Study Info ;) Flashcards

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1
Q

What is most important when taking Lithium?

A

Need to have normal sodium range

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2
Q

Your patient is on an MAOI which diet is the best?

A

The one that doesn’t have processed meat, avocados, bananas, wine, cheese- no old or mold

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3
Q

You have a bi-polar patient, who is very manic, which food is best?

A

Finger food, so sandwich, apple ect.

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4
Q

Chronic depression over two years

A

dysthymic disorder

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5
Q

You have a very anxious patient, which drug is a good drug for PRN?

A

You want a benzo- quick acting, not Buspar, 4 weeks. Think xanax

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6
Q

Cognitive theory

A

a cognitive question involves a client changing THINKINK

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7
Q

Patient recently had knee surgery, feels as though will never recover, is depressed. Which should be the nursing Dx?

A

Risk for hopelessness (doesn’t think suicide was listed)

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8
Q

There is an adolescent patient that has suicidal ideations, which is priority?

A

I have a neck tie and will hang myself tonight. (has plan, plan is lethal, and has means to carry out plan

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9
Q

When assessing for suicide what is the best question to ask the client?

A

One of these: do you have any firearms in your house. or are you having suicidal thoughts; if not suicidal who cares if they are a hunter.

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10
Q

If your patient has frontal lobe injury, what would you teach patient?

A

Know that frontal lobe is where judgement and decision making happens, they may need to get an opinion about choices from a family member

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11
Q

Your patient is on lithium and an anti-psychotic med, why would the be on both?

A

Agitation relief ( a small dose will slow down mania)

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12
Q

Central Serontonin syndrome

A

cardiac collapse

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13
Q

What is important for a nurse to do with a patient with mania?

A

Set limits

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14
Q

Know these three things about suicide;

A

specifics of detail, lethality of proposed method, availability of means to carry out

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15
Q

Know the symptoms of the different levels of anxiety

A

(patients cant think straight if severe panic, they think they are dying- this is when you WOULD GIVE ADVICE or even give directions, they need guidance

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16
Q

severe panic attack example

A

their house burned to ground they have nothing you would tell then what shelter to go to and help arrange Red Cross for clothings

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17
Q

A patient leaves his home and winds up in another state and cant remember how the got there, what is their problem?

A

Dissociative Fugue

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18
Q

PTSD

A

flashbacks

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19
Q

What family teaching would be best for family?

A

That stress will increase the symptoms of OCD

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20
Q

The nurse yelled at the doctor, then yells at family members

A

this is called displacement

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21
Q

Stop, divert, and reframe, which are these?

A

I need to stop thinking i am going to do poorly, i can do it and i will
think about someplace nice like the beach
i will read the question, find the key word, and select the correct answer
this is just a test if i flunk i will do better nest time

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22
Q

Which neurotransmitters are involved with SSRI’s?

A

seratonin

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23
Q

My patient states he falls asleep 6-10 times per day for 20 minutes at a time which nursing intervention is appropriate?

A

suggest a sleep study consult

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24
Q

A patient tells the nurse they are feeling better and no longer need to be on suicide watch, what does nurse ask patient?

A

(this is when you would watch patient closely just enough energy to harm themselves.) Do you feel like hurting yourself?

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25
Q

What is a good tool to assess potential for mental issues?

A

Holmes and Rahe Life Stress inventory

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26
Q

Which meds would an RN assess that may affect quality of sleep?

A

Opiates, amphetamines, antidepressant, alcohol select all

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27
Q

What would an RN advise a patient taking a benzo to avoid?

A

grapefruit juice, alcohol,

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28
Q

Patient starting a MAOI what would you assess first?

A

Their cognitive ability to avoid tyramine.

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29
Q

Which is the correct nursing outcome for PTSD with sleep disturbance?

A

(not intervention) Client states he has a good night rest without nightmares

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30
Q

Which is the correct nursing diagnosis for a client that states they are worthless?

A

suicide prevention

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31
Q

Student is taking a test and everything goes blank, cant remember anything, what is the student’s anxiety level?

A

Severe (moderate is when you are in a good test taking place

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32
Q

What is the best way to approach a client in a manic state, for the RN

A

calm using a steady tone of voice.

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33
Q

Patient comes in to ER wearing a green bathing suit singing loudly, what is the nurse’s primary concern?

A

finding out the patients need for food water rest (maslows first priority)

34
Q

A patient was in a bad car accident, he saw his friend die, now he cannot see at all and isnt concerned about it, what is this diagnosis

A

Conversion disorder with la belle indifferance

35
Q

A client has hypochondriasis what would you expect the to say?

A

I am sure my headache is a brain tumor

36
Q

What would you expect to hear from a patient whose cognitive therapy is working?

A

My depression is due to chemicals in my brain

37
Q

Cognitive therapy is working when a patient states

A

i can control my reaction to anxiety

38
Q

Which of the following exhibits internal locus of control

A

I need to manage my money to stay out of debt

39
Q

If your patient cant take lithium, what is a good replacement?

A

Tegretol

40
Q

Which diet is good for MAOI patient?

