SECTION1
According to the WHO, what is mental health?
A state of well-being where one can cope with stress and work productively
A client on Haldol is pacing the unit incessantly, unable to sit down for meals or groups, stating, "I just have too much energy in my legs." You recognize this as a side effect.
What is Akathisia?
A client with bulimia nervosa is most at risk for an electrolyte imbalance that can cause cardiac arrhythmias, due to purging behaviors.
What is Hypokalemia (low potassium)?
A client taking Lithium should be taught to maintain adequate intake of this, as dehydration can lead to toxicity.
What is water/fluid?
A client with treatment-resistant depression is scheduled for ECT. The family is concerned about memory loss. The nurse should explain that this type of memory loss is most common.
What is short-term memory loss for events around the time of treatment?
What is the term for positive, motivating stress?
Eustress
Dissociation allows the mind to separate memories from what?
conscious awareness
A client with schizophrenia exhibits a persistent lack of emotional expression, speaking in a monotone with minimal facial movement. You document this as this specific negative symptom.
What is Blunt or Flat Affect?
A client is being discharged on Clozapine. The nurse knows this medication requires strict monitoring of this lab value to prevent a life-threatening side effect.
What is the absolute neutrophil count (to monitor for agranulocytosis)?
A nurse establishing a therapeutic relationship with a client who has antisocial personality disorder. What strategy should the nurse use when communicating with the client?
what is set realistic limits for client's behavior
A client with Panic Disorder is learning to manage their symptoms. They are working with a therapist to identify and replace catastrophic thoughts like "I'm having a heart attack" with more realistic ones like "This is anxiety and it will pass." What is this type of therapy called?
What is Cognitive-Behavioral Therapy (CBT)?
A client with a history of alcohol use disorder is admitted. They are alert but confused, have trouble remembering your name, and their gait is unsteady. You suspect a specific syndrome.
What is Wernicke-Korsakoff Syndrome?
A client taking an antipsychotic develops a high fever (102°F), extreme muscle rigidity, and an altered mental status. You recognize this as a medical emergency
What is Neuroleptic Malignant Syndrome (NMS)?
A client with bulimia nervosa is most likely to exhibit this physical sign due to repeated self-induced vomiting.
What is enamel erosion on the teeth or calluses on the knuckles (Russell's sign)?
A client with conversion disorder presents with sudden paralysis of their right arm. All neurological tests are normal, and the client appears oddly unconcerned. This lack of concern is known as this.
What is "La Belle Indifférence"?
The family of a client with severe alcohol use disorder frequently calls in sick for them at work and lends them money to cover bills, unintentionally preventing the client from facing the consequences of their actions. What term describes this family's behavior?
What is "enabling"
A client suddenly develops muscle spasms in their neck, causing their head to pull to one side, shortly after starting a new antipsychotic. This is a medical emergency known as this.
What is Acute Dystonia?
A client with anorexia nervosa has a BMI of 15. The nurse notices fine, downy hair growing on their face and back. This is a physiological adaptation known as this.
What is Lanugo?
Formerly known as multiple personality disorder, this condition is now called?
What is Dissociative Identity Disorder
A client is undergoing alcohol detoxification. The nurse knows to use this specific scale to objectively assess the severity of their withdrawal symptoms.
What is CIWA
You are caring for a client in the residual phase of Schizophrenia. Which cluster of symptoms—such as social withdrawal, blunt affect, and lack of motivation—would you expect to be the primary focus of nursing interventions, rather than active hallucinations or delusions?
What are "negative symptoms"?
During a group therapy session, one client dominates the conversation, sharing dramatic but superficial stories to get attention. This behavior is most associated with this personality disorder.
What is Histrionic Personality Disorder?
A client experiencing alcohol withdrawal begins to have visual hallucinations of insects crawling on the walls. This symptom is part of a syndrome known as this.
What is Delirium Tremens (DTs)?
A client with schizotypal personality disorder draws a complex, intricate diagram showing how the TV weather report is a secret message just for them. This is an example of this specific odd belief.
What is an Idea of Reference?
This defense mechanism involves transferring feelings about one person or situation to another, safer target.
What is Displacement?