safety
A patient with schizophrenia refuses medication because they believe it is harmful. What should the nurse do first?
what is "Explore the patient’s concerns and provide education "
A patient is experiencing auditory hallucinations but appears calm. What should the nurse assess first?
what is "Content of the hallucinations"
A patient taking benzodiazepines appears very drowsy with slow breathing. What is the nurse’s priority?
what is "access respiratory status"
A patient admitted for alcohol withdrawal develops tremors, sweating, and agitation. What is the nurse’s priority?
what is "Monitor vital signs and perform CIWA"
A patient repeatedly washes their hands for hours due to fear of contamination. This behavior is called a:
what is "a compulsion"
A patient reports possible domestic abuse but asks the nurse not to tell anyone. What should the nurse do?
what is "follow facility policy and reporting laws while ensuring safety"
this disorder suffers from severe restriction of food intake, intense fear of gaining weight, and distorted body image. What is the goal of this patient type? Clue: it's not about food
what is "control"
A patient on antipsychotics develops uncontrollable facial movements. What condition is this?
what is "Tardive dyskinesia"
A patient experiencing opioid withdrawal reports severe body aches and nausea. What is the nurse’s role?
what is "Provide supportive care and monitor symptoms"
list the characteristics of borderline personality disorder?
what is "unstable relationships, impulsive behavior, fear of abandonment, and possible self-harm."
This disorder can cause suicidal ideations, and often develops after experiencing or witnessing a traumatic event and may include flashbacks, nightmares, and hypervigilance.
what is "ptsd"
This dangerous electrolyte imbalance often occurs in bulimia due to repeated vomiting and can lead to cardiac arrhythmias.
what is "hypokalemia" from Bulemia
This life-threatening complication can occur when severely malnourished anorexia patients begin eating again too quickly.
what is "refeeding syndrome"
a patient in withdrawal has a BP of 165/113, HR 126, is visibly shaking and vomited 300cc bilious output. Patient received 5mg IV Ativan within the last 15 minutes. What is your next best move?
What is "administer more ativan, or call doctor for more ativan orders"
This personality disorder involves lack of empathy, manipulation, repeated violation of others’ rights, and little remorse for harmful actions.
What is antisocial personality disorder?
a patient arrives with increased alertness, decrease appetite, agitation and has dilated pupils. The ER nurse taking care of this patient knows that the largest medical risk for this patient is what?
what is "MI or stroke"
This disorder is an organic, chronic, progressive form of memory loss and cognitive decline and is not usually reversible.
what is "dementia"
This key difference helps nurses distinguish delirium from dementia: delirium has this type of onset.
what is "acute onset"
This condition is caused by thiamine (vitamin B1) deficiency commonly seen in chronic alcohol use.
What is Wernicke encephalopathy?
The most important nursing strategy when caring for patients with personality disorders is maintaining:
What are clear, consistent boundaries?
a 15 year old patient present with multiple bruises in different stages of healing. They are withdrawn, quiet, and don't make eye contact. Their parent refuses to leave the room. What is the nurse suspicious of?
what is "abuse"
This anxiety disorder involves intense fear of a specific object or situation
what is a "phobia"
a patient has physical symptoms that cannot be fully explained by a medical condition, and is complaining of pain 8/10. What is the next best nursing intervention?
what is "medicate the patient for pain"
This stimulant drug causes intense euphoria, increased energy, and risk for heart attack or stroke.
What is cocaine?
Patients with this personality disorder often seek constant attention, behave in dramatic or seductive ways, and frequently try to blur professional boundaries with staff, making firm limit-setting important for nurses.
What is Histrionic Personality Disorder?