Download Galen MH Exam 4 with correct answers and more Exams Health sciences in PDF only on Docsity!
Galen MH Exam 4 with correct answers
What is Anorexia Nervosa? - ** VERIFIED ANSWERS ** โโ refusal to maintain a minimally normal weight, intense fear of gaining weight, often has a need for control What is Bulimia Nervosa? - ** VERIFIED ANSWERS ** โโ binge eating followed by purging (vomiting, laxatives, diuretics) What to assess for Anorexia? - ** VERIFIED ANSWERS ** โโ How long? How much wt pt has lost? intake? What s/s will anorexia pt have? - ** VERIFIED ANSWERS ** โโ under- nourished sunken eyes yellow skin cold extremities dry brittle hair & nails poor skin turgor amenorrhea bradycardia constipation fine hair all over body to help reg temps What are some interventions for anorexia? - ** VERIFIED ANSWERS ** โโ Daily morning wt (face away)
distract from exercise Stabilize them medically Coping skills underlying anxiety tx Help identify things they do have control over work on self-esteem small freq meals distract from exercise accompany to bathroom after meals limit exercise Tx for anorexia? - ** VERIFIED ANSWERS ** โโ SSRI zyprexia provac yoga group & family therapy What are signs that eating habits are normalizing? - ** VERIFIED ANSWERS ** โโ They will start eating more on their own w/ out being told What is a potentially lethal tx complication that can occur when severely malnourished pts are refed? - ** VERIFIED ANSWERS ** โโ refeeding syndrome need to consult dietician What s/s will bulimia pt have? - ** VERIFIED ANSWERS ** โโ healthy looking difficulty with impulsivity & compulsivity vomiting (self induced)
What is avoidant/restrictive food intake disorder? - ** VERIFIED ANSWERS ** โโ avoiding/restricting food starting in childhood, no distortion of body image What is the 1st most dangerous to withdraw from? - ** VERIFIED ANSWERS ** โโ alcohol What is the 2nd most dangerous to withdraw from? - ** VERIFIED ANSWERS ** โโ benzos Why do we see so much substance abuse? - ** VERIFIED ANSWERS ** โโ self medication What are some comorbidities from alcohol? - ** VERIFIED ANSWERS ** โโ cirrhosis fatty liver pancreatitis For substance abuse to be dx'ed they have to have? - ** VERIFIED ANSWERS ** โโ negative consequences Examples of negative consequences d/t substance abuse? - ** VERIFIED ANSWERS ** โโ crime health issues loss of job failure in school violence Whose at large risk for alcohol poisoning? - ** VERIFIED ANSWERS ** โโ college students
Alcohol poisoning? - ** VERIFIED ANSWERS ** โโ A dangerous toxic condition that occurs when a person drinks a large amount of alcohol in a short period of time can result in aspiration or shut down of CNS What are alcohol poisoning s/s? - ** VERIFIED ANSWERS ** โโ inability to arouse RR< cool and clammy cyanosis vomiting What are signs of alcohol intoxication? - ** VERIFIED ANSWERS ** โโ staggering slurred speech repeats self lack of coordination What are signs of alcohol withdrawl? - ** VERIFIED ANSWERS ** โโ hyper alert anorexia irritable startles easily seizures elevated vs tremors n/v
n/v sweating When do DTx occur? - ** VERIFIED ANSWERS ** โโ 24-72 hours after last drink Alcohol Assessment- Questions to ask - ** VERIFIED ANSWERS ** โโ - open ended
- Type of alcohol
- how much consumed
- for how long
- when last consumed -have you ever had DTs or seizures Alcohol nursing process? - ** VERIFIED ANSWERS ** โโ detox rehab housing/hospitalization What is Al-Anon? - ** VERIFIED ANSWERS ** โโ a support group for an alcoholic's family and friend. What is Alateen? - ** VERIFIED ANSWERS ** โโ a support group to help teenagers whose parents are alcoholics What is pharm alcohol tx? - ** VERIFIED ANSWERS ** โโ antibuse atrexia contrave What are examples of opiates? - ** VERIFIED ANSWERS ** โโ Heroin
Morphine Fentanyl Methadone Meperidine What do opiates do? - ** VERIFIED ANSWERS ** โโ Depress CNS slow RR What are heroin intoxication s/s? - ** VERIFIED ANSWERS ** โโ constricted pupils drowsiness slurred speech decreased rr &bp What are heroin withdrawal s/s? - ** VERIFIED ANSWERS ** โโ yawning pain n/v agitation loss of appetite diaphoresis nasal stuffiness runny eyes What is tx for heroin withdrawal? - ** VERIFIED ANSWERS ** โโ pain meds antianxiety meds ani-emetics nutrition methadone/buprenorphine/naltrexone/clonadine
What is social learning theory? - ** VERIFIED ANSWERS ** โโ observe and imitate others (learned response) With anger we should be? - ** VERIFIED ANSWERS ** โโ proactive vs reactive (intervene early) What is the greatest predictor of violence? - ** VERIFIED ANSWERS ** โโ previous violence If there is a hx of violence? - ** VERIFIED ANSWERS ** โโ Make sure to have a PRN med on hand/ordered With anger what can we help identify? - ** VERIFIED ANSWERS ** โโ the feeling behind the anger What is the best way to approach a pt who is escalating? - ** VERIFIED ANSWERS ** โโ clamly, give space, back up "It looks like your pretty upset, what happened?" What can we give for anger interventions? - ** VERIFIED ANSWERS ** โโ benzo halodal Anger tx? - ** VERIFIED ANSWERS ** โโ model appropriate responses and ways to cope teach methods to appropriately express the anger coping mechanisms last resort restraints
