ATI Proctored Mental Health REVIEW

ATI Proctored Mental Health REVIEW 2 hours - ✅The American Academy of Pediatrics Guidelines recommends ________ _______ of screen time daily?

Liver function levels - ✅When a patient is taking VALPRIOC ACID what lab values need to be monitored?

Mania - ✅Usually requires hospitalization - means abnormally elevated mood can be described as expansive or irritable hypomania - ✅less severe episode that lasts at least 4 days accompanied by 3-4 findings of mania; hospitalization is not required 4 days (of symptoms) - ✅Clinical Dx criteria for the number of days of symptoms to Dx hypomania?

No - ✅Is hospitalization required for hypomania?

Mixed episode - ✅a manic episode and an episode of major depression experienced by the client simultaneously flight of ideas - ✅nearly continuous flow of accelerated speech with abrupt changes from topic to topic .... speech is rapid, verbose, and circumstantial. It can turn into disorganization and incoherent. Content can be grossly inappropriate to vulgar. Loud and even screaming.

Clang associations - ✅rhyming of words psychosis - ✅hallucinations, delusions, dramatically disturbed thoughts may occur, paranoid and or bizarre behavior 3 symptoms - ✅Number of symptoms required to Dx MANIA? mania symptoms - ✅DIG FAST is the mnemonic to remember ___________ ________?

D. istractibility I. ndiscretion G. randiosity F. light of ideas A. activity increase

S. leep deficit T. alkativeness - ✅DIG FAST stands for?

Depakote - ✅Valproic acid aka ____________? anticonvulsant, vascular headache suppressant - ✅Valproic acid (Depakote) classification? valproic acid (depakote) - ✅_________ __________ therapeutic effects include: suppression of seizure activity. Decreased manic episodes. Decreased frequency of migraine headaches.

Tachycardia - ✅A possible adverse effect of benzodiazepine's is? a. Tachycardia b. Bradychardia lanugo (fine, neonatal-like hair growth) - ✅____________ can be found on the bodies of its with anorexia nervosa as a result of malnutrition and starvation? hypercarotenemia - ✅Yellow skin on a patient with anorexia nervosa is caused from _________________ NOT jaundice.

True - ✅T/F - An expected finding on a client with anorexia nervosa is cold extremities and hypothermia?

MAOI's - ✅P - phenelzine I - isocarboxazid S - selegiline T - tranycypromine 'Think' people on ______________ are PIST cuz they can't have wine & cheese (tyramine) tyramine - ✅aged cheese, soy sauce, dried fruits, and wine are all _____________ containing products ephedrine - ✅Along with tyramine, _______________ is also contraindicated. Injesting products containing this can precipitate a Hypertensive CRISIS D. Social Discomfort (The absence of something that should be present is considered a negative symptom of schizophrenia. Social discomfort, the inability to enjoy activities, or a lack of goaldirected behavior are negative symptoms of schizophrenia) - ✅An RN is caring for a

client who has schizophrenia and is experiencing negative symptoms. Which of the following manifestations should the nurse expect?

A. Hallucinations B. Impaired memory C. Dysphoria D. Social discomfort Positive - ✅Delusions, hallucinations, disorganized speech, and bizarre behaviors are all __________ symptoms of schizophrenia. cognitive symptoms - ✅________________ _______________ are subtle and represent the third symptom group of schizophrenia and include: impairments in memory, attention, thinking, judgment, or problem-solving. Impaired memory impacts short-term memory and the ability to learn.

Affective - ✅_______________ symptoms of schizophrenia are those that involve the expression of emotions and include: feelings of suicide or hopelessness, dysphoria, a mood characterized by depression, uneasiness, or anxiety/ Splitting - ✅______________ is a common defense mechanism demonstrated by clients who have borderline personality disorder. growth suppression - ✅An adverse effect of methylphenidate IR prescribed for children can be ___________ _________ Phenelzine - ✅An adverse effect of ___________ is orthostatic hypotension. The RN should inform the client taking this Rx that dizziness & lightheadedness are indications of hypotension.

SSRI - ✅Escitalopram is an ____________ that is prescribed for depression. The Rx does not cause orthostatic hypotension.

Galantamine - ✅______________ is a cholinergic that is prescribed to improve cognition in this diagnosed w/Alzheimers disease. The Rx does not cause orthostatic HTN Naltrexone - ✅___________ is a pure opioid antagonist that is prescribed to decrease cravings for alcohol/opioids. The Rx does not cause orthostatic htn tricyclic (TCA) - ✅clomipramine is a __________ antidepressant Chlordiazepoxide - ✅_______________, an anxiolytic, is a benzodiazepine prescribed for alcohol withdrawal that reduces manifestations and can help prevent seizures and delirium tremens

succinylcholine - ✅one of 3 Rx's administered for ECT which paralyzes respiratory muscles. Its require oxygen administration until their respiratory status is stable True - ✅T/F a nurse can expect a weight gain of up to 2.3 kg (5lbs) during the first week of Tx w/Lithium?

Risperidone - ✅an Atypical antipsychotic. In contrast to other atypical, Tx with _____________ can result in a sustained elevated prolactin level. It causes a rapid, dose-dependent rise in prolactin similar to that observed with haloperidol. Blood glucose levels should also be monitored All second generation antipsychotics - ✅which antipsychotic Rx's can cause diabetes, weight gain, and dyslipidemia?

