Mental Health Jeopardy

GAD Medication

100

Which of the following is an antidote for benzodiazepine overdose or toxicity? _______________________________________________________________________________ A. Buspirone (BuSpar) _______________________________________________________________________________ B. Hydroxyzine (Vistaril) _______________________________________________________________________________ C. Flumazenil (Romazicon) _______________________________________________________________________________ D. Naloxone (Narcan)

C. Flumazenil (Romazicon)

200

Buspirone is different from other anti-anxiety medications in that it....? _______________________________________________________________________________ A. has anticonvulsant effects _______________________________________________________________________________ B. has muscle relaxant effects _______________________________________________________________________________ C. will depress the CNS _______________________________________________________________________________ D. does not cause physical or psychological dependence

D. does not cause physical or psychological dependence

300

A nurse knows that teaching has been effective if a client who is taking a benzodiazepine for long-term treatment says: _______________________________________________________________________________ A. "I will only take the medication at bedtime" _______________________________________________________________________________ B. "I cannot take this drug if I am using a pain medication." _______________________________________________________________________________ C. "I will not stop taking the drug abruptly." _______________________________________________________________________________ D. "I will need to take this medication the rest of my life" _______________________________________________________________________________

C. "I will not stop taking the drug abruptly."

400

A client has been taking paroxetine (Paxil) to treat an anxiety disorder for several weeks. The client calls the nurse to say that he has been grinding tech during the night, which causes pain in his mouth and insomnia for his wife. Which of the following measures may be used to manage bruxism (teeth grinding)? _______________________________________________________________________________ A. Concurrent administration of buspirone _______________________________________________________________________________ B. Administration of a different SSRI _______________________________________________________________________________ C. Use a mouth guard _______________________________________________________________________________ D. Changing to a different class of anti anxiety medication _______________________________________________________________________________ E. Increasing the dose of paroxetine _______________________________________________________________________________

A. Concurrent administration of buspirone _______________________________________________________________________________ C. Use a mouth guard _______________________________________________________________________________ D. Changing to a different class of anti anxiety medication _______________________________________________________________________________

500

A nurse is caring for a client who is experiencing a panic attach. Which intervention is most appropriate? _______________________________________________________________________________ A. Tell the client that there's no need to panic. _______________________________________________________________________________ B. Speak in short, simple sentences. _______________________________________________________________________________ C. Explain that there's no need to worry. _______________________________________________________________________________ D. Give the client a detailed explanation of his panic reaction.

B. Speak in short, simple sentences.

Depression Medications

100

When a client is admitted with a diagnosis of overdose of bupropion (Wellbutrin), which of the following nursing diagnoses has the highest priority? _______________________________________________________________________________ A. Alteration in thought process related to confusion _______________________________________________________________________________ B. Sleep pattern disturbances related to depression _______________________________________________________________________________ C. Potential for injury related to seizure activity _______________________________________________________________________________ D. Knowledge deficit of use/effects of antidepressants related to denial

C. Potential for injury related to seizure activity.

200

Which of the following statements made by a client indicates to the nurse that the teaching regarding tricyclic and antidepressant (TCAs) has been understood? _______________________________________________________________________________ A. "I will stay out of the sun because I might get a severe skin rash." _______________________________________________________________________________ B. "I may feel drowsy for a few weeks after starting this drug." _______________________________________________________________________________ C. "Since diarrhea is common with this drug, I will increase my dietary fiber." _______________________________________________________________________________ D. "To help control the nausea and vomiting, I will eat small, frequent meals."

B. "I may feel drowsy for a few weeks after starting this drug."

300

A client is started on a TCA for depression. Which of the following should be included in the teaching plan? _______________________________________________________________________________ A. "Sit on the side of the bed before getting up; then stand up very slowly." _______________________________________________________________________________ B. "Eat four to six small meals throughout the day." _______________________________________________________________________________ C. "Be sure to eat foods high in potassium." _______________________________________________________________________________ D. "Elevate your legs whenever you sit down."

