BUY NOW 40% OFF!
COUPON AUTOMATICALLY APPLIED AT CHECKOUT
WHAT ARE THE CORRECT MATH ANSWERS?
3000 ml
125 ml
0.5 ml
360 ml
12 - 13 gtts per minute
17 - 18 gtts per minute
21 gtts per minute
31 gtts per minute
Decrease the flow rate by 50gtt/min
125 ml
0.5 ml
360 ml
12 - 13 gtts per minute
17 - 18 gtts per minute
21 gtts per minute
31 gtts per minute
Decrease the flow rate by 50gtt/min
What are the five stages of death according to Kubler-Ross?
Denial, anger, bargaining, depression, and acceptance (in that exact order)
When does La Belle Indifference most commonly occur?
In patients with a conversion disorder
What is the most common complication of moderate anxiety?
A decrease in the ability to perceive surroundings and/or concentrate. This disorder causes selective inattentiveness and a narrowing perception in the patients surrounding environment
What is the most common defense mechanisms used by patients who suffer from phobias?
Self-protective avoidance (ego defense mechanism)
What is the most important concern of a patient who suffers from anorexia nervosa?
Correction of nutritional intake and electrolyte imbalance
Why are patients taking Lithium (Lithobid) tested on a monthly basis for?
Lithium (Lithobid) blood serum levels. The therapeutic range between safe and harmful is extremely narrow
What is a normal Lithium (Lithobid) blood serum level?
0.5 – 1.5 mEq/L
What is a toxic Lithium (Lithobid) blood serum level?
2.0+ mEq/L
What are the most common characteristics of alcohol withdrawal?
Anxiety, anorexia, tremors, and insomnia
When do alcohol withdrawal symptoms most commonly occur?
Within 8 hours of withdrawal
Why should Chlorpromazine (Thorazine) not be administered to a patient who has ingested alcohol?
Over sedation and respiratory depression can occur
When does Lithium (Lithobid) toxicity most commonly occur?
Insufficient fluid intake which causes Lithium (Lithobid) retention and buildup to toxic levels
What is the most important consideration when dealing with a patient who is depressed?
Increased risk for suicide or suicide attempt
According to psychoanalytical theory, what is the ego responsible for?
Internal demands. The ego interacts with the environment on conscious, preconscious, and unconscious levels
According to psychoanalytical theory, what is the SUPER ego responsible for?
Morals, values, and ethics, constantly evaluating thoughts and actions, rewarding the good and punishing the bad
According to psychoanalytical theory, what is identity responsible for?
Instinctual drive
When is seclusion implemented?
When reduction to overwhelming environmental stimulation, or protection of self-injury or injury towards others is required. Often implemented for patients who do not respond to less intense interventions
Why is seclusion an effective treatment?
Assists the patient to regain self-control of external if not external and internal behavior and thoughts
What type of diet will increase the risk of hypertension for patients taking monoamine oxidase inhibitors?
Tyramine rich foods (e.g. aged cheese, beer, Chianti wine, chicken, liver, avocados, bananas, meat tenderizer, salami, and bologna)
What are the most important interventions for a patient taking a monoamine oxidase inhibitors?
Bi-weekly weight records and monitoring for suicidal tendencies
What are the most important characteristics to be aware of when a patient is taking a monoamine oxidase inhibitors?
Heart palpitations, headaches, and severe orthostatic hypotension
What are the most common causes of child abuse in adults?
Poor impulse control and lack of education towards growth and development
What are the 2 most important diagnostic factors of Alzheimer’s Dementia?
Progressive decline in memory and neuropsychological test results
What factor places a patient at a higher than average risk of suicide?
A patient who has chosen how they want to perform the suicide act, and plan on carrying it to fruition within the next 48-72 hours
How are phobic disorders treated?
Desensitization therapy (e.g. gradual exposure)
What are the most important factors during phase 1 of a nurse – patient relationship?
Phase 1 – Beginning/Orientation – Initial history and agreement of the nurse – patient contract
What are the most important factors during phase 2 of a nurse – patient relationship?
Phase 2 – Middle/Working Phase – Patient discusses problems, behavioral changes occur, and self-defeating behavior is reduced
What are the most important factors during phase 3 of a nurse – patient relationship?
Phase 3 – Termination/Resolution – Termination of the nurse – patient relationship and positive feedback of accomplishment
What is the top 3 leading causes of death among teenagers?
Unintentional accidents, homicides, and suicides (in that exact order)
What is the most common link between all successful suicides among teenagers?
Previous attempts of suicide and symptoms of depression (Sadness, melancholy, dejection, worthlessness, and hopelessness that are not proportional to reality)
What are the most common characteristics of anorexia nervosa?
Excessive weight loss, lanugo (fine body hair), abdominal distention, and electrolyte imbalance
What percentage of cases should child abuse be reported if suspected?
100% of cases
What is legally mandatory for all nurses to report?
Suspicion of child abuse. This must be reported to Child Protection Services
What are the most common characteristics of sexual abuse of a child?
Blood in the feces or urine, penile or vaginal discharge, genital trauma, or a sexually transmitted infection/disease
What is the best way to clarify a question?
Use an open ended question (yes and no answers CAN BE ambiguous depending on the context)
What is the most common age a child is diagnosed with Autism?
Between 2 – 3 years of age
What is the most common reason a patient will use a defense mechanism?
To reduce stress and anxiety (even if just temporarily)
What are the most important interventions for a patient taking Disulfiram (Antabuse)?
Avoid products containing alcohol such as cough syrup, fruitcake, and sauces or soups made with cooking wine
What right does a patient use when admitted by a physician’s recommendation to a psychiatric unit involuntarily?
The ability to sign out freely and leave
Why do some psychiatric exams use proverbs (stories with lessons) to assess a patient’s mental status?
Schizophrenic patients think in concrete terms thus making it easier to distinguish Schizophrenia. A schizophrenic patient will tend to think of the proverb as a sentence in a story, a less of a lesson or moral
What are the most common characteristics of Lithium (Lithobid) toxicity?
Diarrhea, tremors, nausea, muscle weakness, ataxia, and confusion
What are the most common characteristics of a borderline personality disorder?
Demanding and judgmental attitude toward interpersonal relationships and violent outbursts
What medication should NOT be administered if a patient is taking Disulfiram (Antabuse)?
Metronidazole (Flagyl). Psychotic reactions can occur
What 2 complications are rare but have occurred after electro shock therapy?
Cardiac arrhythmias and death
What is the most important intervention BEFORE a patient receives electro shock therapy?
NPO 24 hours prior to prevent aspiration during anesthesia
What is the most common anesthetic used during electro shock therapy?
Methohexital (Brevital)
What is the most common disorder electro shock therapy is used to treat?
Depression which cannot be treated with pharmacological intervention
How long and how often is electro shock therapy usually administered?
6 – 12 treatments at a rate of 2 – 3 treatments per week
What is the most important intervention during a manic episode?
Slowing the patient down due to a high risk of self-induced exhaustion or injury