RN (Refreshments and Narcotics)
This is given for opiate overdose
What is naloxone (Narcan)
Your mom worries that your ADHD also means you have a lower IQ.
You know from this course, and life, that the correlation between mental illness and intelligence is what
What is there is no correlation between lower intelligence and mental illness. If anything, there is some correlation between increased intelligence and some mental illnesses.
Your mom says she has to cook dinner, plan a girl's night out, pick up a gift for a friend at work, deal with your dad's Obsessive Compulsive Personality traits about cutting the grass, worried about your sister and her dating a narcissist, and now she is newly diagnosed diabetic.
Your best response is..
What is to show empathy and support, she's your mother! You can say, "you certainly have a lot on your plate" or "you sound overwhelmed by all the responsibility you have"
Your classmate is stressed, worried about the final. They are reporting they used to love running marathons every weekend and working out at the gym 3 times a week, but they just haven't had time and now they really don't enjoy even short runs or working out anymore. They have no plans to do any physical activity over spring break.
You know from this course, your classmate may be showing signs of depression and you would document their lack of pleasure or joy as this. pleasure
What is Anhedonia
Your great grandma is more confused than normal. She usually knows who she is and where she is, however ever since yesterday she says she can't remember her name or where she is.
You are taking her to her doctor and know they will be looking at causes for the delirium. Name 2 potential causes for delirium.
What is metabolic imbalances, infection or substance/medication use
Your sister is dating someone who you see red flags. He seems of average intelligence, graduated college, has a decent job, but is not a rocket scientist or a self-made millionaire. He comes off as arrogant. He acts like he can only dine at higher end restaurants and laughed when she suggested they get take out pizza. His is rude to waiters and acts as if he is the only customer in the restaurant. He gets annoyed when you sister doesn't brag about his recent achievements at work to the whole family. He seemed annoyed when you sister was the center of attention at her birthday party.
You know from this course, your sister is dating someone who is displaying traits consistent with which Personality Disorder?
What is Narcissistic Personality Disorder
When a client is taking Lithium, it is important to monitor this nutrient intake
What is salt (sodium)
This is an alteration of speech seen in psychosis where the words rhyme but have no meaning
ex. "I'm great, not late, can't wait, state to state, plate of my fate!"
What is clang association
Your aunt states, "I just think it is so great you decided to sign up for nursing school!"
You now know this is considered therapeutic or non-therapeutic and why.
What is non-therapeutic because it is giving approval
This means lack of energy
What is Anergia
When speaking with children (or those with limited cognitive and/or speech abilities) about upsetting or traumatic events, this may be helpful to have on hand
What is toys, dolls (anatomically correct), coloring books, crayons
Your brother has always been a loner. Recently your family went out for pizza to celebrate you passing your nursing courses. You texted your brother (his prefered way of communication) and invited him, he said "no thanks, I'll stay in my room and eat something here", you responded, "everyone is going to be there though" and he responded, "exactly"
You now know from this course that your brother may be showing traits from which Personality Disorder
What is Schizoid Personality Disorder
What are some patient teachings when prescribing benzodiazepines?
What are may cause drowsiness, do not mix with other depressants, do not take with alcohol, do not operate heavy machinery
This disorder of thought is seen in psychosis. It is a fixed belief that the person has exceptional abilities, wealth, fame, power or a special relationship with an important figure- despite clear evidence to the contrary
ex. "I have millions of dollars in secret accounts" or "I can control the weather with my thoughts"
What is delusions of grandeur or grandiose thinking
Your grandfather is in a locked memory unit. When you go to visit, he is adamant he needs to complete his homework or his teacher will be very mad at him. Your grandfather is 92 and is clearly not in school. If you try to remind him of this, he gets very agitated.
You know from this course, your best response would be..
What is redirection, change the subject to ask about pleasant things like what sport he liked to play in school. Reorientation is not the goal with dementia, it is not possible and often adds to their agitation.
Your mom makes the statement "stress is bad, you should avoid all stress if possible"
Your correct response is what?
