ATI 2023 3 Flashcards
Experiencing extrapyramidal effects.
What nurse should do?
Administer benztropine
Benzodiazepine ADR?
Dizziness
Benzodiazepines are often prescribed for what treatment?
seizure
Alprazolam
What education to include?
Do not drive
=benzodiazepine
Name
benzodiazepine
Alprazolam
Chlordiazepoxide
Clorazepate
Clonazepam
Diazepam
Name
SSRIs
Sertraline
Fluoxetine
Citalopram
Paroxetine
Anxiety
mild
restlessness
irritability
Heightened perception
Anxiety
moderate
difficulty concentrating
muscle tightness
Anxiety
Sever
Inability to function
ritualistic behavior
withdrawn
doom
Anxiety
Panic
immobility
chest pain
shortness of breath
somnolence
眠気
ritualistic
儀式的
hypervigilance
過度の警戒
doxepin?
Classification
ADR?
What needs to report immediately?
tricyclic antidepressant
drowsiness
Urinary retention
A nurse is assessing a pt who has GAD and states “I drink alcohol to forget the pain” The pt exhibiting what defense mechanisms?
Rationalization/ a person covers up a real or perceived problem or weakness.
muscle flaccidity
A type of paralysis in which a muscle becomes soft and yields to passive stretching
Tourette’s disorder, what behavior should we expect?
Multiple motor and vocal tics
derealization disorder?
Surroundings are unreal
Working or termination phase?
1) problem-solving
2) discuss ways to use the new behavior
3) recognize the transfer
help work through the grief response
1) W
2) T
3) T
How much it considers too much drinking?
Mal 5 or more in 2 hours
Female 4 or more
MAOIs contraindication in pt is taking what med?
SSRIs
Serotonin syndrome
Malignant
〈人・行為などが〉悪意のある
〔病理〕悪性の
What manifestation of serotonin syndrome?
delirium
abdominal pain
muscle spasms
irritability
diaphoresis
sweating
A nurse is caring for a pt who has MDD, what are expecting findings?
a)feeling of hopelessness
b) pressured speech
c) grandiosity
d) anhedonia
e) flat facial expression
a, d and e
blunted affect
decrease emotional response
expected manifestation of schizophrenia
What is respite care?
Allow the pt to stay in a nursing facility for a few days while the caregivers to go on vacation etc
Which one is the positive or negative symptoms of schizophrenia?
a) Alogia
b) Withdrawal from social activities
c) Catatonia
a) N/poverty of speech
b) N
c) P/abnormal movements, behaviors
A pt is under alcohol toxicity and MDD. Which condition effect on which disease?
a) weight change
b) nausea and vomiting
c) level of consciousness
d) mental states
e) respiratory rate
a) MDD/MDD will experience significant weight loss
b) Alcohol
c) Alcohol
d) Both
e) Alcohol
Normal levels
a) fasting glucose level
b) sodium
c) BUN
d) Potassium
a) 99 mg/dL or lower
b) 135 to 145 mEq/L
c) 7 to 20 mg/dL/urea nitrogen in your blood
d) 3.5 to 5.2 mEq/L
arouse?
目覚める
emesis?
嘔吐
ameliorate?
deteriorating?
改善する
悪化している
BMI warning
anorexia nervosa
less than 17
anorexia nervosa
Vital abnormal range
HR less than 50
Systolic less than 90
Temp less than 36.0
ECG changes
hematemesis
Vomiting blood
Emotional lability?
Rapid transition from one emotion to another
Self-sacrificing
Which personality disorder?
Dependent personality disorder
atomoxetine
ADR?
Dark urine
ADHD med
Clozapine
finding that notify the provider ASAP
inability to breathe easily
Chlorpromazine
1st antipsychotic
dry mouth
EPS
Clozapine
2nd antipsychotic
sedation
monitor WBC
monitor glucose
Clonidine
reduce hyperactivity
use heroine withdrawal
Clomipramine
TCAs
indecisiveness?
being unable to decide
TCA med
Name
Amitriptyline
Doxepin
Clomipramine
MAOI med
Name
Phenelzine
Isocarboxazid
Tranylcypromine
Antipsychotics 1st
Name
Haloperidol
Loxapine
Chlorpromazine
Antipsychotics 2nd
Name
Risperidone
Clozapine
Olanzapine
A pt who have sever depression complained about his roommate who has bipolar disorder that “My roommate never sleeps and keeps me up, too” What nurse should do?
