MH exam 2

48問 • 2年前

V Farris

通報

問題一覧

lithium toxicity, level 2.0 what to do

stop the med 0.5 - 1.5 therapeutic range sodium intake = maintain normal intake

antipsychotics s/e one med starts w/ cand ends in “ine”

1st gen. Chlorpromazine 2nd gen. Clozapine

Fluoxetine (SSIR) pt said they are having diarrhea, fever and other s/s

Eps and metabolic syndrome and serotonin syndrome and anticholinergic side effects can be used to treat OCD

positive & neg s/e of schizophrenia select all that apply that are neg s/e

(2,3) behavior problems social interactions

what to d/w acute anxiety

beta blockers, antihistamines, anticonvulsants

2nd gen vs gen antipsychotics

pt using words like “cat run” makes no sense, etc, in sentence what is this called

word salad… form of speech w/ schizophrenia

what to do for ECT prep (initiate seizure to help w depression)

stop Benzos ECt only causes short term memory loss

how often to over hydration/ food to pt in restraints

Q1H every hour

pt hasn’t ate/ slept in 48 hrs what to do

calm mood deal w/ physical s/s (bc Maslow)

TCA drug

cause anticholinergic OD = toxic

pt taking SSIR, “ I have twice dose to make it work faster”

causes serotonin syndrome

nurse notice pt in group rubbing head, what is this a sign of?

reflection

Why is nurse telling me about anxiety when I have OCD

Most people with OCD also have anxiety

What to do with Acute anxiety

If person's manic

check chart look for falls risk

Nurse talking to young girl, a lot of people don't think she's pretty so she is going to do something else besides Instagram/fb

Compensation

Group session, I wish I could have a marriage like my siblings

Ask class if anyone else feels that way

Nurse listening to pt who states “no matter how early l get up I’m always late”

s/s of generalized anxiety

Male finds coworker attractive, takes it out on wife

Projection

Nurse telling Coworker "This dr doesn't like me"

Suppression

Pt who can't stop washing hands (OCD)

Help find other ways to burn off energy

Pt put mom in LTC, as nurse how do you respond

I see you are concerned about your mom

Which situation would you assess first

Have you ever wanted to end your life?

Pt asking about s/s of panic attack

Impending doom

serotonin syndrome expected findings

flu like symptoms

planning phase

focus on objectives and goals naming the group

tardive dyskinesia

antipsychotics side effect

TCA med + anticholinergic drug

lethal overdose too much TCA cause anticholinergic OD

culture pt manic may be latino, wanted to use a root healer instead of taking meds how do you respond

don't be dismissive, involve root healer in plan of care

what to do for ECT prep ( initiate seizure to help w/ depression)

step benzo ECT causes short term memory loss

how often to offer hydration/ food to pt in restraints

Q1H/ every hr

pt hasn’t ate/ slept in 48hrs what to do

calm mood deal w/ physical s/s (bc of Maslow)

TCA drug (triptyline/ pramine) ( drugs end in ine)

causes Anticholinergic OD (can’t pee, can’t spit, can’t shit) is toxic

pt taking SSRI, I have x2 dose to make it work faster

causes serotonin syndrome

nurse notic pt in group rubbing head what is this a sign of

reflection

pt manic

offer finger food cut sandwich into fourths

which pt to see first

involuntary pt admitted w/ unfinished assessment

pt tells nurse I never realized so many people have the same problem, what is this

Universalizing

diathesis model, nurse talking to preceptor says “I’ve known someone else w/ same kind of depression, why is this other person having such a hard time”

more stree = more depression

before ECT what to check for

brain tumor

pt admitted 1st time for schizophrenia, sister calls to check up, what is important

ask about family hx of schizophrenia

nurse caring for pt who lost all their stuff in tornado, what type of crisis

adventitious

agranulocytosis, 2nd gen antipsychotic ( calzone) what lab value to pay attention to

low WBC for neutropenioa

1st gen (chorpromazine) if develope EPS, NMS, fever, increased HR, increase Vitals

call 911 go to ER

*pt placed on 1:1 observation bc expressing suicidal thoughk/ self harm, 2 hr later pt. wants to take a private shower (says they’re feeling much better. What do you tell them?

explain they how to iad on 1:1

therapeutic group therapy - how to manage a pt. who is monopolzing group therapy and had already been "warned", , what to do wext?

tell the pt to limit themselves to 2-3 examples per session

main purpose for defense mechanisms

reduce anxiety

NUR 170 exam 4

V Farris · 50問 · 3年前

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50問 • 3年前

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Exam 2 (Ch. 30,36,40,41)

V Farris · 77問 · 3年前

Exam 2 (Ch. 30,36,40,41)

