Eating Disorders and Mental Health Practice Quiz Flashcards

These flashcards cover key concepts from Psychiatric-Mental Health Nursing as presented in lecture notes, focusing on Eating Disorders (Anorexia and Bulimia), Bipolar Disorder, Schizophrenia, Personality Disorders, and Depression.

What are the common symptoms of a brief psychotic episode?

A sudden onset of at least one positive symptom (delusions or hallucinations), overwhelming confusion, rapid and intense shifts of affect, and often occurs in the context of a recent life stressor (e.g., giving birth).

What is the duration criteria for a brief psychotic disorder?

The episode lasts at least $1\,\text{day}$ but less than $1\,\text{month}$.

What are the primary goals of interdisciplinary treatment for depressive disorders?

Reducing or controlling symptoms, eliminating signs of the syndrome, improving occupational and psychosocial functioning, and reducing the likelihood of relapse and recurrence through recovery-oriented strategies.

Which personality characteristics are often identified in clients with anorexia nervosa before the onset of the condition?

Perfectionism, above-average intelligence, being achievement-oriented, dependable, eager to please, and seeking approval.

Which cluster of personality disorders corresponds to individuals who appear dramatic, emotional, or erratic?

Cluster B

What characterizes Cluster C personality disorders?

Individuals who appear anxious or fearful, such as those with avoidant, dependent, and obsessive-compulsive personality disorders.

What personality trait would a nurse likely find in a client with bulimia nervosa?

Impulsivity.

What physical assessment finding supports a diagnosis of anorexia nervosa?

Bradycardia and Lanugo (fine, downy hair) on the arms and back.

At what age can a diagnosis of antisocial personality disorder (ASPD) be made?

The individual must be at least $18$ years of age.

What is the duration requirement for symptoms in schizophreniform disorder?

Symptoms must be present for at least $1\,\text{month}$ but with a total duration of less than $6\,\text{months}$.

What is considered the most effective intervention for a client with bulimia nervosa to improve self-concept and regain control?

Cognitive-behavioral therapy (CBT), including self-monitoring.

Which symptoms would a nurse expect to assess in a client with bipolar disorder experiencing a major depressive episode?

Obsessive rumination, hypersomnia, and difficulty concentrating.

What priority assessment find should a nurse address in a client with schizophrenia who has recently increased their dose of fluphenazine?

Restlessness and agitation, characterized by the client stating, "I can't remain still" (Akathisia).

What characteristics are likely expected in a client diagnosed with avoidant personality disorder?

Shyness, feelings of inadequacy, timidity, sensitivity to negative comments, and a fear of rejection.

How can a nurse on a psychiatric-mental health unit best protect the safety of a client with multiple suicide attempts?

Performing vigilant assessment and close observation.

What are signs of moderate lithium toxicity?

Vertigo, slurred speech, nausea, and vomiting.

Which assessment tool should a nurse use to evaluate repetitive mouth and tongue movements in a client taking antipsychotics for 20 years?

The Abnormal Involuntary Movements Scale (AIMS).

Which antidepressant is the only one with Food and Drug Administration (FDA) approval for the treatment of bulimia nervosa?

Fluoxetine

What lab tests are expected for a client on Clozapine (Clozaril) who presents with a sore throat, weakness, and fever?

White blood cell (WBC) count and granulocyte count to check for agranulocytosis.

Which nursing intervention is appropriate for an hospitalized client with anorexia nervosa to prevent purging?

Having the client in view of staff for $90\,\text{minutes}$ after each meal.

What is the core characteristic of borderline personality disorder evidenced by rapid and extreme shifts in mood?

Affective instability.

Which diagnostic criteria must be met for a diagnosis of schizophrenia?

Continuous signs of the disturbance for at least $6\,\text{months}$, with at least $1\,\text{month}$ of active-phase symptoms (such as delusions or hallucinations).

What findings correlate with drug-induced parkinsonism in a client taking antipsychotics?

Mask-like facial expressions, pill-rolling motion of the fingers, drooling, and slowness or difficulty initiating movements.

Which medication should the nurse expect to administer for a dystonic reaction in a client taking antipsychotics?

Diphenhydramine or Benztropine.

What is the primary mechanism by which medications like Olanzapine control psychotic symptoms?

Blocking dopamine receptors in the brain.

What term describes the speech pattern where a client provides minute, unnecessary details during a long conversation before reaching the point?

Circumstantiality.

What is an "idea of reference" in a client with delusions?

A belief that external events, such as news reports or radio broadcasts, have a direct personal reference or special meaning for them.

Which prenatal factor is identified by the immunovirological theory as increasing the risk of schizophrenia?

Exposure to the influenza virus during the second trimester.

What is the most important goal for a client with an eating disorder who purges?

To stop the purging behavior.

What is the term for the speech pattern characterized by rhyming words without logical connection?

Clang association (e.g., "The sky is blue, I flew, it's new, and so are you!").

What lithium level is generally considered therapeutic for lithium therapy?

$$0.8\,\text{mEq/L}$$

What priority dietary instruction is given to a client on lithium therapy?

Maintain daily sodium intake.

What is the definition of lethality in a suicide assessment?

The probability that a suicide attempt will result in death.

What nursing diagnosis is prioritized for a client with persecutory delusions who believes operatives are hunting them?

Fear related to persecutory delusions.

Which term describes the rapid shifting between being happy and being irritable/hostile?

Emotional lability.

What is the priority intervention for a hospitalized client whose weight is $72\%$ of their ideal body weight?

Slowly introduce calories.

In cases of antisocial personality disorder, what is the rationale for using a problem-solving group?

It helps to reinforce self-responsibility.

What are the common signs of serotonin syndrome?

Agitation, elevated heart rate, elevated temperature (fever), diaphoresis, ataxia, and change in mental status.