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Psych Exam

Psych Exam

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Published by: Cry Labordo on May 23, 2012
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1. Mike is 17 year old, depressed patient, admitted to the hospital after breaking up with his girlfriend.

Which aspect of his mental status would be most important to document? B. Suicidal ideation 2. Nurse Lucy knows that sadness typically accompanies grief and depression. Which affective changes indicate major depression? D. Withdrawal, negative attitude, little/no eye contact 3. Which nursing approach is most important in depression? C. Providing motor outlets for aggressive, hostile feelings 4. The client in a severe major depressive episode is unable to address activity of daily living. The most appropriate nursing intervention is: A. Feed, bathe, and dress client as needed until he can perform ADL independently 5. A patient is receiving a MAOI. Nurse Leah teaches him about foods to avoid to prevent a hypertensive crisis. The patient is correct when he names which food: B. Aged cheese 6. Patient complains about not feeling any better since receiving Impiramine (Tofranil) for four days. Which statement by the nurse is MOST appropriate? B. therapeutic effects may take 2-3 weeks to show 7. A depressed patient is being interviewed by the nurse. The nurse notices the downcast eyes and which common characteristic: D. persistent feelings of dependency 8. A moderately depressed client who was hospitalized 2 days ago suddenly begins smiling and reporting that the crisis is over. The client says to the nurse “I’m finally cured.” The nurse interprets this behavior as a cue to modify the treatment plan by: D. Increasing the level suicide precautions 9. ECT (electro convulsive therapy) is indicated to depressed clients who do not respond to pharmacological treatment. The mechanism of action of ECT is: B. related to an increase production of chemicals in the brain 10. Which medication is given prior ECT to prevent aspiration? B. Atropine sulfate 11. Which would the nurse least expect to assess post ECT treatment? A. headache 12. Karla is diagnosed of Bipolar Mood Disorder. She is mania phase and is admitted to the hospital. Karla dresses in bright clothes and heavy makeup. Which is common characteristic of Karla at this phase? D. mood swings 13. Karla is started on Lithium carbonate. Serum lithium is monitored. Which of the following, indicates that a therapeutic level of lithium has been reached? C. 0.7 to 1.2 mEq/L 15. When caring for Karla who is on Lithium, the nurse should monitor for patient which adverse effects? D. fluid retention 16. After 3 weeks of therapy, the patient’s blood lithium level is 1.6 mEq/L. The nurse should: C. observe patient for signs of toxicity

Presence of senile plaques. hallucinations 24. Alzheimer’s disease is characterized by: C. 21 situation is to: C. Which of the following assessment questions would assist the nurse to provide appropriate nursing care? C. During this phase of the treatment of alcoholism. lack of knowledge regarding the disease 30. independent personality 19. Alzheimer’s disease 29. This may result in Korsakoff’s syndrome. Antonio trashes and yells. go away!”. Antonio shows early signs of alcohol withdrawal. Antonio will most likely receive these medications: C. Leave a light on his room 23. remain alcohol free 25. tolerance 33. Prolonged use of alcohol may result in neuronal damage to the CNS and subsequent cognitive impairment. Which of the following is NOT a risk factor to Major Depression? D. HPN. folic Acid. Mr. bugs. and nervousness 20. “Go away. Which assessment questions will determine whether there is desire from client to stop drinking? B. The nurse determines that the client has increased intake of a substance to obtain the same effect is experiencing? C. non-stop physical activity. The nurse continues to monitor Antonio. poor nutritional intake 18. Which behavior of Karla would require the nurse immediate intervention? D. DJ is admitted for detoxification. neurofibrillary tangles and atrophy are changes characteristics of which illness? D. Which of the following characteristics can a nurse assess in an alcoholic? C. Mr. DJ is a known alcoholic and suspected to be using narcotics. The BEST ACTION on No. “How much do you use and what effect does it have on you?” 32. What is physiologic basis? D.17. He states “I’m tired of hearing about things were 30 years ago”. tremors. physical and psychological addiction to alcohol with impaired health 26. It is important that while treatment. These include: D. changes in LOC. chlordiazepoxide (Librium) 21. Which of the following would alert the nurse to the potential for delirium tremens? A. A son came to the center complaining to the nurse about his father endless talk of the past. diaphoresis. Of the following assessment questions which will not determine whether the client has any problem drinking? . Have you ever cut down your drinking? 34. Antonio will: B. which of the following is priority nursing action? D. This statement indicates A. This behavior is reflective of which nursing diagnosis? A. B1 28. progressive memory decline 31. Antonio is placed on antabuse therapy. carefully monitoring V/S and over-all health status 27. Risk for injury 22. A nurse visits a client at home and determines that the client is dependent on drugs. destruction of brain tissue and of severe deficiency of Vit. Thiamine.

Cathy’s parents’ childhood characterized by abuse. age/developmental stage of mother 64. 66. Methadone 59. learn to deal with personal negative feelings about abusive caregivers 65. the nurse would find what information most useful? D. Nurse Linda will expect Maria’s husband to be: D. the potential of immediate danger to the patient and children 60.” During the interview. Which of the following behaviors is more likely to be used by the abusers? C. Before an effective working relationship with the parents of abused child can be established. assertiveness 62. Which of the following should lead the nurse to suspect a client is addicted to Heroin? A. Nurse Linda notes bruises on Maria’s upper arms and asks about them. In assessing abusive situation. Which information would increase Nurse Linda’s suspicion of the child abuse? D. Today she has broken arm and multiple bruises. Maria initially denies any problem but starts to cry and says “He did not really mean to hurt me but I hate the kids to see. which of the following is most important to the patient? A. An important goal in caring for hospitalized abused child is for the nurse to: B. Nurse Linda assesses Maria’s method of coping. Opiate withdrawal causes several physical discomforts and can be life-threatening. would be most important for Nurse Linda to determine: B.A. Low self esteem 63. which of the following is MOST important for the nurse to do? C. 5 years old. whose mother frequently brings her to the center of minor illness. Nurse Linda examines Cathy. provide for non-threatening. Nurse Linda suspects child abuse. coercion as a result of a trusting relationship . the phone number of the local crisis hotline 61. I’m so worried about them. nurturing environment 67. To minimize effects. One of the myths about sexual abuse of young children is that usually involves physically violent acts. Have you ever cut down your drinking? 35. Hilarity 36. Nurse Linda would LEAST expect Maria to use: A. opiate users are detoxified through: C. When planning her care.

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