LMR Part 1 Flashcards
What medications can exacerbate TICs?
Stimulants
If TICs are developed with stimulants what should you do?
If tics developed when placed on stimulants, you must D/C and place on non-stimulants.
What are top three things to prioritize?
- ABCs
- Maslow’s Hierarchy (food, warmth, rest).
- Nursing process (assessment before intervention)
Safety for the patients or others is usually the right answer.
Just read
What to do if the patient is a victim of abuse or rape?
Reassure their personal safety, make sure the patient can be safe and can cope.
For victims of abuse or rape, what is priority before reporting or assessment?
Safety before reporting/assessment
If you are working inpatient and a patient is about to discharge, what do you have to make sure?
Make sure that the patient can be safe and cope effectively
For board purposes, what do you know about safety/no harm contracts?
On the boards, it will most likely be incorrect.
When is behavioral management/support started?
This starts immediately after a patient is admitted
If you are working inpatient, were should you interview the patient?
Do not interview patient in their room (not safe), do not interview in day room due to confidentiality issues.
Interview in private area/office with the door open/cracked.
What do you do if a child comes in appointment without parents and you notice the child is holding/playing with a toy in a sexual manner?
You suspect sexual abuse and immediately report to DCS.
What do you do if a child comes to an appointment with their parents and the child reports abuse?
Interview the child separately from parents, then report to DCS.
How do you build a therapeutic rapport with adolescents?
For adolescent assessment, you let them know that information can be confidential unless they are DTS/DTO.
For adolescent assessment, should you interview parent in room?
Separating patient from parent may create an ethical dilemma because the parent may feel they have the right to know everything, but you are advocating for adolescent patient.
On the boards, if answers have collaborate it is most likely:
The correct answer
On the boards, if the answers have delegating it is most likely:
The incorrect answer
If a woman attempts SI during postpartum depression, it’s because their OB doctors didn’t do a risk assessment before discharged. What is the most appropriate way to close this Gap in care?
Collaborate with OB doctor to do risk assessment to close gap in care.
If you work in an inpatient hospital and the patient is discharging to a rehab facility what do you have to do if they request labs while you were taking care of them?
Get informed consent and fax labs over.
When is it appropriate to refer a patient out?
Refer out is the last option. Try to do something within your scope first and then refer out if there is nothing you can do.
A 15-year-old patient tells you that they feel funny or weird because they inhaled acetone, what do they have and what should you order?
Acetone has ETOH so order a UDS.
What does it mean if a patient has a cultural expected response to a stressor?
This does not mean they have a mental illness. Have them make cultural context/meaning of their symptoms.
What to offer for cultural syndrome?
offer them brief supportive therapy
What to offer for patients that lost their job or house?
offer them brief supportive therapy
How do you validate patient symptoms within their cultural context?
Validate patient symptoms within a cultural context, such as:
a. somatic complaints of pain
b. validate pain
c. understand cultural context.