Question 1

What is Maslow's highest to lowest?

Accepted Answer

Physiological
Safety
Comfort
Psychological (problems within the person)
Social (problems with other people)
Spiritual

Question 2

Arrange highest to lowest using Maslow's:
Deniel
Spiritual Distress
Pain in elbow
Fall Risk
Pathological Family Dynamics
Electrolyte Imbalance

Accepted Answer

Electrolyte Imbalance (Physiological)
Fall Risk (Safety)
Pain in elbow (Comfort)
Denial (Psychological)
Pathological Family Dynamics (Social)
Spiritual Distress (Spiritual)

Question 3

What are the 5 stages of grief?

Accepted Answer

Denial
Anger
Bargain
Depression
Acceptance

Question 4

The #1 problem in abuse is ___?

Accepted Answer

Denial

Question 5

Denial is the ___ to accept the ___ of their problem.

Accepted Answer

Denial is the refusal to accept the reality of their problem.

Question 6

Treating denial:
___ it by pointing out to the person the difference between what they ___ and what they ___.
In contrast, ___ the denial of loss and grief.

Accepted Answer

Confront it by pointing out to the person the difference between what they say and what they do. In contrast, support the denial of loss and grief.

Question 7

Dependency:
When the ___ gets the Significant Other to do things for them or make decisions for them.

Accepted Answer

abuser

Question 8

Codependency:
When the ___ ___ derives positive ___ from doing things for or making decisions for the ___.

Accepted Answer

When the Significant Other dervies positive self-esteem from doing things for or making decisions for the abuser.

Question 9

When treating dependency/codependency:
Set ___ and ___ them.
Agree in advance on what requests are allowed and enforce the agreement.

Accepted Answer

limits 
enforce

Question 10

When treating dependency/codependency:
Work on the ___ of the codependent person.

Accepted Answer

self-esteem

Question 11

Manipulation:
when the ___ gets the ___ ___ to do things for him/her that are not in the ___ ___ of the ___ ___. The nature of the act is ___ or  ___ to the ___ ___.

Accepted Answer

When the abuser gets the significant other to do things for him/her that are not in the interest of the significant other. The nature of the act is harmful or dangerous to the significant other.

Question 12

Treating manipulation:
Set ___ and ___.

Accepted Answer

limits
enforce

Question 13

Wernicke's (Korsakoff's) Syndrome:
___ induced by Vitamin ___ (thiamine) deficiency

Accepted Answer

Psychosis
B1

Question 14

Primary symptoms of Wernicke's (Korsakoff's) Syndrome:

Accepted Answer

amnesia (memory loss) with
confabulation (make up stuff)

Question 15

Characteristics of Wernicke's (Korsakoff's) Syndrome:

Accepted Answer

preventable (take a vitamin)
arrestable (take a vitamin)
irreversible (kills brain cells)

Question 16

Antabuse/Revia (Disulfiram) is aka ___ therapy

Accepted Answer

aversion

Question 17

Onset and duration of effectiveness of Antabuse/Revia (Disulfiram)

Accepted Answer

2 weeks

Question 18

Patient teaching with antabuse/Revia (Disulfiram)

Accepted Answer

avoid all forms of alcohol to avoid nausea, vomiting, death

Question 19

Examples of products that contain alcohol:

Accepted Answer

mouthwash, cologne, perfume, aftershave, elixir, most OTC liquid meds, insect repellant, vanilla extract, vinageretess, hand sanitizer

Question 20

Every alcoholic goes through ___.
Only a minority get ___.

Accepted Answer

Alcohol Withdrawal Syndrome
Delirium Tremens

Question 21

___ is not life-threatening.
___ can kill you.

Accepted Answer

Alcohol Withdrawal Syndrome
Delirium Tremens

Question 22

Patients with ___ are not a danger to themselves or others. 
Patients with ___ are dangerous to self and others.

Accepted Answer

Alcohol Withdrawal Syndrome
Delirium Tremens

Question 23

AWS or DT: which do you give a semiprivate room any location?

Accepted Answer

AWS

Question 24

AWS or DT: who do you give a private room near the nurse's station?

Accepted Answer

DT

Question 25

AWS or DT: who do you give a regular diet?

Accepted Answer

AWS

Question 26

AWS or DT: who do you give a clear liquid or NPO diet (risk for aspiration)?

Accepted Answer

DT

Question 27

AWS or DT: who can get up at liberty?

