NIHI psych patient and addiction chapter 35 & 36

What drug do you give to OCD?

ANS Prozac (SSRI)

The patient talks with his dead brother and arranges so that his brother will have a place to sit. How should the nurse document this behavior? Page 1120

ANS hallucination.

A home health nurse has a patient who is taking lithium. What should be included in the teaching plan? Page 1122

ANS have her drug blood level checked every month.

During the detoxification period, what does the nurse aim to achieve when designing interventions? Page 1145

ANS keep the patient safe from aspiration and seizure.

What is lithium toxic?

ANS level is more than 1.5 mEq/L

What are considered warning sign of suicide? SATA page 1122

ANS 1. Talking about suicide 2. drug or alcohol abuse. 3. Difficulty concentrating on work or school. 4. Personality changes.

During the initial intake assessment of a drug user, the nurse should attempt to obtain which subjective data? SATA page 1144

ANS 1. Usual patter of use 2. Specific Drug 3. Amount of drug used 4 time of last use.

Who increases risk for peristalsis? Not SATA but possible ANS choices

ANS 1. A nurse has 3 exams. 2. Anorexia nervous.

Inhalants of hallucinogens what they do to patient and dangers of them 4/5 SATA page 11153 to 1155

ANS 1. Alter perception and thinking (believe they can fly) 2. Alter emotion: laughing or crying 3. Acute panic attack, acute psychosis. 4. Hallucination/ euphoria. 5. Feeling weightless.

The nurse should assess a patient for which criteria of abdication? SATA page 1140

ANS 1. Excessive use of the substance 2. Uncontrollable consumption 3. Psychological disturbance.

A nurse suspects here a coworker is abusing drugs. Which of the following symptoms, noticed in the coworker, would contribute to the suspicion? SATA page 1153

ANS 1. Frequently absent from the unit 2. Rapid changes in mood and performance 3. Increased somatic complaints 4. Patients report they did not receive their medication.

Drinking maternal during pregnancy? 3/5 page 1143

ANS 1. Mental retardation 2. Growth disorders 3. Craniofacial abnormalities. 4. Wide-set eyes. 5. Flattened face 6. Malformed body parts.

Know the symptoms of major depressive disorder? 4/5 SATA page 1121

ANS 1. Psychomotor retardation. 2. Indecisiveness. 3. Sleep disturbance 4. Suicidal ideation.

Early stages of dependency? 4/5 SATA page 1142

ANS 1. Strong denial 2. Defends drug against family 3. Increased tardiness to work/school 4. Good chance of recovery with no treatment.

Teaching for Sertaline (Zoloft) page 133 not SATA but possible ANS choices

ANS 1. Takes 2 to 4 weeks to be effective 2. Taking in the morning or early afternoon to prevent insomnia 3. Avoid alcohol use

Adjunctive therapies are used for which reasons? SATA page 1136

ANS 1. To increase self-esteem 2. To promote positive interaction 3. To enhance reality orientation.

Negative symptoms of Schizophrenia 3/5? Page 1120

ANS Avolition Psychomotor retardation anhedonia

The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. What is the best response by the nurse?

ANS "I am required to report ANS intent to hurt yourself or others"

The nurse asks a patient with schizophrenia if he had any visitors on Sunday. Which response indicates loose association? Page 1120

ANS "we visited Yellowstone park last summer"

This might not be in the exam but additional notes. The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers. What is the legal blood alcohol serum levels in most states? Page 1143

ANS 0.08%

The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon after cessation of alcohol intake do withdrawal says proms usually appear? Page 1143

ANS 6 hours.

The home health nurse assess a patient who creates elaborate excuses for not leaving home. Further questions reveals that patient had not left home for 6 months. How should this be documented? Page 1125

ANS Agoraphobia.

What disorder is a severe form of self-starvation that can lead to death? Page 1128

ANS Anorexia nervous.

What should the nurse prepping a patient for a scheduled appointment for electroconvulsive therapy (ECT) remind the patient to do? Page 1123

ANS Arrange for transportation to and from the appointment.

For the past 3 weeks, the nurse has observed a patient interacting with staff and other patients, helping decorate the dining room for a party, and leading the singing in the activity room. Today, the patient tearfully refuses to dress or get out of bed. The nurse recognizes these behaviors as evidence of which psychiatric disorder? Page 1121

ANS Bipolar disorder.

When a patient denies any problems related to abdication, what is the nurse most therapeutic response? Page 1146

ANS Can you think of any time your behavior created an unpleasant situation in your life?

A patient who is taking a monoamine oxidase inhibitor (MAOI) asks the nurse about the addition of St. John's wort to help with his depression. What would be the best response of the nurse? Page 1136

ANS Did you know that St. John's wort can raise your blood pressure dramatically?

