ADOLESCENTS
A DISORDER WITH ONSET DURING THE DEVELOPMENTAL PERIOD THAT INCLUDES BOTH INTELLECTUAL AND ADAPTIVE FUNCTIONING DEFICITS IN CONCEPTUAL, SOCIAL AND PRACTICAL DOMAINS.
WHAT IS INTELLECTUAL DEVELOPMENT DISORDER (IDD)
WHAT ARE THE TWO GROUPS OF SUBSTANCE-RELATED DISORDERS?
WHAT ARE SUBSTANCE- USE (ADDICTION) AND SUBSTANCE-INDUCED (INTOXICATION, WITHDRAWAL, DELIRIUM)
WHERE IS THE APPETITE REGULATION CENTER WITHIN THE BRAIN?
WHAT IS THE HYPOTHALAMUS
WHAT DOES ALCOHOL PRODUCE AT LOW LEVELS?
WHAT IS RELAXATION, LOSS OF INHIBITIONS, LACK OF CONCENTRATION, DROWISNESS, SLURRED SPEECH AND SLEEP
TRUE OR FALSE
ANOREXIA IS THE MOST COMMON EATING DISORDER
WHAT IS FALSE.
BED IS THE MOST COMMON EATING DISORDER
WHAT DISORDER IS CHARACTERIZED BY THE WITHDRAWAL OF THE CHILD INTO SELF AND INTO A FANTASY WORLD OF THEIR CREATION. INCLUDES ABNORMAL OR IMPAIRED DEVELOPMENT IN SOCIAL INTERACTION, COMMUNICATION, A RESTRICTED OF ACTIVITIES AND INTERESTS, CONSIDERED BIZARRE AND RUNS A CHRONIC COURSE.
WHAT IS AUTISM SPECTRUM DISORDER (ASD)
WHAT ARE THE SIGNS AND SYMPTOMS YOU SHOULD LOOK FOR IN A CLIENT EXPERIENCING ALCOHOL WITHDRAWAL? AND HOW SOON AFTER CAN ONE START TO EXPERIENCE THIS?
WHAT ARE Coarse tremor of hands, tongue, or eyelids, nausea or vomiting, malaise or weakness, tachycardia, sweating, elevated BP, anxiety, depressed mood or irritability, transient hallucinations or illusions & insomnia
S/S CAN OCCUR WITHIN 4-12 HOURS OF CESSATION OR REDUCTION
RECURRENT EPISODES OF EATING SIGNIFICANTLY MORE THAN MOST PEOPLE WOULD IN SIMILAR TIME PERIOD UNDER SIMILAR CIRCUMSTANCES. CAN LEAD TO OBESITY.
WHAT IS BINGE EATING DISORDER (BED)
WHAT CONDITION IS CHARACTERIZED BY NERVE DAMAGE THAT RESULTS IN PAIN, BURNING, TINGLING IN EXTREMITIES; A DIRECT RESULT OF A DEFICIT IN B VITAMINS
WHAT IS PERIPHERAL NEUROPATHY
TRUE OR FALSE
OBESITY IS DEFINED AS A BMI OF 30 OR GREATER
WHAT IS TRUE
WHAT S/S WOULD A NURSE OBSERVE IN THE ASSESSMENT OF A CHILD WITH ADHD?
WHAT IS IMPULSIVITY, DISTRACTABILITY, LIMITED ATTENTION SPAN, DISRUPTIVE AND INTRUSIVE, EXCESSIVE LEVELS OF ACTIVITY, RESTLESSNESS AND FIDGETING, ACCIDENT PRONE, LOW FRUSTRATION TOLERANCE AND TEMPER OUTBURSTS, DIFFICULTY IN PERFORMING AGE-APPROPRIATE TASKS AND INTERPERSONAL RELATIONSHIPS,
WHAT ARE SOME OF THE MOST COMMON TYPES OF SUBSTANCES THAT CAN BE ABUSED OTHER THAN ALCOHOL AND GIVE EXAMPLES?