A. "Sit on the side of the bed before getting up; then stand up very slowly."

400

A nurse has completed medication teaching regarding fluoxetine (Prozac) with a client. Which of the following statements made by the client indicates an understanding of the adverse effects? _______________________________________________________________________________ A. "I will need extra sleep while I am taking this medication." _______________________________________________________________________________ B. "I have to drink extra fluid while I'm taking this medication." _______________________________________________________________________________ C. "It will take about 4 weeks before I notice effects from this medication." _______________________________________________________________________________ D. "I will control my caloric intake and get lots of exercise."

D. "I will control my caloric intake and get lots exercise."

500

A client has taken two doses of fluoxetine for treatment of depression. A family member calls the clinic to tell the nurse that the client is very confused, seating a lot, and "seeing things." Which of the following should the nurse communicate to the family member? _______________________________________________________________________________ A. "This is a common reaction with the first few doses of fluoxetine and will go away in a few hours." _______________________________________________________________________________ B. "This is a very serious reaction to the drug. The drug must be stopped immediately." _______________________________________________________________________________ C. "Your primary care provider will need to prescribe an MAOI to control these symptoms." _______________________________________________________________________________ D. "We will need to increase the drug dose to control these side effects."

B. "This is very serious reaction to the drug. The drug must be stopped immediately."

Psychoses Medications

100

A client with schizophrenia experiences blurred vision. Which of the following types of receptor blockade results in this adverse effect? _______________________________________________________________________________ A. D2 receptors _______________________________________________________________________________ B. Muscarinic receptors _______________________________________________________________________________ C. Alpha receptors _______________________________________________________________________________ D. H1 _______________________________________________________________________________

B. Muscarinic receptors

200

Extrapyramidal symptoms (EPS) resulting from typical antipsychotic medications incude which of the following? (Choose all that apply) _______________________________________________________________________________ A. Cardiac dysrhythmias _______________________________________________________________________________ B. Parkinson-like symptoms _______________________________________________________________________________ C. Involuntary pelvic and hip movements _______________________________________________________________________________ D. GI pains with nausea, vomiting, and diarrhea _______________________________________________________________________________ E. Muscle spasm in the neck F. Restlessness, jitteriness _______________________________________________________________________________ G. Dehydration caused by polyuria

B. Parkinson-like symptoms _______________________________________________________________________________ C. Involuntary pelvic and hip movements _______________________________________________________________________________ E. Muscle spasm in the neck _______________________________________________________________________________ F. Restlessness, jitteriness

300

Which of the following symptoms of schizophrenia are effectively treated by the typical antipsychotics (choose all that apply) _______________________________________________________________________________ A. Cardiac dysrhythmias _______________________________________________________________________________ B. Parkinson-like symptoms _______________________________________________________________________________ C. Involuntary pelvic and hip movements _______________________________________________________________________________ D. GI pains with nausea, vomiting, and diarrhea _______________________________________________________________________________ E. Muscle spasm in the neck _______________________________________________________________________________ F. Restlessness, jitteriness _______________________________________________________________________________ G. Dehydration caused by polyuria

A. Cardiac dysrhythmias _______________________________________________________________________________ B. Parkinson-like symptoms _______________________________________________________________________________ C. Involuntary pelvic and hip movements _______________________________________________________________________________ E. Muscle spasm in the neck _______________________________________________________________________________ F. Restlessness, jitteriness

400

Which of the following client statements indicates understanding of the nurse's teaching regarding antipsychotic medications? _______________________________________________________________________________ A. "I will be able to stop taking the drugs as soon as I feel better." _______________________________________________________________________________ B. "If I feel sleepy I will stop taking the drug and call my health care provider." _______________________________________________________________________________ C. "My symptoms can come back if I don't take the medications exactly as ordered." _______________________________________________________________________________ D. "These drugs are highly addictive and must be withdrawn slowly."