Move bipolar pt to a private room
Do not move to depression pt to a private room, they feel isolated and at risk for self-harm
Digoxin used for?
strength of the heart
control the rate and rhythm
A nurse is teaching relaxation techniques to mild, moderate or sever anxiety?
Mild
The nurse should plan to teach the client relaxation techniques during the mild level of anxiety. This is when the client will be able to concentrate and process information.
Provide teaching about the use of positive coping mechanisms.
Primary, secondary, or tertiary?
Primary
Establish screening programs to identify at-risk clients.
Primary, secondary, or tertiary?
Secondary
By establishing screening programs, the nurse can identify individuals who are at risk for partner violence in the community and can take the necessary steps to address individual client needs.
Refer survivors of intimate partner abuse to a legal advocacy program.
Primary, secondary, or tertiary?
Tertiary
after partner violence has occurred and facilitates support and healing for the client.
Organize rehabilitation therapy for clients who have experienced intimate partner abuse.
Primary, secondary, or tertiary?
Tertiary
after partner violence has occurred and facilitates support and rehabilitation for the client.
Dialectical behavior therapy
Cognitive behavioral therapy
Used for self-injurious(borderline personality)
Systematic desensitization
Provide relaxation techniques
for OCD, phobia
Validation therapy
reorientation
pt who experiences un reality
dementia
Eye movement desensitization and reprocessing therapy
PTAD
traumatic memories that cause distress 苦痛
What info includes in DSM-5
diagnostics criteria
planning care
expecting findings
Not education or pharmacological treatment includes
What is interpersonal communication?
One-on-one communication with the pt
Transference?
Occur when the pt views a nurse as characteristic someone
Classical psychoanalysis?
Focus on pt’s past relationships
The medication makes pt nauseous and vomits when alcohol is consumed, what treatment is this?
Aversion therapy
unpleasant stimuli
TMS will schedule how many times a week for the first several weeks?
3 to 5 times
After ETC what expecting?
Memory loss
Confusion
PTSD expecting findings?
a) Difficulty concentrating on tasks
b) Obsessive need to talk about the traumatic event
c) Negative self-image
d) Recurring nightmares
e) Diminished reflexes
a, c, d
e) increase startle reflex and hypervigilance
MDD
what to keep in mind in the first weeks?
The pt is at the greatest risk for suicide during the first weeks of an MDD episode.
What is depersonalization?
Loos of identity
I am no one, and everyone is me
Attempt to convince others to relinquish their belonging
antisocial personality
他人に自分の所有物を手放すよう説得しようとする
納得させる
放棄する
Expecting findings of bulimia nervosa
a) amenorrhea
b) hypokalemia
c) Yellowing of the skin
d) Slightly elevated body weight
e) Laungo
b, d
Alprazolam toxicity
a) manifestation
b) what to do?
a) confusion
b) Identify the pt’s level of orientation then administer flumazenil.
A nurse reviewing the medical record, what findings that makes the nurse to say stop to administer bupropion?
a) The pt has a family history of seasonal pattern depression.
b) The pt smokes 1.5 packs of cigarettes pre day
c) The pt had a motor vehicle crash last year and sustained a head injury
c
great risk development of seizures.
make lower the seizure threshold
Lithium
An early indication of toxicity
polyuria
muscle weakness
constipation
atomoxetine ADHD
ADR
yellowing skin
fever
malaise(倦怠感)
Those are potential indication of hepatotoxicity
altercation
言い合い
口論
cursing
ののしる
Alcohol withdrawal manifestations
2 A 2 D 3H
Anxiety
Agitation
Dilated pupils
Diaphoresis
Hallusination
Hand tremors
HTN
