Mental Health N356 Exam 2 QUESTIONS AND
ANSWERS UPDATED 2024/2025 BEST EXAM SOLUTION
GRADED TO SCORE+
Indications for ECT - CORRECT ANSWERS -postpartum psychosis
-need for rapid response
-severe Major Depression (90%)
-prior positive responses to ECT
-depression with psychotic features
- failure of meds and/or psychotherapy
-Bi-polar disorder unresponsive to medication
-Schizophrenia with catatonic or affective symptoms
Preparing pts for ECT - CORRECT ANSWERS -void
-remove prostheses
-no NPO 6-8 hrs prior to treatment
-Pretreatment lab tests
Pre ECT Medications - CORRECT ANSWERS -Iv injection of anesthetic (brevital sodium)
-IV injection of muscle relaxant (succinylocholine-anctine 25-75 mg)
Risk of Suicide - CORRECT ANSWERS -prior episodes of depression
-family history of depression
-prior suicide attempts
-female gender
-medical co-morbidities
-lack of social support
-stressful life events
-personal history of sexual abuse
-current susbstance disorder
What is important for a nurse to assess when she has a depressed patient? - CORRECT ANSWERS
Assess for suicide ideation
, Mental Health N356 Exam 2 QUESTIONS AND
ANSWERS UPDATED 2024/2025 BEST EXAM SOLUTION
GRADED TO SCORE+
How do we assess suicide? - CORRECT ANSWERS Ask directly about any suicidal thinking, impulses
or past attempts, and personal/family history of suicide attempts. Ask if they have a plan, is it well
thought and can pt carry through?
Suicidal "Gestures" - CORRECT ANSWERS Act that may be interpreted as attention seeking rather
and actually self-destrucitve ex. cutting
Suicidal "threat" - CORRECT ANSWERS Any verbal or behavioral clue that suicide is being
contemplated. Threats may be implied or explicit.
suicide attempt - CORRECT ANSWERS any actions taken by a person towards self that will lead to
death if not interrupted
Assess Lethality of Suicide Plan - CORRECT ANSWERS Nature of plan? the more lethal the means the
more detail plan +higher risk for completed suicide
* have you thought about the ways in which you would kill yourself?
*what has kept you from acting on these thoughts?
Goals regarding suicidal patients - CORRECT ANSWERS -Patient will not physically harm him/herself
Highest priority:
-preservation of life
-prevent immediate life-threatening behavior
Later goals:
-enhance self awareness and insight into suicidal thoughts
-develop alternative coping strategies to replace self-destructive behaviors
Assessment of Intent - CORRECT ANSWERS * any thoughts that life isn't worth living?
* do things ever feel so hopeless you wish you were dead?
* have you ever tried killing yourself?
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