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