ATI #2 Flashcards

1
Q

Generalized anxiety disorder

A

We’ll assist you to making decision

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2
Q

cocaine intoxication findings

A

hypervigilance
hyperactivity
hyper alertness
dilated pupils

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3
Q

When dealing with an agitated patient?

A

Talk calmly and quietly
Stay 1 to 2 arm-lengths away to give a sense of personal space and maintain the safety

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4
Q

Conduct disorder? Kids

A

Aggression toward others and violation of others’ rights impulsively.
Pt has lack of respect for authority figures and might attempt to fight or intimidate others.
They are easily angered, don’t respect the rules.
They do NOT have flat affect.

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5
Q

Before touching pt, what you must do?

A

Always ask before touching a client

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6
Q

True or false
Pt who depression can make decision as necessary

A

True

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7
Q

Urgent vs Nonurgent
A pt who has schizophrenia is prescribe an antipsychotic medication, and has dystonia

A

Urgent

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8
Q

Urgent vs Nonurgent
A pt who has borderline personality disorder and manipulates staff members

A

Nonurgent
Because manipulation is one of the S/S

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9
Q

Somatic symptom disorder

A

a person has a significant focus on physical symptoms, such as pain, weakness or shortness of breath

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10
Q

somatic symptom disorder
what nurse should do?

A

Stay with the pt and assesses the symptoms

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11
Q

Bulimia nervosa pt, what lab results indicates a therapeutic response?

A

Potassium 3.9mEq/L
Because K level is decrease d/t vomiting
Normal range 3.6 to 5.2

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12
Q

Fears other will reject them in social situation is what disorder?

A

Avoidant personality disorder

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13
Q

Believes they are entitled to special treatment form others is what disorder?

A

Narcissistic personality disorder

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14
Q

Demonstrates exaggerated emotions to gain attention is what disorder?

A

Historic personality disorder

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15
Q

Acute stress disorder expected what manifestation?

A

Derealization

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16
Q

Borderline personality disorder. what identify as a risk factor for relapse?

A

anosognosia
「自分の病態に気づかない」

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17
Q

restricting anorexia nervosa

A

Decrease calory intake
Anorexia nervosa doesn’t cause loss of appetite. People with anorexia nervosa purposely avoid food

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18
Q

an old adult possible abuse by her caregiver.
What action the nurse take?

A

Maintain non judgmental tone

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19
Q

Stereotypical behaviors like repetitive movements
are which disorder
pacing, repeating

A

Schizophrenia

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20
Q

OCD biggest S/S

A

repitive behavior

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21
Q

borderline disorder

A

Emotional lability
普段は円満な性格の人がちょっとしたことをきっかけに、残忍・陰湿・執拗(しつよう)な性格に豹変し、人格が変わったように見える

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22
Q

The client states “ I need to get my gummmashoure” What this?

A

Neologism
Nonmeaning to others

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23
Q

Kids made pee on bed after finding out parents are divorce

A

Regression

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24
Q

“We won’t be alarmed if there is some confusion after the treatment”
Which treatment?

A

ECT
Common confusion and disorientation

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25
Q

looseness associated?

A

Schizophrenia

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26
Q

Client who just received diagnosis cancer.
What first reaction the pt will take?

A

Denial

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27
Q

anorexia nervosa

a) poor hygiene
b) strenuous exercise regime   
c) intense fear of death

A

b
strenuous=激しい

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28
Q

Ture or false

Pt who is involuntarily admitted can leave facility against medical advice

A

false

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29
Q

valproic acid
What function need to monitor?

A

Liver

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30
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A
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48
Q

Normal anxiety is?

A

A healthy response to stress for survival
Mild anxiety?
This occurs in the normal experience of everyday living

49
Q

Moderate anxiety?

A

Ability to think clearly is effect, but learning and problem solving can still work

50
Q

A nurse is assessing a pt who has generalized anxiety disorder. Which findings a nurse should expect? ASTA
a)Excessive worry for 6months
b)Impulsive decision making
c) Delayed reflexes
d) Sleep disturbance

A

a, c, d

51
Q

anxiety moderate level

A

Still learning, problem solving
Cannot think clear

52
Q

anxiety sever level

A

They CANNOT
think clear
learning or problem solving

53
Q

generalized anxiety disorder
teach relaxation techniques
Which level?

A

Mild
because it needs to concentrate

54
Q

MMD
Characteristic

A

Sluggishness
Blunted affect

No mood swing, stay the same depression all the time

55
Q

Premenstrual dysphonic disorder
Characteristic

A

Emotional lability
Rapid mood swings

月経前不快気分障害

56
Q

MMD
Continuation phase

A

Relapse prevention
education, medication, therapy

57
Q

MMD
Maintenance phase

A

Remission of manifestations
Prevention future depressive episode is the goal

58
Q

MMD
Acute phase

A

Treatment manifestation

59
Q

persistent depressive disorder
Presence of manifestations for?

A

at least 2 years

60
Q

persistent depressive disorder
Presence of manifestations for?

A

at least 2 years
持続性抑うつ障害

61
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66
Q
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67
Q

Informed consent
Leads to agreement or permission for care, treatment, or services

A
68
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71
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72
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73
Q
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74
Q

delusions of persecution?

A

Pt belief that a person in power is out to harm them
他人が自分をねらい、困らせ、挫折させ、苦しめようとしている、という幻想

75
Q

Blood alcohol level

A

At a blood ethanol level of less than 50 mg/dL