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Exam 4 Mental Health NU376 > Exam 4 > Flashcards

Exam 4 Flashcards

1
Q

What is the goal of crisis intervention?

A

To return to the level of function before the crisis and to resolve the crisis.

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2
Q

What should the nurse ask to assess the person’s perception of the precipitating stressor?

A

What was happening before you felt this way?

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3
Q

What are signs that a persistently mentally ill (PMI) person might soon experience a crisis?

A

Anxiety increases, coping skills are mobilized, including defense mechanisms, that are unsuccessful and person perceives there is nothing he/she can do.

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4
Q

What would be a reason a homeless person would not be allowed to stay at a shelter?

A

They are actively using substances

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5
Q

What can shelter provide for the homeless?

A

A chance for social interaction, safety and support.

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6
Q

How soon after the last drink do withdrawal symptoms occur?

A

Six to eight hours after.

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7
Q

What should the nurse do when the person who has been admitted for alcohol abuse, develops high blood pressure?

A

They need more sedation–administer benzodiazepines and be careful of fluid overload.

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8
Q

What is an appropriate goal for initial detox phase?

A

Have and maintain stable vital signs.

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9
Q

How can “recovery” be described?

A

Lifelong process that is accomplished day by day.

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10
Q

What is an expected outcome for a person completing a substance abuse program?

A

Recognize powerlessness over substances and recognize that recovery is a lifelong process

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11
Q

How can success be measured for the person in recovery?

A

Number of drug free days

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12
Q

What is a nursing diagnosis of high priority for the intoxicated person?

A

High risk for injury

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13
Q

What is the most effective way to deal with denial in a person who abuses substances?

A

Have the person describe the effect that substance abuse has had on their life

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14
Q

What is the most important question to ask an alcoholic on admission?

A

When did you have your last drink?

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15
Q

What should parents observe for if they suspect their child of abusing substances?

A

Observe for behavioral changes (dropping grades, truancy, lack of interest, poor hygiene, and night sweats)

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16
Q

What should the nurse do if s/he suspects a co-woker is addicted to substances?

A

Document objectively (dates & times) and report to supervisor

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17
Q

How does methadone work

A

Used for withdrawal treatment but it is also addictive in substitution therapy

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18
Q

What are symptoms of amphetamine use?

A

Decreased growth, appetite suppression, insomnia

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19
Q

What are symptoms of of LSD use?

A

Depression, suicicidal ideation, fatigue

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20
Q

What are s/s of sedative/hypnotic withdrawal?

A

Similar to alcohol, carefully withdrawal (slowly reduce dose)

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21
Q

What are s/s of LSD use?

A

Synesthesia, alteration in sensations (see sounds), psychosis; bad trip - paranoia, anxiety, terror, suicide attempts, violence

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22
Q

What nursing intervention should be used in caring for a person who is withdrawing from a psychostimulant drug?

A

One to one supervision, low stimulation, seizure precautions, orient PRN, maintain adequate nutrition, fluids, administer medication, monitor for other substance abuse

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23
Q

What is the nurses legal responsibility if abuse is suspected?

A

Report it and the nurse does not investigate, rather they take care of the person

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24
Q

What are s/s of physical neglect?

A

Not providing a child’s basic needs, unkempt hygiene, and not going to doctor’s appointments

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25
Q

What is the reason children usually don’t report their abuse?

A

Fear of retaliation

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26
Q

What is emotional abuse?

A

Belittling, rejecting, ignoring, and blaming a child for things they cannot control

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27
Q

Which phase of the battering cycle makes it difficult for people to leave an abusive situation?

A

Honeymoon Phase

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28
Q

When a person who has been abused is assessed, what should take priority?

A

Physical injuries and document by photo of injuries

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29
Q

If a person decides to return to the abusive situation, what referral information should the nurse provide?

A

Encourage to develop a safety plan (have money stashed, an ID, and a place to go)

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30
Q

If person has been abused, what should be included in documentation?

A

Photos of the injury

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31
Q

When a person who has been raped calls a crisis hotline, what information should the nurse give?

A

Provide information so the victim can make decisions and encourage the victim to go to the hospital

32
Q

What information should be given ton discharge to the person who has been raped?

A

Arrange for supportive follow-up care and provide verbal and written instructions

33
Q

What should the nurse be able to do when providing patient care regarding sexuality?

A

Screen for sexually transmitted disorders, screen for sexual dysfunction, and give information related to the person’s concerns about sexual issues

34
Q

What is the reason a person with a sexual disorder would refuse to participate in his or her care?

A

They are in denial

35
Q

What is the most important characteristic for a nurse working with persons with sexual dysfunctions?

A

Self awareness

36
Q

How should a sexual history interview be conducted?

A

Use a nondirective approach geared towards the person’s concern

37
Q

What would indicate a child has separation anxiety?

A

Anxiety continues long after parent is gone and bed wetting

38
Q

What is a crisis?

