Maladaptive stress/Abuse
By law nurses are mandated to report which type of abuse?
What is suspected or actual cases of child and elder abuse?
Slide 53
What is the priority nursing intervention for a patient who is at risk for suicide?
What is safety- Do Not Leave the Patient Alone?
Slide 27
The nurse understands which level of Maslow's Hierarchy of Needs is the Highest priority when caring for a patient?
What is Physiological needs?
Slide 13
The nurse is assessing for signs of abuse, which signs could indicate abuse? List 4 signs
What is bruises in various stages, bite marks, burns in usual areas, S&S of skeletal injury, spiral fractures, bald areas on the scalp, injuries during pregnancy, inconsistent story, not wanting to go home, running away?
Slide 48
Describe the difference between Abuse, Dependence and Tolerance
What is
•Abuse: characterized by a pattern of repeated use of substances that is maladaptive in that significant adverse consequences occur.
•Dependence: maladaptive pattern of substance use leading to clinically significant impairment or distress.
•Tolerance: needing higher doses
Slide 32
The nurse is caring for a patient who overdosed on drugs a few days prior. The patient continuously yells at the nurse, "I don't have any issues with drugs, I want to be discharged now!" Which type of defense mechanisms is this patient displaying?
What is Denial?
Slide 9
Burn out is a sign of stress in which stage of General adaption syndrome?
What is Stage 3 exhaustion stage?
This stage includes prolonged stress. In this stage the individual's physical, emotional, mental body are drained. Signs can include fatigue, burnout, depression, anxiety, decreased stress tolerance. Weakened immune system.
Slide 49
What are the 4 levels of Anxiety and when should a patient NEVER be left alone?
What is Mild, Moderate, Severe, and Panic?
Panic= speech may not be understandable, increased motor activity, agitation, unpredictable responses, trembling, poor motor coordination, perception distorted or exaggerated, unable to learn or function, dyspnea, palpitations, choking, chest pain, feeling impending doom, paresthesia, sweating. DON'T LEAVE PATIENT ALONE.
Slide 14
A husband is angry with his coworker. He gets home from work and begins to yell at his wife for no reason. Which type of defense mechanism is he using?
What is Displacement?
Slide 9
The nurse is caring for a patient who is a victim of domestic violence. The patient's wife is calling apologizing to him. He explains to the nurse, once he gets home his wife will be kind and loving. The nurse understands the patient is describing which stage of the Cycle of Violence?
What is the Honeymoon Stage?
Stage characterized by kindness and loving behavior
Honeymoon stage=batterer will do anything to make up with abused person, is contrite and remorseful and promises to never do again.
Slide 45
What are the pharmacological treatments used for Substance Abuse and which stages are they used in?
What is
Benzodiazepams- Used for detox phase
Disulfiram (Antabuse)- Used for Rehab phase
•Naloxone (Narcan)
Slide 38
List the Components of a Suicide Assessment and what question should be asked in each.
What is Suicide Ideation, Suicide Plans, and Intent to Follow Through?
Suicide ideation= does the patient have thoughts of suicide?
Suicide plans= does the patient have plans or means to carry it out
Intent to follow through= Is there an intent to follow though with the plan?
Slide 27
Overeating, excessive use of alcohol/drugs, smoking, and social isolation are examples of?
What is a stress response- Socio-behavioral effects of maladaptive behaviors?
Slide 11
List the 3 different anti-anxiety agents?
What is Benzodiazepines, Nonbenzodiazepine- Buspirone (BuSpar), and Barbiturates?
Benzodiazepines= CNS depressant, S/E=sedation, drowsiness, dizzy, decreased coordination (paradoxical response=opposite of expected response=agitation) If Paradoxical response DC benzodiazepam
Benzodiazepines act as a sedative – slowing down the body's functions – and are used for both sleeping problems and anxiety. They work by increasing the effect of a brain chemical called GABA (gamma amino butyric acid). GABA reduces brain activity in the areas of the brain responsible for: rational thought.
Benzodiazepine- Alprazolam (Xanax), Diazepam (valium), Lorazepam (Ativan), Clonazepam (Klonipin)
Reduces anxiety, induce sedation, relax muscles, treat alcohol withdrawal
Flumazenil (Romazicon) benzodiazepine antagonist
Nonbenzodiazepine- Buspirone (BuSpar)-
Antianxiety, does not cause dependence, no CNS depression, no sedative
Take 2-4 weeks to reach full effect
Barbiturates- phenobarbital, Seconal
Barbiturates are synthetic substances manufactured as pharmaceutical products. They act as depressants of the central nervous system
CNS depressant
Rarely used for anxiety today
Used in anesthesia
Slide 18
A coworker decided to make a lifestyle change and join the gym 6 months ago. They have continuously been exercises 3-4 days a week. Which level of the Transtheoretical Model of Health Promotion (TTM)?
What is the Maintenance Stage?
6 months after action started, continuing indefinitely
Slide 43