Accepted Answer

AWS

Question 28

AWS or DT: who is restricted to bedrest with no bathroom privileges (fall risk)?

Accepted Answer

DT

Question 29

AWS or DT: who does not need restraints?

Accepted Answer

AWS

Question 30

AWS or DT: who is usually restrained with either vest or 2 point (1 arm and 1 leg)?

Accepted Answer

DT

Question 31

AWS or DT: who would you give an anti-HTN medication to ?

Accepted Answer

Both AWS and DT

Question 32

AWS or DT: who would you give a tranquilizer to?

Accepted Answer

Both AWS and DT

Question 33

AWS or DT: who would you give a multivitiamin to prevent Wernicke's?

Accepted Answer

Both AWS and DT

Question 34

For Aminoglycosides, think "___ ___ ___ ___."

Accepted Answer

A mean old mycin

Question 35

When are antibiotics/aminoglycosides used?

Accepted Answer

to treat serious, life-threatening, reistant infections

Question 36

All aminoglycosides end in ___ but not all drugs that end in ___ are aminoglycosides.

Accepted Answer

mycin
mycin

Question 37

What are some examples of want to be mycins?

Accepted Answer

Arithromycin
Clarithromycin
Erytrhomycin

Question 38

What are some examples of aminoglycosides?

Accepted Answer

Streptomycin, Cleomycin, Trobramycin, Tobramycin, Gentamycin, Vancomycin, Clindamycin

Question 39

When rememering toxic effects of mycin's think ___

Accepted Answer

mice = ears

Question 40

What is the toxic effect of aminoglycosides and what must you monitor?

Accepted Answer

ototoxicity
monitor hearing, balance, and tinitus

Question 41

The human ear is shaped like a ___ so another toxic effect of aminoglycosides is ___ so monitor ___.

Accepted Answer

kidney
nephrotoxicity
creatinine

Question 42

The number " " drawn inside the ear reminds you of cranial nerve ___ and frequency of administration ___

Accepted Answer

8, 8, Q8H

Question 43

Do not give aminoglycosides PO except in these 2 cases:

Accepted Answer

Hepatic encephalopathy (liver coma, ammonia induces encephalopathy)
Pre-op bowel surgery

Question 44

Who can sterilize my bowel?

Accepted Answer

Neo-Kan

Question 45

What is the reason for drawing Trough and Peak levels?

Accepted Answer

Narrow therapeutic levels

Question 46

When do you ALWAYS draw the trough?

Accepted Answer

30 minutes before the next dose

Question 47

When do you draw the Peak level of Sublingual meds?

Accepted Answer

5-10 minutes after the drug dissolves

Question 48

When do you draw the Peak level of IV meds?

Accepted Answer

15-30 minutes after the medication is finished

Question 49

When do you draw the Peak level of IM meds?

Accepted Answer

30-60 minutes after injecting it

Question 50

When do you draw the Peak level of SQ meds?

Accepted Answer

depends on the type of insulin

Question 51

When do you draw the Peak level of PO meds?

Accepted Answer

Not necessary

Question 52

What are Biological Agents in Category A?

Accepted Answer

STAPH A
Small Pox
Tularemia
Anthrax
Plague
Hemorrhagic illness
Botulism

Question 53

What are Biological Agents in Category B?

Accepted Answer

All others

Question 54

What are Biological Agents in Category C?

Accepted Answer

Nipeh Virus
Hanta Virus

Question 55

When it comes to Biological Agents, rank from worse down.

Accepted Answer

A is worse then B, then C

Question 56

Small Pox

Accepted Answer

Inhaled transmission/on airborne precautions
Dies from septicemia - no treatment
rash starts around the mouth first
Category A

Question 57

Tularemia

Accepted Answer

Chest symptoms
Dies from respiratory failure
Treat with streptomycin
Category A

Question 58

Anthrax

Accepted Answer

Spread by inhalation
Looks like the flu
Dies from respiratory failure
Treat with supro, PCN, and streptomycin
Category A

Question 59

Plague

Accepted Answer

Spread inhalation
3 H's - Hemoptysis (coughing up blood), Hematemesis (vomiting blood), Hematochezia (blood in stool)
Dies-respiratory failure and DIC (bleed to death)
Treat-Doxycycline/Mycins
No longer communicable-48 hours of treatment
Category A

Question 60

Hemorrhagic illnesses

Accepted Answer

Primary symptoms are petechiae (pinpoint spots) and ecchymoses (bruising)
High % fatal
Category A

Question 61

Botulism

Accepted Answer

It is ingested
Has 3 major symptoms: descending paralysis, fever, but is alert
Dies from respiratory arrest
Category A

Question 62

What are some examples of chemical agents that cause bioterrorism?

