Communication
Culture
MH Assessment
Safety
Psychopharmacology
100
True or False: Nurses should always use open-ended questions when speaking with patients.
False
OK to use, but sparingly
“When did you start hearing voices?”
“Did you get therapy after your fist suicide attempt?”
100
What two cultures value self-control?
German, British
100
Who in a child's family can best describe the child's behavior?
Partent/guardian
100
How frequently do patients in restraints need to be physically assessed?
Every 15-30 minutes
100
List 3 benzodiazepines from your lecture slides.
Alprazolam, clonazepam, diazepam, lorazepam
200
A nurse asks a patient, "Why did you stop taking your medication?" What type of communication is this (therapeutic or non-therapeutic)?
Non-therapeutic
200
What are the facial characteristics of the German and British cultures regarding show of emotion?
Show little facial emotion
200
Name three physical factors that can affect cognition in older adults?
Sensory (see, hear)
Motor (walking, balance)
Medical (pain, cardiac/pulmonary function)
200
List 3 medical reasons patient's my become combative.
Medication interactions
Medication side effects
Temperature elevation
Hypoglycemia
Hypoxia
Electrolyte imbalances
200
List 3 Selective Serotonin Reuptake Inhibitors cited in your lecture slides.
Fluoxetine, sertraline, paroxetine, citalopram, escitalopram
300
What type of therapeutic communication technique starts with, "Tell me more...."
Exploring
300
Psychological distress that manifests as physical problems is known as _________.
Somatization
300
Which type of thyroid disorder can mimic signs of manic depressive disorder (hypothyroidism or hyperthyroidism)?
Hyperthyroidism
300
List 3 nursing interventions to try before restraints.
Verbal intervention (speak calmly to patient; therapeutic communication)
Reduce stimulation (turn off radio or TV; quiet space)
Actively listen
Provide diversion (play game, read book)
Offer prn meds
300
Muscle twitching and involuntary movements are often observed in patients taking what generation of antipsychotics?
First generation; typical antipsychotics; "extrapyramidal"
400
What is a more therapeutic response instead of saying, "Everything will be OK?"
"What are you concerned might happen?"
400
Children with a history of _________ should not be touched by staff without child's approval.
Abuse
400
What area of the psychosocial assessment should a nurse start with (subjective or chief complaint)?
Chief complaint
400
Identify 3 unsafe features of this patient room regarding therapeutic milieu.
IV tubing
Exposed blinds
Exposed sink plumbing
Breakable mirror
400
What generation of antipsychotics are considered the first-line treatment (first or second generation)?
Second generation (less side effects)
500
Why is the "miracle question" so valuable as a part of therapeutic communication?
It aids in goal setting
500
Name two medication classes whose metabolism is affected by genetic makeup.
Antidepressants and antipsychotics
500
How does religion and/or spirituality affect patient healthcare decision making?
Affects perception of life's meaning
Affects use of critical judgment
500
List 3 things the RN needs to offer to patients in physical restraints.
Food, hydration, toileting
Safety and comfort
500
______________ and ___________ are stimulates used to manage ADD and ADHD.
Methylphenidate
Amphetamines