Geri/mental health final

Question 1

what is kyphosis

Answer 1

hunch back

Question 2

what can happen if you strain during a bowel movement

Answer 2

hemorrhoids, dysrthmias

Question 3

adverse reaction to hydrochlorothiazide

Answer 3

muscle pain, nocturia

Question 4

high calcium foods

Answer 4

leafy greens, peas, dairy

Question 5

signs and symptoms of hypothyroidism

Answer 5

cognitive function, gait disturbances

Question 6

which labs put patients at risk for heart disease (think about the Dean’s “health issue”)

Answer 6

cholesterol (LDL, triglycerides)

Question 7

what is post-prandial hypotension

Answer 7

after meal hypotension

Question 8

at what age should you get the Shingles vaccine

Answer 8

50+

Question 9

symptoms of age-related macular degeneration

Answer 9

distorted lines

Question 10

complaints after too much diuretic

Answer 10

muscle pain, leg cramps

Question 11

lab value for pressure ulcer

Answer 11

albumin

Question 12

can urge incontinence be cured in an older adult female

Answer 12

no :(

Question 13

signs of digoxin toxicity (my first pt in 71)

Answer 13

confusion, weakness, dysrhythmia, decreased glomerular filtration rate

Question 14

which lab value will be low during dehydration

Answer 14

creatinine

Question 15

osteoporosis exercise

Answer 15

brisk walking

Question 16

Normal decline of the heart in the elderly

Answer 16

decreased elasticity of the ventricles

Question 17

benign spots on the skin

Answer 17

liver spots

Question 18

symptom of cataracts

Answer 18

seeing halos

Question 19

what affects medication effects in the elderly

Answer 19

slowed digestive system

Question 20

which medication should you avoid with a history of gastric ulcers

Answer 20

aspirin (causes bleeding)

Question 21

what can help PTSD

Answer 21

guided imagery

Question 22

which of these medications would NOT be used for bipolar disorder
lithium, paroxetine, valporic acid, fluoxetine

Answer 22

paroxetine

Question 23

first step in improving the elderly’s nutritional intake

Answer 23

determine who buys the groceries -_-

Question 24

what increases the risk for serotonin syndrome in pts taking SSRIs

Answer 24

St. Johns Wort

Question 25

Should an anorexic pt avoid looking in the mirror

Answer 25

no

Question 26

is a blunted affect a positive symptom

Answer 26

no

Question 27

what can outdated medications indicate

Answer 27

abuse

Question 28

"yesternoon, the sun and moon, drove around the rover"

Answer 28

associative looseness

Question 29

can placing locks at the top of doors prevent wandering

Answer 29

yes

Question 30

factor making pts most vulnerable for abuse

Answer 30

Alzheimer's

Question 31

major adverse reaction to Haldol

Answer 31

dysrthmias

Question 32

priority assessment for major depression

Answer 32

assistance with grooming

Question 33

should a nurse adopt a neutral or positive attitude for a therapeutic relationship

Answer 33

neutral

Question 34

what should a nurse maintain with an anxious patient (yes chandler I was being sexual)

Answer 34

maintain eye contact

Question 35

what should a nurse do for a pt going through ETOH detox

Answer 35

provide rest and hydration

Question 36

is the aggression phase a part of the cycle of violence

Answer 36

no

Question 37

(T/F) an EKG can help diagnose narcolepsy

Answer 37

false

Question 38

a kid has extreme behavior problems (like playing with matches) ...what is this an example of

Answer 38

conduct disorder

Question 39

which medications increase risk for suicide when initially started

Answer 39

SSRIs

Question 40

what should you do to help a pt with oppositional defiance disorder

Answer 40

have them help on the unit

Question 41

for a pt with schizoaffective disorder, the nurse should plan to administer which meds

Answer 41

quietiapine and sertraline

Question 42

medication used to treat acute* ETOH withdrawal

Answer 42

chlordiazepoxide

Question 43

medications to treat schizophrenia

Answer 43

risperdone, clozapine, quietapine

Question 44

what medication does NOT* treat schizophrenia

Answer 44

carbomazepine

Question 45

pt with breast cancer is in a crisis, what it priority to focus on

Answer 45

potential need for mastecomy

Question 46

most lethal suicide plan (I'll call Michael if I'm ready to end it all)

Answer 46

firearm

Question 47

pt is upset about a scar, what kind of crisis is this

Answer 47

situational

Question 48

commonly used technique to manipulate others ("but the other nurse lets me have gum")

Answer 48

splitting

Question 49

dealing with anxiety by reaching out to others

Answer 49

altruism

Question 50

voluntarily* denying unpleasant thoughts and feelings

Answer 50

suppression

Question 51

unconsciously* putting unacceptable thoughts, ideas, and emotions out of awareness

Answer 51

repression

Question 52

pt has had at least one* episode of mania alternating with depression

Answer 52

bipolar 1

Question 53

pt has one or more* hypomanic episodes alternating with major depressive episodes

Answer 53

bipolar 2

Question 54

made up words that only have meaning to the pt

Answer 54

neologisms

Question 55

pt repeats words spoken to them

Answer 55

echolalia

Question 56

meaningless rhyming of words often forceful

Answer 56

clang assossiation

Question 57

jumbled words with little meaning or significance to the listener

Answer 57

word salad

Question 58

which medications cause flu like symptoms

Answer 58

opioids

Question 59

benzos (Kayla's helpers)

Answer 59

Alprazolam (Xanax) Diazepam Lorazepam Chlordiazepoxide Clorazepate Oxazepam Clonazepam (Klonopin)

Question 60

Administered to counteract sedation and reverse the adverse effects of acute toxicity of Benzodiazepines

Answer 60

Flumazenil

Question 61

SSRIs (Chandlers helpers)

Answer 61

Sertraline (Zoloft) Citalopram (Celexa) Escitalopram (Lexapro) Fluoxetine (Prozac) Fluvoxamine (Luvox) Paroxetine (Paxil)

Question 62

what is a common side effect of SSRI

Answer 62

sexual dysfunction increased risk for SI when first started

Question 63

MAOIs

Answer 63

Phenelzine (Nardil) Mirtazapine (Remeron) Trazodone

Question 64

side effect of haloperidol

Answer 64

dysrthymias

Question 65

lithium side effect

Answer 65

hypothyroidism

Question 66

what to avoid when taking phenelzine

Answer 66

aged foods

Question 67

potential side effect of risperidone

Answer 67

tardive dyskinesia (Schlegel says they're licking tardar sauce of their lips) and constipation (increase fiber and fluid)

Question 68

which medication may cause inability to orgasm (I'd be even more depressed)

Answer 68

sertaline

Question 69

what should you monitor with pts taking valproate

Answer 69

liver function

Question 70

What can help mild depression (Hannah deals it behind the gas station)

Answer 70

St Johns wort

Question 71

normal lithium levels

Answer 71

0.4 to 1.3