Blueprint questions

Question 1

Extrapyramidal symptoms

Answer 1

pseudoparkinsonism: Shaking, drooling, rigidity. may appear 1-5 days post med.

Akinesia: impairment in voluntary movement

Akathisia: Continuous fidgeting

Dystonia: Involuntary muscle spasms

Oculogyric crisis: Rolling back of eyes

Tardive dyskinesia: Bizarre face and tongue movements, difficulty swallowing

Question 2

Phases of the nurse-lient relationship

Answer 2

Preinteraction phase

Orientation phase: becoming acquainted, building trust and rapport

Working phase: maintaining trust and rapport, problem solving. Transference (projecting feelings towards someone else onto the nurse) may occur, as well as countertransference (opposite).

Termination phase:

Question 3

Problem oriented recording

documentation

Answer 3

SOAPIE

Subjective data
Objective data
Assessment
Plan
Intervention
Evaluation

Question 4

Case management

Answer 4

Health delivery process

Provide quality care, decrease fragmentation enhance QOL, contain costs

Question 5

Managed care

Answer 5

Control of balance between cost and quality of care

Receive care based on need

Question 6

Critical pathways of care

Answer 6

abbreviated plans of care using outcome based guidelines for goals within a length of time.

Used by entire interdisciplinary team.

Question 7

Focus charting

Answer 7

Cannot be a medical dx

focus on stuff like

• nursing dx
• client concern or behavior
• significant change in client status/behavior
• significant event in client therapy

Uses data, action, and response

Question 8

Attitudes vs values

Answer 8

Attitudes are frames of reference which someone organizes knowledge about their world.

Values are standards that represent a mode of conduct and ideal goals.

Question 9

Milieu therapy definition

Answer 9

scientific structuring of environment to affect behavioral changes and improve psychological heath and functioning

Question 10

Basic assumptions of milieu therapy

Answer 10

Health in each individual recognized and fostered

Every interaction has opportunity for therapeutic intervention

The client owns their own environment and behavior

Peer pressure is useful and powerful

Restrictions and punishments are to be avoided

Question 11

Role of the nurse Milieu

Answer 11

Mange therapeutic environment on 24hr basis

ensure client psychological and physiological needs are met

med admin
1 to 1 relationship
set behavior limits
education