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NUR 2488 Mental Health Nursing

Mental Health Exam 2 Study Guide – (In class review)

1) What medications are examples of MAOI’s

● Phenelzine (Nardil)

● Selegiline (Emsam)

2) Your patient is about to start taking Phenelzine (Nardil), you as a nurse should

include in your education plan (SATA)

● Avoidance of foods high in tyramine

● Check with the pharmacist before taking any OTC (examples are cold

medications)

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3) What is the risk of taking an SSRI and MAOI inhibitor together (SATA)?

● Serotonin syndrome

● Hypertensive crisis

4) Your bipolar patient is making demands and disrupting the unit, how do you

respond (SATA)

● Set clear limits

● Distraction techniques

● Use a firm calm approach 

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5) High level suicide precautions for inpatients include SATA

● 1:1 staff within arm’s length of patient at all times

● Removal of any hard removals at meal times

● Removal of anything that the patient potentially uses to harm

themselves

6) When can a patient stop taking their mood stabilizer?

● They should not stop taking their mood stabilizer.

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7) Inpatient, you are accessing your patient for depression 3 days after starting

medication treatment, your client is in a cheerful mood and says “I feel great”, you

should change his care plan to include which of the following

● Keep a closer eye on the patient, consider asking for an order for staff

view at all times.

8) Your patient is experiencing acute mania, what type of environment should you

put the patient in?

● A neutral-colored room with minimal furnishing

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9) Your patient with acute mania now seems to be responding well to treatment, how

are you able to tell.

● Participating in groups, taking turns speaking, appropriately dressed.

10)Pick healthy coping strategies,

● Exercise

● Journaling

● Using learned coping strategies 

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