A

Overwhelming emotional reaction to an event

39
Q

IF a child is unable to express him/herself verbally, how might s/he communicate needs?

A

They are likely to act out their feelings

40
Q

What are s/s of autism?

A

Impaired communication, relationships, and imaginative abilities, and stereotypical hand movements

41
Q

What are s/s of ADHD?

A

Impulsive, easily frustrated and have social interaction problems

42
Q

What are side effects of atomoxetine (Straterra)?

A

Dysrhythmia, angina, HTN, mood swings, changes in affect

43
Q

What nursing interventions would be used for a patient with a diagnosis of conduct disorder?

A

Be aware of behaviors that indicate a person is ready to act out and enforce rules and boundaries

44
Q

What is the most important nursing intervention to use then a person is in crisis?

A

Stay with them

45
Q

What are characteristics of co-dependency?

A

Being over responsible

46
Q

What is the most likely cause of Autism?

A

Abnormalities in brain structures and functions

47
Q

What would indicate a person has developed tolerance for alcohol?

A

They need increasing amounts to achieve the high/effect

48
Q

What would be included in patient education about disulfiram (Antabuse)?

A

This drug inhibits impulsive drinking because it causes an unpleasant reaction with alcohol; must avoid all alcohol; effects last 5-14 days after last dose

49
Q

Describe AA

A

Alcoholics anonymous – group therapy. First step is recognition of powerlessness over substance and recognize recovery is a lifelong process. The goal is to improve life and maintain sobriety.

50
Q

What is the most frequent result of growing up in an alcoholic family?

A

Substance abuse

51
Q

What is one of the purposes of having a PMI person come to the community mental health center?

A

To build long-term relationships with peers and mental health workers

52
Q

What is a safety plan?

A

A way to escape from home (money, ID, and place to go)

53
Q

When a person who has been raped comes into the ED, what should the nurse do?

A

Physical injuries are priority. Document by photos and treat physical injuries. Ask, “How did this happen?” Refer to a shelter. Encourage a safety plan, group therapy, and assertiveness training, and be nonjudgmental.

54
Q

What are characteristics of fetishism?

A

In denial. Rarely seek treatment. Sexual arousal involving non-living objects (shoes, underwear).

55
Q

What are side effects of methylphenidate?

A

Decrease in growth and insomnia

56
Q

What type of program would be most helpful for the person who has been addicted to narcotics and has relapsed several times?

A

Therapeutic community

57
Q

What symptoms will be seen after someone injects heroin?

A

Drowsiness, constricted pupils, slurred speech, constipation, euphoria, and pain relief

58
Q

What are the s/s of heroin withdrawal?

A

N/V/D, diaphoresis, flu-like symptoms (yawning, body aches, runny nose, insomnia, chills)

59
Q

Describe oppositional defiant disorder (ODD)?

A

Negative hostile defiant passive aggressive behavior that typically begins at the age of eight

60
Q

What is the reason that thiamine is given to a person who is an alcoholic?

A

Develop thiamine deficiency that causes ataxia, abnormal eye movements, and somnolence

61
Q

What classification of drugs is used to treat ADHD?

A

Amphetamines

62
Q

What are interventions that are used for clients with sexual dysfunction (not disorders)?

A

Anxiety reduction techniques, systematic desensitization, hormones, and permission giving

63
Q

If a patient’s family is involved in crisis with him/her, what other intervention might be necessary?

A

Outsider with a neutral perspective

64
Q

What is one factor associated with homeless population that makes it difficult for the nurse to provide follow-up care?

A

Very mobile – difficult to track and help

65
Q

What is one reason an elderly person would be reluctant to admit to being abused in the home?

A

Fear that they will be removed from the home

66
Q

What drug is used for narcotic overdose?

A

Narcan

67
Q

What do you know about the drug that is given for narcotic overdose?

A

Quickly reverses CNS depression, but the narcotic has a longer span of action than the antagonist

68
Q

What drug is used for benzo overdose?

A

Flumazenil

69
Q

What is known about how the decision to leave an abusive situation is made?

A

Usually the person is severely hurt or they fear for their own life/life of their kids. Needs some sort of outside support because leaving increases the dangers.

70
Q

What might the nurse do during mental status examination of a child who is suspected of having autism?

A

Try engaging the child in meaningful conversation or reciprocal imaginative play

71
Q

What is most important for the child with autism in the school setting?

A

Structure

72
Q

What is the most appropriate nursing diagnosis for the child who is developmentally delayed?

A

Be as dependent as possible (ADLs)

73
Q

What drugs are used for alcohol abstinence? (other than antabuse)

A

Acamprosate and naltrexone

74
Q

How is hepatic encephalopathy treated?

A

Abstain from drinking, eliminate protein, neomycin, lactulose or flagyl

75
Q

What is one treatment for pathological gambling?

A

Gamblers anonymous and SSRI antidepressants

Exam 4 Mental Health NU376 (1 decks)

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