MH exam 3

50問 • 2年前

問題一覧

Somatization can cause an

increase in attention

20 year old has PTSD with gang shooting.

Physiological symptoms that cause the stress

A child is drawing inappropriate things can be sign of? kid drawing pic of self as "bad guy", what should you tell parents?

Trauma

Parent bring child in for 6th visit. parent brings in child for back pain. chart pictured. this is the kids 6th visit, mom says " they never find anything wrong. what is wrong with mom?

Factitious disorder (munchause by proxy)

Loses sense after argument. *lady and husband got in argument, husband ask for divorce and wife loses sense of hearing after. What do you suspect wife has?

Conversion Disorder

Alzheimer medication teaching. "pt has Alzheimer’s, been Rx new med, which teaching is wrong?

med will stop Alzheimer’s from Progression

Alzheimer patient is arguing. *2 alzheimers pt's arguing @LTC Facility, appropriate response by nurse?

-send the 2 men in apposite directions & distract w/ an activity Send other way, redirect them and give activity

Patient hanging on parking meter, swinging back n forth. guy outside rocking on side of road, tells nurse he can see rope hanging from tree. What is he expenencing?

Illusion -hallucinations

Patient yelling in a foreign language, what should you do?

Interpreter

Cholinesterase Meds adhd and amphetamine?

Headache and no appetite

Select signs of OCD.

Perfectionist, complete projects 2, 4, 5

Protective Factors for suicide.

People close with others less likely to commit suicide

Donezipil.

Bradycardia

Distinguish between Alzheimer's and normal aging.

Difficulty finding correct words

Someone who has depression spouse dies. *elderly man comes in with depresion and is admitted. after Ist assessment, what to monitor?-

monitor nutrition intake

pt thinking kid has autism, Someone with autism lacks.

Social Interest

ADHD medication side effect.

No appetite or headache

Girl struggling in schools w/ Algebra. what disorder do you expect?

Dyscalculia

Conduct disorder.

Violates the rights of others

Patient has lump in breast & getting divorced.

Thinking about death (not suicide)

Priority assessment for suicidal patient.

Checking medications

Child diary shows hopelessness. * mom went through kid diary, kid said in diary "I feel hopeless & have no purpose" what should nurse respond?

Ask patient if they have ever attempted suicide - "has she ever said anything like this before?" OR "has she ever attempted suicide?"

Schizoid What would describe a person with schizoid penonality disorder?

they are Eccentric

Schizotypal

be mindful patient needs alone time and accepting of it they want alone time, not a concern for them to be alone

Nurse leaves the room with borderline personality patient and left her pen and requires follow up? pt. w/ borderline personality disorder, preceptor and nurse in room. Nurse leaves a pen on table, what should preceptor do?

Remove pen - pick up pen to take it w her

Raped patient worries about her friends.

Ask if the patient wants to talk about it

Mom says patient hop and then will squat is she faking it. mom brings kid in who has tics, mom ask if kid is making up tics because she use to jump and now squets. what to tell mom?

TICS can Change locations

Antisocial.

Entitled

Lady presents w/ vomiting & stomach pain, Alreadg diagnosed w/ somatic disorder, what to do?

Assess stomach and vital signs even though she may be exaggerating.

Select All that Apply

3, 4, 6

Select All that Apply

1, 4, 5

Select All that Apply OCD

2, 4, 5

What would you accept to see with someone who has avoidant personality disorder

SOCIAL isolation

Patient doesn't trust, hypervigilant, controlling relationships.

Paranoid

How can I have a new family, name, and home.

Dissociative fugue

Girl with PTSD.

Trigger and makes her remember

Patient keeps trying to get disability check. lady comes to hospital reporting back pain but dr can't find anything wrong. what would you expect this pt is doing?

Malingering

Older lady with meds, and need to

go through once a year and check for expirated medications

Conduct disorder-

Violates the rights of others (Steals stuff)

Oppositional defiance disorder-follow up question Negative stem

- only one med approved for this disorder

The patient has 26 cuts on their leg-

Anxiety and punishing themselves

pt. admitted to psych unit, is yelling in a foreign language, what should you do?

-call for interpreter

what would be a suicide protective factor (decrease odds of committing suicide)?

- those who have strong connections to others

*pt. w/ parkinsons, what do you encourage them to do?

- go through meds 1x per yr and discard expired meds

young girl betally raped night before, about to be dischanged, says she is worried what her friends will think. How to respend?

- ask pt if they want to talk about it

*kid w/ ADHD disrupting cass. How to handle situation?

- nurse will pull kid aside to talk and allow alone time in quiet area to calm down (decrease stimuli)

Anti Social behavior that needs to be corrected first

Stealing Food? Lying to Staff? Superficial in group therapy

Antisocial personality trait

Emotional Liability Self Gratification

Histrionic Disorder

Exaggerate and have a horrible headache

nurse has suicidal pts, which pt is provity?

Pt that said, “I’ve been cheeking my meds and hourding it to OD"

NUR 170 exam 4

V Farris · 50問 · 3年前

NUR 170 exam 4