Exam 4: NSG221/ NSG 221 (Latest 2024/ 2025 Update) Mental Health | Guide with Questions and Verified Answers| 100% Correct- Herzing
Exam 4: NSG221/ NSG 221 (Latest 2024/
2025 Update) Mental Health | Guide with
Questions and Verified Answers| 100%
Correct- Herzing
Q: Torticollis
Answer:
a dystonic reaction that results in muscle spasms in the neck, can be very painful for the client.
Q: Neuroleptic malignant syndrome
Answer:
is a potentially life-threatening reaction seen with clients taking antipsychotic medications.
Q: Polydipsia
Answer:
or an excessive ingestion of water, can have potentially life-threatening effects on fluid and
electrolyte balances.
Q: T/F
In communicating with a client experiencing a delusion, it is important for the nurse to avoid
confronting the false belief.
Answer:
True
Q: T/F
A client with schizophrenia may exhibit echolalia, an abnormal speech pattern in which he or she
repeats or imitates words or phrases spoken by another individual.
Answer:
True
Q: T/F
Schizophrenia is usually diagnosed earlier in women than in men
Answer:
False, earlier in men
Q: T/F
New prominent theories suggest that alterations in both the levels of dopamine and serotonin are
involved in schizophrenia.
Answer:
True
Q: Use of splitting is most associated with which personality disorder?
Answer:
Borderline personality disorder. Splitting, the primary defense or coping style used by persons
with borderline personality disorder, is the inability to incorporate positive and negative aspects
of oneself or others into a whole image
Q: Perfectionism is a trait likely to be evident in a person with which personality disorder?
Answer:
Obsessive-Compulsive. Persons with obsessive-compulsive personality disorder try to control
the environment through perfectionism and orderliness.
Q: Antisocial, obsessive-compulsive, and schizotypal personality disorders occur most
frequently in
Answer:
Men
Q: Treatment Schizoid Personality Disorder:
Answer:
Psychotherapy, Group Therapy, Antidepressants
Q: Schizotypal Personality Disorder Treatment
Answer:
Psychotherapy, Low dose antipsychotics, May be vulnerable to involvement with cults or
unusual religious/occult groups. Antipsychotics are the most frequently used drugs, risperidone
had the best, but still limited, evidence for reducing clinical symptoms in patients with STPD.
Q: Histrionic Personality Disorder Therapy Type
Answer:
Psychotherapy
Q: Narcissistic Personality Disorder Therapy
Answer:
Difficult to treat: patients not likely to seek help or confront shortcomings, Cognitive-behavioral
therapy (CBT) to deconstruct faulty thinking, Group therapy; lithium for mood swings
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Schizofreniform between 1 and 6 months of schizophrenia
schizoaffective disorder Psychotic disorder featuring symptoms of both schizophrenia and major mood disorder.
EPS dystonic reaction that results in muscle spasms in the neck, can be very painful for client
polydipsia constantly drinking water, causes equilibbrium imbalance
New prominent theories suggest that alterations in both the levels of dopamine and serotonin are involved in schizophrenia true
Schizophrenia is usually diagnosed earlier in women than in men false
A client with schizophrenia may exhibit echolalia, an abnormal speech pattern in which he or she repeats or imitates words or phrases spoken by another individual true
Thought broadcasting is the false belief that someone is inserting thoughts into one’s mind against one’s will false
abnormally high levels of prolactin in the blood haloperidol
Erotomanic delusions when an individual believes falsely that another person is in love with him or her
which are the anticholinergic side efffects associated with novel antipsychotic medications tremors
which side effect associated with antipsychotics occurs due to the blockade of alpha 1 adrenergic receptors orhtostatic hypotension
which is the outcome of neurodegeneration in the nigrostriatal pathway parkinsons disease
while caring for a client with schizophrenia the nurse finds that the client has aggressive body language, catatonic excitement and command hallucinations. Which interventions would the nurse implement to ensure the safety of this client. SATA use a calm attitude with the clientengage the client in activities like punching bagmaintain a low level of lighting and simple decor in the clients room
which medication would the nurse prepare to administer to reverse EPS associated with antipsychotic therapy amantadine
the nurse is preparing the client with schizophrenia for an examination procedure to assess abnormal involuntary movements which action of the client needs correction during examination sitting in the chair with legs crossed
which finding in the client in the psychiatric ward enables the nurse to reach the conclusion that the clients is in the premorbid phase of schizophrenia the client is very shy and withdrawn
psychosis is a symptom of schizophrenia true
congentin manages EPS
seroquel 2nd gen antipsychotic
trazadone Antidepressant for insomnia and causes drowsiness so it is given at night
Which are positive signs of schizophrenia expected findings of schizophrenia
positive signs of schizophrenia hallucinations, delusions, alternations in speech, bizarre behavior
audio stimulation best for voices in the head, not reading a book or telling client to ignore it
negative signs of schizophrenia mimic depresssion
what are the negative signs of schizophrenia flat affect, anhedonia (inability to experience pleasure), apathy and avolition (lack of interest or motivation), alogia (poor speech), anxiety & avoids social interactions, anergia
why can a patient be held against their will if they are homicidal, suicidal, or unable to care for themselves
restraints should be released one extremity at a time true
restraints should alternate between lower and upper extremities true
safety concerns for a schizophrenic patient in restraints fall risk due to haldolpotential harm to self
Neuromalignant Syndrome (NMS) S&S fever, tachycardia, muscle rigidity, sweating, catatonia, and change in mental status
how to treat NMS no more haldol, give cooling blanket, IV fluids, and acetominophen for pain and fever
side effects of clozaril Agranulocytosis, increased risk of seizures
AIMS scale (abnormal involuntary movement scale) any score above zero should be further investigated
what is an adverse effect Unintended, undesirable, often unpredictable
1-least severe schizotypal personality disorder
2 delusional disorder
3 brief psychotic disorder
4 substance induced psychotic disorder
5 psychotic disorder associated with another medical condition
6 catatonic disorder associated with another medical condition
7 schizophreniform disorder
8 schizoaffective disorder
9- most severe schizophrenia
after taking lithium what should a doctor prescribe valproic acid depakote: since it is an anticonvulsant that can cause weight loss
Zyprexa (olanzapine) calms hyperactivity until lithium takes effect
eskalith takes affectin 1 to 3 weeks
lithium causes weight gain
what are the signs and symptoms of lithium toxicity temp of 101, severe diarrhea, blurred vision and tinnitus
FIND tool able to differentiate occasional spontaneous behaviors of children from behaviors associated with bipolar disorder
treatment is compromised when clines choose not to take their medications true
during a manic episode clients may experience psychosis and this symptom is absent in hypomania true
if a client was diagnosed with MDD after being treated with fluoxetine the client exhibits pressured speech and flight of ideas what should the nurse anticipate? discontinue the fluoxetine and rethink the clients diagnosis
what is the recovery model about empowerment of the consumer
what is the diagnosis for cyclothymic disorder -symptoms cause clinically significant impairment in important areas of functioning-depressive symptoms that do not meet the criteria for MDD
why is it difficult to diagnose a child with bipolar -children are normally active, energetic, and spontaneous-bipolar can mimic ADHD symptoms
mania is an alteration in mood that is expressed by feelings of elation, inflated self esteem, grandiosity, hyperactivity, agitation, and accelerated thinking and speaking
what is the last line of medications for schizophrenia clozapine
social anxiety disorder avoid interactions only in social settings
SPD avoid interactions in all areas of life