Anxiety
Agoraphobia is the fear of public places. True or False?
False. Fear of places in which escape is difficult, or help is not available.
Outside alone
Home alone
Travel
Bridges
Elevators
A patient who has OCD spends 8-consecutive hours daily organizing and counting their books. The patient refuses to eat, drink, or use the bathroom until their ritual is complete. Name 3 physical complications the patient is at risk for developing.
Eat: Hypoglycemia, malnutrition
Drink: Dehydration, UTI, hypotension, falls
Bathroom: Incontinence, UTI, constipation
How can a nurse help a patient who has paranoia feel less suspicious and paranoid (Hint: Your answer needs to be nursing interventions, not medications)
Adhere to commitments
Give clear straightforward explanations
Avoid being too nice (suspicious)
Set limits and maintain safety
Attention seeking behavior
What is the main trait and/or hallmark signs of people who have obsessive-compulsive PERSONALITY disorder?
Rigidity and inflexible standards for self and others
Hallmarks: Orderliness, perfectionism, control
In which two levels of anxiety is learning NOT possible?
Severe, Panic
Explain the difference between mild and pathological OCD
Mild: Timeliness, orderliness; checking stove/locks
Pathological: Sexual or cleanliness; shame/humiliation
How is schizotypal personality disorder different than schizophrenia?
Differs from schizophrenia in that people who have schizotypal can be made aware of their behaviors. Far stronger delusions in schizophrenia.
A patient with Narcissistic personality disorder says to a nurse, "Nobody else would put up with you. I'm the nicest patient you'll ever have." How should a nurse respond?
Do not challenge grandiose statements
Avoid taking disparaging remarks personally
Role model empathy
What is the difference between obsessive-compulsive disorder and obsessive-compulsive personality disorder?
People who have OCDP personality disorder are convinced their actions are correct and reasonable
People who have OCD are aware their rituals are abnormal/unhealthy
A patient in the panic level of anxiety is pacing and acting impulsively. What should be the nurse's HIGHEST priority?
A patient who has OCD is at the clinic for a medication management appointment. The patient is currently taking fluoxetine. How might this patient's sleep be affected by this medication?
Sleep disturbances. Can't fall asleep, can't stay asleep.
A patient lacks outward emotion, is described as a loner, performs poorly in school, and has imaginary friends. How should a nurse approach encouragement of socialization for this patient? (Hint: First identify which personality disorder is being described)
Schizoid.
Avoid being too nice
(Detachment from world/don't like social interaction)
Do NOT promote socialization
Protect against ridicule
A patient who has Borderline personality disorder is mad at a nurse for refusing to give her an overdose of medication. The patient states, "You were my best friend, but now I hate you. You are dead to me." What behavior is the patient demonstrating?
Splitting
Why is atenolol a treatment option for people who have Avoidant personality disorder? (Hint: Think about the medication class/MOA of this medication)
Beta-blocker
Reduce ANS hyperactivity
Tachycardia
Palpitations
Hypertension
Yes. Provide the education. The patient is exhibiting signs of mild anxiety and thus learning ability is still intact.
A patient is described as being callous and having a complete absence of guilt or remorse. What is the nurse's highest priority for this patient? (Hint: First identify the type of personality disorder that is being described)
Antisocial
Maintain safety
A patient reports feeling inadequate, having low self-esteem, and reluctant to engage with unfamiliar people or situations. How should the nurse interact with the patient regarding degree of friendliness? (Hint: First identify the personality disorder being described)
Avoidant
Be friendly, accepting, reassuring
Describe the ONSET, RISK OF DEPENDENCE, and recommended DURATION OF USE for alprazolam.
Benzodiazepine
Fast onset
High risk for dependence
Short-term use
A patient diagnosed with antisocial personality disorder demands, at midnight, to speak to the ethics committee. What nursing statement is appropriate?
a. "I realize you're upset; however this is not an appropriate time to explore your concerns."
b. "It's midnight and are disturbing other patients."
c. "I will document you concerns in your chart and they will be addressed in the morning."
a. "I realize you're upset; however this is not an appropriate time to explore your concerns."
A nurse is caring for a patient who is experiencing a panic attack. What action should the nurse take?
a. Discuss relaxation techniques
b. Distract the patient with a TV show
c. Stay with the patient and remain quiet
C. Stay with the patient and remain quiet.
(Lose of touch with reality, cannot think or comprehend, cannot follow directions)
A patient diagnosed with panic attacks is being admitted for the 5th time in 1-year due to hopelessness and helplessness. What precaution should a nurse implement?
a. Elopement
b. Suicide
c. Fall
b. Suicide
A patient diagnosed with GAD is prescribed clonazepam and buspirone. Which statement indicates the patient understands the medications?
a. "Clonazepam is used for long-term therapy."
b. "Clonazepam is used short-term until the buspirone takes full effect."
c. "Buspirone has a high-risk for dependance."
b. "Clonazepam is used short-term until the buspirone takes full effect."