ATI #2 Flashcards
Generalized anxiety disorder
We’ll assist you to making decision
cocaine intoxication findings
hypervigilance
hyperactivity
hyper alertness
dilated pupils
When dealing with an agitated patient?
Talk calmly and quietly
Stay 1 to 2 arm-lengths away to give a sense of personal space and maintain the safety
Conduct disorder? Kids
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.
Before touching pt, what you must do?
Always ask before touching a client
True or false
Pt who depression can make decision as necessary
True
Urgent vs Nonurgent
A pt who has schizophrenia is prescribe an antipsychotic medication, and has dystonia
Urgent
Urgent vs Nonurgent
A pt who has borderline personality disorder and manipulates staff members
Nonurgent
Because manipulation is one of the S/S
Somatic symptom disorder
a person has a significant focus on physical symptoms, such as pain, weakness or shortness of breath
somatic symptom disorder
what nurse should do?
Stay with the pt and assesses the symptoms
Bulimia nervosa pt, what lab results indicates a therapeutic response?
Potassium 3.9mEq/L
Because K level is decrease d/t vomiting
Normal range 3.6 to 5.2
Fears other will reject them in social situation is what disorder?
Avoidant personality disorder
Believes they are entitled to special treatment form others is what disorder?
Narcissistic personality disorder
Demonstrates exaggerated emotions to gain attention is what disorder?
Historic personality disorder
Acute stress disorder expected what manifestation?
Derealization
Borderline personality disorder. what identify as a risk factor for relapse?
anosognosia
「自分の病態に気づかない」
restricting anorexia nervosa
Decrease calory intake
Anorexia nervosa doesn’t cause loss of appetite. People with anorexia nervosa purposely avoid food
an old adult possible abuse by her caregiver.
What action the nurse take?
Maintain non judgmental tone
Stereotypical behaviors like repetitive movements
are which disorder
pacing, repeating
Schizophrenia
OCD biggest S/S
repitive behavior
borderline disorder
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
The client states “ I need to get my gummmashoure” What this?
Neologism
Nonmeaning to others
Kids made pee on bed after finding out parents are divorce
Regression
“We won’t be alarmed if there is some confusion after the treatment”
Which treatment?
ECT
Common confusion and disorientation
looseness associated?
Schizophrenia
Client who just received diagnosis cancer.
What first reaction the pt will take?
Denial
anorexia nervosa
a) poor hygiene
b) strenuous exercise regime
c) intense fear of death
b
strenuous=激しい
Ture or false
Pt who is involuntarily admitted can leave facility against medical advice
false
valproic acid
What function need to monitor?
Liver
Normal anxiety is?
A healthy response to stress for survival
Mild anxiety?
This occurs in the normal experience of everyday living
Moderate anxiety?
Ability to think clearly is effect, but learning and problem solving can still work
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, c, d
anxiety moderate level
Still learning, problem solving
Cannot think clear
anxiety sever level
They CANNOT
think clear
learning or problem solving
generalized anxiety disorder
teach relaxation techniques
Which level?
Mild
because it needs to concentrate
MMD
Characteristic
Sluggishness
Blunted affect
No mood swing, stay the same depression all the time
Premenstrual dysphonic disorder
Characteristic
Emotional lability
Rapid mood swings
月経前不快気分障害
MMD
Continuation phase
Relapse prevention
education, medication, therapy
MMD
Maintenance phase
Remission of manifestations
Prevention future depressive episode is the goal
MMD
Acute phase
Treatment manifestation
persistent depressive disorder
Presence of manifestations for?
at least 2 years
persistent depressive disorder
Presence of manifestations for?
at least 2 years
持続性抑うつ障害
Informed consent
Leads to agreement or permission for care, treatment, or services
delusions of persecution?
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
Blood alcohol level
At a blood ethanol level of less than 50 mg/dL
