Mental Health
A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?
suicidal ideation
A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?
denial
The nurse is aware that the patient has 20/40 vision. This means that the patient can see at 20 feet what the normal eye can see at _______ feet.
40
A patient has been taking the selective serotonin reuptake inhibitor (SSRI) sertraline (Zoloft) for about 6 months. At a recent visit, she tells the nurse that she has been interested in herbal therapies and wants to start taking St. John’s wort. Which response by the nurse is appropriate?
"Taking St. John's wort with Zoloft may cause severe interactions and is not recommended."
A 22-year-old patient has been taking lithium for 1 year, and the most recent lithium level is 0.9 mEq/L. Which statement about the laboratory result is correct?
The lithium level is therapeutic
A profound, disabling mental illness is characterized by bizarre, nonreality thinking. What is the illness?
schizophrenia
The newly admitted patient to the emergency room 30 minutes ago after a fall off a ladder has gradually decreased in consciousness and has slowly reacting pupils, a widening pulse pressure, and verbal responses that are slow and unintelligible. What is the most appropriate position for the patient?
neck placed in a neutral position
The 62-year-old home health patient who is recovering from eye surgery complains of a feeling of “grittiness” in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. What do these complaints indicate?
Sjogren syndrome
A patient who has received some traumatic news is panicking and asks for some medication to help settle down. The nurse anticipates giving which drug that is most appropriate for this situation?
What should a patient who has had a cataract repair avoid?
A profound, disabling mental illness is characterized by bizarre, nonreality thinking. What is the illness?
What is the cardinal sign of increased intracranial pressure in a brain injured patient?
decrease in LOC
Four hours after a stapedectomy the patient complains that hearing has not improved at all. What knowledge would the nurse use to shape a response?
Hearing will not return until edema subsides
Lithium (Eskalith) is the drug of choice for which of the following disorders?
Bipolar Disorders
What does diabetes retinopathy result from?
capillaries in retina hemorrhage
A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off. What does this behavior represent?
PTSD
A nurse prepares to teach a client who has experienced damage to the left temporal lobe of the brain. Which action should the nurse take when providing education about newly prescribed medications to this client?
sit on the client's right side and speak into the right ear
What is the process when the lens of the eye changes its curvature to focus on the retina?
accomodation
A home health nurse has a patient who is taking lithium. What should be included in the teaching plan?
Have her drug blood level checked every month
List all the conditions that may cause conductive hearing loss
Buildup of cerumen
Foreign Bodies
Otosclerosis of external auditory canal
Otitis media with effusion
The nurse alters the care plan for a patient with depression to include what type of activity?
group outing to view wildflowers
What are the three signs of Cushing response?
Widening pulse pressure
Bradycardia
Increased systolic blood pressure
Which complaint made by a 64-year-old patient during a health interview would alert the nurse to the possibility of cataracts?
Difficulty driving at night
Which instruction(s) is/are most pertinent to include in the discharge teaching of a patient on lithium (Eskalith) who is being discharged?
“It is important to comply with schedules for blood tests to assess therapeutic levels.”
“The common adverse effects to expect, which are excessive nausea, anorexia, and abdominal cramps, tend to resolve.”
“Take the medication with food or milk.”
“Persistent vomiting and profuse diarrhea are signs of toxicity and must be reported to the health care provider immediately.”
Which may contribute to otitis media?
Exposure to cigarette smoke
allergies
upper respiratory infections