1. The therapeutic serum level of lithium
(Eskalith) for maintenance is 0.6 to 1.2 mEq/L.
2. Obsessive-compulsive disorder is an
anxiety-related disorder.
3. Al-Anon is a self-help group for families of
alcoholics.
4. Desensitization is a treatment for phobia, or
irrational fear.
5. After electroconvulsive therapy, the patient
is placed in the lateral position, with the head turned to one side.
6. A delusion is a fixed false belief.
7. Giving away personal possessions is a sign of
suicidal ideation. Other signs include writing a suicide note or talking about
suicide.
8. Agoraphobia is fear of open spaces.
9. A person who has paranoid personality disorder
projects hostilities onto others.
10. To assess a patient’s judgment, the nurse
should ask the patient what he would do if he found a stamped, addressed
envelope. An appropriate response is that he would mail the envelope.
11. After electroconvulsive therapy, the patient
should be monitored for post-shock amnesia.
12. A mother who continues to perform
cardiopulmonary resuscitation after a physician pronounces a child dead is
showing denial.
13. Transvestism is a desire to wear clothes
usually worn by members of the opposite sex.
14. Tardive dyskinesia causes excessive blinking
and unusual movement of the tongue, and involuntary sucking and chewing.
15. Trihexyphenidyl (Artane) and benztropine
(Cogentin) are administered to counteract extrapyramidal adverse effects.
16. To prevent hypertensive crisis, a patient who
is taking a monoamine oxidase inhibitor should avoid consuming aged cheese, caffeine,
beer, yeast, chocolate, liver, processed foods, and monosodium glutamate.
17. Extrapyramidal symptoms include parkinsonism,
dystonia, akathisia (“ants in the pants”), and tardive dyskinesia.
18. One theory that supports the use of
electroconvulsive therapy suggests that it “resets” the brain circuits to allow
normal function.
19. A patient who has obsessive-compulsive
disorder usually recognizes the senselessness of his behavior but is powerless
to stop it (ego-dystonia).
20. In helping a patient who has been abused,
physical safety is the nurse’s first priority.
21. Pemoline (Cylert) is used to treat attention
deficit hyperactivity disorder (ADHD).
22. Clozapine (Clozaril) is contraindicated in
pregnant women and in patients who have severe granulocytopenia or severe central
nervous system depression.
23. Repression, an unconscious process, is the
inability to recall painful or unpleasant thoughts or feelings.
24. Projection is shifting of unwanted
characteristics or shortcomings to others (scapegoat).
25. Hypnosis is used to treat psychogenic amnesia.
26. Disulfiram (Antabuse) is administered orally
as an aversion therapy to treat alcoholism.
27. Ingestion of alcohol by a patient who is
taking disulfiram (Antabuse) can cause severe reactions, including nausea and
vomiting, and may endanger the patient’s life.
28. Improved concentration is a sign that lithium
is taking effect.
29. Behavior modification, including time-outs,
token economy, or a reward system, is a treatment for attention deficit
hyperactivity disorder.
30. For a patient who has anorexia nervosa, the
nurse should provide support at mealtime and record the amount the patient
eats.
31. A significant toxic risk associated with
clozapine (Clozaril) administration is blood dyscrasia.
32. Adverse effects of haloperidol (Haldol)
administration include drowsiness; insomnia; weakness; headache; and
extrapyramidal symptoms, such as akathisia, tardive dyskinesia, and dystonia.
33. Hypervigilance and déjà vu are signs of
posttraumatic stress disorder (PTSD).
34. A child who shows dissociation has probably
been abused.
35. Confabulation is the use of fantasy to fill in
gaps of memory.
36. According to Kübler-Ross, the five stages of
death and dying are denial, anger, bargaining, depression, and acceptance.
37. Flight of ideas is an alteration in thought
processes that’s characterized by skipping from one topic to another, unrelated
topic.
38. La belle indifférence is the lack of concern
for a profound disability, such as blindness or paralysis that may occur in a
patient who has a conversion disorder.
39. Moderate anxiety decreases a person’s ability
to perceive and concentrate. The person is selectively inattentive (focuses on
immediate concerns), and the perceptual field narrows.
40. A patient who has a phobic disorder uses
self-protective avoidance as an ego defense mechanism.
41. In a patient who has anorexia nervosa, the
highest treatment priority is correction of nutritional and electrolyte
imbalances.