C. "My symptoms can come back if I don't take the medications exactly as ordered."

500

A client who has been on an antipsychotic medication for several years begins to exhibit lip smacking, tongue protrusion, and facial grimaces. Which of the following should the nurse suspect? _______________________________________________________________________________ A. Parkinsonism _______________________________________________________________________________ B. Tardive dyskinesia _______________________________________________________________________________ C. Antidrenergic effects _______________________________________________________________________________ D. Anticholinergic effects

B. Tardive dyskinesia

Schizophrenia

100

Positive symptoms of schizophrenia include which of the following? (choose all that apply) _______________________________________________________________________________ A. Auditory hallucination _______________________________________________________________________________ B. Lack of motivation _______________________________________________________________________________ C. Use of clang associations _______________________________________________________________________________ D. Delusion of persecution _______________________________________________________________________________ E. Motor agitation _______________________________________________________________________________ F. Flat effect

A. Auditory hallucination _______________________________________________________________________________ C. Use of clang associations _______________________________________________________________________________ D. Delusion of persecution _______________________________________________________________________________ E. Motor agitation

200

A client is in the acute stages of paranoid schizophrenia. A nursing diagnosis always applicable in this stage is _______________________________________________________________________________ A. risk for other- or self-directed violence. _______________________________________________________________________________ B. noncompliance. _______________________________________________________________________________ C. disturbed thought processes _______________________________________________________________________________ D. readiness for enhanced coping _______________________________________________________________________________

C. disturbed thought processes

300

A client with schizophrenia has a great difficulty with personal boundaries. Which of the following are personal boundary problems? _______________________________________________________________________________ B. Depersonalization or derealization _______________________________________________________________________________ C. Visual or auditory hallucinations _______________________________________________________________________________ D. Communication difficulties or social withdrawal _______________________________________________________________________________

B. Depersonalization or derealization

400

A nurse is speaking with a client with schizophrenia when he suddenly seems to stop focusing on the nurse’s questions and begins looking at the ceiling and begins looking at the ceiling and talking to himself. The most appropriate intervention by the nurse at this time would be to… _______________________________________________________________________________ A. Stop the interview at this point and resume later when the client is better able to concentrate. _______________________________________________________________________________ B. Ask the client, “Are you seeing something on the ceiling?” _______________________________________________________________________________ C. Tell the client, “You seem to be looking at something on the ceiling. I see something on the ceiling. I see something there too.” _______________________________________________________________________________ D. Attempt to distract the client from his hallucinations by continuing the interview without comment on the client’s behavior.

Ask the client, “Are you seeing something on the ceiling?”

500

Which of the following are associated with catatonic schizophrenia?_______________________________________________________________________________ A. Purposeless motor agitations _______________________________________________________________________________ B. Tactile hallucinations _______________________________________________________________________________ C. Word salad and flight of ideas _______________________________________________________________________________ D. Eccentric behaviors or odd benefits

A. Purposeless motor agitations

Chemical Dependencies

100

A client with acute opiod overdose would be given the specific opiod antidote flumazenil (Romazicon) intravenously. True or False

False: Flumazenil (Romazicon) is a specific antidote for benzodiazepine toxicity. An antidote for opioid toxicity is intravenous naloxone (Naracan).

200

_________ Causes yawning, piloerection, abdominal cramps, muscle pain _______________________________________________________________________________ A. Alcohol _______________________________________________________________________________ B. Heroin _______________________________________________________________________________ C. LSD _______________________________________________________________________________ D. Cigarettes

B. Heroin

300

This chemical causes no withdrawal symptoms when it is stopped? _______________________________________________________________________________ A. Heroin _______________________________________________________________________________ B. Cigarette _______________________________________________________________________________ C. LSD _______________________________________________________________________________ D. Crystal Meth

C. LSD

400

_________ Causes possible life-threatening increased vital signs, psychotic behavior, and seizures _______________________________________________________________________________ A. Alcohol _______________________________________________________________________________ B. Heroin _______________________________________________________________________________ C. LSD _______________________________________________________________________________ D. Cigarettes

A. Alcohol

500

A client in a rehabilitation facility due to chronic heroin abuse tells his nurse "I have used heroin, but it does not effect me and I could stop any time if I really wanted to." I do not need the heroin, it but I can stop at any time." this is an example of a defense mechanism projection... True or False

False: The statement is an example of denial. Projection would occur if the client blamed someone else for her own unacceptable mistakes or shortcomings.