問題一覧
1
The nurse is assessing stress. What criteria for them being dx, what is a resilience trait?
Person is expressing unrealistic factors about going to school
2
Select all that apply: QSEN competencies all healthcare must
safety & informatics (2, 4????????? quality improvement
3
Select all that apply: Malpractice
○ Duty ○ Cause in fact ○ Damages (2,3,4) breach of duty proximate cause
4
Restraints, list of orders:
Question the order
5
Anticonvulsants, off label use, pt Rx but no Hx of seizures
Mood stabilizer
6
Buspirone
○ Not addictive as benzo, diazepam benzos end in Pam or lam
7
MAOIs
-don’t take with antidepressants (SSIR) no tyramine (aged cheese)
8
Adolescent asks you not to tell anyone, what's the response?
Notify the tx team
9
What you're going to do when walking into the room and the patient can't hear you b/c tv is too loud (sensory & motor?
Turn down the volume
10
If pt. refuses med, how to document
pt. refused meds. physicians notified
11
Involuntary movement (Dystonia)
Antipsychotics Contact md & report asap if experience, congentin will help, if not taken anything to helps sx, will permanently have eps sx
12
How does the nurse have culturally competent care?
-
13
Countertransference
Drug addict came in, how does the nurse show ___ A (obvious)
14
Pt is belligerent, yelling upset, treaenting to sue what should the nurse do?
Continue to establish a rapport
15
Lithium: range = 0.5 – 1.5 (salt = stabilize mood)
o Greater than 1.5 = toxic o No excessive water drinking after taking med
16
pt ask about side effects nurse says no
veracity (withholding truth)
17
violation of pt rights
not allowing them to see the chaplain
18
what right does nurse have to stop pt from doing
right to participate in group therapy
19
recidivism
reoffendor
20
my kid only wants to play with friend
this is normal
21
pt admitted for OD is upset says I’m so stupid wish family would come see me. Maslow
love and belonging
22
which of would you assess first b/c Maslow is at risk, experiencing depression and thoughts of scuicide
Physiological
23
Pt is doing crazy shit in day room
Remove the other client out of the room (safety)
24
Pt, comes in admit to nurse they just sexually assaulted baby before coming, what do to?
Report and contact authorities
25
Check what lab values go with valproate
low Platelet count (WBC)causes thrombocytopenia check platelet, ast, alt, lipase (10-140)
26
if a child refuses meds, and a nurse mixes it in pudding, gives to child w/o knowing, what did she violate?
Autonomy (= Respecting the rights of others to make their own decisions)
27
What not to take with benzos, incorrect answer
The pt said they should avoid tyramine
28
Documentation; what should the nurse include w/
Subjective data
29
Definition of pepalu
Shift from what nurses “do to” patients to “do with” patients
30
There was a question which VS to check first
120 pulse
31
Advanced directive unsigned for pt in psychosis
call family
32
Erikson’s
Single adult- I won’t find a life partner, other says he will ■ Intimacy vs. isolation ○ Teenager ■ Identify vs. role confusion ○ School aged child ■ Industry vs. inferiority
33
Lithium
Call PCP if vomiting diarrhea
34
Newly hired nurse, when should nurse preceptor intervent
○ Refrain from placing the client between the door and the nurse ○ Piece of furniture between them ○ 30-45 degree angle to eliminate anxiousness from interveiqw
35
Language
Call interpreter
36
peplau’s
○ Orientation phase ■ Nurse saying what should i call u ○ Working phase ■ Review meds/ educate ○ Termination phase ■ Nurse says i'll call u in a week to follow up and see how your doing (wrong) if you feel you need help again go to the ER ( correct)
37
Pt,. family member goes to the unit, nurse observed the other nurse checking visitor bag, what example of?
must be done, apart of protocol
38
Involuntary (emergency)
Up to 72 hours
39
What are down sides to questioning
Pt can shut down, discourage or from talking
40
If you threaten to seclude a patient is it assault or battery
Assault
41
A patient states he doesn’t see his spouse making it, and the nurse says “that’s hard to believe.” What therapeutic approach?
Applying self to show interest in pts, needs
42
What are the parameters for patients rights to refuse meds
If Pt grants harmful to themself
43
Discharge, from voluntary hold, are they allowed to?
yes
44
1:1, what right is taken away from them?
Right to privacy
45
Nurses says to a client, how would u like to begin? What relationship is that?
Collaborative
46
The medical record able to be released to ___?
the court
47
Restraints
Not as needed/PRN
48
Trazodone
rarely given as antidepressant, more of sedative
49
Akathisia
inability to sit still, restlessness
50
Typical antipsyhotics
not being able to speak Eps
51
taking benzo’s
no wine no pain pills, habit forming
52
unintentional torts
negligence and malpractice
53
intentional tort
assault, battery and false imprisonment
54
negligence
don't prevent selfharm, don’t question dr order
55
nurse locks pt in after interview
false imprisonment