Mental Health 2

1. Isabelle Fournier, 37, has been treated for major depressive disorder for 3 months. She reports persistent low mood, insomnia, guilt, and poor appetite. Today she suddenly seems brighter, calmer, and says, “I’ve made peace with everything. I won’t be a burden anymore.” She gives away personal items and asks the nurse, “How long is visiting hour tonight?” What complication is the nurse most concerned about? *
2. Martin Blais, 29, diagnosed with schizophrenia, has been refusing antipsychotics. He appears internally preoccupied, whispering to himself. During assessment, he says, “The voices have new instructions for me. They’re telling me to do something to protect my family.” He becomes tense and guarded. What complication is emerging? *
3. Emily Rochon, 41, with known bipolar I disorder, has not slept in 3 days. She speaks rapidly, makes grandiose claims (“I own three tech companies”), and becomes irritable when redirected. She suddenly believes the staff are “spies” trying to steal her ideas and tries to run out of the unit. What complication has most likely developed? *
4. Jessika Moreau, 25, with BPD, becomes distressed after a conflict with her partner. She paces, cries loudly, and states, “I can’t handle this pain. I need it to stop now.” She has superficial cuts on her forearm. She suddenly isolates herself in the bathroom. The nurse must anticipate which complication? *
5. Doug Laflamme, 56, heavy drinker (1.5 L vodka/day), is admitted after stopping alcohol abruptly. At 36 hours, he becomes disoriented, tremulous, sweaty, and has visual hallucinations of insects on the wall. VS: HR 132/min, BP 166/94, temp 38.9°C. What complication is he developing? *
6. Amelia Kelly, 33, with panic disorder, suddenly develops dizziness, tingling fingers, chest tightness, and SOB. She says, “I think I’m dying!” RR is 36/min. ECG is normal. She becomes increasingly lightheaded and confused. What complication is occurring? *
7. Alicia Dubreuil, 30, survivor of an assault, attends a trauma-group session. A loud noise in the hallway triggers her to freeze. She covers her ears, shakes, and shouts, “Stop! Don’t touch me!” She does not respond to verbal cues from staff and appears unaware of the current environment. What complication is she experiencing? *
8. Sophie Hamel, 45, with GAD, has increasing chronic worry, muscle tension, and insomnia. She now calls EMS almost weekly for “impending medical emergencies,” missing work repeatedly. Today she states she is afraid to leave her house at all. What complication is emerging? *
9. Laurence Boucher, 18, with anorexia nervosa, weighs 38 kg at 165 cm. She has lanugo, low BP (88/54), and reports dizziness. Labs show K⁺ 2.9 mmol/L. She suddenly becomes pale and collapses. What complication is most likely responsible? *
10. Jonathan Pelchat, 32, with chronic opioid dependence, is found in the hallway, unresponsive with pinpoint pupils and shallow breathing at 6 breaths/min. Skin is cool and cyanotic. There is no alcohol smell. What complication is occurring? *
11. A 25-year-old patient is admitted to the psychiatric unit for schizophrenia. Since his arrival, the patient has been inexpressive and looking callous, and has made no visual contact with the nursing staff. The LPN notes that since being admitted, the patient has been speaking loudly to himself and is constantly moving around. The LPN also observes several bruises on the patient’s arms. The patient says that the Mafia is chasing after him and that he wants to leave the hospital to find a place where he will never be heard from again. Which of the following clinical manifestations relate to the patient’s condition? *
12. A patient has been hospitalized in the short-term psychiatric unit for the past month. He suffers from major depression as a result of his son’s recent death. He has trouble sleeping and constantly feels tired. He is always sad and no longer enjoys playing golf, a sport he used to love. During the multidisciplinary team meeting, the LPN indicates that the patient’s condition is not improving. Later, a group therapy activity is organized. The patient has permission to participate, but he refuses. The LPN respects his decision, but inquiries about the reasons for his refusal. Which of following clinical manifestations relates to the patient’s condition? *
13. This morning, an LPN from the CLSC arrives to perform a blood test on a 51 year-old man. The client has a moderate intellectual disability and suffers from obesity. He has difficulty sleeping and becomes easily irritable when afraid. The LPN explains to the client the procedure for performing the blood test. He does not cooperate and does not want to be touched. Upon seeing the syringe, he becomes anxious and aggressive, while incessantly hitting his thighs and speaking incomprehensibly. His mother has to intervene to calm him down. Which of the following clinical manifestations relates to the client’s condition? *