42. A patient who is taking lithium must undergo
regular (usually once a month) monitoring of the blood lithium level because
the margin between therapeutic and toxic levels is narrow. A normal laboratory
value is 0.5 to 1.5 mEq/L.
43. Early signs and symptoms of alcohol withdrawal
include anxiety, anorexia, tremors, and insomnia. They may begin up to 8 hours
after the last alcohol intake.
44. Al-Anon is a support group for families of
alcoholics.
45. The nurse shouldn’t administer chlorpromazine
(Thorazine) to a patient who has ingested alcohol because it may cause
oversedation and respiratory depression.
46. Lithium toxicity can occur when sodium and
fluid intake are insufficient, causing lithium retention.
47. An alcoholic who achieves sobriety is called a
recovering alcoholic because no cure for alcoholism exists.
48. According to Erikson, the school-age child
(ages 6 to 12) is in the industry-versus-inferiority stage of psychosocial
development.
49. When caring for a depressed patient, the
nurse’s first priority is safety because of the increased risk of suicide.
50. Echolalia is parrotlike repetition of another
person’s words or phrases.
51. According to psychoanalytic theory, the ego is
the part of the psyche that controls internal demands and interacts with the
outside world at the conscious, preconscious, and unconscious levels.
52. According to psychoanalytic theory, the
superego is the part of the psyche that’s composed of morals, values, and
ethics. It continually evaluates thoughts and actions, rewarding the good and
punishing the bad. (Think of the superego as the “supercop” of the
unconscious.)
53. According to psychoanalytic theory, the id is
the part of the psyche that contains instinctual drives. (Remember i for
instinctual and d for drive.)
54. Denial is the defense mechanism used by a
patient who denies the reality of an event.
55. In a psychiatric setting, seclusion is used to
reduce overwhelming environmental stimulation, protect the patient from
self-injury or injury to others, and prevent damage to hospital property. It’s
used for patients who don’t respond to less restrictive interventions.
Seclusion controls external behavior until the patient can assume self-control
and helps the patient to regain self-control.
56. Tyramine-rich food, such as aged cheese,
chicken liver, avocados, bananas, meat tenderizer, salami, bologna, Chianti
wine, and beer may cause severe hypertension in a patient who takes a monoamine
oxidase inhibitor.
57. A patient who takes a monoamine oxidase
inhibitor should be weighed biweekly and monitored for suicidal tendencies.
58. If the patient who takes a monoamine oxidase
inhibitor has palpitations, headaches, or severe orthostatic hypotension, the
nurse should withhold the drug and notify the physician.
59. Common causes of child abuse are poor impulse
control by the parents and the lack of knowledge of growth and development.
60. The diagnosis of Alzheimer’s disease is based
on clinical findings of two or more cognitive deficits, progressive worsening
of memory, and the results of a neuropsychological test.
61. Memory disturbance is a classic sign of
Alzheimer’s disease.
62. Thought blocking is loss of the train of
thought because of a defect in mental processing.
63. A compulsion is an irresistible urge to
perform an irrational act, such as walking in a clockwise circle before leaving
a room or washing the hands repeatedly.
64. A patient who has a chosen method and a plan
to commit suicide in the next 48 to 72 hours is at high risk for suicide.
65. The therapeutic serum level for lithium is 0.5
to 1.5 mEq/L.
66. Phobic disorders are treated with
desensitization therapy, which gradually exposes a patient to an
anxiety-producing stimulus.
67. Dysfunctional grieving is absent or prolonged
grief.
68. During phase I of the nurse-patient
relationship (beginning, or orientation, phase), the nurse obtains an initial
history and the nurse and the patient agree to a contract.
69. During phase II of the nurse-patient
relationship (middle, or working, phase), the patient discusses his problems,
behavioral changes occur, and self-defeating behavior is resolved or reduced.
70. During phase III of the nurse-patient
relationship (termination, or resolution, phase), the nurse terminates the
therapeutic relationship and gives the patient positive feedback on his
accomplishments.
71. According to Freud, a person between ages 12
and 20 is in the genital stage, during which he learns independence, has an
increased interest in members of the opposite sex, and establishes an identity.
72. According to Erikson, the identity-versus-role
confusion stage occurs between ages 12 and 20.
73. Tolerance is the need for increasing amounts
of a substance to achieve an effect that formerly was achieved with lesser
amounts.
74. Suicide is the third leading cause of death
among white teenagers.
75. Most teenagers who kill themselves made a
previous suicide attempt and left telltale signs of their plans.
