Mental Health
A client diagnosed with schizophrenia spectrum disorder states, “Can’t you hear him? It’s the devil. He’s telling me I’m going to hell.” Which is the most appropriate nursing response?
A. “Did you take your medicine this morning?”
B. “You are not going to hell. You are a good person.”
C. “The voices must sound scary, but the devil is not talking to you. This is part of your illness.”
D. “The devil only talks to people who are receptive to his influence.”
What is C?
What are two interventions for decreasing pre-load?
1) Diuretics (lasix)
2)fluid restriction
How do we calculate CPP?
MAP-ICP
A client at the mental health clinic tells the case manager, “I can’t think about living another day, but don’t tell anyone about the way I feel. I know you are obligated to protect my confidentiality.” Which case manager response is most appropriate?
1. “The treatment team is composed of many specialists who are working to improve your ability to function. Sharing this information with the team is critical to your care.”
2. “Let’s discuss steps that will resolve negative lifestyle choices that may have increased your suicidal risk.”
3. “You seem to be preoccupied with self. You should concentrate on hope for the future.”
4. “This information is secure with me because of client confidentiality.”
What is 1?
What are the two main causes of CKD?
what is hypertension and diabetes?
What are positive inotropes?
inotropes affect the hears contractility. Positive inotropes increase the contractility. example)digoxin
These two mechanical ventilation settings are key and should be increased on a patient with ARDS?
FIO2 & PEEP
What is the first sign of increased ICP?
Lethargy
A nursing instructor is teaching about bipolar disorders. Which statement differentiates the DSM-5 diagnostic criteria of a manic episode from a hypomanic episode?
What is C?
During the oliguric phase of AKI this occurs
Select all that apply
1) less than 200 mL of urine in 24/hours
2)crackles
3)weight gain
4)BUN and Cr remain same
1,2,3
A client is admitted with a diagnosis of bradydysrhythmia. Which of the following assessment findings requires immediate intervention?
A.The client reports weakness and fatigue.
B.The client experiences a weight gain of 0.23kg (0.5lb) in 1 day.
C.The client’s pedal pulses are 1+ bilaterally.
D.The client’s last bowel movement was several days ago.
What is A?
QUICK!! Your patient's chest tube fell out of their chest.. What do you do?
Cover with a sterile dressing. if lung is punctured make sure to ventilate occasionally to prevent tension pneumo
Cerebral edema is caused by an increase of what gas in the blood stream?
CO2
A nurse is caring for an adolescent who is experiencing indications of depression. Which of the following findings should the nurse expect? (Select all that apply.)
A.Irritability
B.Euphoria
C.Insomnia
D.Low self-esteem
E.Chronic pain
What is A, C, D?
In addisons disease the patient will present with...
1)low Na
2)low K
3)hypertension
4)increased calcium
5)hypoglycemia
1,4,5
A nurse is caring for a client with congestive heart failure whose EKG shows a flattening of the T wave. Which of the following laboratory results should the nurse anticipate with this EKG change?
A.Potassium 2.8 mEq/L
B.Digitalis level of 2 ng/mL
C.Hemoglobin of 9.8g
D.Serum calcium 8.0 mg
What is A?
How do we position a pt. who is getting a thoracentesis?
leaning over side table, have pillows,
CXR after
This type of head trauma is most typically seen in the elderly and alcoholics?
Subdural Hematoma
Which of the following clients should a nurse recommend for a structured day program? (Select all that apply.)
1. An acutely suicidal teenager
2. A chronically mentally ill woman who has a history of medication nonadherence
3. A socially isolated older individual
4. A depressed individual who is able to contract for safety
5. A client who is hearing voices that tell the client to harm others
what is 2 & 4?
A patient presents to the ED after an opioid over dose. You expect her to be experiencing what acid base imbalance?
respiratory acidosis
What levels are seen in a patient suffering from DI?
(Select all that apply)
1)high urine Na
2)High serum osmo
3)high serum Na
4)low urine osmo
2,3,4