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wambui
NCLEX PN Review - Mental
| Question | Answer |
|---|---|
| Example of Obsession is: | pt checks his belongings over and over again |
| One sign of Anorexia Nervosa is: | hypotension |
| Bipolar pt stopped taking lithium 2 wks ago: SS is | restlessness |
| Bipolar disorder, Manic phase: | unpredictible with angry outbursts |
| SS of bipolar disorder | flights of ideas, restlessness & delusions of grandeur |
| Bipolar disorder: if challenged, expect | erratic & unpredictible behavior |
| Phobia: do not force pt to: | face phobic object or situation, risk of panic |
| SS of alcohol withdrawel: | tachycardia, disorientation, confusion, agitation, inability to sleep |
| Early ss of alcohol withdrawel | perceptual disorder |
| dystonia is: | jerking movements of head & neck |
| ss opioid withdrawel: | flushing, piloeration, N/V,abdominal cramps, lacrimation & rhinorrhea |
| Alcohol detox drug is | Librium (chlordiaze poride) |
| Librium - chlordiaze poride classification? | tranqualizer |
| Alcohol detox-early withdrawel __ days from last drink: | withdrawel is in 1-2 days (may be as early as 6 hours)from last drink |
| Manipulative behavior is a | personality disorder |
| In cases of Manipulative behavior: N should use: | verbal reinforcement when pt functions within rules |
| Schizophrenia (catatonic type) negative pt - N should: | tell pt what to do specifically & concisely |
| When may N use restraints: | as a last resort with Dr approval & check agency policy |
| Obsession: Define | a recurrent, persistant & intrusive thought |
| Compulsion: Define | drive to perform recurrent, persistant & repetitive actions |
| In acute manic state - N actions: | reduce stimulation; set limits; |
| panic attacks TX is | anti anxiety drugs help w/SS |
| panic-common SS | fear of losing mind |
| schizophrenia hints: | family can get help, support service are available; environment is important |
| bipolar dz is | rapid mood changes from elation to depression |
| Do not mix drugs & alcohol with | aspirin, anti-histamines & sedatives |
| post traumatic stress dz: pt | relives event thru dreams and recollections |
| post traumatic stress dz SS: | hyper alertness, sleep problems, exaggerated startle, survival guilt & memory impairment |
| amphetamine overdose SS | tension, irritability, diarrhea |
| amphetamines are a nervous system | stimulant subject to abuse because it produces wakefullness & euphioria |
| Amphetamine use - what body response? | stimulates norepinephrine & increases heart rate and blood flow |
| Somatoform pain dz: | real to pt BUT no organic cause found |
| opiate abuse SS | agitation, slurred speech, constructed pupils & euphoria |
| stress & anxiety - most common SS | diarrhea most common symptom |
| overdose anti anxiety meds: | emotional liability, euphoria & impaired memory |
| When may a N force meds on pt? | only if danger to self or others |
| Suicide ? to ask if suspect posibility: | How do you think you would kill yourself? |
| Pt is afraid to leave home & has a: | persistant intrusive image that seems senseless to the pt |
| N/V & diarrhea indicate which substance abuse: | opioids |
| Bulimia Nervosa is a | maladaptive coping respones to stress issues |
| Bulimia Nervosa-Pt will: | overeat and vomit |
| N must watch bulimia pt for | 1 hour and monitor ins & outs & appetite |
| Bulimia involves serious problem with | weight loss |
| Inital goal of bulimia pt: | ID anxiety cause & learn new coping skills |
| Classic Bulimia Nervosa is | binge and purge |
| Anorexia nervosa pt: | uses food to control anxiety to the point of self destruction |
| Anorexia pt-highest priority is: | basic nutritional needs |
| Anorexia nervosa care plan: | relate the pts concern for health & desire to help pt make healthy decisions |
| Parents role in anorexia: | controlling and over protective |
| Anorexia- care plan also has: | strict eating plan, monitor weight & meals (no privacy),limit & supervise exercise |
| Classis anorexia pt profile: | low self esteem, perfectionest, work for all A's, |
| Anorexia characteristic behavior: | constant dieting |
| Anorexia SS: | associative hypotension, reduced metabolism, produces bradycardia & cold extremities, lanugo may cover face, sholders & extremities |
| Lanugo is | solf, downlike hair |
| hypochrondriasis | a hypo kon dri ac |
| hyprchrondriasis-pt who | is preoccupied w/having a serious DZ. |
Created by:
jeanl
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