Drugs
What medication is best for someone that is suicidal, an currently taking an SSRI?
Lithium
Identify 3 indicators of potential violence with a patient
1. History of past violence
2. Non verbals such as clenching fist
3. Psychomotor agitation
4. Telling you they will hurt you.
5. Staring in a menacing manner
What is the age of mandatory reporting for the elderly?
60!!!
The statement, "I am terrified of gaining weight", supports what eating disorder Dx?
Anorexia Nervosa
What is the most challenging nursing intervention with patients diagnosed with personality disorders who use manipulation?
Maintaining consistent limits.
What two medications require tapering vs stopping cold turkey?
Alcohol
Benzodiazapines
A client is pacing in the hallway with clenched fists, and flushed face. He is yelling and swearing. Which phase of the aggression cycle is he in?
Escalation
Name three items that require mandatory reporting
1. Elder abuse
2. Child abuse
3. Sexual assault with SANE eval
4. Gunshot wound
5. Rendered unconscious
6. Stab wound
7. 2nd and 3rd degree burns that show evidence of being inflicted in a malicious manner
This eating disorder does NOT use any compensatory behaviors to stop weight gain.
Binge eating disorder
This disorder is under voluntary control and is characterized by a client making someone they are close to physically ill
Factitious by proxy disorder
Which medication is best for people suffering with bulimia
SSRI, Sertraline
Please identify characteristics of a poorly managed milieu that could be prone to violence.
2. staff inexperience
3. controlling staff
4. following the rules of the unit for limit setting
2. staff inexperience
3. controlling staff
True or false
If someone comes in with a black eye and broken arm from a DV situations, you must report to the law.
False
You may only report if you have the survivors permission.
Name 3 predictors of potentially developing an eating disorder.
1. Mother has an unhealthy relationship with food
2. Parents are very controlling
3. Growup in an affluent society where Social Media buts a high premium on good looks and thinness
4. Participate in activities with a high premium on thinness: modeling, dance. gymnastics. wrestling, stewardess
This PD feels entitled, has a need for admiration, envious of others, has limited empathy, & flies in to rages if criticized
Narcisisstic
Which medication is best for those suffering with Anorexia?
Antipsychotic: Olanzapine
Which of the following statements about anger is true?
1. Expressing anger openly and directly usually leads to arguments.
3. Suppressing anger is a sign of maturity.
4. Angry feelings are a negative response to a situation.
2.
Anger results from being frustrated, hurt or afraid.
What is the age(s) for mandatory reporting?
0-18
60 and up
Identify 3 characteristics of a person with bulimia.
1. Dissatisfaction with body shape and size
2. Feelings of guilt and shame about eating behavior
3. Near normal body weight for height and age
4. Performance of rituals or compulsive behavior
5. Strong desire to please others
This PD lacks self confidence and self esteem. Seeks relationships where they will be taken care of; clingy in relationships
Dependent PD
If you prescribe a stimulant for ADHD, how long does in take to know if the medication is effective or not?
One will know immediately.
List some characteristics of behaviors observed during the recovery phase of the aggression cycle.
Rational communication
Physical relaxation
Lowered Voice Volume
True or False
You must be sure that a child is being abused prior to alerting CPS.
False
Which eating disorder wants help with their problem eating?
Bulimia
People that exhibit the following:
socially anxious
rambling stories
peculiar ideas such as magical thinking
Usually have this type of PD?
Schizotypal