Exam 4 Ch. 21

Exam 4 Ch. 21

Ch 19

Ch 19

Exam 5 Ch14

Exam 5 Ch14

Exam 3 Ch. 11

Exam 3 Ch. 11

Exam 6 Ch39

Exam 6 Ch39

Exam 2 Ch. 16

Exam 2 Ch. 16

Exam 3 Ch. 32

Exam 3 Ch. 32

Exam 4 Ch.14

Exam 4 Ch.14

Exam 6 Ch41

Exam 6 Ch41

Exam 6 Ch40

Exam 6 Ch40

Exam 6 Ch43

Exam 6 Ch43

Exam 5 Ch15

Exam 5 Ch15

Exam 5 Ch36

Exam 5 Ch36

Exam 5 Ch5

Exam 5 Ch5

Exam 5 Ch9

Exam 5 Ch9

Exam 4 Ch. 35

Exam 4 Ch. 35

Exam 3 Ch. 28

Exam 3 Ch. 28

Ch 20

Ch 20

Ch 26

Ch 26

Exam 3 Ch. 31

Exam 3 Ch. 31

Exam 6 Ch42

Exam 6 Ch42

Exam 6 Ch24

Exam 6 Ch24

Exam 5 Ch37

Exam 5 Ch37

Ch 10

Ch 10

Exam 3 Ch. 38

Exam 3 Ch. 38

Exam 3 Ch. 29

Exam 3 Ch. 29

Exam 2 Ch. 39

Exam 2 Ch. 39

Exam 6 Ch28

Exam 6 Ch28

Ch 3

Ch 3

Exam 6 Ch25

Exam 6 Ch25

Exam 4 Ch. 42

Exam 4 Ch. 42

Exam 6 Ch27

Exam 6 Ch27

Exam 6 Ch26

Exam 6 Ch26

Exam 5 Ch13

Exam 5 Ch13

Exam 4 Ch. 36

Exam 4 Ch. 36

Exam 6 Ch38

Exam 6 Ch38

Ch 4

Ch 4

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Nursing Process

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問題一覧

lithium toxicity, level 2.0 what to do

stop the med 0.5 - 1.5 therapeutic range sodium intake = maintain normal intake

antipsychotics s/e one med starts w/ cand ends in “ine”

1st gen. Chlorpromazine 2nd gen. Clozapine

Fluoxetine (SSIR) pt said they are having diarrhea, fever and other s/s

Eps and metabolic syndrome and serotonin syndrome and anticholinergic side effects can be used to treat OCD

positive & neg s/e of schizophrenia select all that apply that are neg s/e

(2,3) behavior problems social interactions

what to d/w acute anxiety

beta blockers, antihistamines, anticonvulsants

2nd gen vs gen antipsychotics

pt using words like “cat run” makes no sense, etc, in sentence what is this called

word salad… form of speech w/ schizophrenia

what to do for ECT prep (initiate seizure to help w depression)

stop Benzos ECt only causes short term memory loss

how often to over hydration/ food to pt in restraints

Q1H every hour

pt hasn’t ate/ slept in 48 hrs what to do

calm mood deal w/ physical s/s (bc Maslow)

TCA drug

cause anticholinergic OD = toxic

pt taking SSIR, “ I have twice dose to make it work faster”

causes serotonin syndrome

nurse notice pt in group rubbing head, what is this a sign of?

reflection

Why is nurse telling me about anxiety when I have OCD

Most people with OCD also have anxiety

What to do with Acute anxiety

If person's manic

check chart look for falls risk

Nurse talking to young girl, a lot of people don't think she's pretty so she is going to do something else besides Instagram/fb

Compensation

Group session, I wish I could have a marriage like my siblings

Ask class if anyone else feels that way

Nurse listening to pt who states “no matter how early l get up I’m always late”

s/s of generalized anxiety

Male finds coworker attractive, takes it out on wife

Projection

Nurse telling Coworker "This dr doesn't like me"

Suppression

Pt who can't stop washing hands (OCD)

Help find other ways to burn off energy

Pt put mom in LTC, as nurse how do you respond

I see you are concerned about your mom

Which situation would you assess first

Have you ever wanted to end your life?

Pt asking about s/s of panic attack

Impending doom

serotonin syndrome expected findings

flu like symptoms

planning phase

focus on objectives and goals naming the group

tardive dyskinesia

antipsychotics side effect

TCA med + anticholinergic drug

lethal overdose too much TCA cause anticholinergic OD

culture pt manic may be latino, wanted to use a root healer instead of taking meds how do you respond

don't be dismissive, involve root healer in plan of care

what to do for ECT prep ( initiate seizure to help w/ depression)

step benzo ECT causes short term memory loss

how often to offer hydration/ food to pt in restraints

Q1H/ every hr

pt hasn’t ate/ slept in 48hrs what to do

calm mood deal w/ physical s/s (bc of Maslow)

TCA drug (triptyline/ pramine) ( drugs end in ine)

causes Anticholinergic OD (can’t pee, can’t spit, can’t shit) is toxic

pt taking SSRI, I have x2 dose to make it work faster

causes serotonin syndrome

nurse notic pt in group rubbing head what is this a sign of

reflection

pt manic

offer finger food cut sandwich into fourths

which pt to see first

involuntary pt admitted w/ unfinished assessment

pt tells nurse I never realized so many people have the same problem, what is this

Universalizing

diathesis model, nurse talking to preceptor says “I’ve known someone else w/ same kind of depression, why is this other person having such a hard time”

more stree = more depression

before ECT what to check for

brain tumor

pt admitted 1st time for schizophrenia, sister calls to check up, what is important

ask about family hx of schizophrenia

nurse caring for pt who lost all their stuff in tornado, what type of crisis

adventitious

agranulocytosis, 2nd gen antipsychotic ( calzone) what lab value to pay attention to

low WBC for neutropenioa

1st gen (chorpromazine) if develope EPS, NMS, fever, increased HR, increase Vitals

call 911 go to ER

*pt placed on 1:1 observation bc expressing suicidal thoughk/ self harm, 2 hr later pt. wants to take a private shower (says they’re feeling much better. What do you tell them?

explain they how to iad on 1:1

therapeutic group therapy - how to manage a pt. who is monopolzing group therapy and had already been "warned", , what to do wext?

tell the pt to limit themselves to 2-3 examples per session

main purpose for defense mechanisms

reduce anxiety