Chapter 8: Mental Health Treatments

Neeb's Fundamentals of Mental Health Nursing 4th Edition- Linda M.

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Chapter 8: Mental Health Treatments

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Pete has recently been admitted to the hospital and is being treated for bipolar disorder. When you go to check in on him, he tells you that he is feeling very drowsy and has been vomiting. He is also running a fever. You suspect that Pete’s problem is caused by:

A. Anxiety over his new surroundings after being admitted to the hospital for treatment.
B. Side effects of the lithium therapy he is receiving.
C. A hospital-acquired viral infection.
D. Food poisoning.

 

 

____     2.   Your manic patient is being discharged on lithium. Which of the following would NOT be in the teaching plan?

A. Blood levels must be closely monitored.
B. Continue to take lithium even when your manic symptoms are resolved.
C. Restrict fluids while taking this drug.
D. Contact your doctor if you experience side effects rather than stopping the drug.

 

 

____     3.   Which of the following is true about lithium?

A. It is available in multiple formulations, including IV and suppository.
B. It is generally discontinued for 2 weeks prior to any major surgery.
C. It is used on a prn basis when the patient feels anxious.
D. None of the above

 

 

____     4.   Nurse Arlene recognizes that the focus of environmental (MILIEU) therapy is to:

A. Control the environment to bring about a positive behavior change.
B. Allow the patient freedom to decide whether they want to participate in activities.
C. Use role-play to meet their personal needs.
D. Use natural medicines rather than drugs to control behavior.

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  B

These are common early warning signs of toxicity, so further investigation is needed right away.

 

PTS:   1                    REF:   Chapter 8: Mental Health Treatments: Lithium Carbonate; page 120-121

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Pharmacology | Cognitive Level: Application | Client Need: Physiological Integrity: Pharmacological and parenteral therapies: Adverse effects/contraindications/side effects/interactions

 

  1. ANS:  C

Dehydration promotes lithium toxicity.

 

PTS:   1                    REF:   Chapter 8: Mental Health Treatments: Lithium Carbonate; page 120-121

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Pharmacology | Cognitive Level: Application | Client Need: Physiological Integrity: Pharmacological and parenteral therapies: Adverse effects/contraindication/side effects/interactions

 

  1. ANS:  D

All of these responses are incorrect about lithium.

 

PTS:   1                    REF:   Chapter 8: Mental Health Treatments: Lithium Carbonate; page 120

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Pharmacology | Cognitive Level: Comprehension | Client Need: Physiological Integrity: Pharmacological and parenteral therapies: Medication administration

 

  1. ANS:  A

Environmental (MILIEU) therapies aim to provide safety and a therapeutic environment.

 

PTS:   1                    REF:   Chapter 8: Mental Health Treatments; Milieu; page 123

KEY:  Integrated Processes: Caring | Content Area: Mental Health: Therapy | Cognitive Level: Knowledge | Client Need: Psychosocial Integrity: Therapeutic Environment

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