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MARK KLIMEK NCLEX REVIEW - LECTURE 2 EXAM QUESTIONS WITH CORRECT ANSWERS
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MARK KLIMEK NCLEX REVIEW - LECTURE 2 EXAM QUESTIONS WITH CORRECT ANSWERS
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MARK KLIMEK NCLEX REVIEW -LECTURE 2 EXAM QUESTIONS WITH
CORRECT ANSWERS
1. Physiological
2. Safety
3. Comfort
4. Psychological (problems within the person)
5. Social (problems with other people)
6. Spiritual - Answer-What is Maslow's highest priority to lowest priority?
- Electrolyte Imbalance (physiological)
- Fall risk (safety)
- Pain in elbow (comfort)
- Denial (psychological)
- Pathological Family Dynamics (social)
- Spiritual Distress (spiritual) - Answer-Arrange from highest to lowest priority using
Maslow's:
- Denial
- Spiritual Distress
- Pain in Elbow
- Fall Risk
- Pathological Family Dynamics
- Electrolyte Imbalance
("DABDA") Denial, anger, bargain, depression, acceptance - Answer-What are the 5
stages of grief?
Denial - Answer-The #1 problem in abuse (ANY abuse situation) is ________
Denial - Answer-The refusal to accept the reality of one's problems
1. Confront them by pointing out the difference b/tw what they say and what they do (but
don't attack person!) - Answer-How do you respond/treat pts in denial?
Loss and grief; Support - Answer-Once place where denial is OK; ________ the denial
of loss and grief
Dependency - Answer-When the ABUSER gets the Significant Other to do things for
them or make decisions for them
Codependency - Answer-When the Significant Other derives positive SELF-ESTEEM
from doing things for or making decisions for the ABUSER
, 1. Set LIMITS and ENFORCE them (agree in advance on what requests are allowed,
then enforce the agreement)
2. Work on the SELF-ESTEEM of the codependent person - Answer-How do you treat
dependency/codependency?
Manipulation - Answer-When the abuser gets the significant other to do things for
him/her that are not in the best interest of the significant other. The nature of the act is
harmful or dangerous to the significant other.
If what the significant other is being asked to do is NOT inherently dangerous and
harmful, it is dependency/codependency. If it is inherently dangerous and harmful, then
it is manipulation - Answer-Difference between dependency/codependency and
manipulation
Set LIMITS and enforce them (there is NO self-esteem issue with manipulation) -
Answer-How do you treat manipulation?
PSYCHOSIS induced by VITAMIN B1 (thiamine) deficiency (related to alcoholism) -
Answer-What is Wernicke's (Korsakoff's) Syndrome?
Amnesia (memory loss) with confabulation (make up stuff - they believe it too) - Answer-
Primary s/sx of Wernicke's (Korsakoff's) Syndrome
REDIRECT the pt to something they can do - Answer-Treatment for Wernicke's
(Korsakoff's) Syndrome
1. Preventable (take vitamin B1)
2. Arrestable (stop from getting worse)(take vitamin B1)
3. Irreversible (kills brain cells; fatal) - Answer-Characteristics of Wernicke's
(Korsakoff's) Syndrome:
1. ________
2. ________
3. ________
Antabuse and Revia (disulfiram) - Answer-Aversion Therapy drugs; Drugs r/t alcoholism
2 weeks - Answer-Onset and duration of effectiveness of Antabuse/Revia (disulfiram)
Avoid ALL forms of ALCOHOL to avoid nausea, vomiting, or death - Answer-Patient
teaching with Antabuse/Revia
Mouthwash, aftershaves (topically), perfumes/colognes, insect repellants, elixirs, most
OTC liquid medicines, hand sanitizers, and vanilla extract (can't have unbaked icing)
- NOTE: Do not choose red wine vinaigrette! (doesn't contain alcohol) - Answer-What
are examples of products that contain alcohol?
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