What is not all stress is bad, there is no way to avoid stress, it is in everyday life, some stress is eustress, which is good, but still stress (like planning for the birth of a child, planning a vacation, etc)
It's how we cope with stress and the cumulative effects of stress that can be bad
This age group, gender and ethnicities are at a higher risk for suicide
What is over 55 years old, male and Native American or African American
Your sister has dated some really big losers. The last one had her cosign a loan for a new car, then disapeared for a month! When he finally returned he told her that he 'had to get away from her because she was smothering him' and the vacation was for his mental health. He made her feel bad about 'not caring about his mental health'. And before she knew it, she was apologizing to him!
Thankfully, they broke up and you now can see he was displaying some traits of this Personality Disorder.
What is Antisocial Personality Disorder
Your mother has told you her general practitioner has prescribed flouxetine, but she doesn't remember why or any patient teachings about it.
This is what you want to make sure she knows.
What is that it is an antidepressant, an SSRI and she needs to watch for Serotonin Syndrome and any skin rashes (or any allergic reaction)
This alteration in speech is seen in psychosis where ideas shift from one topic to another with little or no logical connections
ex. "I came here because my sister lives in Texas. Texas is hot. Hot weather makes people angry. Angry people start wars. Wars are on the news."
What is loose associations
This is what SOLER stands for?
What is
S=sit
O=open posture
L=lean forward
E=eye contact
R=relaxed body posture
These are 3 signs of mania
What is lack of sleep, lack of inhibition, large spending sprees, lack of eating, starting many projects, high energy, flirtatious, inapropriate sexual behavior, rapid speech
These are 3 reasons why someone would not get a vaccination
What is refusal, allergy to vaccination or eggs, immunocompromised (HIV, chemotherapy, steroids)
Your coworker is exhausting. They are emotionally unstable, one day they treat you like you are their best friend and the next you are their worst enemy. They have disclosed to you they have self harmed in the past and you suspect they may have a history of substance abuse. They recently invited you to go get dinner with them, when you said you couldn't go, they responded "It's fine, I totally understand. Actually no, it's not fine, you obviously hate me. I knew this would happen, don't worry, I'll just eat alone forever. But also... are you mad at me?"
You know from this course, your coworker is most likely displaying symptoms of which Personality Disorder?
What is Borderline Personality Disorder
We tell patients to avoid foods rich in tyramine (smoked fish, processed deli meats, aged cheese, avocados, etc) when taking this medication
What is MAOIs
Your cousin has a diagnosis of Schizophrenia. They disclose to you that they are experiencing auditory hallucinations that are "really bad".
You know from this course, your next step should be..
What is asking direct questions about the hallucinations. If they are experiencing Command Hallucinations and if so what are they commanding. This could be a psychiatric emergency.
Name 3 principles of Therapeutic Communication
What are:
Never a 'why'
Open ended questions
Offering self
Validating feelings
Showing empathy
Reserving judgement
Respecting boundaries
Being truthful
Showing respect
Active listening
These are 3 signs a person may exhibit that is suffering from EPS (extrapyramidal
What are mouth movements, fidgeting, tremors, shuffled gait, muscle spasms of the neck and face
Your mom complains about your dad and how he spends all day Saturday doing the yard work. He insists on cutting the grass in a specific pattern, then weed eat, then edging, then sweeping the grass clippings. One time he was sick, but forbid anyone else from doing the weekly yard work because they "just wouldn't do it the right way". Your dad also got upset one time when your mom decided to get him new "yard" shoes, he returned them stating his current yard shoes work just fine despite having holes in them, he's been wearing them since 1997, and it was a waste of money.
You know from this course, your dad is most likely displaying traits of what Personality Disorder?
What is Obsessive-Compulsive Personality Disorder. This person is obsessed with orderliness, structure, lists, organization, details, inflexible, reluctant to delegate tasks. Also this person might feel the need to hoard money for "hard times" and is known to be a penny pincher.
You went on your first "date" as a freshman in high school to a football game. While there your mom was busy posting on Facebook about how 'her baby was all grown up'. She posted pictures of you as a baby on a potty chair and now as a teenager leaving for the football game. When you asked her to please take it down it's embarrassing, she doubled down and edited to post to say you are embarrassed about it. She makes lots of posts on Facebook daily, mostly wearing flashy clothes and jewelry. In her stories, she is always the center of attention.
You know from this class your mom is displaying some traits from this Personality Disorder
What is Histrionic Personality Disorder