76. In Erikson’s stage of generativity versus
despair, generativity (investment of the self in the interest of the larger
community) is expressed through procreation, work, community service, and
creative endeavors.
77. Alcoholics Anonymous recommends a 12-step
program to achieve sobriety.
78. Signs and symptoms of anorexia nervosa include
amenorrhea, excessive weight loss, lanugo (fine body hair), abdominal
distention, and electrolyte disturbances.
79. A serum lithium level that exceeds 2.0 mEq/L
is considered toxic.
80. Public Law 94-247 (Child Abuse and Neglect Act
of 1973) requires reporting of suspected cases of child abuse to child
protection services.
81. The nurse should suspect sexual abuse in a
young child who has blood in the feces or urine, penile or vaginal discharge,
genital trauma that isn’t readily explained, or a sexually transmitted disease.
82. An alcoholic uses alcohol to cope with the
stresses of life.
83. The human personality operates on three
levels: conscious, preconscious, and unconscious.
84. Asking a patient an open-ended question is one
of the best ways to elicit or clarify information.
85. The diagnosis of autism is often made when a
child is between ages 2 and 3.
86. Defense mechanisms protect the personality by
reducing stress and anxiety.
87. Suppression is voluntary exclusion of
stress-producing thoughts from the consciousness.
88. In psychodrama, life situations are
approximated in a structured environment, allowing the participant to recreate
and enact scenes to gain insight and to practice new skills.
89. Psychodrama is a therapeutic technique that’s
used with groups to help participants gain new perception and self-awareness by
acting out their own or assigned problems.
90. A patient who is taking disulfiram (Antabuse)
must avoid ingesting products that contain alcohol, such as cough syrup,
fruitcake, and sauces and soups made with cooking wine.
91. A patient who is admitted to a psychiatric
hospital involuntarily loses the right to sign out against medical advice.
92. “People who live in glass houses shouldn’t
throw stones” and “A rolling stone gathers no moss” are examples of proverbs
used during a psychiatric interview to determine a patient’s ability to think
abstractly. (Schizophrenic patients think in concrete terms and might interpret
the glass house proverb as “If you throw a stone in a glass house, the house
will break.”)
93. Signs of lithium toxicity include diarrhea,
tremors, nausea, muscle weakness, ataxia, and confusion.
94. A labile affect is characterized by rapid
shifts of emotions and mood.
95. Amnesia is loss of memory from an organic or
inorganic cause.
96. A person who has borderline personality
disorder is demanding and judgmental in interpersonal relationships and will
attempt to split staff by pointing to discrepancies in the treatment plan.
97. Disulfiram (Antabuse) shouldn’t be taken
concurrently with metronidazole (Flagyl) because they may interact and cause a
psychotic reaction.
98. In rare cases, electroconvulsive therapy causes
arrhythmias and death.
99. A patient who is scheduled for
electroconvulsive therapy should receive nothing by mouth after midnight to
prevent aspiration while under anesthesia.
100. Electroconvulsive therapy is normally used for
patients who have severe depression that doesn’t respond to drug therapy.
101. For electroconvulsive therapy to be effective,
the patient usually receives 6 to 12 treatments at a rate of 2 to 3 per week.
102. During the manic phase of bipolar affective
disorder, nursing care is directed at slowing the patient down because the
patient may die as a result of self-induced exhaustion or injury.
103. For a patient with Alzheimer’s disease, the
nursing care plan should focus on safety measures.
104. After sexual assault, the patient’s needs are
the primary concern, followed by medicolegal considerations.
105. Patients who are in a maintenance program for
narcotic abstinence syndrome receive 10 to 40 mg of methadone (Dolophine) in a
single daily dose and are monitored to ensure that the drug is ingested.
106. Stress management is a short-range goal of
psychotherapy.
107. The mood most often experienced by a patient
with organic brain syndrome is irritability.
108. Creative intuition is controlled by the right
side of the brain.
109. Methohexital (Brevital) is the general
anesthetic that’s administered to patients who are scheduled for
electroconvulsive therapy.
110. The decision to use restraints should be based
on the patient’s safety needs.
111. Diphenhydramine (Benadryl) relieves the
extrapyramidal adverse effects of psychotropic drugs.
112. In a patient who is stabilized on lithium
(Eskalith) therapy, blood lithium levels should be checked 8 to 12 hours after
the first dose, then two or three times weekly during the first month. Levels
should be checked weekly to monthly during maintenance therapy.
113. The primary purpose of psychotropic drugs is
to decrease the patient’s symptoms, which improves function and increases
compliance with therapy.
