Midterm Study Guide Flashcards
Maslow’s hierarchy of needs?
Physiological (food & shelter)
Safety ( personal & financial)
Love and belonging ( social & friendships)
Self esteem
Self actualization (personal growth)
After several therapeutic encounters with a suicidal patient, which thought by the nurse would be countertransference?
The nurses feels unusually happy when the patient’s mood begins to lift
A patient diagnosed with schizophrenia states “I saw two doctors in the hall taking. They are plotting against me.” The nurse knows this is:
Ideas of reference
A patient with schizophrenia taking fluphenazine has shuffle gait, drooling, mask like face. The nurse knows this is:
Pseudoparkinsonism
Haloperidol can cause you to feel these side effects:
Sedation and muscle stiffness
Patient with bipolar disorder tells other patients to get him a book and water. The nurse’s best therapeutic action is:
Distraction techniques: offer a snack
A person is making obscene gestures and directing traffic on a busy street, has not slept or eatened in days: what symptoms of mania are present:
Poor judgement and hyperactivity
A patient receiving risperidone reports severe muscle stiffness, then is diaphoretic, drooling and difficulty swallowing . What is the nurse best intervention?
Call the doctor STAT. Possible neuroleptic malignant syndrome
The nurse received a lab report indicating a patient’s lithium serum level is 1mEq/L. The patient’s last dose was 8 hours ago.
This lab value is within normal limits
Patient diagnosed with depressive disorder begins SSRI antidepressant therapy. The nurse should provide education on:
Report increased suicide ideation.
A nurse instructs a patient taking MAOIs to avoid certain foods (Tyramine) and drugs. What would be the risk for?
Hypertensive crisis due to high levels of Tyramine.
Tyramine restricted meal, what foods are ok?
Mashed potatoes
Ground beef
Corn
Green beans
Apple pie
Patient’s family reported that patient was taking antidepressants and started having chest pain after eating avocados and cheese. What antidepressants med would this be?
Isocarboxazid
The nurse understands that second generation antipsychotic (SGAs) atypical agents may cause which side effect?
Obesity
A patient who exhibits concrete thinking is unable to communicate in which manner?
Abstractly
Why should the nurse introduce the matter of a contract during the first session with a new patient?
To explain the participation and responsibilities of each party
Patient says “my marriage is great. My spouse and usually agree on everything.” The nurse observes the patients foot moving continuously
This is mixed communication
An anticonvulsant medication for bipolar disorder
Carbamazepine
Which information gathered from the ER patient requires crisis intervention?
New onset of hallucinations
Which side effect of antipsychotic medication therapy is not reversible?
Tardive Dyskinesia ( ex. pill rolling of hands) these are permanent
Which part of the nursing process is often neglected ?
Evaluation
Patient with bipolar disorder cusses while twirling, patient’s mood is what?
Labile and euphoric
Which nursing intervention demonstrates false imprisonment?
The nurse tells the patient to stay in their room until later
What assessment findings suggest patient may be hallucinating?
Darting eyes. Tilting head and mumbling to self
