HESI Flashcards
What is a life threatening Adverse reaction for antipsychotic medication
Neuroleptic malignant syndrome
The nurse should withhold the next scheduled dose of a client’s haloperidol (Haldol) based on which assessment finding?
a. ) Dizziness when standing.
b. ) Shuffling gait and hand tremors.
c. ) Urinary retention.
d. ) Fever of 102 F.
D - sign of NMS
The nurse is assessing the parents of a nuclear family who are attending a support group for parents of adolescents. According to Erikson, these parents who are adapting to middle adulthood should exhibit which characteristic?
a. ) Loss of independence.
b. ) Increased self-understanding.
c. ) Isolation from society.
d. ) Development of intimate relationships.
B
The nurse observes a female client with schizophrenia watching the news on television. She begins to laugh softly and says, “Yes, my love, I’ll do it.” When the nurse questions the client about her comment she states, “The news commentator is my lover and he speaks to me each evening. Only I can understand what he says.” What is the best response for the nurse to make?
a. ) What do you believe the news commentator said to you?
b. ) Let’s watch news on a different television channel.
c. ) Does the news commentator have plans to harm you or others?
d. ) The news commentator is not talking to you.
A - it is imperative that the nurse determine what the client believes she heard. The idea of reference may be to hurt herself or someone else, and the main function of the psychiatric nurse is to maintain safety. The other responses are not the priority.
The parents of a 14-year-old boy bring their son to the hospital. He is lethargic, but responsive. The mother states, “I think he took some of my pain pills.” During initial assessment of the adolescent, what information is most important for the nurse to obtain from the parents?
a. ) If he has seemed depressed recently.
b. ) If a drug overdose has ever occurred before.
c. ) If he might have taken any other drugs.
d. ) If he has a desire to quit taking drugs.
C
Which diet selection by a client who is depressed and taking the MAO inhibitor tranylcypromine sulfate (Parnate) indicates to the nurse that the client understands the dietary restrictions imposed by this medication regimen?
a. ) Hamburger, French fries, and chocolate milkshake.
b. ) Liver and onions, broccoli, and decaffeinated coffee.
c. ) Pepperoni and cheese pizza, tossed salad, and a soft drink.
d. ) Roast beef, baked potato with butter, and iced tea.
D - These food are okay for this pt to eat because they do not contain thymine
An adult female client is admitted to the psychiatric unit for evaluation. Her husband states that she has been reluctant to leave home for the last six months. The client has not gone to work for a month and has been terminated from her job. She has not left the house since that time. Which condition is this client likely manifesting?
a. ) Claustrophobia.
b. ) Acrophobia.
c. ) Agoraphobia.
d. ) Post-traumatic stress disorder.
C
Acrophobia
Fear of heights
Agoraphobia
Fear of open spaces and crowds
Claustrophobia
Fear of closed in spaces
Hydrophobia
Fear of water
Thanatophobia
Fear of death
What medications are used for Tx of OCD
Anti-anxiety: Benzos, buspirone, Remelteon
SSRIs: “-ine”
Avolition
Lack of energy
Anhedonia.
Anhedonia is the inability, or decreased ability, to experience pleasure, joy, intimacy, and closeness.
Apathy.
Apathy is the lack of feelings, emotions, interests, or concerns
The nurse understands that schizophrenia can be differentiated from psychosis by which assessment?
a. ) Disorganized speech.
b. ) Disorganized behavior.
c. ) Auditory hallucinations.
d. ) Negative symptoms.
D - Negative symptoms are characteristic of schizophrenia and include behaviors such as minimal eye contact, poor grooming and hygiene, and apathy.
positive symptoms
Hallucinations and delusions
Negative symptoms
alogia
avolition
anhedonia
Alogia
educed fluency and productivity of thought and speech
Word salad—
stringing together words that are not connected in any way
Referential thinking—
a belief that neutral stimuli have special meaning to the individual, such as a television commentator who is speaking directly to the individual
Neologisms—
words that are made up that have no common meaning and are not recognizable
Flight of ideas—
the topic of conversation changes repeatedly and rapidly, generally after just one sentence or phrase
