Final Exam

10/16/2014

1. Communication principles
a. Manic
b. Depressed
c. Encopresis defecation anywhere
d. Enuresis bedwetting
2.. Kuglor Ross different stages
3. acutely manic, hyperactivity, insomnia, restlessness, clanging
what would you do
4. someone who is demanding for their medication what would you do
5. Calculations
6. what do we use for opiates as an antagonist narcan
7. Datrana patch, 9 hours
8. Reconsutition mixing with normal salane and powder
antibiotics
Botox
9. contraindications with MAOIs
10. Osteoporosis risk factors eating disorders medical conditions
hypokalemia palpitations
11. who rights an incidence report whoever witnesses it
12. Labs for Lithium, Depakote, anticholinesterase
13. scope of practice LVN, RN, CNA
14. Different types of Abuse, tort, negligence, seclusion, assault,
battery, aggravated assault

15. sleep disorders side effects of Benadryl anticholinergic

16. nursing outcome criteria
measurable, realistic numbers percentage, target time date
most accurate one
17. Patients with anorexia and bulimia food selection let them
choose
18. Sleep hygiene
19. Duration of action methamphetamines and
20. transference and counter transference
21. Assigning most stable patient
22. how do you respond to someone with antipersonality or antisocial
behaviors
set limits, confront behaviors
address how you feel about behavior
o I feel threatened with your behavior
23. DNR , CCO (comfort care only)
24. when withdrawal symptoms start and delirium tremors
25. Clusters of personality disorders
As odd and eccentric schizoid, paranoid, szhizotypo
Bs dramatic, impulsive, --histrionic, borderline,
26. Lamictal steven johnsons
27. Positive and negative symptoms, and affective and cognitive
symptoms
28. medications used for ECT
29. Bioethics

 fidelity, veracity, autonomy,

30. agoraphobia
31. treatment for alcohol withdrawals
32. list of interventions for someone who has antisocial personality
disorder or conduct disorder and impulse control.
33. teachings for hypnotics, sleep aids
34. interventions, when do you start when someones anxious mild
anxiety can teach.
35. Geodon (take with food at least 300 calories)
36. ECT side effects
37. teachings or recommendations for someone having anticholinergic
suck on sugarless candy or gum
o no ice b/c risk for ?
38. Vagus nerve stimulation ATI
39. Defense mechanisms
40. patients with borderline personality disorders
characteristics and interventions
o unpredictable, likely harmthemselves
41. Clorzaril WBC and ANC
42. Someone with OCD, in the middle of their ritiual, continue their
behavior
43. Anorexia and Bulemia get them to do less strenuous activity
interrupt
44. Delegation
45. who would you see first?

46.
sleep disorders
bedtime routine
tv radio off
Sleep hygiene
Limit caffeine
Personality disorders
Schizoid emotional detachment
o They dont care about anyone else or how they feel
o Reclusive, avoidant, uncooperative
o Avoid being too nice
o Do not try to increase socialization
o Sheldon
Schizotypo
o Clown like makeup
o Red cheek, red lips
o Magical thinking
o Ideas of reference
Thought insertion
Thought projection

Television is talking to me
o Socially inept
o Let them know what youre going to do
o Give them rationale for the changes
Cluster B
o Dramatic
o Antisocial
Appear very normal
Dont exhibit anxiety or depression
Manipulative, aggressive, exploit other people
Disregard for others
Do no accept personal responsibility for their behavior
No remorse, no conscience
o Borderline
Instability of affect, identity, and relationships
Fear of rejection, abandonment
Youre either the good nurse or bad nurse
Notorious for splitting
Very impulsive, Suicidal ideations
Get people to feel sorry for them
Set realistic goals, set limits because they manipulate

Seductive and charming but can turn on you in an

instant
Clear straightforward communication
Avoid rejecting or rescuing
If they seem upset, find out whats going on with them
o Histrionic
Emotional attention seeking behavior
Act seductively, flirtatiously
You can do nothing, and theyll turn it around and make
it seem like you did something
Shallow
Depressed and suicidal when admiration is withdrawn
Interventions
Keep interactions professional
Melodramatic
Everything is at a 10
o Narcissistic
Its all about me
Lack empathy for others
Sensitive to rejection and criticism
Dont deal well with aging
Interventions
Avoid power struggles

Remain neutral
Cluster C anxious or fearful, insecurity, and inadequacy
o Avoidant
Anxious
Hypersensitive to negative evaluation
Interventions
work with them to go through group
o Dependent
Extreme dependency in a close relationship with an
urgent search to find a replacement when one
relationship ends
Clingy
Submissive
Needy
Interventions
Identify stressors
Try to satisfying needs at the same time limits are
set
Be aware of counter-transference
Keep interactions professional
o Obsessive compulsive
Perfectionism
Control
Preoccupied with details

Critical of selves and others

Interventions
Guard over power struggles
Give them as much control as you can
Defense mechanisms
Rationalism

Tourettes
Diagnosed in childhood
ORAP
Interventions
o Safety
Motor and verbal tics
Tongue protrustion, touching, squatting, hopping, skipping,
retracing steps, twirling. Spontaneous words and sounds.
Signs and symptoms change

ADHD
Adderall, Ridlen
o Eat first, give after 4pm
o SR 4-8hrs
o Anorexia, sleep disorders
Erickson

 Child on
Alcoholism
Vernike corsikoff
o Vitamin B thiamine
o Loss of memory
o Confusion
o Confabulation
Medications
o Antabuse
o Revia decrease craving
o Librium and Ativan on admission to help decrease delirium
tremens
Intoxiation vs. withdrawal, overdose
Cocaine intoxication (SPEED)
o Dilated pupils
o Elevated bp, pulse
Cocaine withdrawal
o Pinpoint pupils
NALOXONE NARCAN
RN
ONLY RN CAN DO Assess, TEACH and Evaluate
LVN cant hang blood

NANDA for alcohol and drugs

Alzheimers
Meds, cognex ( check liver )

Delirium tremens see 2 -3 days later

safety
CAGE
Cut down
Annoy you
Guilty
Eye opener
Side effects of Caffeine withdrawal
Headache and
Headaches stop after a week
Dolafien methadone
Opiod substitution
Suboxone?
Addictive
Eating disorders
Allow them to choose
Watch them for swallowing

Postperanguly (after eating)

o Dont let them go to the bathroom for 30 min to an hour
Signs and symptoms
o Lunigo (baby hair) and amenorrhea
o Weigh 1x or 2x a week
Turn around so they cant see the scale
Same time, same clothes, same scale
o Die of cardiac, due to potassium imbalance
Autism spectrum disorder
Diagnosed before three
Absence of speech
DNR
Do not resuscitate
Keep them comfortable
Pain free
Conversion disorder
Blind, peralasis
You acknowledge their emotions
Wait for them
Based on symptoms
Somatic disorder
Hypochondriac
Based on disease
NMS
Antispcyhotics
Serotonin syndrome
From antidepressants
Anorexia
prozac