Deescalation
Why should the nurse maintain personal space?
Reduces perceived threat
Which medication is an SSRI?
A. Amitriptyline
B. Fluoxetine
C. Lithium
D. Haloperidol
SSRI examples:
Fluoxetine, Sertraline, Paroxetine, Citalopram
Why is silence therapeutic?
It allows the patient to think and express feelings
Name the 3 types of stress:
Stress can be physical, emotional, or psychological
A patient says, “This can’t be happening to me. The doctors are wrong.”
Which stage of grief is this?
Denial
Which posture is best during de-escalation?
Relaxed, open stance
SSRI Side Effects
Question:
Which side effect should be reported immediately?
Suicidal thoughts
Give an example of an open-ended question?
???
Which is eustress?
Eustress = positive stress that motivates.
Which intervention is most important for a dying patient?
Providing comfort and pain control
Where should the nurse position themselves?
Near an exit
When should the patient expect improvement from antidepressants?
2–6 weeks
A patient begins to cry. What is the best response?
Hand tissues and remain present
Which hormone is released during stress?
Cortisol
A patient has a DNR order. What does this mean?
CPR is not performed
Which statement sets limits without escalating?
A. “If you don’t stop, you’ll be restrained.”
B. “You’re acting out.”
C. “I can’t allow yelling, but I want to help you.”
D. “This behavior is unacceptable.”
Correct answer: C
Which medications are benzodiazepines?
Lorazepam, Diazepam, Alprazolam
A patient says, “I’m afraid I won’t wake up from surgery.”
Which response is NON-therapeutic
“Everything will be fine.”
The alarm stage of stress is characterized by:
Fight-or-flight response
A dying patient refuses food and fluids. What is the nurse’s best action?
Respect the patient’s wishes
Which action creates a power struggle?
Arguing
What is the biggest risk of benzodiazepines?
Addiction
Patient Refuses to Talk
Question:
Best therapeutic response?
A. “You have to talk.”
B. “I’ll come back later.”
C. “That’s your choice. I’ll be nearby if you want to talk.”
D. “Fine.”
Correct answer: C
Which vital sign change is expected with stress?
Increased heart rate
Who is responsible for pronouncing death?
Provider