FREE Comprehensive Mental Health and Psychiatric Nursing Questions and Answers
A female client with bulimia nervosa tells the nurse, "You can sit with me, but you're just wasting your time," during postprandial monitoring. I was still able to purge after you sat with me yesterday. What is the best reply from the nurse? "Today, my objective is to do it twice."
By undertaking postprandial monitoring to stop self-induced emesis, the nurse is establishing limits that the client is testing, and this response acknowledges that the client is doing so. Because they believe they have no control over any other element of their lives, clients with bulimia nervosa need to feel in charge of their diet. Nursing patients through treatment can be emotionally taxing because recovery requires patients to confront their darkest, most agonizing, and traumatic thoughts and feelings. When a patient also has a diagnosis of Obsessive-Compulsive Disorder (OCD), depression, or substance misuse, this emotional struggle may be made worse because these conditions may call for more intensive one-on-one counseling.
A male patient who overdosed on oxazepam (Serax) has been prescribed flumazenil (Romazicon). Which typical side effect should nurse Gina be ready for before to delivering the medication?
The most frequent significant side effect of administering flumazenil to treat benzodiazepine overdose is seizures. If the client overdoses on both benzodiazepines and tricyclic antidepressants, the damage is amplified. Seizures and benzodiazepine reversal are related. Patients who have used benzodiazepines for prolonged sedation or who are exhibiting symptoms of severe tricyclic antidepressant overdose may experience seizures more frequently. To treat seizures, doctors should measure and prepare the appropriate dosage of Flumazenil. In patients who depend on a benzodiazepine for seizure control, flumazenil use needs to be cautious.
Which of the following is the best way to respond to a male patient who has been brought to the psychiatric ward for drug misuse therapy when he says to the nurse, "It felt so wonderful to get high?"
Removing the client's denial requires confronting them with the negative effects of substance addiction. Since your physical presence is the reality, present reality to the customer by spending time with them to encourage reality orientation. When speaking to the client, be clear, concise, and easy to understand. Avoid ideological or theoretical conversations when speaking with the client and instead focus on concrete or known topics. The client has trouble processing abstractions or complexity.
Which of the following medications should Nurse Rose get ready to give to a patient who has dangerous levels of acetaminophen (Tylenol)?
Acetylcysteine is the remedy for acetaminophen poisoning. It speeds up the transition from harmful to nontoxic metabolites. The fact that acetaminophen (N-acetyl-para-aminophenol, also known as paracetamol or APAP) is widely available and widely believed to be safe is a major contributing factor to its frequent toxicity. Every week, more than 60 million Americans take acetaminophen. N-acetyl-cysteine (NAC) therapy is required for all individuals with excessive acetaminophen levels. If administered within eight hours of consumption, this medication offers complete protection against liver damage.
Bulimia is being treated for by nurse Mench's patient. The most suitable first objective for a client with bulimia is to:
Bulimia is typically an unhelpful way of dealing with stress and underlying problems. The client must recognize the anxious circumstances that trigger bulimic behavior and then acquire new coping mechanisms. Adolescent females are more likely than boys to develop bulimia nervosa, which is characterized by binge eating and inappropriate compensatory behaviors.
For alcohol detoxification, a male client is admitted to the drug addiction unit. Which of the following drugs is Nurse Carmen most likely to prescribe to lessen alcohol withdrawal symptoms?
Alcohol withdrawal symptoms are lessened with tranquilizers such chlordiazepoxide (Librium). An FDA-approved medicine for individuals with mild-moderate to severe anxiety disorders, preoperative apprehension and anxiety, and withdrawal symptoms of acute alcohol use disorder is chlordiazepoxide, a long-acting benzodiazepine. Chlordiazepoxide contains hypnotic, appetite-stimulating, anti-anxiety, and modest analgesic properties. It improves the inhibitory effects of GABA by attaching to benzodiazepine receptors at the GABA-A ligand-gated chloride channel complex.
A female client who poses a serious suicide risk requires strict surveillance. In order to best guarantee the client's safety, Nurse Shenny ought to?
The patient cannot predict when an observation will occur and change behavior in a misleading way at these times if they are checked often but at unpredictable intervals. When the patient is determined to be at risk of suicide, immediate intervention measures must be taken. The person cannot be left alone. While at home, enlist the assistance of a support person. The suicidal person has to be treated in a secure setting. The area also has to be watched over.