ATI 2023 3 Flashcards by Yuko Porter

Experiencing extrapyramidal effects.
What nurse should do?

Administer benztropine

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Benzodiazepine ADR?

Dizziness

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Benzodiazepines are often prescribed for what treatment?

seizure

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Alprazolam
What education to include?

Do not drive
=benzodiazepine

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Name
benzodiazepine

Alprazolam
Chlordiazepoxide
Clorazepate
Clonazepam
Diazepam

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Name
SSRIs

Sertraline
Fluoxetine
Citalopram
Paroxetine

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Anxiety
mild

restlessness
irritability
Heightened perception

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Anxiety
moderate

difficulty concentrating
muscle tightness

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Anxiety
Sever

Inability to function
ritualistic behavior
withdrawn
doom

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Anxiety
Panic

immobility
chest pain
shortness of breath

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somnolence

眠気　

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ritualistic

儀式的

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hypervigilance

過度の警戒

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doxepin?
Classification
ADR?
What needs to report immediately?

tricyclic antidepressant
drowsiness
Urinary retention

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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.

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muscle flaccidity

A type of paralysis in which a muscle becomes soft and yields to passive stretching

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Tourette’s disorder, what behavior should we expect?

Multiple motor and vocal tics

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derealization disorder?

Surroundings are unreal

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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

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How much it considers too much drinking?

Mal 5 or more in 2 hours
Female 4 or more

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MAOIs contraindication in pt is taking what med?

SSRIs
Serotonin syndrome

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Malignant

〈人・行為などが〉悪意のある
〔病理〕悪性の

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What manifestation of serotonin syndrome?

delirium
abdominal pain
muscle spasms
irritability

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diaphoresis

sweating

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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