ATI reviews Flashcards

1
Q

Anorexia nervosa
Manifestation/mentally

A

-obsessed with thoughts of food
-intense fear of gaining weight
-intense exercise regimen
-think they are severely overweight and sees this image reflected in the mirror

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2
Q

Anorexia nervosa
Manifestation/physically

A

lanugo on back and face
pale skin from anemia
yellow skin from hypercarotenemia
hypoactive bowel sounds
(constipation)

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3
Q

Anorexia nervosa
care

A

watch the pt one hour before and after meals
encourage the social aspect of eating and don’t discuss food during meals
do NOT let them exercise until goal weight is reached

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4
Q

during panic attack

A

I’m going to die!
DO NOT leave them alone
Repetition and simple phrases when speaking with the client

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5
Q

crisis
a) assese?
b) nursing diagnosis

A

a) suicidal ideation
b) infective coping
disturbed thought process
fear

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6
Q

schizophrenia
positive sing

A

hallucinations
delusions
alternations speech

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7
Q

Clang association
Neologisms
Echolalia
Word salads

A

Oh fox, box, lox……
Made up new words
repeat words
words jumbled together

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8
Q

effective communications
encouraging expression of feelings

A

Use what if or smellier question

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9
Q

Delirium
risk factor

A

-infection
-substance withdrawal
-head injury
-pain

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10
Q

What is delirium?

A

altered level of consciousness
rapid change in personality
sudden confusion

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11
Q

Contraindication
selegiline

A

Pt who take carbamazepine or oxcarbazepine(anticonvulsant )
risk for increase blood pressure

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12
Q

Clozapine ADRs

A

Fatal agranulocytosis
(monitor WBCs)

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13
Q

Contraindication
Aripiprazole

A

dystonia
EPS?
Fix with benztropin

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14
Q

It’s okay to give lithium with a current level of?

A

1.0-1.2

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15
Q

What low level indicate lithium toxicity?

A

Low sodium level
128 is low (135-145)

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16
Q

Improved sing mood stabilizer

A

Verbalization of improvement in mood
Ability perform ADLs
Appropriate interaction with peers

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17
Q

CAGE
assess for?

A

diagnosis alcohol disorder

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18
Q

Alcohol withdrawal
manifestation

A

headache
hand tremors
n/v
sweating
tachycardia
insomnia
irritability.

19
Q

panic attack

A

Clam, quiet environment
Don’t leave them alone
Tall them it’s ok with simple word

20
Q

Neurocognitive disorder
making room for them

A

put them near the nurse station
room with well light
room with low level of visual and auditory stimuli

21
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31
Q
A

Being spied on by someone who means harm

32
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A
33
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A
34
Q
A

Somnolence,
-defined as a state of drowsiness or strong desire to fall asleep
Pinpoint pupils
Contraction of the pupil,\

35
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40
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41
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42
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43
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A