114. Manipulation is a maladaptive method of
meeting one’s needs because it disregards the needs and feelings of others.
115. If a patient has symptoms of lithium toxicity,
the nurse should withhold one dose and call the physician.
116. A patient who is taking lithium (Eskalith) for
bipolar affective disorder must maintain a balanced diet with adequate salt
intake.
117. A patient who constantly seeks approval or
assistance from staff members and other patients is demonstrating dependent
behavior.
118. Alcoholics Anonymous advocates total
abstinence from alcohol.
119. Methylphenidate (Ritalin) is the drug of
choice for treating attention deficit hyperactivity disorder in children.
120. Setting limits is the most effective way to
control manipulative behavior.
121. Violent outbursts are common in a patient who
has borderline personality disorder.
122. When working with a depressed patient, the
nurse should explore meaningful losses.
123. An illusion is a misinterpretation of an
actual environmental stimulus.
124. Anxiety is nonspecific; fear is specific.
125. Extrapyramidal adverse effects are common in
patients who take antipsychotic drugs.
126. The nurse should encourage an angry patient to
follow a physical exercise program as one of the ways to ventilate feelings.
127. Depression is clinically significant if it’s
characterized by exaggerated feelings of sadness, melancholy, dejection,
worthlessness, and hopelessness that are inappropriate or out of proportion to
reality.
128. Free-floating anxiety is anxiousness with
generalized apprehension and pessimism for unknown reasons.
129. In a patient who is experiencing intense
anxiety, the fight-or-flight reaction (alarm reflex) may take over.
130. Confabulation is the use of imaginary
experiences or made-up information to fill missing gaps of memory.
131. When starting a therapeutic relationship with
a patient, the nurse should explain that the purpose of the therapy is to
produce a positive change.
132. A basic assumption of psychoanalytic theory is
that all behavior has meaning.
133. Catharsis is the expression of deep feelings
and emotions.
134. According to the pleasure principle, the
psyche seeks pleasure and avoids unpleasant experiences, regardless of the
consequences.
135. A patient who has a conversion disorder
resolves a psychological conflict through the loss of a specific physical
function (for example, paralysis, blindness, or inability to swallow). This
loss of function is involuntary, but diagnostic tests show no organic cause.
136. Chlordiazepoxide (Librium) is the drug of
choice for treating alcohol withdrawal symptoms.
137. For a patient who is at risk for alcohol
withdrawal, the nurse should assess the pulse rate and blood pressure every 2
hours for the first 12 hours, every 4 hours for the next 24 hours, and every 6
hours thereafter (unless the patient’s condition becomes unstable).
138. Alcohol detoxification is most successful when
carried out in a structured environment by a supportive, nonjudgmental staff.
139. The nurse should follow these guidelines when
caring for a patient who is experiencing alcohol withdrawal: Maintain a calm
environment, keep intrusions to a minimum, speak slowly and calmly, adjust
lighting to prevent shadows and glare, call the patient by name, and have a
friend or family member stay with the patient, if possible.
140. The therapeutic regimen for an alcoholic
patient includes folic acid, thiamine, and multivitamin supplements as well as
adequate food and fluids.
141. A patient who is addicted to opiates (drugs
derived from poppy seeds, such as heroin and morphine) typically experiences
withdrawal symptoms within 12 hours after the last dose. The most severe
symptoms occur within 48 hours and decrease over the next 2 weeks.
142. Reactive depression is a response to a
specific life event.
143. Projection is the unconscious assigning of a
thought, feeling, or action to someone or something else.
144. Sublimation is the channeling of unacceptable
impulses into socially acceptable behavior.
145. Repression is an unconscious defense mechanism
whereby unacceptable or painful thoughts, impulses, memories, or feelings are
pushed from the consciousness or forgotten.
146. Hypochondriasis is morbid anxiety about one’s
health associated with various symptoms that aren’t caused by organic disease.
147. Denial is a refusal to acknowledge feelings,
thoughts, desires, impulses, or external facts that are consciously
intolerable.
148. Reaction formation is the avoidance of anxiety
through behavior and attitudes that are the opposite of repressed impulses and
drives.
149. Displacement is the transfer of unacceptable
feelings to a more acceptable object.
150. Regression is a retreat to an earlier
developmental stage.
151. According to Erikson, an older adult (age 65
or older) is in the developmental stage of integrity versus despair.
