Pharm.
Anxiety
Eating Disorders, Substance-related & Addictive Disorders
Communication
I've Really Got This, This Time!
100
1. The function of this neurotransmitter in the brain is enhanced by medications, such as fluoxetine, paroxetine HCL, sertraline HCL and is commonly associated with depression. 2. What medication category do these above medications fall under?
1. What is the neurotransmitter serotonin? 2. SSRI's
100
Class of drugs that are the first line agent for the treatment of anxiety disorders.
What are SSRI's?
100
Wt. loss more than 30% over 6 months, body temp. < 96.8 F, Systolic BP < 70, HR < 40 bpm
What are reasons for hospitalization of someone with an eating disorder?
100
A client that has difficulty expressing herself verbally begins speaking on occasion. Which one of the following nursing actions should be credited with helping this client express herself verbally? a.) Asking direct questions that draw the client out. b.) Using hand signals to entice the client to communicate. c.) Making open-ended statements followed with silence. d.) Expressing perceptions about what the client is experiencing.
What is: c.) Making open-ended statements followed with silence.
100
Symptoms include: slurred speech, coarse hand tremors, altered mental status, ataxia, seizures, & coma.
What are symptoms of lithium toxicity?
200
Chlorpromazine (Thorazine) & Haloperidol (Haldol) belong into what class of antipsychotics?
What is the class typical antipsychotics?
200
A nurse observes a client who is pacing and wringing his hands. The client states, "I don't know why, but I've worried every day for over a year that my son will die a horrible death." The nurse identifies that this finding is consistent with which of the following disorders? A. Generalized anxiety disorder B. Panic disorder C. Postraumatic stress disorder D. Acute stress disorder .
What is "A" - GAD
200
A client is going through alcohol withdrawal and says "I see bugs crawling on the wall." Which is the best nursing response? 1. I will remove the bugs from the wall. 2. You are confused because of your alcohol addiction. 3. There are no bugs on the wall. I will stay with you until you feel less anxious. 4. You are hallucinating. You do not see any bgs on the wall.
correct - 3. There are no bugs on the wall. I will stay with you until you feel less anxious. Hallucinations are frightening, during hall. nurse should present reality.
200
1. This therapeutic communication technique indicates awareness of change and personal efforts. Does not imply good or bad, or right or wrong. 2. This therapeutic communication technique is mirroring the patient's overt and covert messages; this technique may be used to echo feelings as well as content
1. What is giving recognition? 2. What is restating?
200
1. Detaining a person against his or her will 2. How often must clients be assessed when in restraints?
1. What is false imprisonment? 2. What is every 15 minutes?
300
Give one type of antidepressant drug category.
What are: MAOI's, TCA's, SSRI's
300
1. What type of therapy is used to change the way one thinks and behaves? 2. What type of therapy is this when the therapist associates a pleasant, relaxed state with anxiety-triggering stimuli, used to treat phobias?
1. What is cognitive/behavioral therapy? 2. What is systematic desensitization?
300
It is 2000, you are admitting a client that has a history of being an alcoholic, the client says that his last drink was at "6 p.m. tonight". When should the nurse expect the client to have symptoms of withdrawal?
2200 - midnoc tonight Symptoms of alcohol withdrawal usually occur within 4 - 6 hours of stopping or reduction in heavy and prolonged ETOH use. Peak time is 24-48 hours & then leave quickly unless they progress to alcohol withdrawal delirium. Early symptoms of Wd appear 7 - 48 hrs; delirium peaks 2 -3 days (48-72 hrs.)
300
1. A technique that enables the nurse to examine important ideas, experiences, or relationships more fully. 2. A question or simple statement that conveys the nurse's observation of the patient when sensitive issues are being discussed.
1. What is exploring? 2. What is reflecting?
300
When can a client be forced to take their medications on the behavioral unit?
When an individual is declared incompetent in a court, a guardian makes decisions for the client after that point in time. The client loses the right to refuse medication. Clients retain their right to refuse medication administered in an acute care facility unless they are in immediate danger of harming self or others.
400
1. This is troubling side effect of antipsychotic medications, can be fatal if it is not detected early. 2. What is this characterized by?
1. What is neuroleptic malignant syndrome (NMS)? 2. Decreased LOC, greatly increased muscle tone, and autonomic dysfunction, including hyperpyrexia, hypertension, tachycardia, tachypnea, diaphoresis, and drooling.
400
A nurse is caring for a patient who is experiencing moderate anxiety. Which of the following is an appropriate nursing intervention when trying to give necessary information to the patient? a) Reassure the patient that everything will be okay. b) Use a low pitched voice and speak slowly c) Ignore the client’s anxiety so that he/she will not be embarrassed. d) Demonstrate a calm manner while using simple and clear language.
What is d) Demonstrate a calm manner while using simple and clear language.
400
Opiates: Oxycodone, Heroin, Codeine, Morphine, etc. List 1 - Intoxication effect List 1 - OD effect List 1 - Withdrawal effect
Intoxication effects - constricted pupils, decrease resp., slurred speech, etc. OD effects - pinpoint pupils, resp. depression/arrest, cardiac arrest & death Withdrawal effects - Yawning, runny nose diaphoresis, cramps, N/V, bone pain, chills, fever, diarrhea, etc.
400
1. This implies criticism; often has the effect of making the patient feel defensive. 2. Results in the patient's not knowing which question to answer and possibly being confused about what is being asked. 3. Using phases such as: "I wouldn't worry about that.", "Everything will be just fine.", "You'll be all right."; underrates a person's feelings & belittles a persons concern and is considered Non-Therapeutic.
1. What is asking "why" questions? 2. What is excessive questions? 3. What is falsely reassuring?
400
List 4 -5 nursing interventions when caring for a client with a neurocognitive disorder/dementia: communication.
What are: always identify self and call the person by name at each meeting; speak slowly; use short, simple words and phrases; maintain eye contact; when near the pt. keep 1-2 arm-lengths; when delusional do not argue or disagree with the delusion; if 2 pts argue - separate them; have pt to wear glasses & hearing aid; keep their room well lit.
500
Too much of this neurotransmitter has been associated with symptoms of schizophrenia. Too little of this neurotransmitter has been associated with motor tremors, stiffness, often seen in Parkinson's.
What is dopamine?
500
In which level of anxiety does the patient experience extreme fright and horror? a) moderate b) mild c) panic d) severe
What is c) panic
500
CNS stimulants: Cocaine, Methamphetamines, Amphetamine, Dextroamphetamine List 1 - Intoxication effect List 1 - OD effect List 1 - Withdrawal effect
Intoxication effect - dilated pupils, tachycardia, elevated BP, N/V, Insomnia, increased energy, paranoia with delusions, panic, violence, psychosis OD effect - Resp. distress, Hyperpyrexia, convulsions, coma, stroke, MI, death Withdrawal effect - fatigue, depression, agitation, apathy, anxiety, sleepiness, disorientation lethargy, craving
500
1. The nurse should never do this with a patient who is having trouble assessing and problem solving in conflicted areas of the patient's life. Example - "Get out of this situation at once." 2. Ordering, warning, threatening, preaching, moralizing, blaming, ridiculing, changing the subject, praising, & making value judgments are all types of these.
1. What is advising? 2. What are roadblocks to communication?
500
SSRI's should not be taken for how many days of the last dose of an MAOI?
14 days
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