問題一覧
1
Nurse listening to pt who states “no matter how early l get up I’m always late”
s/s of generalized anxiety
2
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
3
Pt asking about s/s of panic attack
Impending doom
4
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
5
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
6
what to do for ECT prep (initiate seizure to help w depression)
stop Benzos ECt only causes short term memory loss
7
TCA med + anticholinergic drug
lethal overdose too much TCA cause anticholinergic OD
8
pt manic
offer finger food cut sandwich into fourths
9
what to d/w acute anxiety
beta blockers, antihistamines, anticonvulsants
10
2nd gen vs gen antipsychotics
-
11
pt hasn’t ate/ slept in 48hrs what to do
calm mood deal w/ physical s/s (bc of Maslow)
12
pt taking SSRI, I have x2 dose to make it work faster
causes serotonin syndrome
13
agranulocytosis, 2nd gen antipsychotic ( calzone) what lab value to pay attention to
low WBC for neutropenioa
14
1st gen (chorpromazine) if develope EPS, NMS, fever, increased HR, increase Vitals
call 911 go to ER
15
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
16
how often to over hydration/ food to pt in restraints
Q1H every hour
17
lithium toxicity, level 2.0 what to do
stop the med 0.5 - 1.5 therapeutic range sodium intake = maintain normal intake
18
nurse notic pt in group rubbing head what is this a sign of
reflection
19
pt tells nurse I never realized so many people have the same problem, what is this
Universalizing
20
Which situation would you assess first
Have you ever wanted to end your life?
21
pt taking SSIR, “ I have twice dose to make it work faster”
causes serotonin syndrome
22
nurse caring for pt who lost all their stuff in tornado, what type of crisis
adventitious
23
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
24
Pt put mom in LTC, as nurse how do you respond
I see you are concerned about your mom
25
planning phase
focus on objectives and goals naming the group
26
*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
27
what to do for ECT prep ( initiate seizure to help w/ depression)
step benzo ECT causes short term memory loss
28
antipsychotics s/e one med starts w/ cand ends in “ine”
1st gen. Chlorpromazine 2nd gen. Clozapine
29
What to do with Acute anxiety
-
30
positive & neg s/e of schizophrenia select all that apply that are neg s/e
(2,3) behavior problems social interactions
31
main purpose for defense mechanisms
reduce anxiety
32
TCA drug
cause anticholinergic OD = toxic
33
If person's manic
check chart look for falls risk
34
pt admitted 1st time for schizophrenia, sister calls to check up, what is important
ask about family hx of schizophrenia
35
how often to offer hydration/ food to pt in restraints
Q1H/ every hr
36
Why is nurse telling me about anxiety when I have OCD
Most people with OCD also have anxiety
37
which pt to see first
involuntary pt admitted w/ unfinished assessment
38
pt using words like “cat run” makes no sense, etc, in sentence what is this called
word salad… form of speech w/ schizophrenia
39
Pt who can't stop washing hands (OCD)
Help find other ways to burn off energy
40
nurse notice pt in group rubbing head, what is this a sign of?
reflection
41
before ECT what to check for
brain tumor
42
Male finds coworker attractive, takes it out on wife
Projection
43
Group session, I wish I could have a marriage like my siblings
Ask class if anyone else feels that way
44
tardive dyskinesia
antipsychotics side effect
45
pt hasn’t ate/ slept in 48 hrs what to do
calm mood deal w/ physical s/s (bc Maslow)
46
serotonin syndrome expected findings
flu like symptoms
47
Nurse telling Coworker "This dr doesn't like me"
Suppression
48
TCA drug (triptyline/ pramine) ( drugs end in ine)
causes Anticholinergic OD (can’t pee, can’t spit, can’t shit) is toxic