Mental Health Final Flashcards
(18 cards)
A client with borderline personality disorder tries to manipulate staff by saying, “that night nurse she is so much better and nicer than you. She at least cares about me. This can be documented as what type of behavior?
Slitting
A client who was prescribed benzodiazepine is found unconscious with an empty bottle of medication the client smells of alcohol. What is the priority intervention?
Maintain airway
An elderly client drinks a 12 pack a day and is hospitalized with a broken hip . The client is hypertensive, diaphoretic and anxious.What is the client likely experiencing?
Withdrawal
A client was schizophrenia states that they don’t like talk taking medications everyday, and that it becomes increasingly hard to talk themselves into taking them on a regular basis. What would be a priority intervention for this client?
Use of long acting antipsychotic injections
A nurse is monitoring a client who received multiple doses of haloperidol. The nurse notices that’s a client’s head is rotated to one side and stiff. The jaw appears to be stuck in an outward position and the client is drooling . What is the name of this extraordinary primary side effect and what will fix it?
Acute dystonic reaction/ Diphenhydramine
A nurse is talking with a client about the client’s financial concerns. The nurse states that he would like to adopt the client and her family and provide a Christmas meal and a present for them. The nurse is displaying “overhelping” which is a sign that clear______ are not in place.
Boundaries
A client was schizophrenia sits with his left arm extended. The nurse gently lowers the patient’s arm. When the nurse walks away the client slowly raises the arm back up and is remained extended what catatonic behavior is this?
Waxy flexibility
Name three interventions a nurse should use when a client displays aggressive behavior
- Maintain two armlinks distance
- Offer time to regain control back to an open door
3 do not provoke or threaten
CALL for help.
Which client is the highest safety priority? A. a client who’s superficially cuts B. a client experiencing grief after the loss of a child C. a client hearing voices telling them to harm someone D. a client taken an SSRI experiencing sexual dysfunction
C
What is the safe environment, where all caretakers have the goal of helping patients meet their goals called?
Therapeutic milieu
What is the most effective way for an addict to prevent relapse?
Participate in a community prevention support group
A client was schizophrenia has not bathed, has crazy hair and does not seem to care. What negative symptoms is this client experiencing?
Avolition- lack of motivation or ability to do tasks
An elderly woman who has loved to crochet for the last 30 years, gives all of her supplies to her neighbor stating, “I don’t really enjoy doing it anymore.” What symptoms of depression is this?
Anhedonia- inability to feel pleasure
A teenager is in custody for arson states “so it was an old building anyways” this client is risk for which?
Antisocial personality disorder
What is “a set of symptoms that affects the mind when there has been some loss of contact with reality?”
Phychosis
A client is nearly admitted to an inpatient psychiatric unit. The client is given the ground rules of the unit and shown around. What part of the therapeutic relationship is displayed?
Orientation
Name the one “At risk” nursing diagnosis that will always be a priority above all “actual” diagnosis?
At risk for suicide
A nurse answers a call light the client states they need another pillow. The nurse retrieves a pillow and the client states “thank you now I have something this mother myself with.” What is the format the nurse can use to develop a “best response?”
1 validate
2 Ask an open ended question
3. Actively listen
