Nursing Interventions
Somatozation Disorders
Anxiety Disorders
Substance Abuse
Math
100
What is a nursing intervention for a patient who overdosed on amphetamines? a. Monitor vital signs b. Watch the patient for depression c. Keep the patient warm d. Provide stimulating exercises
a. Monitor vital signs
100
An unattractive women works very hard and is an excellent mother. She strives to please everyone around her. This an example of: a. intellectualization b. compensation c. identification d. undoing
b. compensation
100
An anxious patient is worried about his PRN. He grabbed another individual in the hallway and yelled "When can I have my medication?" What she his assigned nurse do? a. look up when he can have his next dose and tell him b. send him to his room to lie down c. joke with him and offer distraction d. have him watch TV or play boardgames
a. look up when he can have his next dose and tell him
100
What are medications that can be given for an alcohol-dependent patient detoxing? a. benzodiazepine (diazepam) or chlordiazepoxide (Librium) b. antipsychotic olanzapine(Zyprexa) c. MAOI phenelzine (Nardil) d. Narcotic vicodin
a. benzodiazepine (diazepam) or chlordiazepoxide (Librium)
100
Your patient is ordered 20mg of Prozac. You have 10mg tabs on your unit. How many tablets are you going to give?
2 tablets
200
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
200
What would be appropriate for a patient who has blindness related to conversion disorder? a. ask other patients to feed the patient b. tell her to locate food items on her try c. assign staff to sit with her d. explain where the food and utensils are to attempt self feeding
d. explain where the food and utensils are to attempt self feeding
200
What two forms of therapy call for the nurse to plan for a rise in patient anxiety? a. relaxation training and medication b. flooding and response preventions c. anxiolytic therapy and beta blocker use d. modeling and cognitive restructuring
b. flooding and response preventions
200
What medication may a patient use to help them refrain from alcohol use? a. Methadone (Dolophine) b. Dsulfiram (Antabuse) c. Ativan (Lorazepam) d. Vitamin D
b. Dsulfiram (Antabuse)
200
Your patient is ordered to take 4mg of IM Haldol. You have a 2mL ampule that contains 5mg/mL. How many mL's are you going to give?
0.8mL
300
A patient complains of tension, indigestion, difficulty concentrating, and a pulse of 110. What would be an appropriate nursing response? a. give the patient a time out b. ask them what they think would make them calmer c. ask them to talk about what has been going on that day d. give them a PRN
c. ask them to talk about what has been going on that day
300
A patient with somatozation has a nursing diagnosis of Interrupted family processes related to patient's symptoms. Which is an appropriate outcome for the patient? a. demonstrate resumption of former roles and tasks b. assume roles and functions of other family members c. focus energy on problems occurring in the family d. rely on family members to meet all patient needs
a. demonstrate resumption of former roles and tasks
300
A soldier comes in with nightmares, withdrawal, problems with relationships, and flashbacks after three months. What is she likely experiencing? a. acute stress disorder b. generalized anxiety disorder c. post-traumatic stress disorder d. obsessive compulsive disorder
c. post-traumatic stress disorder
300
What would you find for someone who recently injected heroin? a. anxiety, paranoid delusions b. muscle aching, dilated pupils c. heightened sexuality, euphoria d. drowsiness, slurred speech, constricted pupils
d. drowsiness, slurred speech, constricted pupils
300
Your patient is ordered 15mg of Risperdal Consta IM once a month. You have Risperdal Consta dilute in 2.2mL of sterile water to get 10mg/mL. How many mL's are you going to give?
1.5mL
400
What question would be the most important to ask during the first meeting with a patient? a. tell me about the kinds of things you do to reduce stress. b. do you have any relatives with problems to stress? c. How far do you run when you jog? d. How much sleep do you get at night?
a. tell me about the kinds of things you do to reduce stress.
400
What is the essential difference between somatoform and dissociative disorders? a. dissociative disorders alter consciousness, recall, and awareness of self. b. dissociative disorders are responses to the accumulation of distress for multiple stressors c. affect people older than 40 d. involve the patient being fully aware they are troubled, but unaware that they have a psychological problem
a. dissociative disorders alter consciousness, recall, and awareness of self.
400
What would be an appropriate way of using cognitive therapy strategies? a. have the patient dwell on certain topics b. teach negative topics c. link the symptom to incidents that occurred and analyze them d. show the patient that these events may cause anxiety
c. link the symptom to incidents that occurred and analyze them
400
A patient comes into the emergency room after a car accident. He is ataxic and slurring his speech. His blood alcohol level is 0.4mg% What is the most probable conclusion? a. rarely drinks b. has a high tolerance to alcohol c. has been treated with Antabuse d. has ingested both alcohol and sedative drugs recently.
b. has a high tolerance to alcohol
400
Your patient is ordered 120mg of Verapamil for anxiety. You have 40mg scored tablets on the unit. How many tablets are you going to give?
3 tablets
500
The nurse interviewing a patient with suspected PTSD should be alert to findings indicating that patient: Select all that apply. a. experiences flashbacks or re-experiences trauma b. demonstrates hypervigilance or distrusts c. feels detached, estranged,or empty inside d. feels driven to repeat ritualistic behaviors e. avoids people and places that arouse painful memories f. experiences symptoms suggestive of a heart attack
a. experiences flashbacks or re-experiences trauma b. demonstrates hypervigilance or distrusts c. feels detached, estranged,or empty inside e. avoids people and places that arouse painful memories
500
Which changes reflect the short-term physiological response to stress? Select all that apply. a. cortisol is released, increasing glycogenesis and reducing fluid loss b. immune system functioning decreases, and risk of cancer increases c. cortocosteroid release increases stamina and impedes digestion d. muscular tension, blood pressure, and triglycerides increase e. epinephrine is release, increasing heart, and respiratory rates
a. cortisol is released, increasing glycogenesis and reducing fluid loss c. cortocosteroid release increases stamina and impedes digestion d. muscular tension, blood pressure, and triglycerides increase e. epinephrine is release, increasing heart, and respiratory rates
500
A patient returns to work after a clean bill of health from a cardiovascular exam. His heart pounds, he cannot breathe, he cannot focus on what's being said. What is he likely experiencing? a. panic attack b. myocardial infarction c. dissociative reaction d. acute stress disorder
a. panic attack
500
A spouse of a patient in an alcohol rehab program says "after this treatment program everything will be alright." What remark by the nurse would be most helpful? a. it's good that your supportive and want to help b. while sobriety may solve some problems, but new ones may emerge c. it will be important for you to structure to avoid stress d. alcohol is a lifelong disease of self-destruction
b. while sobriety may solve some problems, but new ones may emerge
500
Your patient is ordered to take Wellbutrin 300mg once daily for depression. You have on hand a liquid form of Wellbutrin. The label reads Wellbutrin 125mg/mL. How many mL's are you going to give?
2.4mL