NUR 114 FINAL EXAM (ALL SOLVED)
What should the nurse teach the client about taking antipsychotic mediation along with beta-
blockers? correct answers Together they may make your heart beat in an abnormal rhythm or lower you BP too much.
1. Divalproex sodium (Depakote) education. correct answers a. Use: anticonvulsant
b. Check liver enzymes
c. Take med with meals to avoid GI upset
d. Don't crush or chew it
e. Drink plenty of fluids afterwards
What should a nurse ask when a patient states he/she is going to commit suicide? correct answers
a. How long have you then having suicidal thoughts?
b. Do you have a plan?
c. Have you ever attempted suicide? How many times?
d. What in your past or present has made you think about killing yourself?
Suicide Attempt Warning Signs: IS PATH WARM? correct answers I-ideation
S-substance abuse
P-purposelessness
A-anxiety
T-trapped
H-hopelessness
W-withdrawal
A-anger
R-recklessness
M-mood changes
Manic Attack: DIGFAST correct answers D-distractibility
I-indiscretion
G-grandiosity
F-flight of ideas
A-activity increase
S-sleep deficit
T-talkativeness
5 A's of Alzheimer's correct answers 1. A-anomia: cannot recall names of everyday objects)
2. A-apraxia: cannot perform a learned or familiar movement on command, inability to use objects properly
3. A-agnosia: cannot recognize and identify objects, persons, or sounds
4. A-amnesia: partial or total, permanent or transient loss of memory
5. A-aphasia: inability to communicate through speech
Why is group therapy utilized? Most group therapy sessions are not mandatory, how does this tie
into ethics? correct answers a. Goals vary depending on type of group but clients generally; discover that members share some common feelings, experiences, and thoughts. Experience positive behavior changes as a result of group interaction and feedback. correct answers Dependent personality disorder correct answers A personality disorder characterized by a pattern
of clinging and obedience, fear of separation, and an ongoing need to be taken care of.
avoidant personality disorder correct answers a personality disorder characterized by inhibition in social situations; feelings of inadequacy; oversensitivity to criticism, fear of rejection.
borderline personality disorder correct answers Self-mutilation behaviors, "splitting" behaviors, irrational thoughts, constant fear they are going to be alone.
schizoid personality disorder correct answers a personality disorder characterized by persistent avoidance of social relationships and little expression of emotion, emotional detachment
OCD (Obsessive Compulsive Disorder) correct answers an anxiety disorder characterized by unwanted repetitive thoughts and/or actions
Histrionic Personality Disorder correct answers a personality disorder characterized by excessive
emotionality and preoccupation with being the center of attention; emotional shallowness; overly
dramatic behavior, flirtatious, manipulative
Chlorpromazine (Thorazine) correct answers - Chlorpromazine is used to treat psychotic disorders such as schizophrenia or manic-depression, and severe behavioral problems in children
ages 1 through 12. Chlorpromazine is also used to treat nausea and vomiting, anxiety before surgery, chronic hiccups, acute intermittent porphyria, and symptoms of tetanus.
- This medication can cause photophobic skin reactions and damage to the retina of the eye if exposed to direct sunlight. PTs taking this should be reminded to wear protective clothing, apply sunscreen and wear sunglasses when they are outside.
Benztropine (Cogentin) correct answers Tx: Parkinson's Class: anticholinergic AE: TACHYCARDIA, blurred vision, dry eyes
Trihexyphenidyl (Artane) correct answers Anticholinergic drug used to treat early symptoms of Parkinson's disease.
Linsinopril correct answers ACE inhibitor
Lamotrigine (Lamictal) correct answers Anticonvulsant First line treatment for bipolar depression and is approved for acute and maintenance therapy. A potential life-threatening rash may occur.
What should the nurse teach the client about taking antipsychotic mediation along with beta-
blockers? correct answers Together they may make your heart beat in an abnormal rhythm or lower you BP too much.
1. Divalproex sodium (Depakote) education. correct answers a. Use: anticonvulsant
b. Check liver enzymes
c. Take med with meals to avoid GI upset
d. Don't crush or chew it
e. Drink plenty of fluids afterwards
What should a nurse ask when a patient states he/she is going to commit suicide? correct answers
a. How long have you then having suicidal thoughts?
b. Do you have a plan?
c. Have you ever attempted suicide? How many times?
d. What in your past or present has made you think about killing yourself?
Suicide Attempt Warning Signs: IS PATH WARM? correct answers I-ideation
S-substance abuse
P-purposelessness
A-anxiety
T-trapped
H-hopelessness
W-withdrawal
A-anger
R-recklessness
M-mood changes
Manic Attack: DIGFAST correct answers D-distractibility
I-indiscretion
G-grandiosity
F-flight of ideas
A-activity increase
S-sleep deficit
T-talkativeness
5 A's of Alzheimer's correct answers 1. A-anomia: cannot recall names of everyday objects)
2. A-apraxia: cannot perform a learned or familiar movement on command, inability to use objects properly
3. A-agnosia: cannot recognize and identify objects, persons, or sounds
4. A-amnesia: partial or total, permanent or transient loss of memory
5. A-aphasia: inability to communicate through speech
Why is group therapy utilized? Most group therapy sessions are not mandatory, how does this tie
into ethics? correct answers a. Goals vary depending on type of group but clients generally; discover that members share some common feelings, experiences, and thoughts. Experience positive behavior changes as a result of group interaction and feedback. correct answers Dependent personality disorder correct answers A personality disorder characterized by a pattern
of clinging and obedience, fear of separation, and an ongoing need to be taken care of.
avoidant personality disorder correct answers a personality disorder characterized by inhibition in social situations; feelings of inadequacy; oversensitivity to criticism, fear of rejection.
borderline personality disorder correct answers Self-mutilation behaviors, "splitting" behaviors, irrational thoughts, constant fear they are going to be alone.
schizoid personality disorder correct answers a personality disorder characterized by persistent avoidance of social relationships and little expression of emotion, emotional detachment
OCD (Obsessive Compulsive Disorder) correct answers an anxiety disorder characterized by unwanted repetitive thoughts and/or actions
Histrionic Personality Disorder correct answers a personality disorder characterized by excessive
emotionality and preoccupation with being the center of attention; emotional shallowness; overly
dramatic behavior, flirtatious, manipulative
Chlorpromazine (Thorazine) correct answers - Chlorpromazine is used to treat psychotic disorders such as schizophrenia or manic-depression, and severe behavioral problems in children
ages 1 through 12. Chlorpromazine is also used to treat nausea and vomiting, anxiety before surgery, chronic hiccups, acute intermittent porphyria, and symptoms of tetanus.
- This medication can cause photophobic skin reactions and damage to the retina of the eye if exposed to direct sunlight. PTs taking this should be reminded to wear protective clothing, apply sunscreen and wear sunglasses when they are outside.
Benztropine (Cogentin) correct answers Tx: Parkinson's Class: anticholinergic AE: TACHYCARDIA, blurred vision, dry eyes
Trihexyphenidyl (Artane) correct answers Anticholinergic drug used to treat early symptoms of Parkinson's disease.
Linsinopril correct answers ACE inhibitor
Lamotrigine (Lamictal) correct answers Anticonvulsant First line treatment for bipolar depression and is approved for acute and maintenance therapy. A potential life-threatening rash may occur.