WHAT ARE
INHALANTS- GLUE OR AEROSOL CAN, GASOLINE
STIMULANTS- AMPHETAMINES, COCAINE, NICOTINE, CAFFEINE
HYPNOTICS/SEDATIVES/ANXIOLYTICS- BARBITURATES; XANAX
CANNABIS- MARIJUANA;
HALLUCINOGEN- LSD, ECSTACY
OPIOIDS- HEROIN, METHADONE, MEPERIDINE
WHAT IS CHARACTERIZED BY A MORBID FEAR OF OBESITY AND INCLUDES THE GROSS DISTORTION OF BODY IMAGE, PREOCCUPTION WITH FOOD & THE REFUSAL TO EAT.
WHAT IS ANOREXIA NERVOSA
WHAT IS THE MOST SERIOUS FORM OF THIAMINE DEFICIENCY THAT INCLUDES PARALYSIS OF OCCULAR MUSCLES, DIPLOPIA, ATAXIA, SOMNOLENCE AND STUPOR?
WHAT IS WERNICKE'S ENCEPHALOPATHY
TRUE OR FALSE
BULIMA NERVOSA CAN RESULT IN BRADYCARDIA, LANUGO, AMENNORRHEA, COMPULSIVE BEHAVIORS, HYPOTHERMIA AND HOARDING FOOD.
WHAT IS FALSE
ANOREXIA NERVOSA S/S INCLUDE BRADYCARDIA, LANUGO, AMENNORRHEA, COMPULSIVE BEHAVIORS, HYPOTHERMIA, EDEMA, METABOLIC CHANGES, HOARDING OR CONCEALING FOOD WHILE REFUSING TO EAT ALONG WITH EXCESSIVE EXCERISE AND BODY IMAGE DISTORTION.
BULIMA S/S INCLUDE BEING WITHIN THE NORMAL WEIGHT RANGE, BINGING/ PURGING, TOOTH ENAMEL EROSION, RUSSELL'S SIGN, PERSITANT OVERCONCERN WITH PERSONAL APPEARANCE, WEIGHT FLUCTATIONS WITH THE POSSIBILTY OF GASTRIC TEARS
WHAT TYPE OF MEDICATIONS ARE COMMONLY USED FOR TOURETTE'S AND ARE MOST EFFECTIVE WHEN COMBINED WITH WHAT OTHER THERAPY?
WHAT ARE ANTIPSYCHOTICS (HALOPERIDOL & PIMOZIDE) AND ALPHA-ADRENERGIC AGONISTS (CLONIDINE & GUANFACINE)
MOST EFFECTIVE WHEN COMBINED WITH BEHAVIORAL, INDIVIDUAL AND FAMILY.
WHAT ARE SOME CLUES YOU MAY OBSERVE IN AN IMPAIRED CO-WORKER (NURSE)?
WHAT IS
–High absenteeism may be present if the person’s source is outside the work area.
-Or the person may rarely miss work if the substance source is at work
–Increase in "wasting" of drugs, higher incidences of incorrect narcotic counts, and a higher record of signing out drugs for other nurses who may be present
–Poor concentration, difficulty meeting deadlines, inappropriate responses, and poor memory or recall
–Problems with relationships
–Irritability, tendency to isolate, elaborate excuses for behavior
–Unkempt appearance, impaired motor coordination, slurred speech flushed face
–Patient complaints of inadequate pain control, discrepancies in documentation
WHEN MAY HOSPITALIZATION MAY BECOME NECESSARY?
