Download NUR 114 Exam 2: Questions and Answers on Personality Disorders and Eating Disorders and more Exams Nursing in PDF only on Docsity!
NUR 114 exam 2 questions with correct
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what |is |the |goal |of |a |therapeutic |community |or |milieu |therapy? |- |VERIFIED |ANSWER✔✔-increasing | self |esteem what |is |the |role |of |the |nurse |in |milieu |therapy |- |VERIFIED |ANSWER✔✔-ensure |physiological |and | psychological |needs |are |met what |does |secondary |prevention |focus |on |(2 |things) |- |VERIFIED |ANSWER✔✔-early |detection |and | prompt |intervention lessen |debilitating |s/s, |minimize |and |prevent |episodes, |improve |function, |enhance |independence |and | lessen |family |burden |- |VERIFIED |ANSWER✔✔-PACT |team what |meds |are |used |for |borderline |personality |disorder |- |VERIFIED |ANSWER✔✔-antidepressants | (SSRI), |mood |stabilizing |agents |(lithium |and |valproic |acid-depakote), |anxiolytics |(prams, |lams), | antipsychotics |(risperidone, |olanzapine, |quetiapine), |Naltrexone |(to |prevent |injury |to |self), | anticonvulsants what |is |the |main |goal |with |mental |illness |- |VERIFIED |ANSWER✔✔-safety implementation |for |BPD |- |VERIFIED |ANSWER✔✔-determine |suicide |risk, |be |calm, |patient, |never |tell | personal |info, |be |cautious |of |charm, |avoid |splitting, |low |stimuli, |decrease |visitors, |observe |frequently, | remove |dangerous |objects, |encourage |to |journal |and |verbalize |feelings What |labs |are |assessed |in |BPD |- |VERIFIED |ANSWER✔✔-Substance |abuse, |albumin |for |nutritional | intake, |STDs Assessment |components |for |BPD |- |VERIFIED |ANSWER✔✔-Patient |history, |self-assessment |form |what | do |they |say, |observe |for |self |mutilation, |what |do |they |look |like, |mood |swings, |unstable |behaviors, | determine |if |they |have |a |plan |to |harm |themselves
What |do |you |do |if |self |mutilation |occurs, |how |do |you |handle |it |- |VERIFIED |ANSWER✔✔-Handle |it | with |a |matter |of |fact, |no |empathy, |help |their |situation |but |do |not |give |into |the |attention |seeking what |is |Obsessive |compulsive |Personality |disorder |- |VERIFIED |ANSWER✔✔-Most |common |in |men, | they |are |serious, |Formal, |disciplined, |fear |mistakes, |loyal |independent |responsible, |controlled |rigid, | difficulty |expressing |emotion, |overly |disciplined, |perfectionist, |inflexible, |scheduled |list |and |rules, | fearful |of |making |mistakes, |devoted |to |work, |highly |successful, |they |think |emotion |is |irresponsible, | diligent, |strive |for |approval, |they |may |be |angry |is |devoted |to |work, |highly |successful, |they |think | emotion |is |irresponsible, |diligent, |strive |for |approval, |they |may |be |angry |inside, |DO |NOT |HAVE | OBSESSIONS |OR |COMPULSIONS What |is |dependent |personality |disorder |- |VERIFIED |ANSWER✔✔-Low |confidence, |rely |on |others, |no | decisions, |submissive, |lack |of |confidence, |extreme |reliance |on |others, |excessive |need |to |be |cared |for, | passive, |avoid |responsibilities, |sensitive, |fear |of |loss |of |love, |helpless, |attached, |often |in |abusive | relations What |is |avoidant |personality |disorder |- |VERIFIED |ANSWER✔✔-Lonely, |fear |of |rejection, |they |want |a | relationship |but |are |scared |of |rejection, |shy, |timid, |mistrustful, |awkward, |need |reassurance, |sensitive, |withdrawn, |low |self-esteem, |they |feel |like |they |are |not |wanted What |is |narcissistic |personality |disorder |- |VERIFIED |ANSWER✔✔-Most |common |in |men, |high |self- esteem, |they |think |they |are |worthy, |no |empathy, |self-centered, |cannot |stand |criticism, |typically |does | not |affect |their |functioning, |but |they |struggle |in |relationships, |blame |others, |why |often, |often | insecure |inside What |is |antisocial |personality |disorder |- |VERIFIED |ANSWER✔✔-Most |common |in |men, |irresponsible, | manipulative, |guiltless |no |remorse, |50% |of |prison |population, |exploit |others |for |personal |gain, | disregards |the |rights |of |others |and |the |law, |cannot |keep |a |job |or |relationship, |want |immediate | gratification, |no |desire |for |intimacy, |they |fake |being |guilty |if |they |know |a |punishment |is |coming, | emotional |deficit, |impulsive, |keep |your |word! How |should |you |deal |with |somebody |with |an |antisocial |personality |disorder |- |VERIFIED |ANSWER✔✔- Consistency |is |key |and |make |rules |clear
What |are |some |of |the |reasons |a |person |would |be |hospitalized |for |an |eating |disorder |- |VERIFIED | ANSWER✔✔-Malnutrition |(less |than |expected |body |wt), |dehydration, |severe |electrolyte |in |balance, | cardiac |arrhythmias |(HR |less |than |50), |hypothermia, |hypertension, |suicidal |idealization What |meditations |are |used |for |eating |disorders |- |VERIFIED |ANSWER✔✔-Antidepressants |(fluoxetine, | imipramine, |amitriptyline) What |do |you |need |to |watch |for |when |someone |first |starts |taking |antidepressants |- |VERIFIED | ANSWER✔✔-Drowsiness |and |orthostatic |hypotension What |is |the |warning |for |fluoxetine |and |adolescents |- |VERIFIED |ANSWER✔✔-An |increase |risk |of | suicidal |idealization What |are |some |nursing |interventions |for |all |eating |disorders |- |VERIFIED |ANSWER✔✔-Establish | trusting |relationship, |promote |feelings |of |control, |therapeutic |relationships, |practice |problem-solving, | encourage |expression |of |feelings, |improve |self-esteem, |monitor |nutritional |status, |monitor |fluid |and | electrolytes, |daily |weight, |vital |signs Signs |and |symptoms |of |bulimia |- |VERIFIED |ANSWER✔✔-Russle |sign |which |is |callous |or |abrasions |on | the |knuckles |and |fingers, |ulcers |in |the |mouth, |cavities, |swelling |in |cheeks, |esophageal |tears, |mood | disorders, |addiction |to |stimulus |or |alcohol Characteristics |of |bulimia |- |VERIFIED |ANSWER✔✔-Characterized |by |binge |eating, |secretive, |vomiting | after |eating, |depressed, |self |digression, |weight |fluctuation, |dehydration |electrolyte |in |balance |is, | they |talk |badly |about |themselves, |they |can |be |any |weight What |are |the |signs |and |symptoms |of |anorexia |- |VERIFIED |ANSWER✔✔-Weight |loss, |bony, | bradycardia, |hypotension, |peripheral |edema, |lanugo, |metabolic |changes, |amenorrhea, |obsessive | disorders, |alopecia, |bruises |easily, |very |cold What |is |the |criteria |for |hospitalization |for |anorexia |- |VERIFIED |ANSWER✔✔-HR |less |than | 50 |or | suicidal |idealization
What |medication |is |used |for |weight |gain |in |anorexia |- |VERIFIED |ANSWER✔✔-Naloxone |, |helps |them | feel |the |hunger What |is |anorexia |- |VERIFIED |ANSWER✔✔-Morbid |fear |of |obesity, |distortion |body |image, |refusal |to | eat, |severely |limit |what |they |eat, |emanciated |(starving), |dinars |weight |loss, |occurs |and |adolescents | and |young |adults, |use |of |laxative |or |diuretics, |obsession |with |food |but |only |to |cook |for |others |and | ritualistic |behaviors, |they |can |be |full |on | 200 |cal |or |less What |is |binge |eating |disorder |- |VERIFIED |ANSWER✔✔-Rapid |ingestion |of |food |in |two |hours |or |less, | followed |by |extreme |guilt |or |depression, |they |can |be |any |body |shape, |they |do |not |vomit, |form |of | addiction, |delayed |gastric |emptying, |stretch |stomach, |slow |peristalsis Triggers |for |binge |eating |- |VERIFIED |ANSWER✔✔-stress, |low |self |esteem, |boredom What |weight |loss |pill |is |FDA |approved |but |what |damage |can |it |cause |- |VERIFIED |ANSWER✔✔-Alli, |it | can |cause |liver |damage, |unstable |bowels, |liquid |gas Who |was |involved |in |the |care |for |a |client |with |an |eating |disorder |- |VERIFIED |ANSWER✔✔-Nurses, | psychologist, |dietitian, |social |work, |physical |therapy, |and |their |family What |is |considered |obese |- |VERIFIED |ANSWER✔✔-BMI |of | 30 |or |greater, |maladaptive |eating | behaviors What |nursing |interventions |are |important |for |a |client |with |an |eating |disorder |- |VERIFIED | ANSWER✔✔-Remain |with |the |client |while |they |eat |and |one |hour |after |as |well, |promote | independence, |positive |affirmations What |is |the |safe |lithium |range |and |what |should |they |consume |- |VERIFIED |ANSWER✔✔-0.6 |to |1.2 |is | the |maintenance |level, |they |need |to |consume |an |adequate |amount |of |sodium |and |fluid, |bloodwork | frequently
-Lorazepam |(Ativan) How |long |are |anxiolytics |given |- |VERIFIED |ANSWER✔✔-short |term |use |only, |very |addictive! What |is |important |to |remember |when |giving |anxiolytics |- |VERIFIED |ANSWER✔✔-do |NOT |give |if | suicidal |or |depressed |because |they |may |try |to |OD Contraindications |for |anxiolytics |- |VERIFIED |ANSWER✔✔-pregnant, |other |CNS |depressants |in |use | (alcohol, |or |other |benzos), |lactation, |glaucoma SE |of |anxiolytics |- |VERIFIED |ANSWER✔✔-drowsy, |dependance, |orthostatic |hypotension, |tolerance, | confusion SSRI |special |things |to |remember |- |VERIFIED |ANSWER✔✔-S-symptoms |improve |over |time | S-slowly |taper |off R-risk |for |suicidal |thoughts I-interactions |with |OTC |drugs, |cold |meds, |migraine |meds, |st |johns |wort s- |side |effects |to |watch |for What |are |drug |interactions |for |SSRR |- |VERIFIED |ANSWER✔✔-Buspirone, |TCA, |St. |John's |wort, |MAOR, | warfarin, |NSAIDs, |alcohol, |benzo's, |antiepileptics What |are |SNRI's |used |for |- |VERIFIED |ANSWER✔✔-Used |for |depression |or |pain |related |to |neuropathy, |such |as |diabetes |or |fibromyalgia, |and |anxiety. |Teach |them |that |these |are |used |for |more |than |just | depression. |They |can |help |with |chronic |pain. Names |of |SNRI's |- |VERIFIED |ANSWER✔✔-Duloxetine |(Cymbalta) Venlafaxine |(Effexor) | Desvenlefaxine |(Pristiq) Levomilnacipran |(Fetzima)
Atomoxetine |(Strattera) Drug |interactions |with |TCA |- |VERIFIED |ANSWER✔✔-MAOI, |st. |John's |wort, |tramadol, |clonidine, | epinephrine, |acetylcholine |blockers, |alcohol, |carbamazepine |(tegretol), |cimetidine |(Tagamet), | bupropion |(buspar) What |are |the |names |for |TCA's |- |VERIFIED |ANSWER✔✔-Amitriptyline |(Elavil) Imipramine |(Tofranil) Desipramine |(Norpramine) | Nortriptyline |(Aventyl, |Pamelor) Dosepin |(Silvenar) Protriptyline |(Vivactil) Trimipramine |(Sarmontil) Amoxapine |(Asendin) SE |of |TCA |- |VERIFIED |ANSWER✔✔-"can't |see, |spit, |or |sh*t" |anticholinergic |effect, |blurred |vision, | photophobia, |urine |retention, |dry |mouth, |constipation, |sweating, |seizures, |sedation, |orthostatic | hypotension What |should |you |teach |with |TCA |- |VERIFIED |ANSWER✔✔-move |slowly |at |first, |fluids, |chew |gum, | increase |fiber |in |diet, |eye |drops How |long |should |someone |when |off |of |antidepressants? |and |what |can |happen |if |not? |- |VERIFIED | ANSWER✔✔-2 |weeks!! discontinuation |syndrome |can |occur |if |the | 2 |weeks |is |not |applied MAOI |names |- |VERIFIED |ANSWER✔✔-Isocarboxazid |(Marplan) Phenelzine |(Nardil) Tranylcypromine |(Parnate) Selegiline |(Emsem)
