Exam #2

Question 1

What are examples of torts in the hospital?

Answer 1

False imprisonment, assault, and battery.

Question 2

What is Utilitarianism?

Answer 2

view that actions are right if they prove the greatest good for the greatest amount of people

Question 3

What is Utilitarianism?

Answer 3

view that actions are right if they prove the greatest good for the greatest amount of people

Question 4

What is Kantianism (Deontology)?

Answer 4

the belief that the final outcome does not make an action good, actions should be guided by moral principles instead

Question 5

What are the types of abuse to watch out for?

Answer 5

physical, sexual, financial, neglect, emotional,

Question 6

What is emotional abuse?

Answer 6

behaviors that threaten and humiliate another person

Question 7

What are characteristics of an abuse perpetrator?

Answer 7

poor social skills, men who believe in male supremacy, PATHOLOGIC JEALOUSY, controls the family finances, likely to abuse alcohol or drugs, likely to have experienced violence as a child

Question 8

Signs of child neglect?

Answer 8

hoarding or stealing food, basic medical and dental needs are not met, delayed growth and development, poor cleanliness and hygiene.

Question 9

Signs of childhood physical abuse?

Answer 9

conflicting or changing stories regarding their injuries, injuries not typical for age group, injuries that resemble specific objects, delays in seeking care for injuries

Question 10

What percentage of individuals over 65 are abused by caregivers?

Answer 10

10%

Question 11

Who has an increased risk of experienced intimate partner violence?

Answer 11

Pregnant women

Question 12

What are the steps in the cycle of violence?

Answer 12

Tension-building phase, acute battery phase, honeymoon phase

Question 13

What is the tension-building phase?

Answer 13

perpetrator displaying controlling and jealous behaviors

Question 14

What is the acute battery phase?

Answer 14

abuse phase. shortest and most violent

Question 15

What is the honeymoon phase?

Answer 15

abuser feels guilt. tries to make up for actions by professing love, giving gifts, and promising to change

Question 16

What is the most important thing when caring for a sexual violence victim?

Answer 16

ensure adequate privacy

Question 17

What percentage of psychiatric clients were found to have committed an act of violence?

Answer 17

17%

Question 18

When does anger become unhealthy?

Answer 18

When it turns into aggression

Question 19

What is the best intervention for managing aggression?

Answer 19

prevention

Question 20

What factors does the nurse look for when assessing risk for violence?

Answer 20

history, diagnosis, and red flags

Question 21

What are important de-escalating techniques?

Answer 21

1. calm, caring voice
   2.set boundaries and identify consequences
2. tell client you are concerned and would like to understand
3. seek to understand what is behind anger/aggression
4. respect client’s personal space
   6.reduce stimulation and loud noise
   7.give the client options
   8.attempt to redirect attention to positive activity

Question 22

What are important nursing interventions patients with anger and aggression?

Answer 22

setting clear limits, describe consequences and always follow through, avoid touching clients that are angry or anxious, ensure no one is blocking the door, use least restrictive means as possible

Question 23

What Are traumatic events/stressors expected to do to someone’s life?

Answer 23

disrupt anyone’s life

Question 24

What disorders can individuals that have problems coping, managing stress and emotions, or resuming daily activities develop?

Answer 24

adjustment disorder, acute stress disorder, PTSD, dissociative disorder

Question 25

What happens to brain structure/function in Schizophrenia?

Answer 25

changes in basal ganglia activity, structural brain abnormalities, less brain tissue and cerebrospinal fluid (most supported) in frontal and temporal region of brain

Question 26

What are the typical antipsychotics?

Answer 26

more effective with positive symptoms

Question 27

What are atypical symptoms?

Answer 27

newer, help treat positive and negative symptoms, extrapyramidal side effects

Question 28

What are side effects of antipsychotics?

Answer 28

sedation, postural hypotension, sexual dysfunctions, photosensitivity, allergic skin reaction, weight gain

Question 29

What are specific side effects of anticholinergics?

