SCHIZOPHRENIA
A response a nurse should make when asked what causes someone to hear voices
What is "a chemical imbalance of the brain, which leads to altered perceptions"
A response the nurse would make when a patient spits, curses, and refuses to answer questions during an assessment interview
What is "I understand that you are angry, but this behavior will not be tolerated"
What is "The client will not harm self during hospital stay
A term to describe a person who is self-medicating with small amounts of cocaine to feel better
What is "Psychological addiction"
An approach the nurse should use to maintain a therapeutic relationship with a patient diagnosed with BPD
What is "Be firm, consistent, and empathic while addressing specific patient behavior"
The most appropriate nursing response when a patient is hearing voices telling them they are going to hell and asks you if you hear them
What is "The voices must sound scary, but I don't hear any voices"
A self-harm behavior that the nurse should expect the patient with BPD to exhibit
What is "Suicidal gestures to elicit a rescue response from others"
A disorder in which the patient is unable to feel any pleasure
What is "Major depressive disorder (MDD)"
A therapeutic response to a patients spouse making excuses for their alcoholism related work absences
What is "Your spouse needs to deal with the consequences of his/her drinking"
Modalities a nurse should recognize as an integral parts of a treatment program when planning care for patients with schizophrenia
What is "social skills training, group therapy, family therapy, psychopharmacology"
A priority nursing action to maintain patient safety when presenting with bizarre behaviors and delusions
What is "Note escalating behaviors immediately"
A disorder in which a patient is most likely to be admitted to an inpatient facility for self-destructive behaviors
What is "One with borderline personality disorder"
What is "Placing the client on one-to-one observation while continuing to monitor suicidal ideation"
Education to provide nursing staff about the impaired nurse and the consequences
What is "Some state boards of nursing administer treatment programs themselves, while others refer the nurse to other resources"
Patient education for a patient being prescribed an MAOI (monoamine oxidase inhibitor) should include?
What is "Do not stop medication abruptly, food modifications (no red wine, aged cheese), inform other providers
The most appropriate nursing intervention when caring for an agitated, and suspicious patient
What is "Provide personal space to respect the patients boundaries"
A disorder with the characteristic of lack of guilt for wrongdoing
What is "Antisocial personality disorder"
Teaching to be included when a patient is beginning tricyclic antidepressant therapy
What is "continue to take the medication even if symptoms have not started" (usually 4-6 weeks)
The best rationale for assessing client for substance addiction when the nurse notices a patient with a PCA (Patient-controlled analgesia) has 50 attempts within a 15-minute period
What is "Patients who are addicted to alcohol or benzodiazepines may develop cross-tolerance to analgesics and require increased doses to achieve effective pain control"
A type of psychotic disorder that symptoms have a sudden onset, last at least 1 day but less than 1 month.
What is a "Brief Psychotic Disorder"
An action the nurse would take to establish a trusting relationship
What is "Be reliable, honest, and consistent during interactions"
The reason Milieu therapy is a good choice for patients with antisocial personality disorders
What is "It emulates a social community in which the patient may learn to live harmoniously with others
The rationale for a nurse performing a full health assessment on an older adult patient admitted with a diagnosis of MDD (major depressive disorder)
What is "depression can generate somatic symptoms that can mask actual physical disorders"
A characteristic which would help a nurse distinguish between dysthymia and MDD (Major depressive disorder)
What is "Dysthymia is a chronically depressed mood"
A disorder were individuals always seem to be in a state of crisis, have frequent mood swings, and manipulative
What is BDP (Borderline Personality Disorder)