Treatment |modalities |for |PTSD |- |VERIFIED |ANSWER✔✔-Cognitive |therapy, |prolonged |exposure | therapy, |group |family |therapy, |eye-movement |desensitization |and |reprocessing |therapy, |medication's Meds |for |PTSD |- |VERIFIED |ANSWER✔✔-Antidepressants |to |increase |good |mood |(Paroxetine, | Sertraline, |Amitriptyline) Anxiolytics |(short |term) Antihypertensives |(Propranolol, |clonidine) What |is |OCD |- |VERIFIED |ANSWER✔✔-Obsessive |compulsive |disorder |consist |of |obsessions |which |are | intrusive |thoughts |impulses |or |images |that |are |recurrent |and |stressful, |cannot |be |dismissed |from |the | mind, |recognized |by |the |person |as |irrational, |they |continue |to |be |repetitive. |Compulsions |are | repetitive |ritualistic |behaviors |or |mental |acts |that |the |patient |is |driven |to |perform |an |attempt |to | reduce |anxiety, |these |normally |escalate |in |progress |to |where |it |affects |time |in |every |day |living. What |medications |are |used |for |OCD |and |what |do |you |need |to |monitor? |- |VERIFIED |ANSWER✔✔-Anti- depressants |(SSRI |are |1st |line |tx), |monitor |for |blurred |vision, |dizziness, |dry |mouth, |GI |upset, | headache The |concept |of |mental |illness |and |mental |health |are |defined |how? |- |VERIFIED |ANSWER✔✔-culturally How |is |mental |illness |defined? |- |VERIFIED |ANSWER✔✔-Maladaptive |responses |to |stressors |from |the | internal |or |X |ternal |environment, |evidence |by |thoughts, |feelings |and |behaviors |that |are |incongruent | with |the |local |and |cultural |norms |and |interfere |with |the |individuals |social, |occupational |or |physical | functioning What |are |the |ego |defense |mechanisms |- |VERIFIED |ANSWER✔✔-Compensation, |denial, |displacement, | identification, |intellectualization, |introjection, |isolation, |projection, |rationalization, |reaction |formation, | regression, |repression, |sublimation, |suppression, |undoing Define |repression |- |VERIFIED |ANSWER✔✔-Involuntary |blocking |unpleasant |feelings |and |experiences | from |one's |awareness
Define |suppression |- |VERIFIED |ANSWER✔✔-The |voluntary |blocking |of |unpleasant |feelings |and | experiences |from |one's |awareness Define |rationalization |- |VERIFIED |ANSWER✔✔-Attempting |to |make |excuses |or |formulate |logical | reasons |to |justify |unacceptable |feelings |or |behaviors Define |projection |- |VERIFIED |ANSWER✔✔-Attributing |feelings |or |impulses |unacceptable |to |one's |self | to |another |person Define |denial |- |VERIFIED |ANSWER✔✔-Refusing |to |acknowledge |the |existence |of |a |real |situation |or | the |feelings |associated |with |it Five |stages |of |grief |- |VERIFIED |ANSWER✔✔-Denial, |anger, |bargaining, |depression, |acceptance What |is |Milieu |therapy |or |therapeutic |community |- |VERIFIED |ANSWER✔✔-A |scientific |structuring |of | the |environment |to |affect |behavioral |changes |and |to |improve |the |psychological |health |and | functioning |of |the |individual. |Structure |is |the |goal. What |are |conditions |that |promote |a |therapeutic |community |- |VERIFIED |ANSWER✔✔-Structure, |basic | physiological |needs |are |met, |physical |facilities |are |conducive |to |achievement |of |goals |of |therapy, | democratic |form |of |self |government, |responsibilities |are |assigned |according |to |capabilities, |structure | social |work |activities, |community |and |family |are |included What |drives |addiction |in |the |brain |- |VERIFIED |ANSWER✔✔-Dopamine What |are |antipsychotics |- |VERIFIED |ANSWER✔✔-used |for |bipolar, |schizophrenia typical |antipsychotics |- |VERIFIED |ANSWER✔✔-Chlorpromazine |(Thorazine) Haloperidol |(haldol) | prochlorperazine |(compazine)