152. Family therapy focuses on the family as a
whole rather than the individual. Its major objective is to reestablish
rational communication between family members.
153. When caring for a patient who is hostile or
angry, the nurse should attempt to remain calm, listen impartially, use short
sentences, and speak in a firm, quiet voice.
154. Ritualism and negativism are typical toddler
behaviors. They occur during the developmental stage identified by Erikson as
autonomy versus shame and doubt.
155. Circumstantiality is a disturbance in associated
thought and speech patterns in which a patient gives unnecessary, minute
details and digresses into inappropriate thoughts that delay communication of
central ideas and goal achievement.
156. Idea of reference is an incorrect belief that
the statements or actions of others are related to oneself.
157. Group therapy provides an opportunity for each
group member to examine interactions, learn and practice successful
interpersonal communication skills, and explore emotional conflicts.
158. Korsakoff’s syndrome is believed to be a
chronic form of Wernicke’s encephalopathy. It’s marked by hallucinations,
confabulation, amnesia, and disturbances of orientation.
159. A patient with antisocial personality disorder
often engages in confrontations with authority figures, such as police,
parents, and school officials.
160. A patient with paranoid personality disorder
exhibits suspicion, hypervigilance, and hostility toward others.
161. Depression is the most common psychiatric
disorder.
162. Adverse reactions to tricyclic antidepressant
drugs include tachycardia, orthostatic hypotension, hypomania, lowered seizure
threshold, tremors, weight gain, problems with erections or orgasms, and
anxiety.
163. The Minnesota Multiphasic Personality
Inventory consists of 550 statements for the subject to interpret. It assesses
personality and detects disorders, such as depression and schizophrenia, in
adolescents and adults.
164. Organic brain syndrome is the most common form
of mental illness in elderly patients.
165. A person who has an IQ of less than 20 is
profoundly retarded and is considered a total-care patient.
166. Reframing is a therapeutic technique that’s
used to help depressed patients to view a situation in alternative ways.
167. Fluoxetine (Prozac), sertraline (Zoloft), and
paroxetine (Paxil) are serotonin reuptake inhibitors used to treat depression.
168. The early stage of Alzheimer’s disease lasts 2
to 4 years. Patients have inappropriate affect, transient paranoia,
disorientation to time, memory loss, careless dressing, and impaired judgment.
169. The middle stage of Alzheimer’s disease lasts
4 to 7 years and is marked by profound personality changes, loss of
independence, disorientation, confusion, inability to recognize family members,
and nocturnal restlessness.
170. The last stage of Alzheimer’s disease occurs
during the final year of life and is characterized by a blank facial
expression, seizures, loss of appetite, emaciation, irritability, and total
dependence.
171. Threatening a patient with an injection for
failing to take an oral drug is an example of assault.
172. Reexamination of life goals is a major
developmental task during middle adulthood.
173. Acute alcohol withdrawal causes anorexia,
insomnia, headache, and restlessness and escalates to a syndrome that’s
characterized by agitation, disorientation, vivid hallucinations, and tremors
of the hands, feet, legs, and tongue.
174. In a hospitalized alcoholic, alcohol
withdrawal delirium most commonly occurs 3 to 4 days after admission.
175. Confrontation is a communication technique in
which the nurse points out discrepancies between the patient’s words and his
nonverbal behaviors.
176. For a patient with substance-induced delirium,
the time of drug ingestion can help to determine whether the drug can be
evacuated from the body.
177. Treatment for alcohol withdrawal may include
administration of I.V. glucose for hypoglycemia, I.V. fluid containing thiamine
and other B vitamins, and antianxiety, antidiarrheal, anticonvulsant, and
antiemetic drugs.
178. The alcoholic patient receives thiamine to
help prevent peripheral neuropathy and Korsakoff’s syndrome.
179. Alcohol withdrawal may precipitate seizure
activity because alcohol lowers the seizure threshold in some people.
180. Paraphrasing is an active listening technique
in which the nurse restates what the patient has just said.
181. A patient with Korsakoff’s syndrome may use
confabulation (made up information) to cover memory lapses or periods of
amnesia.
182. People with obsessive-compulsive disorder
realize that their behavior is unreasonable, but are powerless to control it.
183. When witnessing psychiatric patients who are
engaged in a threatening confrontation, the nurse should first separate the two
individuals.
184. Patients with anorexia nervosa or bulimia must
be observed during meals and for some time afterward to ensure that they don’t
purge what they have eaten.
