Starring Professor Kat Atonic Assistant: Al Zeimer

A.

Do you have any thoughts of harming yourself? B. Have you felt like this before? C. You are just depressed. Once you feel better, you wont think that way. D. We will keep you safe here.

A. Do you have any thoughts of harming yourself?

 A.

anxiety disorder. B. panic disorder. C. agoraphobia. D. obsessive-compulsive disorder.

 A.

anxiety disorder.

 A.

posttraumatic stress disorder. B. panic disorder. C. mild anxiety. D. moderate anxiety.

 C.

mild anxiety.

 A.

Listening. B. Sharing observations. C. Clarifying. D. Being available.

 C.

Clarifying.

 A.

Dissociative disorder. B. Conversion disorder. C. Schizophrenia. D. Amnesia.

 C.

Schizophrenia.

 A.

Haldol. B. Clozapine. C. Klonopin. D. Risperdal.

 C.

Klonopin.

 A.

orthostatic hypotension and urinary retention. B. constipation and hypercholesteremia. C. increased salivation and fatigue. D. hypervigilance and blurred vision.

A. orthostatic hypotension and urinary retention.

A. negative view of himself and a normal energy level. B. suicidal ideation, with a decreased risk as the patient gets more energy. C. impaired concentration and agitation. D. delayed speech and a positive outlook on the future.

 C.

impaired concentration and agitation.

 A.

panic attack. B. hyperactive episode. C. extrapyramidal effect. D. manic episode.

 D.

manic episode.

A. Decreasing stimuli and using restraints if all other measures fail. B. Offering to call the physician and telling other staff to call security. C. Removing harmful objects and trying to do relaxation exercises with the patient. D. Restraining the patient and keeping him NPO.

 A.

Decreasing stimuli and using restraints if all other measures fail.

 A.

She should stay in the shade when she walks. B. She should stop walking. C. She will need to maintain her hydration to avoid lithium toxicity. D. She can continue with her exercise program, because lithium toxicity is very rare.

 C.

She will need to maintain her hydration to avoid lithium toxicity.

 A.

Delirium. B. Alcoholic dementia. C. Blackout. D. Amnesia.

 C.

Blackout.

 A.

rationalization. B. denial. C. intellectualization. D. projection.

 A.

rationalization.

 A.

abnormal liver function tests and a GI bleed. B. a positive syphilis screen and varicose veins. C. a fungal infection and a potassium level of 4.2. mEq/L. D. a decreased albumin level and creatinine level of 1.2 mg/dL.

 A.

abnormal liver function tests and a GI bleed.

 A.

major withdrawal. B. early withdrawal. C. delirium tremens. D. minor withdrawal.

 B.

early withdrawal.

 A.

fetal alcohol syndrome. B. Wernickes encephalopathy. C. Korsakoffs psychosis. D. alcoholic dementia.

 B.

Wernickes encephalopathy.

 A.

Aged cheese B. Pickled foods C. Mouthwash D. Chocolate candy

 C.

Mouthwash

 A.

extremely dehydrated. B. in a coma. C. dangerously hypertensive. D. violent.

 D.

violent.

 A.

depression. B. violent behavior. C. nasal erosion. D. suicidal attempt.

 A.

depression.

A. it is a way to substitute one opioid for another. B. it is less constipating than heroin. C. methadone does not give the rush that heroin addicts are looking for. D. it is a synthetic opioid, which makes it less addicting.

 C.

methadone does not give the rush that heroin addicts are looking for.

 A.

Anxiety. B. Chronic or situational low self-esteem. C. Risk for delayed development. D. Acute confusion.

 B.

Chronic or situational low self-esteem.

 A.

self-hypnosis. B. imagery. C. stress management. D. blocking.

 C.

stress management.

A. Cause a mixed drug reaction, which may have the effect of heightening both drug effects. B. Decrease psychiatric symptoms, which makes the condition harder to treat. C. Cause an accidental overdose by mixing alcohol with anxiolytic medications, antipsychotic medications, or antidepressant agents. D. Cause an increase in psychiatric symptoms, because the psychiatric drugs become less effective in the presence of alcohol.

 C.

Cause an accidental overdose by mixing alcohol with anxiolytic medications, antipsychotic medications, or antidepressant agents.

 A.

tardive dyskinesia. B. ananticholinergic reaction. C. the usual side effects. D. extrapyramidal side effects.

 D.

extrapyramidal side effects.

A. You really dont need these medications to control yourself. B. Many antidepressant medications are not effective with some people. C. Many antidepressant medications take 1 to 4 weeks before the effects are noticed. D. Many antidepressant medications take 1 to 2 months before the effects are noticed.

