FINAL EXAM

Question 1

Antisocial personality disorder

Answer 1

characterized by disregard of others
lack of empathy
repeated unlawful actions
failure to accept responsibility

Question 2

Anorexia or bulimia?

zit on my face is really ugly

Answer 2

anorexia nervosa

Question 3

disorder when the patient has fear of gaining weight/becoming fat, disturbance in perceived weight or shape

Answer 3

anorexia nervosa

Question 4

term for when the client repeats the word spoken to him

Answer 4

echolalia

Question 5

term for when words jumbled together with little meaning or significant to the listener

Answer 5

word salad

Question 6

meaningless rhyming of words

Answer 6

clang association

Question 7

made up words that only have meaning to the client ex.” I tranged and fittled”

Answer 7

neologism

Question 8

Patient young started on lithium who is thirsty what should you do first?

Answer 8

• Start on hydration
• Increased thirst and urination is also a sign of lithium toxicity
• Lithium has sodium
• Do not restrict sodium unless they get toxic

Question 9

two meds to treat neuroleptic malignant syndrome

Answer 9

Dantrolene & Bromocriptine

Question 10

On top of the two meds to treat NMS interventions:

Answer 10

you will need a hyperthermic blanket, ice (back of the knees, back of the neck, any bends in the body), vasopressors (dopamine - to bring pressure up),give warm fluids to prevent v-fib (do not pull fluids),

Do not use ice bare on the skin

Question 11

signs and symptoms of diabetes

Answer 11

polyuria (pee too much)
polydipsia (drink too much)
polyphagia (eat too much)

Question 12

Meds ending in -zines has a high probability of causing

Answer 12

EPS

Question 13

22 year old started on chlorpromazine, what should you assess for?

Answer 13

My tongue feels weird/tongue swelling

Question 14

Traditional dystonia antipsychotics causes?

Answer 14

tardive dyskinesia

Question 15

medications that cause EPS

Answer 15

Haldol, chlorpromazine, haloperidol

Question 16

how long it takes for alcohol to metabolize?

Answer 16

20/hr

Question 17

For alcohol, you need to get medically treated for withdrawals due to?

Answer 17

high risk of seizures

Question 18

All antipsychotics traditional and second generation make you prone to

Answer 18

infection

infection may be out of control before we catch it

Question 19

when the patient is withdrawing from alcohol, what should you do?

Answer 19

person can have hallucinations (lights dim-reduce environmental stimuli), want the door ajar if patient is agitated

Question 20

Seizure precautions safety measures

Answer 20

Put bed at lowest position, mattress on either side of the bed, with side rails down

Question 21

what is the dexamethasone suppression test used for

Answer 21

depression

Question 22

if the patient has low magnesium, they will have?

Answer 22

low hypocalcemia= chevostek’s and trosseau’s

Question 23

If magnesium is high what is the patient at risk for?

Answer 23

big risk is respiratory depression and hypotension