Answer 29

lowers bp, dry mouth, blurred vision, constipation, blurred vision, constipation, urinary retention, lower seizure threshold

Question 30

What are the more severe side effects of antipsychotics?

Answer 30

agranulocytosis, jaundice, EPS,tardive dyskenisia, Neuroleptic malignant syndrome`

Question 31

How to control EPS?

Answer 31

lower dose, change meds, cogentin, akineton, artane

Question 32

What are positive symptoms of schizo?

Answer 32

manifestations of things that are not normally present (hallucinations, delusions, alterations in speech, bizarre behavior)

Question 33

What are negative symptoms of schizo?

Answer 33

absence of things that are normally present

Question 34

What are grandeur delusions?

Answer 34

believes thay are all powerful and important, like a god

Question 35

What are somatic delusions?

Answer 35

believes that their body is changing in an unusual way

Question 36

What is associative looseness?

Answer 36

unconscious inability to concentrate on a single thought.

Question 37

What is neologisms?

Answer 37

made up words that have meaning only to the client

Question 38

What is echolalia?

Answer 38

the client repeats the words spoken to them

Question 39

What is clang association?

Answer 39

forceful, meaningless rhyming of words

Question 40

What is word salad?

Answer 40

words jumbled together with little meaning or significance to listener

Question 41

What are the types of hallucinations?

Answer 41

auditory, command, visual, olfactory, gustatory, tactile

Question 42

What are the most effective medications for generalized anxiety disorder?

Answer 42

SSRI and buspirone

Question 43

What are the types of behavioral therapy?

Answer 43

positive reframing, assertiveness training, systemic desensitization, flooding, exposure, response prevention

Question 44

What is response prevention?

Answer 44

refraining from avoidance, compulsion, or escape behavior

Question 45

What is exposure therapy?

Answer 45

exposing patient to anxiety source without intention to cause danger

Question 46

What is positive reframing?

Answer 46

thinking about a negative trigger or topic in a more positive way

Question 47

What is flooding?

Answer 47

exposing patient directly to worst fears

Question 48

What are coping strategies for stress?

Answer 48

breathing exercises. guided imagery, meditation, listening to music, recreational activity

Question 49

What is decatastrophizing?

Answer 49

making more realistic appraisal of situations

Question 50

What is assertiveness training?

Answer 50

learning to negotiate interpersonal situations

Question 51

What is an obsession?

Answer 51

recurrent, persistent, intrusive, and unwanted thoughts, images, or impulses that cause marked anxiety and interfere with interpersonal, social, or occupational function

Question 52

What is a compulsion?

Answer 52

ritualistic or repetitive behaviors or mental acts that a person carries out continuously to neutralize anxiety

Question 53

Is there a definitive explanation of why people develop OCD?

Answer 53

nOOOO

Question 54

What is dissociative amnesia?

Answer 54

the client cannot remember important personal information and includes a fugue experience where the client suddenly moves to a new geographic location with no memory of past (assumes a new identity)

Question 55

What is depersonalization/ derealization disorder?

Answer 55

the client has a persistent or recurrent feeling of being detached from his or her mental processes or body or they have the sensation of being in a dream-like state in which the environment seems foggy or unreal

Question 56

What is dissociative identity disorder?

Answer 56

the client displays 2 or more distinct identities or personality states that recurrently take control of his or her behavior and is accompanied by the inability to recall important personal information

Question 57

What are the goals of treatment for stressor-related disorders?

Answer 57

improve quality of life, improve functional abilities, reduce symptoms

Question 58

What are the EPS?

Answer 58

pseudoparkinsonism, akathesia, akinesia or bradykinesia, dystonia

Question 59

What are the three types of anxiety?

Answer 59

reality, moral, neurotic

Question 60

What is the assessment for OCD?

Answer 60

Yale-Brown obsessive compulsive