Accepted Answer

Mustard gas
Cyanide
Phosgine chlorine
Sarin

Question 63

What is the primary symptom of Mustard Gas?

Accepted Answer

Blisters (vesicant)

Question 64

What is the primary symptom of Cyanide and how do you treat it?

Accepted Answer

Respiratory arrest
Treat with Sodium Thiosulfate IV

Mark Klimek

Yellow Book - Unit 2 - Alcohol/Drugs

Question	Answer
What is Maslow's highest to lowest?	Physiological Safety Comfort Psychological (problems within the person) Social (problems with other people) Spiritual
Arrange highest to lowest using Maslow's: Deniel Spiritual Distress Pain in elbow Fall Risk Pathological Family Dynamics Electrolyte Imbalance	Electrolyte Imbalance (Physiological) Fall Risk (Safety) Pain in elbow (Comfort) Denial (Psychological) Pathological Family Dynamics (Social) Spiritual Distress (Spiritual)
What are the 5 stages of grief?	Denial Anger Bargain Depression Acceptance
The #1 problem in abuse is ___?	Denial
Denial is the ___ to accept the ___ of their problem.	Denial is the refusal to accept the reality of their problem.
Treating denial: ___ it by pointing out to the person the difference between what they ___ and what they ___. In contrast, ___ the denial of loss and grief.	Confront it by pointing out to the person the difference between what they say and what they do. In contrast, support the denial of loss and grief.
Dependency: When the ___ gets the Significant Other to do things for them or make decisions for them.	abuser
Codependency: When the ___ ___ derives positive ___ from doing things for or making decisions for the ___.	When the Significant Other dervies positive self-esteem from doing things for or making decisions for the abuser.
When treating dependency/codependency: Set ___ and ___ them. Agree in advance on what requests are allowed and enforce the agreement.	limits enforce
When treating dependency/codependency: Work on the ___ of the codependent person.	self-esteem
Manipulation: when the ___ gets the ___ ___ to do things for him/her that are not in the ___ ___ of the ___ ___. The nature of the act is ___ or ___ to the ___ ___.	When the abuser gets the significant other to do things for him/her that are not in the interest of the significant other. The nature of the act is harmful or dangerous to the significant other.
Treating manipulation: Set ___ and ___.	limits enforce
Wernicke's (Korsakoff's) Syndrome: ___ induced by Vitamin ___ (thiamine) deficiency	Psychosis B1
Primary symptoms of Wernicke's (Korsakoff's) Syndrome:	amnesia (memory loss) with confabulation (make up stuff)
Characteristics of Wernicke's (Korsakoff's) Syndrome:	preventable (take a vitamin) arrestable (take a vitamin) irreversible (kills brain cells)
Antabuse/Revia (Disulfiram) is aka ___ therapy	aversion
Onset and duration of effectiveness of Antabuse/Revia (Disulfiram)	2 weeks
Patient teaching with antabuse/Revia (Disulfiram)	avoid all forms of alcohol to avoid nausea, vomiting, death
Examples of products that contain alcohol:	mouthwash, cologne, perfume, aftershave, elixir, most OTC liquid meds, insect repellant, vanilla extract, vinageretess, hand sanitizer
Every alcoholic goes through ___. Only a minority get ___.	Alcohol Withdrawal Syndrome Delirium Tremens
___ is not life-threatening. ___ can kill you.	Alcohol Withdrawal Syndrome Delirium Tremens
Patients with ___ are not a danger to themselves or others. Patients with ___ are dangerous to self and others.	Alcohol Withdrawal Syndrome Delirium Tremens
AWS or DT: which do you give a semiprivate room any location?	AWS
AWS or DT: who do you give a private room near the nurse's station?	DT
AWS or DT: who do you give a regular diet?	AWS
AWS or DT: who do you give a clear liquid or NPO diet (risk for aspiration)?	DT
AWS or DT: who can get up at liberty?	AWS
AWS or DT: who is restricted to bedrest with no bathroom privileges (fall risk)?	DT
AWS or DT: who does not need restraints?	AWS
AWS or DT: who is usually restrained with either vest or 2 point (1 arm and 1 leg)?	DT
AWS or DT: who would you give an anti-HTN medication to ?	Both AWS and DT
