CBT
Cognitive behavioral therapy
300
What is the diagnostic test for Alzheimers?
There is no way to definitively diagnose Alzheimers. A brain biopsy can be done after death.
300
A patient is prescribed lithium carbonate. when teaching the patient about the medication, which of these statements is a priority for the healthcare provider to include?
A. You should avoid dairy products when you are taking this medication.
B. You should follow a low calorie diet to avoid gaining weight while on this medication.
C. Drink plenty of fluids, especially if you are active during hot weather.
D. Call the doctors office immediately if you experience bruising.
C
400
Aripiprazole (Abilify) is what generation of medication?
Third generation
400
What medication has been FDA approved for the treatment of Bulimia nervosa? What other type of medication should you not take this with?
Fluoxetine (prozac)
Do not take it with an MAOI
400
What is the priority of care for any individual with a mental health issue?
PATIENT SAFETY
400
What causes delirium?
Anything!
400
- Doctor’s Order: Kantamycin 7.5 mg/kg IM q 12 hr; Available: Kantamycin 0.35 Gm/mL. How many mL will you administer for each dose to a 157 lb patient?
- 2 ml
B. 1 ml
C. 2.5 ml
D. 1.5 ml
D
500
Explain in detail what EPS is.
EPS stands of extrapyramidal side effects. This is typical with first generation antipsychotics. These side effects include acute dystonia, akathisia, Parkinsonism, and tardive dyskinesia
500
What is a common issue in pregnancy where they enjoy non-food items? What typically causes this?
Pica
Vitamin deficiency
500
What is a big educational point to patient and family about side effects of anti-depressants?
anti-depressants have the potential to increase suicide risk or ideation.
500
A patient with diagnosed Alzheimers has been prescribed Donepezil, an acetylcholinesterase inhibitor. What education should you provide to the patient?
Do not take this medication with an anticholinergic like Benadryl.
500
What is the rate?
70 beats per minute