Quiz 5 Flashcards
the nurse is preparing a patient with command hallucination for discharge by providing instructions on interventions for management of hallucinations and anxiety. Which statement in response to this teaching indicates a need for additional info?
when I have command hallucinations I’ll call a friend and ask him what to do
the nurse observes that a patient is pacing agitated and presenting aggressive gestures. The patient’s speech pattern is rapid and belligerent. Based on these observations which of the following is the nurse’s immediate priority.
provide safety for the patient and other patients on the unit
the nurse notes that a patient with schizophrenia and receiving an antipsychotic med is moving her mouth, protruding her tongue and grimacing as she watches TV. the nurse determines the patient is experiencing which med complication?
tardive dyskinesia
a client previously diagnosed as pscyhotic expresses to the nurse that he is seeing spiders climbing up the walls in his room and he’s concerned that they will get into his bed. What is the best response?
express doubt that there are spiders on the wall
a client with schizophrenia has relapsed and has been identified as being in stage four of relapse. The nurse expects to observe which behavior that most consistent with this stage of relapse?
presence of hallucination
in discussing disease prevention with a 15 yr old and his mother, the nurse identifies which of the following as risk factors for psychosis?
- recent immigration from Ecuador
- physical abuse by the father
- January birth date
- father diagnosed with paranoid schizophrenia
the nurse is planning discharge teaching for a patient taking clozapine. Which info is essential to include in the teaching plan?
reminder to call the clinic if fever, sore throat, or malaise develops
a patient who has been in the hospital for several weeks is about to be discharged. The patient is weak from the hospitalization and asks the nurse to explain why this is happening. What is the nurse’s best response?
your immobility in the hospital is known as deconditioning
the nurse is talking to the UAP about moving a patient in bed. The nurse knows the UAP understands the concept of mobility and proper moving techniques when making which statement?
patients must be moved correctly in bed to prevent shearing
parkinson’s disease is a disorder of the basal ganglia and is characterized by loss of
dopaminergic function
which of the following are defined as components of the classic triad of the early motor features of parkinson’s disease SATA
- bradykinesia
- postural instability
- resting tremor
a patient who has parkinsonism will begin taking selegiline HCL to treat symptoms. What info will the nurse teach this patient about this drug?
avoid consuming foods that are high in tyramine
an older patient exhibits shuffling gait, lack of facial expression, and tremors at rest. the nurse will expect the provider to prescribe what med?
carbidopa-levodopa (Sinemet)
a patient who has parkinsonism will begin taking carbidopa-levodopa. What info will the nurse include when teaching about this med?
rise slowly from your bed or your chair to avoid dizziness and falls
which of the following would be expected int he assessment of a patient with DM who experiencing hypoglcemic reaction? SATA
- profuse perspiration
- tremors
- dilated pupils