What are some contraindications of restraints? - ** VERIFIED ANSWERS ** โโ seizures pregnancy breathing issues spinal/back issues What needs to be met with restraints? - ** VERIFIED ANSWERS ** โโ nutrition hydration elimination What needs to be documented when in restraints? - ** VERIFIED ANSWERS ** โโ skin integrity pulses every 15mins rom order How long can an adult stay in violent restraints? - ** VERIFIED ANSWERS ** โโ 4hrs How long can an adult stay in non-violent restraints? - ** VERIFIED ANSWERS ** โโ 24 hours Restraint release procedure? - ** VERIFIED ANSWERS ** โโ communicate make sure know what behavior happened expectations debrief w/ pt and staff
victim may try to cover up the injury or may look for help What is the honeymoon stage? - ** VERIFIED ANSWERS ** โโ The perpetrator apologizes and makes promises. The victim wants to believe things will change and feels guilty We do not advise victim to leave abuser b/c? - ** VERIFIED ANSWERS ** โโ it implies judgement and victim is at greatest risk for being killed when they leave Abuse in child reporting? - ** VERIFIED ANSWERS ** โโ it is mandated to report any suspicions When a child comes in w/ broken bone, what should we ask? - ** VERIFIED ANSWERS ** โโ What happened? What happens when you act badly? Ask parent how do they discipline and do they have any help? What is important to document with child abuse? - ** VERIFIED ANSWERS ** โโ picture, verbatim statements, what you are seeing Abuse primary prevention - ** VERIFIED ANSWERS ** โโ measure taken to preen the occurrence (education) Abuse Secondary prevention - ** VERIFIED ANSWERS ** โโ early intervention in abusive situations to minimize their disabling or long term effects Abuse tertiary prevention - ** VERIFIED ANSWERS ** โโ facilitate healing and rehab providing support
assisting survivors achieve safety, health & well being Abused victims goal? - ** VERIFIED ANSWERS ** โโ empowerment develop solid sense of self Sexual distress is more common when? - ** VERIFIED ANSWERS ** โโ assaulted by intimates Fear/anxiety is more common when? - ** VERIFIED ANSWERS ** โโ assaulted by strangers acute stress disorder vs PTSD? - ** VERIFIED ANSWERS ** โโ Acute stress disorder - 3 days to 1 month PTSD - for longer than 1 month PTSD s/s? - ** VERIFIED ANSWERS ** โโ negative thoughts/feelings dissociative symptoms (depersonalization) intrusive symptoms avoidance arousal symptoms Effects of incest? - ** VERIFIED ANSWERS ** โโ -negative self-image -depression -eating disorders -personality disorders -self-destructive behaviors -substance abuse
sexual assault nursing interventions? - ** VERIFIED ANSWERS ** โโ counseling promotion of self-care activities case management What is hospice care? - ** VERIFIED ANSWERS ** โโ pt who physician has certified <6months to live pt care not curing pt What is palliative care? - ** VERIFIED ANSWERS ** โโ taking care of pt w/ terminal dx (ex. cancer, dementia) goal is to keep comfortable and optimizing quality of life What is voluntary euthanasia? - ** VERIFIED ANSWERS ** โโ individual does so w/ provider assistance What is Passive euthanasia? - ** VERIFIED ANSWERS ** โโ individual is unable to consent What is involuntary euthanasia? - ** VERIFIED ANSWERS ** โโ used in cases such as death penalty What are s/s of dying? - ** VERIFIED ANSWERS ** โโ modeling of skin death rattle End of life nursing care includes? - ** VERIFIED ANSWERS ** โโ communication (clear, listening, observing) presence keep comfortable anticipatory grief
sustenance What is grief? - ** VERIFIED ANSWERS ** โโ emotional response to loss What is bereavement? - ** VERIFIED ANSWERS ** โโ period of grieving following a death, includes process by which a person experience grief including thoughts and feelings What is mourning? - ** VERIFIED ANSWERS ** โโ the act of showing sorrow or grief What is Physiological loss? - ** VERIFIED ANSWERS ** โโ loss of mobility, organ, extremity What is loss of security and sense of belonging? - ** VERIFIED ANSWERS ** โโ the loss of an individual impacts a relationship/changes role What is loss of self-esteem? - ** VERIFIED ANSWERS ** โโ chang in value r/t work, peers, relationships What is loss r/t self-actualization? - ** VERIFIED ANSWERS ** โโ loss of hope to fulfill dreams What is Kubler-Ross' stages of dying? - ** VERIFIED ANSWERS ** โโ denial anger bargaining depression acceptance
