Psychopharmacology
The Nurse Client Relationship
Introduction to Mental Health
Defense Mechanisms/Grief and Loss/Anxiety
Therapeutic Communication/Patient Rights
100

The common side effects of dry mouth, insomnia, weight gain, sexual dysfunction are related to prescriptions for which antidepressant medication class?

SSRIs

100

In what stage of the nurse/client relationship does the nurse encourage the client to express feelings of concern, explore coping strategies for stress management, and reinforce client progress toward their goals?

Working Phase

100

Inpatient psychiatric units, outpatient clinics, schools and educational settings, prisons

Settings for mental health nursing

100

What defense mechanism would be in use when a nurse is angry at her supervisor but instead expresses anger at her colleague?

Displacement

100

Type of communication exhibited when sitting facing client, leaning forward to listen, creating a relaxed, respectful, and accepting milieu?

Active Listening

200

When a client has been taking an antianxiety medication that is effective and without side effects they may indicate this by saying?

"I feel calmer"

200

Phase of the nurse client relationship when nurse obtains valuable information about the client from family or significant other?

Pre-interaction phase

200

The conditions in which people are born, grow, live, work, and age.; also includes a range of personal, social, economic, and environmental factors

Social Determinants of Health

200

According to Kubler-Ross Denial, Anger, Bargaining, Acceptance, Depression these are the stages of?

The 5 Stages Grief

200

Make sure that less restrictive interventions have been attempted and documented before what can occur in a patient that is dangerous to themselves or others

Applying restraints

300

Neurotransmitter in the CNS that is involved in mood regulation, feelings of pleasure and reward and also associated with Parkinson's disease? 

Dopamine

300

A client is discharged 3 weeks ago sends a card to the nurse with tickets for a concert ticket inside. What does the nurse need to consider when deciding to keep the tickets or not?

Professional Boundaries

300

Neurotransmitter associated with panic anxiety and the "fight or flight response"

Norepinephrine

300

What nursing actions that are the most appropriate when client shows signs of panic anxiety

Stay with client provide clam and supportive care

300

"Things will look better in the morning" is an example of which communication technique and is it therapeutic or nontherapeutic?

Nontherapeutic technique of "giving false reassurance"

400

Nausea taking Lithium 

Early sign of toxicity and confusion as toxicity worsens

400

A client is exhibiting paranoid schizophrenic symptoms and believes the staff are out to hurt him how should the nurse respond?

Acknowledge client feeling without agreeing to the paranoid delusions
400

Clarity, Coherence, Fluency, Volume and Rate are assessments of what patterns in the MSE

Components of speech patterns in the  MSE assessment used during therapy

400

What defense mechanism is being used when a young person has a crush on a classmate, but teases and make jokes about them instead?

Reaction Formation

400
Communication technique used when client is expressing feelings of hopelessness and "sees not point in trying anymore" Response: It sounds like you are feeling discouraged"

Summarizing

500

Taking a long term antipsychotic medication can develop this extrapyramidal symptom; involuntary rhythmic movement of the tongue and lips?

Tardive Dyskinesia

500

For which medication for depression should the nurse provide dietary instruction to avoid foods high in tyramine such as aged cheese, cured meats and red wine?

The MAOI Phenelzine

500

Feelings of fear, anxiety and hope are associated with which part of the brain involved in our behavioral and emotional response?

Limbic System

500

Type of defense mechanism used when a client expresses anger towards their nurse or therapist and later gives them a gift?

Undoing

500

A client just admitted to the behavioral health unit says " I am afraid you are doing to lock me in a room and leave me alone" Best response by the nurse and what type of communication technique is used?

"I can see you are frightened about being here?" Making Observations