Personality disorders
Over evaluation of self, arrogance, indifference to criticism of others
What is Narcissistic Personality Disorder
This questionnaire is helpful in identifying individuals with hazardous alcohol use of alcohol use disorder
What is AUDIT (alcohol Use Disorder Identification Tool)
Intense fear of gaining weight or becoming fat, or presistant behavior that interferes with weight gain, even though at a significantly low weight.
Anorexia Nervosa
This disorder has prominent and persistent (6 mo. or longer) difficulties with diminished attention, motoric hyperactivity, and impulsivity.
What is ADHD?
This illness rapidly manifests as a result of a medical condition, medication, substance intoxication, or withdrawal, exposure to a toxin or multiple etiologies.
What is delirium
With this personality disorder the person is timid, socially uncomfortable, and withdrawn. They feel inadequate and hypersensitive to criticism. They have a high desire for relationships but cant get past their internalized shame.
What is Avoidant personality disorder?
This medication is a opioid rescue drug. It is given when respirations are equal or less then 8. You would reassess vital signs every time before giving, and you will try to arouse the patient before giving.
What is Naloxone (Narcan)
What are some medical effects of having anorexia?
What is Bradycardia, Hypotension, hypothermia.
This disorder is characterized by persistent antisocial behavior that significantly impairs their ability to function in social, academic, or occupational areas. People with this disorder have little empathy for others; they have low self-esteem, poor frustration tolerance, and temper outbursts. It is associated with early onset of sexual behavior, drinking, smoking, use of illegal substances, and other reckless or risky behaviors.
What is Conduct Disorder?
This condition occurs in the evening with patients who have dementia start getting more restless and agitated.
What is sundowning
Paranoid ideations, idea of reference, and odd beliefs are some of the most prevalent and unchangeable criteria for this disorder
What is Schizotypal Personality disorder
What medication may refrain a patient from alcohol? Causing a severe hangover and possible nausea and vomiting?
A. Methadone
B. Lorazepam
c. Naloxone
D. Disulfiram
D. Disulfiram
This causes severe shifts in fluids and electrolytes causing cardiovascular, neurologic, hematologic complications and even death.
What is refeeding syndrome
Nurse Tiffany reinforces the behavioral contract for a child having difficulty controlling aggressive behaviors on the psychiatric unit. Which of the following is the best rationale for this method of treatment?
A. It will assist the child to develop more adaptive coping methods.
B. It will avoid having the nurse be responsible for setting the rules.
C. It will maintain the nurse’s role in controlling the child’s behavior.
D. It will prevent the child from manipulating the nurse
A. It will assist the child to develop more adaptive coping methods.
Behavioral therapy is employed for the purpose of developing adaptive behavior that will improve coping. The nurse works to enhance the child’s self-functioning and responsibility for his own behavior using appropriate means to develop better coping.
In caring for an older adult exhibiting signs of delirium, the nurse should be aware of the impact that this has on the patient. Which of the following are possible challenges that the client will experience as a result of having this geriatric syndrome?
A.Feelings of fear and distrust towards people and caregivers
B.Progressive memory loss
C.A sense of loneliness and powerlessness
D.Both A and C
D.Both A and C
Delirium is acute and usually reversible, not progressive, and that is why answer B does not make sense. When a patient has delirium they will be confused, this causes them to be fearful of their surrounding and loneliness. Patients who have experienced delirium report feeling terrified, lonely, and powerless. They report losing trust in those who were in sight or in contact with them
The nurse working with an individual experiencing borderline personality disorder (BPD) would need to employ interventional strategies that demonstrate what characteristics?
What is Consistent, fair and planned
What is the first step of the 12 steps of Alcoholics anonymous?
What is admitting that you are powerless and your life is unmanageable
A high school senior is diagnosed with anorexia nervosa and is hospitalized for severe malnutrition. The treatment team is planning to use behavior modification. What rationale should a nurse identify as the reasoning behind this therapy choice?
A. This therapy will increase the client's motivation to gain weight.
B. This therapy will reward the client for perfectionist achievements.
C. This therapy will provide the client with control over behavioral choices.
D. This therapy will protect the client from parental overindulgence
ANS: C
Behavior modification programs are the treatment of choice for clients diagnosed with eating disorders because these programs allow clients to maintain control. Issues of control are central to the etiology of these disorders. Behavior modification techniques aid in restoring healthy body weight.
Methylphenidate (Ritalin) is prescribed to an 8-year-old child for the treatment of attention deficit hyperactivity disorder (ADHD). The nurse will most likely monitor which of the following during the medication therapy?
-Deep tendon reflex.
-Intake and output.
-Temperature and breath sound.
-Height and weight.
-Height and weight.
Risk factors for this type of dementia include hypertension, diabetes, smoking and obesity.
What is vascular dementia
A patient with antisocial personality disorder is verbally threatening to the staff when limits are set on his manipulative behaviors. How would the nurse manage the patient’s threatening behavior?
What is Stay calm. The nurse should set limits and give choices, and avoid authoritarian approaches.
What symptoms of withdrawal from central nervous system depressants should the nurse assess?
a. dilated pupils, elevated blood pressure and pulse
b. mood, fever, drowsiness
c. nausea, vomiting, anxiety, diaphoresis, tremors
d. excessive eating, constipation, and headache
C. nausea, vomiting, anxiety, diaphoresis, tremors
When a community health nurse arrives at the home of a client diagnosed with bulimia nervosa, the nurse finds the client on the floor unconscious. The client has a history of using laxatives for purging. To what would the nurse attribute this client's symptoms?
A. Increased creatinine and blood urea nitrogen (BUN) levels
B. Abnormal electroencephalogram (EEG)
C. Metabolic acidosis
D. Metabolic alkalosis
ANS: C
Excessive vomiting and laxative or diuretic abuse may lead to problems with dehydration and electrolyte imbalance. The nurse should attribute this client's fainting to the loss of alkaline stool due to laxative abuse which would lead to a relative metabolic acidotic condition.
The nurse is teaching the parents of a very young client newly diagnosed with attention-deficit/hyperactivity disorder (ADHD) about the newly prescribed medication methylphenidate (Ritalin). Which instruction should the nurse include?
What is give first thing in the morning with or after breakfast
The husband of a patient is complaining that his wife's memory has been decreasing lately. When asked for
examples of her memory loss, the husband says that she is forgetting the neighbors' names and forgot their
granddaughter's birthday. What kind of loss does the nurse recognize this to be?
a. Delirium
b. Memory loss in AD
c. Normal forgetfulness
d. Memory loss in mild cognitive impairment
d. In mild cognitive impairment people frequently forget people's names and begin to forget important events. Delirium changes usually occur abruptly. In Alzheimer's disease the patient may not remember knowing a person and loses the sense of time and which day it is. Normal
forgetfulness includes momentarily forgetting names and occasionally forgetting to run an errand.