Mental Health Disorders & Diagnosis
This is a major long term mental illness that is complicated with multiple functional impairments.
What is serious mental illness?
This child that presents with repeating questions or statements, obsessively focuses on specific objects and does not like to change routines is expected to be diagnosed with this disorder.
What is autism spectrum disorder?
This part of the care team coordinates care and helps to assure client's needs are being met.
Who are case managers?
A thin person diagnosed with this disorder follows a very rigid exercise program.
Anorexia Nervosa
These medications often take several weeks to be fully effective
What are antidepressants?
The person diagnosed with this displays excessive preoccupation, concern, & worry about their pain.
What is somatic symptom disorder?
An adolescent is a admitted after a suicide attempt. This assessment technique asks about the names and roles of the family members.
What is a family assessment?
This person is able to prescribe medications and specific treatments.
Who are Advanced Practice Nurses?
Stopping menstruation cycles can be a symptom of this feeding and eating disorder.
What is anorexia nervosa?
As a supervising RN, relieving a nurse of her responsibilities and referring her to a peer assistance program may be a result of?
What is the the responsibility of a supervising nurse after determining another nurse has used or stolen missing controlled substances.
This disorder presents as grandiosity, self-importance, a sense of entitlement and lacks empathy. However, underneath the surface of arrogance the person diagnosed with this may feel intense shame and have a fear of abandonment.
What is narcissistic personality disorder?
This person exhibits progressive memory deficits, and an inability to recognize objects and people. People diagnosed with _______ requires what kind of directions?
Dementia and simple step-by-step directions.
This is a method of care that identifies strategies that fit within the cultural context of the patient.
What is culturally competent care?
This is a priority intervention at a crisis center.
Support physical, emotional security and safety.
A person is taking this medication and has a blood level of is 2.4 mEq/L . This person also complains of being thirsty and is nauseous, vomiting, and experiencing tremors. What is the medication and the diagnosis?
What is lithium carbonate toxicity?
The person with this diagnosis exhibits this particular behavior: constant physical activity, pressured speech, and very little sleep.
Bipolar I & manic behavior.
You are assessing a child with an intellectual disability and the child states "I think my parents hate me." This child also presents with multiple bruising and is very clinging with the parent. You expect what type(s) of mistreatment are taking occurring?
What is emotional & physical abuse?
Be aware that children with intellectual disabilities are at risk for abuse.
This outcome has several components includes; taking medication as directed, increased self-esteem, and is capable of achieving ideals, meeting demands, and is socially appropriate.
Who is demonstrating mentally healthy behavior?
You are working in a crisis unit and a female comes in with suspected spousal abuse symptoms. She is suffering with multiple bruises and a minor fracture. Upon assessment, she has had long term depression, low self esteem and night terrors. You suspect she will also be diagnosed with _____ and receive what type of therapy?
What is PTSD and CBT?
A person suffering from an acute severe onset of anxiety with physical symptoms may require this medication.
What is lorazepam (Ativan)
This person diagnosed with this has hallucinations, elusions, and disorganized speech or thoughts. Structural abnormalities may be diagnosed with CT, MRI, & Pet scans.
What is the diagnosis and what part of the brain structure may be abnormal?
What is schizophrenia and the frontal lobe as it is responsible for intellectual and executive functioning skills such as planning, abstract thinking, social adjustment, and decision making.
An older person is experiencing extreme sadness, is not eating well, and is not participating in activities. How would you, as the nurse, interpret this behavior and what strategy should be implemented?
What is suicide risk and implement suicide precautions.
You have just admitted a person with suicidal ideation that came with a backpack full of personal items brought from home.
Name 5 items that should be taken away from the personal belongings and that should not be given while this patient is still at risk for suicide.
Shoe strings
Illicit drugs
Belts
Lighters
Metal eating utensils
Peplau's Model of Nurse-Patient Relationship has four distinct phases. What are they and what purpose do they serve?
Preorientation phase: preparing for your assignment & reviewing the chart.
Orientation phase: Initial interview when pt. begins to express thought & feelings, IDs problems & collaborative goal setting.
Working phase: Gathers more data, IDs problems solving skills & coping methods, provides education on relationship skills and communication, medication management, & evaluates progress.
Termination Phase: Summarizes the goals & achievements, reviews education & new coping skills.
This neurotransmitter increases heart rate and BP when a person becomes fearful or excited.
What is norepinephrine?