Clozapine - ✅Agranulocytosis can occur as an adverse effect of ________________ (a second generation antipsychotic) olanzapine, ziprasidone - ✅Leukopenia and neutropenia can occur as adverse effects of ______________ and _______________ (second generation antipsychotic Rx's) False - ✅T/F Risperidone causes a decreased platelet count?

True - ✅T/F Seizures are a potential adverse effect of TMS (transcranial magnetic stimulation)?

TMS (transcranial magnetic stimulation) - ✅____________ is prescribed as a Tx for depression and is intended to decrease suicidal ideation and other manifestations of depression such as guilt, hopelessness, sadness, and excessive crying?

Acamprosate - ✅_______________ is an alcohol addiction Tx commonly used to reduce urges to drink and help people in recovery remain sober. Taken PO TID Diarrhea - ✅An adverse effect of Acamprosate is ____________ False (Acamprosate can be used in conjunction with disulfiram but it is not the same type of aversion therapy Rx) - ✅T/F Acamprosate functions as an aversion therapy like disulfiram?

Purulent - ✅_______________ exudate on the clients dressings includes thick yellow, green, or brown drainage and usually indicates wound sloughing or infection.

sanguineous - ✅_______________ exudate drainage on the clients dressings indicates an accumulation of RBC's from the plasma that appears bright red on the dressings. serous - ✅______________ exudate drainage on the clients dressings indicates plasma from blood and appears watery and clear to light yellow in color Serosanguineous - ✅___________________ exudate drainage on the clients dressings indicates plasma mixed with light bloody drainage, which is typically pale yellow to blood-tinged. Watery drainage may also be evident.

Seroquel - ✅Quietiapine fumarate aka __________________ Quietiapine fumarate - ✅_____________ __________ is an antipsychotic, mood stabilizer. Uses: Schizophrenia. Depressive episodes with bipolar disorder. Dopamine and serotonin antagonist. moderate - ✅Clients who have _____________ cognitive decline become disoriented to time, places, and events. They also lose their ability handle money and finances, begin to have difficulty using language, and withdraw from socializing and become selfabsorbed.

- ✅Short term memory loss is generally an _______________ indication of cognitive decline. Other indications include misplacing household items and demonstrating subtle changes in personality. dry mouth - ✅xerostomia is aka ________ ________ xerostomia - ✅Buspirone, a benzodiazepine, can cause ___________. Other adverse effects include headaches, nausea, and insomnia.

False (Buspirone is more likely to cause tachycardia than bradycardia) - ✅T/F an adverse reaction to bus-irons could be bradycardia? diabetes - ✅All second generation antipsychotic medications can cause _____________.

Agranulocytosis - ✅_____________ can occur as an adverse effect of clozapine, a second generation antipsychotic medication. perception - ✅Disturbance in ____________ is an expected finding in a client who has psychosis.

Doxepin - ✅Drowsiness, weight gain, constipation, and tachycardia are all adverse effects of ________________ Maslows Hierarchy of Needs - ✅physiological, safety, love/belonging, esteem, selfactualization Apraxia - ✅The lack of ability to accomplish once known tasks Agraphia - ✅the decreasing ability to read or write Perseveration - ✅the repetition of a word or phrase Agnosia - ✅The loss of ability to recognize objects. The loss can be auditory, visual, or tactile varenicline - ✅_________________is used to reduce a patients cravings during nicotine w/d buprenorphine, methadone - ✅____________ or ____________ is administered to a patient who has opioid use disorder.

NO (NSAIDS can increase kidney absorption of lithium leading to toxicity) - ✅Is it safe to take NSAIDS with lithium?

TRUE - ✅T/F taking haloperidol with lithium increases the pts risk of extrapyramidal adverse effects and tardive dyskinesia? melatonin - ✅Light therapy is thought to improve depression by suppressing _____________ production and increasing serotonin production. antipsychotic - ✅Chlorpromazine is an ____________ Rx D. Yogurt (cheese, avocados and pepperoni all contain high amounts of tyramine and should be avoided) - ✅Which of the following foods is ok for a pt to eat while taking MAOI's? a. cheddar cheese b. avocados c. pepperoni d. yogurt drowsiness - ✅______________is an expected side effect of amitriptyline and other TCA's.

Spleen - ✅the ____________ destroys old blood cells, filters antigens, and stores platelets. A client without this organ has an increased risk of infection and sepsis due to a reduced immune function.

C. Dentures (nicotine gum is difficult for clients who wear dentures to use and using the gum can damage dental work. The nurse should recommend the nicotine patch or nicotine lozenges as an over the counter alternative) - ✅What is a reason that a patient should not use nicotine gum and another over the counter smoking cessation product should be recommended?

A. the client is overweight B. The client follows a vegan diet C. The client has dentures D. The client has insomnia Varenicline (Chantix) - ✅______________ (used for smoking cessation) can cause mood changes and thoughts of suicide. Precautions should be taken when prescribing this medication to clients who have a history of psychiatric disease such as depression reflective statements - ✅__________ __________ are useful in assisting a client with identifying emotions and ideas. This therapeutic communication technique validates the clients emotions and encourages the client to reflect more deeply on the emotion. EX "that statement made by the other client appears to have upset you" Bupropion - ✅____________ is an aminoketone antidepressant that is prescribed for smoking cessation, depression, and treatment of ADHD. It is not prescribed for the Tx of PTSD.