WHEN MALNUTRITION, DEHYDRATION, SEVER ELECTROLYTE IMBALANCES (INCL ↓ K+, ↓ PHOSPHATE AND ↓ MAG), CARDIAC ARRHYTHMIA/SEVER BRADYCARDIA, HYPOTHERMIA, HYPOTENSION AND PSYCHIATRIC ISSUES LIKE MDD, SUICIDAL BEHAVIORS, PSYCHOSIS, FAMILY CRISIS
CIRRHOSIS OF THE LIVER IS THE END-STAGE OF ALCOHOLIC LIVER DISEASE. WHAT ARE THE COMPLICATIONS ASSOCIATED WITH THIS RESULT OF HEAVY ALCOHOL USE?
WHAT IS PORTAL HYPERTENSION, ASCITES, ESOPHAGEAL VARICES AND HEPATIC ENCEPHALOPATHY
WHAT NURSING DIAGNOSES IS APPROPRIATE FOR A CHILD WITH ADHD? WHY?
WHAT IS RISK FOR INJURY D/T IMPULSIVENESS AND HYPERACTIVITY
WHAT IS THE DIFFERENCE BTW CONDUCT DISORDER AND OPPOSITIONAL DEFIANT DISORDER (ODD)?
CONDUCT DISORDER IS CHARACTERIZED BY A PERSISTENT PATTERN OF BEHVIORS IN WHICH THE RIGHTS OF OTHERS IS VIOLATED: PHYSICAL AGGRESSION, USE OF DRUGS AND ALCOHOL, LOW SELF-ESTEEM, LACK OF GUILT OR REMORSE, USE OF PROJECTION AS DEFENSE MECHANISM
OPPOSITIONAL DEFIANT DISORDER (ODD) IS CHARACTERIZED BY A PERSISTENT PATTERN OF ANGRY MOOD & DEFIANT BEHAVIOR: PASSIVE-AGGRESSIVE BEHAVIORS- UNWILLINGNESS TO COOPERATE, RESISTANCE TO DIRECTION AND AUTHORITY, TEST LIMITS, DISOBEDIENCE, ARGUMENTATIVE.
WHAT ARE THE PATTERNS/PHASES OF USE R/T ALCOHOL USE DISORDER?
PHASE I- PRE-ALCOHOLIC-RELIEVES EVERYDAY STRESS AND TENSION
PHASE II- EARLY ALCOHOLIC- BEGINS WITH BLACK-OUTS, AMNESIA, ALCOHOL IS NOW REQUIRED
PHASE III- CRUCIAL - LOST CONTROL, DEPENDENCE IS EVIDENT, BINGE DRINKING IS COMMON, LOSS OF JOB, FAMILY AND FRIENDS
PHASE IV- CHRONIC- INTOXICATED MORE OFTEN THAN NOT, EMOTIONAL AND PHYSICAL DISINTEGRATION EVIDENT, PHYSICAL MANIFESTATIONS BECOME EVIDENT, SEVER WITHDRAWAL S/S OCCUR
WHAT IS THE IMMEDIATE AIM OF TREATMENT REGARDING SOMEONE WITH AN EATING DISORDER?
WHAT IS TO RESTORE THE CLIENT'S NUTRITIONAL STATUS: PHYSICAL CONDITION IS NO-LONGER LIFE THREATENING.
WHAT EFFECT OF ALCOHOL USE BY A MOTHER RESULTS IN ABNORMAL FACIAL FEATURES, SMALL HEAD SIZE, INTELLECTUAL DISABILITY, LEARNING PROBLEMS, SLEEP AND SUCKING PROBLEMS AS A BABY?
WHAT IS FETAL ALCOHOL SYNDROME
INTELLECTUAL DEVELOPMENT DISORDER (IDD) LEVELS ARE DISTINGUISHED BY SEVERITY. HOW ARE THESE LEVELS DELINEATED?
THE LEVELS ARE DELINEATED BTW THE CHILD'S ABILITY TO PERFORM SELF-CARE, COGNITIVE AND EDUCATIONAL ABILITIES, SOCIAL AND COMMUNICATION CAPABILITIES AND PSYCHOMOTOR CAPABILITIES.