Medications
A patient recently started on a typical antipsychotic beings to show symptoms of confusion, sweating, fever, and rigid muscles. The nurse understands that these are all common signs of which condition?
What is neuroleptic malignant syndrome
Persons with this disorder often exhibit impulsive behaviors related to intense mood swings and uncertainties about their social identity. They’re values, self-image and behavior can change rapidly. They often time self-mutilate or have a history of sexual abuse as children
What is BPD (Borderline Personality Disorder)
What is the fear of blood called
What is hematophobia
T/F? The experienced nurse understands that in order to gain a client’s trust, he/she must demonstrate understanding and acceptance. This includes acknowledging the client’s pain and concerns.
What is True
When one partner in an intimate relationship abuses the other sexually, emotionally, physically, or a combination of these, it is called:
What is domestic violence
A patient who was prescribed an SSRI three days ago explains to the nurse that he has not felt any benefits from the drug. How long should the nurse tell the patient it may take for the drug to have an effect?
What is 2 to 4 weeks
Persons who express a deep desire for attention or admiration. These persons often lack empathy for others and can appear extremely confident, but are often overwhelmed with self-esteem issues.
What is Narcissistic personality disorder
Unrealistic anxiety about everyday worries that persists over time
What is Generalized anxiety disorder
Which of these helps strengthen therapeutic communication between the nurse and client? (Select all that apply.)
A. The nurse agrees with everything the client says
B. The client chooses the topic of conversation
C. Moments of silence should be avoided
D. Active listening can include body language
B and D
The nurse notices bruises on the forearms of a pediatric client. The nurse suspects there may be some kind of abuse going on, but she knows the child has good parents. Which laws require the nurse to disclose this information?
What are mandated reporter laws
Which category of antidepressant medication cannot be consumed with tyramine (a compound commonly found in meat, cheese, and beer)?
What is MAOI's (monoamine oxidase inhibitors)
This disorder presents with severely limited ability to participate in social connections but does not exhibit paranoia or hallucinations.
What is Schizoid Personality Disorder
: After experiencing a psychologically traumatic event, the individual is prone to re-experience the event and have recurrent and intrusive dreams or flashback
What is Posttraumatic Stress Disorder
The client is discussing his feelings with the nurse. He makes statements that the nurse does not agree with. What should the nurse do in this scenario while promoting therapeutic communication?
Remain neutral. It is important to refrain from both agreeing and disagreeing with the client.
When questioned about bruises, a woman states, "It was an accident. My husband just had a bad day at work. He's being so gentle now and even brought me flowers. He's going to get a new job, so it won't happen again." This client is in which phase of the cycle of battering?
What is the Honeymoon Phase
Haldol, an antipsychotic medication, is most commonly used to treat which chronic psychiatric disorder?
What is schizophrenia
This disorder causes persons to engage in extreme perfectionism to the point that it impairs the ability to complete said task. When confronted about their habits they that their way of doing things is normal and superior to that of a person without the disorder.
What is OCPD (Obsessive-Compulsive Personality Disorder)
This stage of anxiety is associated with dread, terror, and a sense of impending doom. The personality is disorganized and the individual is unable to communicate or function effectively
What is Panic stage
The nurse is interviewing the client. The nurse begins by facing the client and instructs the client talk about what she wants to discuss. The nurse looks the client in the eyes while she speaks and nods his head. As the interview progresses, the nurse leans in toward the client as she speaks. The nurse keeps his body language open and consciously does not cross his arms. List all of the positive therapeutic communication techniques used by the nurse.
Faces the client, lets the client choose the topic, maintains eye contact, nods head, leaning toward the client as she speaks, open body language, does not cross arms.
A client who has been raped is crying, pacing, and cursing her attacker in an emergency department. Which behavioral defense should a nurse recognize?
What is the expressed response pattern
A patient arrives at the clinic for routine lab draws which reveal a lithium level of 1.7 mEq/L. The patient asks if this value is low, normal, or high. How do you respond?
High. A therapeutic lithium range is 0.6-1.2 mEq/L, making the patients value above the target range
5 Signs/ Symptoms of schizotypal personality disorder.
What are: lacking close friend; incorrect interpretation of events; strange thinking, beliefs, or mannerisms; strange dress (dirty or not matching clothing); the belief of superhuman ability; illusions; intense social anxiety; strange speaking patterns; paranoid thoughts about the loyalty of surrounding persons; flat affect
This is the priority nursing action for a client with anxiety
To decrease stimuli and proivde a calm and quiet environment
List three benefits of moments of silence.
can slow the conversation, give the client time to reorganize thoughts, the nurse can use moments of silence to refocus clients (such as by asking them what they’re thinking), the nurse shows investment in listening to the client, allows the client time to think of other topics of conversation.
What percentage of adults over the age of 60 experiences some form of abuse, neglect, or financial exploitation?
What is 10 percent