Before ATI Flashcards
intrapersonal?
Self-talk
interpersonal?
Talk to the pt
Transference
Pt view nurses to characteristics of other
-significant to the pt’s life
Countertransference
Health care worker displaces characteristics in the pt
Nurse client relationship
a) the needs of both participants are met.
b) An emotional commitment exists between the participants
c) it is goal-directed
d) Behavioral change is encouraged
e) A termination date is established
c, d, e
a: not both only pt
Diagnostic and Statistical Manual of Mental Disorder (DSM-5)
Which info includes?
a) Client education hands out for mental health disorder
b) Establishes diagnostic criteria for individual mental health disorders
c) Recommended pharmacological treatment
d) Assists nurses in planning care
e) Expected assessment findings
B,D,E
Orientation
Introduce self to the pt
Set rules
Set goals
Confidentiality
Termination
Discuss thoughts and feeling about termination
Review goals and achievements
Orientation? working? or termination?
a) Discussing ways to use the new behavior
b) Practicing new problem-solving skills
c) Developing goals
d) Established boundaries
a termination
b working
c orientation
d orientation
Primary prevention
teach community education
provide support group
Secondary prevention
Screening
Early didction
Tertiary prevention
Rehabilitation
Create a support group for family members of pt who completed suicide
classic psychoanalysis
Focus on the past to identify the cause of anxiety
require months to years
assess conscious
Not changing behavior
implement cognitive reframing technique
Priority restructuring
Monitoring thought
Journal keeping
disulfiram for treating alcohol use disorder
If drinking alcohol gives n/v
What type of treatment is this?
Aversion therapy
How long does typical ECT treatment is?
2-3 times a week for total 6-12 treatments
TMS
outpatient procedure
(ETS for hospitalization)
Last 30 mins
3-5 times a week for the first 4- weeks
Immediately after EMS, what finding?
Memory loss
Confusion
Vagus nerve stimulation
ADRs
Voice change
cough
Neck pain
donepezil for Alzheimer
What to mention?
end of the day just before the bedtime
screening for heart and pulmonary disease
Do not stop abruptly
delirium related acute UTI
Which should expect?
Rapid personal change
Hallucinations
Restlessness
Which are the somatic symptoms disorder?
a) age older than 65 years
b) anxiety disorder
c) Childhood trauma
d) Coronary artery disease
e) obesity
b, c
複数の身体症状により日常生活に支障をきたし,苦痛を伴う
a) age 16-25 is common
Anxiety disorder
Which are expecting?
a) obsessive thoughts about the disease
b) History of childhood abuse
c) Avoidance of health care provides
d) Depressive disorder
e) Narscisstic personality
A, b, c, d
Agoraphobia
Most common manifestation if this is fear of leaving home and avoiding open public spaces, such a sopping mall.
A nurse is assessing a pt who experienced sexual assault. Which is experiencing an emotional reaction to rape-trauma syndrome?
a) Genitourinary soreness
b) Difficulties with low self-esteem
c) Sleep disturbances
d) Emotional outbursts
e) Difficulty making decisions
d, e
Emotional outbursts=感情の爆発
a,c somatic reaction
b maladaptive emotion reaction
Generalized anxiety disorder
Can make a decision?
No
depression pt
Can make a decision?
Yes
as necessary
MMD
Characteristic
Sluggishness
Blunted affect
No mood swing, stay the same depression all the time
MMD
Continuation phase
Relapse prevention
education, medication, therapy
Delirium
Findings
Easily distracted
normal blood alcohol level
less than 50 mg/dL,
a nurse is assessing a pt who has stage 4 Alzheimer’s
Which nurse should expect?
a) the pt requires assistance with eating
b) the pt independently manages personal finances
c) the pt has bladder incontinence
d) the pt is able to identify the names of a family member
d
a:they can still eat themselves until 7
b:they have difficulty performing complex tasks
c:they still can use the toilet independently until 6
memantine for?
Severe Alzheimer’s disease
Mild, moderate
donepezil/at the bed time
disulfiram for alcohol dependence.
Which one should avoid?
a) peppermint candy
b) pure vanilla extract
c) salt
d) Chocolate
b
because it contains alcohol
What findings indicate antisocial personality disorder progress?
benzodiazepine
contraindication?
hypotension
overt statement
direct
誇張して言う
あからさまな声明
Pt said I plan to commit suicide, What assessments should the nurse identify?
Lethality of the method and availability of means
死に至らせる手段