185. Transsexuals believe that they were born the
wrong gender and may seek hormonal or surgical treatment to change their
gender.
186. Fugue is a dissociative state in which a
person leaves his familiar surroundings, assumes a new identity, and has
amnesia about his previous identity. (It’s also described as “flight from
himself.”)
187. In a psychiatric setting, the patient should
be able to predict the nurse’s behavior and expect consistent positive
attitudes and approaches.
188. When establishing a schedule for a one-to-one
interaction with a patient, the nurse should state how long the conversation
will last and then adhere to the time limit.
189. Thought broadcasting is a type of delusion in
which the person believes that his thoughts are being broadcast for the world
to hear.
190. Lithium should be taken with food. A patient
who is taking lithium shouldn’t restrict his sodium intake.
191. A patient who is taking lithium should stop
taking the drug and call his physician if he experiences vomiting, drowsiness,
or muscle weakness.
192. The patient who is taking a monoamine oxidase
inhibitor for depression can include cottage cheese, cream cheese, yogurt, and
sour cream in his diet.
193. Sensory overload is a state in which sensory
stimulation exceeds the individual’s capacity to tolerate or process it.
194. Symptoms of sensory overload include a feeling
of distress and hyperarousal with impaired thinking and concentration.
195. In sensory deprivation, overall sensory input
is decreased.
196. A sign of sensory deprivation is a decrease in
stimulation from the environment or from within oneself, such as daydreaming,
inactivity, sleeping excessively, and reminiscing.
197. The three stages of general adaptation
syndrome are alarm, resistance, and exhaustion.
198. A maladaptive response to stress is drinking
alcohol or smoking excessively.
199. Hyperalertness and the startle reflex are
characteristics of posttraumatic stress disorder.
200. A treatment for a phobia is desensitization, a
process in which the patient is slowly exposed to the feared stimuli.
201. Symptoms of major depressive disorder include
depressed mood, inability to experience pleasure, sleep disturbance, appetite
changes, decreased libido, and feelings of worthlessness.
202. Clinical signs of lithium toxicity are nausea,
vomiting, and lethargy.
203. Asking too many “why” questions yields scant
information and may overwhelm a psychiatric patient and lead to stress and
withdrawal.
204. Remote memory may be impaired in the late
stages of dementia.
205. According to the DSM-IV, bipolar II disorder
is characterized by at least one manic episode that’s accompanied by hypomania.
206. The nurse can use silence and active listening
to promote interactions with a depressed patient.
207. A psychiatric patient with a substance abuse
problem and a major psychiatric disorder has a dual diagnosis.
208. When a patient is readmitted to a mental
health unit, the nurse should assess compliance with medication orders.
209. Alcohol potentiates the effects of tricyclic
antidepressants.
210. Flight of ideas is movement from one topic to
another without any discernible connection.
211. Conduct disorder is manifested by extreme behavior,
such as hurting people and animals.
212. During the “tension-building” phase of an
abusive relationship, the abused individual feels helpless.
213. In the emergency treatment of an
alcohol-intoxicated patient, determining the blood-alcohol level is paramount in
determining the amount of medication that the patient needs.
214. Side effects of the antidepressant fluoxetine
(Prozac) include diarrhea, decreased libido, weight loss, and dry mouth.
215. Before electroconvulsive therapy, the patient
is given the skeletal muscle relaxant succinylcholine (Anectine) by I.V.
administration.
216. When a psychotic patient is admitted to an
inpatient facility, the primary concern is safety, followed by the
establishment of trust.
217. An effective way to decrease the risk of
suicide is to make a suicide contract with the patient for a specified period
of time.
218. A depressed patient should be given sufficient
portions of his favorite foods, but shouldn’t be overwhelmed with too much
food.
219. The nurse should assess the depressed patient
for suicidal ideation.
220. Delusional thought patterns commonly occur
during the manic phase of bipolar disorder.
221. Apathy is typically observed in patients who
have schizophrenia.
222. Manipulative behavior is characteristic of a
patient who has passive– aggressive personality disorder.
223. When a patient who has schizophrenia begins to
hallucinate, the nurse should redirect the patient to activities that are
focused on the here and now.
224. When a patient who is receiving an antipsychotic
drug exhibits muscle rigidity and tremors, the nurse should administer an
antiparkinsonian drug (for example, Cogentin or Artane) as ordered.
225. A patient who is receiving lithium (Eskalith)
therapy should report diarrhea, vomiting, drowsiness, muscular weakness, or
lack of coordination to the physician immediately.
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