 C.

Many antidepressant medications take 1 to 4 weeks before the effects are noticed.

 A.

dystonic reactions. b. pyramidal side effects. c. extrapyramidal side effects. d. neuroleptic malignant syndrome.

 C.

extrapyramidal side effects.

A. Lock the door so that the client cannot leave at this potentially vulnerable time. b. Encourage the client to stay and ask the client what she is feeling. C. Tell the client that it is not safe to leave. D. Tell the client that if she leaves, she cannot return to this therapy group.

 B.

Encourage the client to stay and ask the client what she is feeling.

A. Notify the registered nurse (RN). B. Help the client pack his or her personal belongings in preparation for discharge. C. Inform the client that discharge is not possible because of the type of admission process involved. D. Call security and persuade the client to stay.

 A.

Notify the registered nurse (RN).

A. I am your friend. B. Our relationship is a therapeutic and helping one. C. I cant be your friend. Im the nurse and youre the client. D. You have plenty of friends. You dont need me to be your friend, too.

 B.

Our relationship is a therapeutic and helping one.

A. Tell the client that the physician will be called as soon as report is completed. B. Tell the client to wait in her room until report is over. C. Inform the client that the behavior is unacceptable. D. Offer to assist the client to an examination room until the physician is notified.

 D.

Offer to assist the client to an examination room until the physician is notified.

A. Encourage the client to socialize with other clients. B. Inform the client about support groups that are available in the community. C. Encourage the client to lead a support group. D. Avoid joking or laughing in the presence of the client.

 D.

Avoid joking or laughing in the presence of the client.

A. Use open-ended questions and silence. B. Instruct the client about the need for adequate nutrition. C. Focus on the fact that the clients beliefs are untrue. D. Focus on the components of adequate nutrition.

 A.

Use open-ended questions and silence.

A. Constant physical activity and poor oral intake B. Constant, incessant talking with sexual innuendos C. Outlandish behaviors and wearing odd, eccentric clothing D. Grandiose delusions of being the King of England

 A.

Constant physical activity and poor oral intake

A. I dont know about a religious cult. Are you afraid that people are trying to hurt you? B. What makes you think that cult members are being sent to hurt you? C. There are no religious cults in this area that are going to kill you. D. I dont believe that what you are telling me is true.

 A.

I dont know about a religious cult. Are you afraid that people are trying to hurt you?

A. Increased appetite, irritability, anxiety, restlessness, and altered concentration B. Depression, high drug craving, fatigue with altered sleep (insomnia or hypersomnia), agitation, and paranoia C. Increased pulse and blood pressure, low-grade fever, yawning, restlessness, anxiety, craving, diarrhea, and mydriasis D. Tachycardia, mild hypertension and fever, sweating, nausea, vomiting, and marked tremor

 C.

Increased pulse and blood pressure, low-grade fever, yawning, restlessness, anxiety, craving, diarrhea, and mydriasis

A. Provide the other clients on the unit with a sense of comfort and safety by isolating the client. B. Assist in caring for the client in a controlled environment, such as a quiet room. C. Provide safety for both the client and other clients on the unit. D. Offer the client a less stimulating area in which to calm down and gain control.

 C.

Provide safety for both the client and other clients on the unit.

A. You sound very unhappy. Are you thinking of harming yourself? B. Those feelings will go away once your medication really takes effect. C. I know what you mean; everyone gets that way when they are depressed. D. Have you talked to anyone specifically about what is bothering you?

 A.

You sound very unhappy. Are you thinking of harming yourself?

A. Have the client put on a hospital gown and remove the clients clothing from the room. B. Request that a friend of the client remain with the client at all times. C. Stay with the client at all times. D. Suggest placing the client in a seclusion room where all potentially dangerous articles are removed.

 C.

Stay with the client at all times.

 A.

successful coping strategies from the past. B. family practices and beliefs. C. role expectations. D. personal values. E. cultural expectations.

 A.
B. C. D. E.

successful coping strategies from the past. family practices and beliefs. role expectations. personal values. cultural expectations.

 A.

anger. B. depression. C. fear. D. anxiety.

 D.

anxiety.

 A.

experiences a flight from reality. B. usually needs hospitalization. C. has insight that there is an emotional problem. D. has severe personality deterioration.

 C.

has insight that there is an emotional problem.

 A.

examine her skin closely for eruptions. B. take her blood pressure twice a day to check for hypertension. C. have her drug blood level checked every month. D. avoid aged cheese and red wine.

