How does cocaine stimulate the body? What do cocaine users use to combat
these effects? - ANS ✓It is an upper. Alcohol-allows them to sleep.
Characteristics of borderline personality disorder - ANS ✓Split people apart
and are very manipulative.
Interventions for nurses dealing with borderline personality disorder
patients - ANS ✓Keep all the staff on the same page. Set limits and rules.
What is a personality disorder in general? What type of issues do these
patients have? - ANS ✓When people rely on others to make decisions. They
have difficulties in their social life, work, relationships, family problems. Place the
blame on others. Many go undiagnosed.
What is conversion disorder?` - ANS ✓Something psychological happens and it
then manifests somatically. Ex. Someone has fake blindness
What is the difference between objective and subjective data? - ANS
✓Subjective is what the patient tells you, objective is what you see and obtain
from the physical assessment of the patient.
What is somatoform disorder? - ANS ✓A mental illness that causes bodily
symptoms that cannot be tracked back to any specific cause.
1
MENTAL HEALTH
,MENTAL
Are the symptoms real for a patient with somatoform disorder? - ANS ✓Yes,
the symptoms are real. It is frustrating because many doctors will perform tests
but find nothing. Many go undiagnosed.
What are younger patients with body image problems at risk for? - ANS
✓Suicide
A nurse caring for a patient with borderline personality disorder should try
to find out what? - ANS ✓What the patients secondary gains are. What are they
trying to get? Attention? Money? Pain pills?
Characteristics of an antisocial personality disorder patient in a locked
setting with other clients? - ANS ✓Manipulative, aggressive, angry, yelling.
What is a main cause of death for anorexia nervosa patients? - ANS ✓Cardiac
problems d/t potassium imbalances *hypokalemia
What is re-feeding syndrome? - ANS ✓Occurs when malnourished patient
begins to receive nourishment again. Severe change in intake and electrolyte
increases cause heart to work harder and can cause dysrhythmias.
What is the difference between bulimia and anorexia? - ANS ✓Bulimia is the
binging of food and then purging. Anorexia is starving self from food.
If you're throwing up and or taking a laxative? What electrolyte might be
out of balance? - ANS ✓Potassium
What are hallucinations? - ANS ✓Experiences that are real to the patient but
are not actually real.,
What should you do for a patient that is having hallucinations? - ANS ✓Make
sure they have everything they need (Glasses, hearing aid etc), keep lights on in
room, do not place large clocks or calendars on the walls.
2
MENTAL HEALTH
, MENTAL
What type of med would a dr. give a cognitive impaired elderly client who
pulled out all of her tubes? - ANS ✓Atypical antipsychotic
How long til we see complications with patients withdrawing from alcohol?
- ANS ✓24 to 48 hours.
When giving narcan, what should you monitor closely? - ANS ✓VS, at least
every 15 min. Stay with patient!
What would you give a patient with a heroin overdose? What would we
expect to improve? - ANS ✓Narcan. HR and Resp
OD heroin patient receives narcan, 1 hr. later present with abd cramps,
goose bumps. What is going on? - ANS ✓Symptom of narcotic absence.
"withdrawal"
What should the nurse do for a sexual assault victim? - ANS ✓Make sure
counseling is available for them, set up an appointment
Who is at the highest risk for physically abusing a nurse? - ANS ✓A patient
with dementia or a delusional patient
What type of meds do ADHD patients receive? - ANS ✓CNS stimulant
Early signs of autism in kids? - ANS ✓Isolation, not loving towards people,
nonverbal, doesn't like to be touched, difficult relationship with parents
Can restraints be PRN? - ANS ✓NO!! Must clarify with doctor.
What is lorazepam (Ativan) used for? - ANS ✓Anxiety disorder or preop
sedation.
3
MENTAL HEALTH
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