A

Pork chop with green beans, stay away from old and mold

41
Q

If your patient is in the beginning stages of Serotonin Syndrome what symptoms would you expect to see?

A

Nausea, diarrhea, raised blood pressure, bradychardia, confusion, orthostatic hypotension?

42
Q

Your patient states that they take melonine and herbal teas to help sleep at home, they ask you if its good for them. What is an acceptable answer?

A

there are no guidelines for herbals, therefor the preparations are all different, so i cannot answer that.

43
Q

Your client says they are feeling a lot better, they no longer feel suicidal what should the RN do?

A

Suggest increase monitoring

44
Q

After 3 weeks of taking Zoloft, client has increased energy, what is the nursing intervention?

A

Suicide prevention

45
Q

What are early signs of Serotonin Syndrome?

A

Confusion and agitation

46
Q

A bipolar patient is acting out in hall pacing, what is going on?

A

Psychomotor agitation

47
Q

when choosing nursing interventions

A

be descriptive, action oriented, not nondescriptive and weak

48
Q

interventions have the greatest influence when they are

A

focused toward etiologies that accompany an actual diagnosis or when the nurse aims them at the risk factors or a risk diagnosis

49
Q

Serotonin Syndrome

A

results from High Doses of SSRI’s (including tricyclic antidepressants), serotonin precursors, serotonin agonists, MAOI’s or other medications that influence serotonin levels ( cold and allergy meds/ cocain/ lithium/ ginseng. St. Johns Wart)

50
Q

Symptoms of Serotonin Syndrome

A

abdominal pain, elevated BP, tachycardia, irritability, hostility. increased motor activity, and mood change.

51
Q

Severe reactions of Serotonin Syndrome

A

high fever, cardiovascular shock, and death

52
Q

Patients need to avoid what when taking MAOI antidepressants to prevent what

A

foods containing tyramine; hypertensive crisis

53
Q

What meds to avoid while using MAOI’s

A

over the counter cold meds, appetite suppresants, muscle relaxants, allergy remedies, hay fever remedies, narcotics, analgesics, and several prescription medications.

54
Q

repression

A

The unconscious exclusion of painful impulses, desires, or fears from the conscious mind.

55
Q

suppression

A

Conscious exclusion of unacceptable desires, thoughts, or memories from the mind.

56
Q

In major depressive patient they may have

A

Insomnia or hypersomnia nearly every day

57
Q

dyssomnia

A

sleep disorders that occur as a result of abnormalities of the physiologic mechanisms that regulate sleep and wakefulness.

58
Q

parasomnias

A

primary sleep disorders that occur as a result of the activation of physiologic systems at incorrect times during the sleep wake cycle, thereby resulting in abnormal behavior or physiologic events during the sleep state.

59
Q

cataplexy

A

sudden loss of muscle tone and voluntary muscle movement

60
Q

sleep paralysis

A

not able to speak or move just before onset of or upon awakening from a brief sleep attack

61
Q

sleep apnea

A

the temporary cessation or absence of breathing

62
Q

Narcolepsy

A

sudden onset or brief sleep attacks that last 10 to 20 minutes and that typically takes place two to six times per day

63
Q

Good tool to assess for potential mental illness

A

Holmes and Rahe Life Stress inventory

64
Q

rapid withdrawal from Benzos may result in

A

restlessness, irritability, insomnia, and seizueres

65
Q

Mild anxiety

A

feelings of relative comfort and safety; relaxed and calm appearance and voice; performance automatic;habitual behaviors occur

66
Q

Moderate anxiety

A

feelings of readiness and challenge; energized; engages in competetive activity and learns new skills; voice and facial expression interested or concerned

67
Q

Severe

A

feels threatened and startles with new stumuli feels overloaded; activity increases or decreases ( may pace, stutter, shake) appears and feels depressed; demonstrates denial; complains of aches or pains; is agitated or irritable; need for space increases

68
Q

Panic

A

feels helpless, with a total loss of control; patient is angry or terrified; becomes combative or totally withdrawn, cries or runs away; completely disorganized; behavior is usually extremely active or inactive

69
Q

beginning stages of serotonin syndrome, what symptoms would you expect to see?

A

abdominal pain, elevated blood pressure, tachycardia, irritability, hostility, increased motor activity, and mood change.

70
Q

defense mechanisms

A
humor
sublimation
suppression
displacement
dissociation
repression
devaluation
denial
projection
splitting of the self image or of the image of others
71
Q

humor

A

comedian talking making fun of himself for laughs

72
Q

sublimation

A

kid gets bullied becomes a cop

73
Q

suppression

A

me thinking of school instead of hiam

74
Q

displacement

A

dad gets yelled at at work, yells at kids when he gets home

75
Q

dissociation

A

feeling out of body

76
Q

repression

A

forgotten sexual abuse as a child

77
Q

devaluation

A

finds everything stupid

78
Q

denial

A

drunk thats not an alcoholic

79
Q

projection

A

patient angry at nurse so he says shes being angry with him

80
Q

splitting of self image or self image of others

A

patient can only identify negatively with others cant see the positive; sees things in only black and white not shades of grey