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Exam 1 NR 326 March 2024 Ch. 17, 20, 25, 26 & meds Questions With Complete Solutions
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Exam 1 NR 326 March 2024 Ch. 17, 20, 25, 26 & meds Questions With Complete Solutions
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Exam 1 NR 326 March 2024 Ch. 17, 20, 25, 26 & medsQuestions With Complete Solutions
A client comes into the ED with a skin rash and a sore throat.
When reviewing their chart you notice they are taking
Lamotrigine (Lamictal). What diagnosis is likely to blame?
Correct Answer Steven Johnson syndrome
-rare but can occur while taking this drug
- can also have fever and malaise /
A client who is giving you their specific plan about committing
suicide should have what type of plan of care? Correct Answer
One on one suicide precautions
A patient who is manic should be placed where in the facility?
Correct Answer Away from the nurses station to provide a
calmer, quit environment
Accepting (therapeutic communication) when is it used?
Correct Answer Conveys an attitude of reception and regard
"Yes, I understand what you said."
Eye contact; nodding.
Active vs passive suicide ideations Correct Answer Active: yes
I'm going to kill my self, I want to die
Passive: well nobody would miss me if I wasn't here
Affect Correct Answer Appearance of observable emotions on
their face
,All antidepressants carry a warning for increased risk of
________ in children and adolescents Correct Answer Suicide
Anhedonia Correct Answer inability to experience pleasure
- sign of depression
Anticonvulsants as mood stabilizers Correct Answer
Carbamazepine (Tegretol)
Valproic acid (Depakote)
Lamotrigine (Lamictal)
Instructions:
- dont stop abruptly
- report skin rash, unusual bleeding, spontaneous bruising. sore
throat, fever, malaise, dark urine, yellow skin or eyes
- dont use dangerous machinery
- avoid alchol and OTC meds
Side effects:
- dizziness, sedation, constipation
- steven-johnson syndrome (SJS)
-weight gain
Antidepressants typically take how long to begin working?
Correct Answer 3-4 weeks for full effect
Improves energy and sleep in 1-2 weeks
Antipsychotics Correct Answer Aripiprazole (Abilify)
Quetiapine (Seroquel)
Can be used on those with bipolar
,Client/ family teaching
- do not stop abruptly
- use sunblock when outside
- rise slowly from a sitting/lying position
- avoid alcohol, smoking and OTC meds
- Continue taking even when feeling better
Assessment of a clients suicide ideation Correct Answer ▷︎
Identifiy and distinguish ideas (thoughts), plans (intentions), and
attempts (behaviors)
▷︎distinguish between suicidal self-injury and non suicidal self-
injury
▷︎ask direct question "are you having thoughts of harming
yourself"
▷︎demographics
▷︎presenting s/s or medical psychiatric diagnosis, or any
condition client is being treated for
▷︎suicidal ideation
▷︎support system
▷︎analysis of suicide crisis
▷︎previous psych treatment
▷︎coping strategies (what worked in the past)
Assessment rating scales Correct Answer Zing Self-rating
depression scale
Beck depression inventory
Hamilton depression rating scale
, Attempting to translate (therapeutic communication) when is it
used? Correct Answer When feelings are expressed indirectly,
the nurse tries to "desymbolize" what has been said and to find
clues to the underlying true feelings.
Cl: "I'm way out in the ocean."
Ns: "You must be feeling very lonely right now."
Biggest difference between postpartum depression and psychotic
postpartum depression Correct Answer Postpartum depression:
think they cant take care of their baby
Psychotic postpartum depression: fear they might hurt their baby
Bipolar disorder associated with another medical condition
Correct Answer Characterized by abnormally and persistently
elevated, expansive, or irritable mood and excessive activity or
energy that is judged to be the result of direct physiological
effects of another medical condition
Bipolar disorder epidemiology Correct Answer - more
common in women
- average age onset is early 20s
- 6th leading cause of disability in middle-age group
Bipolar in children and adolescents Correct Answer Diagnosis
is difficult
Symptoms
- mood changes, chronic irritability, temper tantrums
Pharmacology - only go with 1 drug as treatment
- lithium
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