AWS or DT: who would you give a tranquilizer to?	Both AWS and DT
AWS or DT: who would you give a multivitiamin to prevent Wernicke's?	Both AWS and DT
For Aminoglycosides, think "___ ___ ___ ___."	A mean old mycin
When are antibiotics/aminoglycosides used?	to treat serious, life-threatening, reistant infections
All aminoglycosides end in ___ but not all drugs that end in ___ are aminoglycosides.	mycin mycin
What are some examples of want to be mycins?	Arithromycin Clarithromycin Erytrhomycin
What are some examples of aminoglycosides?	Streptomycin, Cleomycin, Trobramycin, Tobramycin, Gentamycin, Vancomycin, Clindamycin
When rememering toxic effects of mycin's think ___	mice = ears
What is the toxic effect of aminoglycosides and what must you monitor?	ototoxicity monitor hearing, balance, and tinitus
The human ear is shaped like a ___ so another toxic effect of aminoglycosides is ___ so monitor ___.	kidney nephrotoxicity creatinine
The number " " drawn inside the ear reminds you of cranial nerve ___ and frequency of administration ___	8, 8, Q8H
Do not give aminoglycosides PO except in these 2 cases:	Hepatic encephalopathy (liver coma, ammonia induces encephalopathy) Pre-op bowel surgery
Who can sterilize my bowel?	Neo-Kan
What is the reason for drawing Trough and Peak levels?	Narrow therapeutic levels
When do you ALWAYS draw the trough?	30 minutes before the next dose
When do you draw the Peak level of Sublingual meds?	5-10 minutes after the drug dissolves
When do you draw the Peak level of IV meds?	15-30 minutes after the medication is finished
When do you draw the Peak level of IM meds?	30-60 minutes after injecting it
When do you draw the Peak level of SQ meds?	depends on the type of insulin
When do you draw the Peak level of PO meds?	Not necessary
What are Biological Agents in Category A?	STAPH A Small Pox Tularemia Anthrax Plague Hemorrhagic illness Botulism
What are Biological Agents in Category B?	All others
What are Biological Agents in Category C?	Nipeh Virus Hanta Virus
When it comes to Biological Agents, rank from worse down.	A is worse then B, then C
Small Pox	Inhaled transmission/on airborne precautions Dies from septicemia - no treatment rash starts around the mouth first Category A
Tularemia	Chest symptoms Dies from respiratory failure Treat with streptomycin Category A
Anthrax	Spread by inhalation Looks like the flu Dies from respiratory failure Treat with supro, PCN, and streptomycin Category A
Plague	Spread inhalation 3 H's - Hemoptysis (coughing up blood), Hematemesis (vomiting blood), Hematochezia (blood in stool) Dies-respiratory failure and DIC (bleed to death) Treat-Doxycycline/Mycins No longer communicable-48 hours of treatment Category A
Hemorrhagic illnesses	Primary symptoms are petechiae (pinpoint spots) and ecchymoses (bruising) High % fatal Category A
Botulism	It is ingested Has 3 major symptoms: descending paralysis, fever, but is alert Dies from respiratory arrest Category A
What are some examples of chemical agents that cause bioterrorism?	Mustard gas Cyanide Phosgine chlorine Sarin
What is the primary symptom of Mustard Gas?	Blisters (vesicant)
What is the primary symptom of Cyanide and how do you treat it?	Respiratory arrest Treat with Sodium Thiosulfate IV
What is the primary symptom of Phosgine Chlorine?	Choking
What are the symptoms of Sarin (hint - it's a nerve agent)?	BB SLUDGE - every secrection in body in excessive Bronchospasm Bronchorrhea Salivating Lacrimating (tears) Urination Diaphoresis/Diarrhea G I upset Emesis
What do you use when cleansing patients exposed to chemical agents?	Soap and water Except Sarin - use bleach
Which agents do you isolate the patient for?	Biological agents
Which agents do you decontaminate for?	Chemical agents
How does decontamination work?	Gather exposed people Take to decontamination center People remove clothing, shower, dress in non-contaminated clothes, then release to other services Put contaminated clothing in special bag and throw away (do not touch it)

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