Nursing Practice
Clients are given the right of self-determination, independence and the ability to self-direct. This is known as _________.
What is autonomy?
A client explains her daily routine to the nurse stating, "Each morning, I take my clonazepam with my cup of coffee." The nurse understands that caffeine may ______ the effects of some anxiety medications.
What is decrease?
Justifying an unacceptable feeling or behavior with logic.
What is rationalization?
“What would you like to discuss?” and
“Tell me more about that” are examples of which communication technique?
What is broad openings?
Somatic symptoms and dissociative disorders are associated with anxiety that occurs at a ________ level.
What is severe?
The nurse is educating the mother of an autistic child about reinforcement. Strengthening behavior by presenting a desired stimulus after the behavior is _______ reinforcement.
What is positive?
The nurse prepares to assess a client who has been taking haloperidol for several months. The assessment reveals tremors, involuntary movements and fidgety behavior. The nurse understands these to be _______?
Refusing to acknowledge reality or refuting the consequences of that truth is an example of _______.
What is Denial?
"I'm interested in what you think."
These are examples of __________
What is offering self?
This disorder may follow a personal experience or the experience of a close family member with a serious or life-threatening illness.
What is illness anxiety disorder?
A client is admitted to your unit with a terminal illness and has requested that no life-sustaining measures be taken. However, the patient’s family requests that all measures be taken to prolong their loved one’s life. As the nurse, you understand this to be a __________ dilemma.
What is ethical?
Nephrotoxicity and hepatotoxicity are clinical concerns when administering psychotropic medications to which patient population?
What is geriatric?
A client is observed scrolling through photos of an old boyfriend after a traumatic breakup. The client tells the nurse "I'm so glad he's out of my life! I'm doing so much better on my own." Which defense mechanism is the client exhibiting.
What is Reaction Formation
The dayshift nurse receives report that a client is currently in physical restraints. What will the nurse prioritize during the physical assessment?
What is pulse and/or capillary refill?
The individual with ________ disorder experiences a loss of or alteration in bodily functioning, unsubstantiated by medical or pathophysiological explanation.
What is conversion?
Being free from restraint, having an individualized plan of care, participating in care, having questions answered and refusing medication or procedures are all examples of _______.
What is patient rights?
The nurse is preparing to administer lorazepam 0.5mg PO every 8 hours. On hand is lorazepam concentrate 2mg/mL. How many mL should the nurse administer per dose?
What is 0.25 mL?
Near the end of the academic year, a school nurse notices a kindergartener appearing nervous and starting to suck their thumb when discussing first grade. The nurse understands this to be which defense mechanism?
What is regression?
A client with severe depression is scheduled for electroconvulsive therapy (ECT). What equipment is necessary for prepation of the procedure? List 3.
What is B/P cuff, cardiac monitor, suction, EEG, oxygen, and medications?
A __________ response has been described as a defense mechanism to protect the ego in the face of overwhelming anxiety.
dissociative
A client becomes dangerously aggressive and subsequently receives an order for physical restraints. The nurse understands a physician must assess the client in-person within ______ hour(s).
What is 1?
The nurse understands that clients taking ACE inhibitors, beta-blockers, calcium channel blockers, or other blood pressure drugs along with their antipsychotics may be a risk for _________ in blood pressure.
What is a decrease?
A client confides in the clinic nurse that she is attracted to someone other than her spouse. The client then states "I know my husband is cheating on me." What defense mechanism are they demonstrating?
What is projection?
Upon assessment, the nurse observes increased restlessness, increased heart and respiration rates, increased perspiration, urinary frequency and increased muscular tension. The client is exhibiting symptoms of _________ anxiety.
What is Moderate?
The prominent feature of DID is the existence of ______ or more personality states within a single individual.
What is two?