Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 12 Mental Health^471


NURSING INTERVENTION



  • Protect patient from injury.

  • Monitor intravenous site for signs of infiltration.

  • Perform neurological checks.


Quiz



  1. Alex is a 78-year-old married man with sudden onset of confusion and dis-
    orientation. He is exhibiting combative behavior, which is upsetting to his
    wife because it is so unlike his normal, easy-going nature. A psychiatric
    consult has been called. He has no previous psychiatric history. You suspect
    Alex has:
    (a) delirium.
    (b) psychosis.
    (c) depression.
    (d) panic disorder.

  2. Appropriate treatment for Alex would include:
    (a) selective serotonin reuptake inhibitors.
    (b) monoamine oxidase inhibitors.
    (c) atypical antipsychotic medication.
    (d) identification and treatment of the underlying disorder.

  3. Karen has been dieting and exercising daily. Her weight is well below the
    recommended minimum for her height. Assessment for Karen would include
    looking for:
    (a) ecchymosis and extraocular movements.
    (b) temporal wasting and irregular heart rhythm.
    (c) peripheral edema and rales.
    (d) periorbital edema and chorea.

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