If the patient tells the nurse, "I'm not an alcoholic. I can stop whenever I want to," what should be the nurse's most therapeutic response? Page 1146

ANS Has't alcohol use interfered with your employment?

What kind of drug will make you have pinpoint pupils? Page 1154 or 1149 not sure is right but Heroin can be one.

ANS Heroin

Why is risperidone used?

ANS Less sign and symptoms seen.

What stage of dependence is described by a patient when he tells the nurse that he has tried to stop his drug habit, but he does not feel "normal" without it? Page 1142

ANS Middle

When a patient demonstrates accelerated heart rate, trembling, choking, and chest pain along with acute, intense and overwhelming anxiety, the nurse should recognize that the patient is most likely experiencing what condition? Page 1122

ANS Panic.

What must a patient in the late stage of dependence do in order to recover? Page 1142

ANS Receive treatment for substance abuse.

What should the nurse do when suspecting a coworker of abusing drugs while at work? Page 1153

ANS Report observation to a supervisor.

Which drug is often used in date rape? Page 1149

ANS Rohypnol

A profound, disabling mental illness is characterized by bizarre, no reality thinking. What is the illness? Page 1114

ANS SCHIZOPHRENIA

The patient complains of recurrent, multiple physical ailments for which there is no organic cause. How should the nurse assess this? Page 1127

ANS Somatic symptom disorder.

What should the nurse do to decrease the patient's disorientation at night during the detoxification period? Page 1145

ANS Use nightlights and remove extra furniture from the room.

Know what to see in patient with withdrawal problems? Page 1143 just a guess

ANS alcohol withdrawal syndrome?

Dementia is an organic mental disease secondary to what problem? Page 1114

ANS cerebral disease

When a patient is experiencing a panic attack, how should nurse best assist the patient? Page 1117

ANS coach in deep breathing.

Disorder student encounter the most in clinical? 3/5 SATA

ANS could not find but 3/5

While creating a methadone protocol for a patient rehabilitating from heroin addiction, the nurse explains that the patient will take methadone for what length of time? Page 1150

ANS daily until stabilized, then gradually reduce the dose to zero.

For risperidone you are going to watch out for?

ANS decreased depression and paranoia

Good time to use thiamine? Page 1145 in the book says as ordered but question above.

ANS for chronic alcohol.

The nurse alters the care plan for a patient with depression to included what type of activity? Page 1121

ANS group outing to view wildflowers.

A patient is frequently late for appointment because he goes back to his room numerous times to assure himself that non of his belongings have been stolen. What does this behavior represent? Page 1125

ANS obsessive-compulsive

A patient believes himself to be the president of the United States and that terrorists are trying to kidnap him. The nurse records these observation as which type of behavior? Page 1114

ANS positive behavior

What kind of symptoms of lithium toxicity?

ANS something about cardiac rhythm.

The nurse is caring for a patient with a diagnosis of catatonic schizophrenia. What behavior is consistent with this diagnosis? Page 1120

ANS stands on one foot for 15 minutes.

A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime. What is the term applied to this type of delirium? Page 1114

ANS sundowing syndrome

What nursing intervention should be included in the plan of care for a baby born to a drug-addicted mother? Page 1151

ANS swaddle the baby closely.

Know when to give Anticholinergic medication what type of situation? Page 1122 not answer choice just a guess.

ANS take it at bedtime?

Which statement describes the impaired nurse who is in a peer assistance program? Page 1155

ANS the nurse will be allowed to work as nurse under supervision.

The nurse caution a patient to watch his steps. What response indicates concrete thinking? Page 1120

ANS the patient fixedly begins to watch his feet.

A pregnant adolescent tell the nurse that she "only drinks a little" how many drinks per day can cause an adverse effect in an infant? Page 1143

ANS two drinks a day.

The nurse instructs a patient who just been prescribed a protocol of fluoxetine HCI (Prozac) that the drug takes 2 to 4_______ to take effects page 1127

ANS weeks.

A 60-year-old man was admitted for cholecystitis that resulted in a cholecystectomy. On his third day of hospitalization, he begins to sweat profusely, tremble, and has a blood pressure of 160/100. Based on these findings, what focused assessment should the nurse complete? Page 1143

ANS withdrawal problems.

When the patient with a psychosis is though to be a danger to self or others, by what method should the patient be admitted to the hospital? Page 1113

ANS: Probating

The nurse is discussing the differences between a patient with a neurosis and one with a psychosis. What is true of the patient experiencing a neurosis? page 1113

ANS: The patient has insight that there is an emotional problem.

A young man with malaria spikes a temperature of 105F (40.5C) and begins to hallucinate. How should the nurse assess this? Page 1114

ANS:Delirium

When all five axes of the Diagnostic and Statistical Manual of Psychiatric Disorders, V, are used, it provides what type of assessment approach to comprehensive care? a. Personalized b. Individualized c. Holistic d. Organic page 1114

ANS:Holistic