ATI #2

Question 1

Generalized anxiety disorder

Answer 1

We’ll assist you to making decision

Question 2

cocaine intoxication findings

Answer 2

hypervigilance
hyperactivity
hyper alertness
dilated pupils

Question 3

When dealing with an agitated patient?

Answer 3

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

Question 4

Conduct disorder? Kids

Answer 4

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.

Question 5

Before touching pt, what you must do?

Answer 5

Always ask before touching a client

Question 6

True or false
Pt who depression can make decision as necessary

Answer 6

True

Question 7

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

Answer 7

Urgent

Question 8

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

Answer 8

Nonurgent
Because manipulation is one of the S/S

Question 9

Somatic symptom disorder

Answer 9

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

Question 10

somatic symptom disorder
what nurse should do?

Answer 10

Stay with the pt and assesses the symptoms

Question 11

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

Answer 11

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

Question 12

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

Answer 12

Avoidant personality disorder

Question 13

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

Answer 13

Narcissistic personality disorder

Question 14

Demonstrates exaggerated emotions to gain attention is what disorder?

Answer 14

Historic personality disorder

Question 15

Acute stress disorder expected what manifestation?

Answer 15

Derealization

Question 16

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

Answer 16

anosognosia
「自分の病態に気づかない」

Question 17

restricting anorexia nervosa

Answer 17

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

Question 18

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

Answer 18

Maintain non judgmental tone

Question 19

Stereotypical behaviors like repetitive movements
are which disorder
pacing, repeating

Answer 19

Schizophrenia

Question 20

OCD biggest S/S

Answer 20

repitive behavior

Question 21

borderline disorder

Answer 21

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

Question 22

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

Answer 22

Neologism
Nonmeaning to others

Question 23

Kids made pee on bed after finding out parents are divorce

Answer 23

Regression

Question 24

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

Answer 24

ECT
Common confusion and disorientation

Question 25

looseness associated?

Answer 25

Schizophrenia

Question 26

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

Answer 26

Denial

Question 27

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

Answer 27

b strenuous=激しい

Question 28

Ture or false Pt who is involuntarily admitted can leave facility against medical advice

Answer 28

false

Question 29

valproic acid What function need to monitor?

Answer 29

Liver

Question 30

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Question 37

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Question 39

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Question 43

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Question 45

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Question 47

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Question 48

Normal anxiety is?

Answer 48

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

Question 49

Moderate anxiety?

Answer 49

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

Question 50

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

Answer 50

a, c, d

Question 51

anxiety moderate level

Answer 51

Still learning, problem solving Cannot think clear

Question 52

anxiety sever level

Answer 52

They CANNOT think clear learning or problem solving

Question 53

generalized anxiety disorder teach relaxation techniques Which level?

Answer 53

Mild because it needs to concentrate

Question 54

MMD Characteristic

Answer 54

Sluggishness Blunted affect No mood swing, stay the same depression all the time

Question 55

Premenstrual dysphonic disorder Characteristic

Answer 55

Emotional lability Rapid mood swings 月経前不快気分障害

Question 56

MMD Continuation phase

Answer 56

Relapse prevention education, medication, therapy

Question 57

MMD Maintenance phase

Answer 57

Remission of manifestations Prevention future depressive episode is the goal

Question 58

MMD Acute phase

Answer 58

Treatment manifestation

Question 59

persistent depressive disorder Presence of manifestations for?

Answer 59

at least 2 years

Question 60

persistent depressive disorder Presence of manifestations for?

Answer 60

at least 2 years 持続性抑うつ障害

Question 61

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Question 62

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Question 63

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Question 64

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Question 65

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Question 66

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Question 67

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

Answer 67

Question 68

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Question 69

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Question 70

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Question 71

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Question 72

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Question 73

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Question 74

delusions of persecution?

Answer 74

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

Question 75

Blood alcohol level

Answer 75

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