 C.

have her drug blood level checked every month.

 A.

senseless behavior. B. controlled repetition. C. obsessive-compulsive. D. anxiety tension.

 C.

obsessive-compulsive.

 A.

homosexuality. B. transsexualism. C. heterosexuality. D. bisexuality.

 B.

transsexualism.

A. That is a great idea. Alternative therapies can be very helpful. B. You will feel better sooner if you include phenylalanine. C. Did you know that St. Johns wort can raise your blood pressure dramatically? D. You need to speak to your physician about that.

 C.

Did you know that St. Johns wort can raise your blood pressure dramatically?

 A.

cardiac problems. B. respiratory problems. C. withdrawal problems. D. circulatory problems.

 C.

withdrawal problems.

A. place the patient in a room with another recovering patient. B. instruct the patient to orient himself to his surroundings at bedtime. C. wake the patient up every 4 hours to eat a small snack. D. use nightlights and remove extra furniture from the room.

 D.

use nightlights and remove extra furniture from the room.

 A.

nausea. B. blackouts. C. headaches. D. hypertension.

 A.

nausea.

A. What do you call this hospitalization? B. How can anybody help you if you dont see a problem? C. Would your family agree that you have no problems? D. Can you think of any time your behavior created an unpleasant situation in your life?

 D.

Can you think of any time your behavior created an unpleasant situation in your life?

 A.

Dalmane B. Xanax C. GHB D. Rohypnol

 D.

Rohypnol

A. I drink because Im lonely. B. All my difficulties are related to my drinking. C. I wouldnt need to drink if I had my family back. D. My drinking helps me cope with the stress of my job.

 B.

All my difficulties are related to my drinking.

A. daily for the rest of his life. B. daily until stabilized, then gradually reduce the dose to zero. C. weekly for at least 6 months, then decrease the dose to once a month. D. monthly for 6 to 10 months, then decrease the dose to zero.

 B.

daily until stabilized, then gradually reduce the dose to zero.

 A.

marijuana. B. cocaine. C. amphetamines. D. Valium.

 C.

amphetamines.

 A.

Usually in 8 to 10 hours. B. She will snap out of it in a day or two. C. Usually in about 2 hours, but the effects will return in 2 to 3 days. D. The manifestations may be permanent.

 D.

The manifestations may be permanent.

 A.

is addictive. b. stimulates drug-seeking behavior. c. causes flashbacks. d. sets off hypertensive episodes.

 C.

causes flashbacks.

 A.

Lorazepam (Ativan) B. Buspirone (BuSpar) C. Benztropine (Cogentin) D. Chlorpromazine (Thorazine)

 A.

Lorazepam (Ativan)

 A.

48 to 72 hours. B. 35 days. C. 1 to 4 weeks. D. 48 weeks.

 C.

1 to 4 weeks.

 A.

vertigo. B. Schizophrenia. C. acute mania. D. a sleep disorder.

 D.

a sleep disorder.

 A.

clinical chronic depression. B. acute depression. C. prolonged sleep psychosis. D. manic-depressive psychosis.

 D.

manic-depressive psychosis.

 A.

Manic-depression B. Chronic depressive behavior C. Schizophrenia D. Acute depression

C. Schizophrenia

 A.

cause an increase in appetite leading to obesity. B. produce severe psychosis. C. increase depressive behavior. D. produce sudden and severe hypertension.

 D.

produce sudden and severe hypertension.

A. I should refrain from eating any ice cream while I am on this medication. B. I should refrain from drinking orange juice while I am on this medication. C. I should refrain from eating chicken while I am on this medication. D. I should refrain from drinking beer while I am on this medication.

D. I should refrain from drinking beer while I am on this medication.

 A.

sleep disorders. B. hypertension. C. suicidal ideation. D. stomach upset.

 C.

suicidal ideation.

 A.

Encourage the patient to engage in outdoor exercise. B. Contact the health care provider. C. Inform the patient the nurse will visit next week as scheduled. D. Transport the patient to the emergency department.

 C.

Inform the patient the nurse will visit next week as scheduled.

 A.

Antimanic agents B. Monoamine oxidase inhibitors C. Antianxiety agents D. Selective serotonin reuptake inhibitors (SSRIs)

 D.

Selective serotonin reuptake inhibitors (SSRIs)

 A. B. C. D. E. F. G.

Feverfew Ginkgo White willow Bitter melon Grape seed St. John's wort Valerian

 B.

Ginkgo F. St. John's wort

 B.

Ginkgo F. St. John's wort