Podcast
Questions and Answers
A client taking lithium exhibits severe diarrhea, blurred vision, and muscle weakness. Which action should the nurse prioritize?
A client taking lithium exhibits severe diarrhea, blurred vision, and muscle weakness. Which action should the nurse prioritize?
- Administering an antiemetic to relieve the diarrhea.
- Immediately notifying the healthcare provider and preparing for possible intervention. (correct)
- Encouraging increased fluid intake to counteract dehydration.
- Reassuring the client that these are common side effects and will subside with time.
A patient on haloperidol develops muscle rigidity and a shuffling gait. Which of the following interventions is MOST appropriate?
A patient on haloperidol develops muscle rigidity and a shuffling gait. Which of the following interventions is MOST appropriate?
- Administering an anticholinergic medication as prescribed. (correct)
- Initiating physical therapy to improve gait and muscle strength.
- Increasing the patient's fluid intake to promote medication excretion.
- Holding the next dose of haloperidol and monitoring symptoms.
A patient is prescribed alprazolam for anxiety. What crucial teaching point should the nurse emphasize?
A patient is prescribed alprazolam for anxiety. What crucial teaching point should the nurse emphasize?
- The medication should be taken on an empty stomach for better absorption.
- It is safe to consume alcohol in moderation while taking this medication..
- The medication can be discontinued once anxiety symptoms subside.
- Abrupt cessation of the medication can lead to withdrawal symptoms. (correct)
A patient on methylphenidate for ADHD reports insomnia and decreased appetite. Which recommendation should the nurse provide?
A patient on methylphenidate for ADHD reports insomnia and decreased appetite. Which recommendation should the nurse provide?
A patient who is prescribed zolpidem for insomnia reports daytime drowsiness. What is the MOST appropriate advice?
A patient who is prescribed zolpidem for insomnia reports daytime drowsiness. What is the MOST appropriate advice?
According to Maslow's hierarchy of needs, which intervention should a nurse prioritize?
According to Maslow's hierarchy of needs, which intervention should a nurse prioritize?
A patient who is in severe pain is unable to eat or sleep. According to Maslow's hierarchy, which intervention should the healthcare team prioritize?
A patient who is in severe pain is unable to eat or sleep. According to Maslow's hierarchy, which intervention should the healthcare team prioritize?
Order: Ampicillin 500mg IV q6h. Available: Ampicillin 1g/10mL. How many mL do you administer?
Order: Ampicillin 500mg IV q6h. Available: Ampicillin 1g/10mL. How many mL do you administer?
Order: 1 L of NS IV at 125 mL/hr. The drop factor is 15 gtt/mL. How many drops per minute will deliver the correct dose?
Order: 1 L of NS IV at 125 mL/hr. The drop factor is 15 gtt/mL. How many drops per minute will deliver the correct dose?
Order: Haloperidol 2 mg IM stat. Available: Haloperidol 5 mg/mL. How many mL should the nurse administer?
Order: Haloperidol 2 mg IM stat. Available: Haloperidol 5 mg/mL. How many mL should the nurse administer?
A patient admitted involuntarily to a mental health facility is prescribed medication as part of their treatment plan. Which of the following statements accurately reflects their right to refuse this medication?
A patient admitted involuntarily to a mental health facility is prescribed medication as part of their treatment plan. Which of the following statements accurately reflects their right to refuse this medication?
A nurse observes a client pacing and speaking loudly, with clenched fists. Which intervention is MOST appropriate as an initial step?
A nurse observes a client pacing and speaking loudly, with clenched fists. Which intervention is MOST appropriate as an initial step?
A client taking phenelzine (an MAOI) is educated about dietary restrictions. Which meal option would indicate the client understands these restrictions?
A client taking phenelzine (an MAOI) is educated about dietary restrictions. Which meal option would indicate the client understands these restrictions?
During a mental status assessment, a nurse asks the client to repeat a series of numbers and to follow a multistep command. Which aspect of cognitive function is the nurse assessing?
During a mental status assessment, a nurse asks the client to repeat a series of numbers and to follow a multistep command. Which aspect of cognitive function is the nurse assessing?
A nurse documents, 'Client appears anxious and states they feel like something bad is going to happen, but cannot explain why'. How should the nurse best utilize therapeutic communication in this situation?
A nurse documents, 'Client appears anxious and states they feel like something bad is going to happen, but cannot explain why'. How should the nurse best utilize therapeutic communication in this situation?
A client receiving Cognitive Behavioral Therapy (CBT) states, 'I always fail at everything I try. There's no point in even trying anymore.' What is the MOST appropriate initial response by the therapist?
A client receiving Cognitive Behavioral Therapy (CBT) states, 'I always fail at everything I try. There's no point in even trying anymore.' What is the MOST appropriate initial response by the therapist?
A nurse is caring for a client who has been placed in restraints due to aggressive behavior. Which of the following actions is essential while the client is in restraints?
A nurse is caring for a client who has been placed in restraints due to aggressive behavior. Which of the following actions is essential while the client is in restraints?
A client who has been taking sertraline (SSRI) for depression reports feeling no change in their symptoms after one week. What information should the nurse provide to the client?
A client who has been taking sertraline (SSRI) for depression reports feeling no change in their symptoms after one week. What information should the nurse provide to the client?
A nurse witnesses a colleague physically intimidating a client by standing very close and raising their voice. Although no physical contact occurs, what tort has the colleague committed?
A nurse witnesses a colleague physically intimidating a client by standing very close and raising their voice. Although no physical contact occurs, what tort has the colleague committed?
When documenting an incident where a client exhibits aggressive behavior, which of the following charting entries is MOST appropriate?
When documenting an incident where a client exhibits aggressive behavior, which of the following charting entries is MOST appropriate?
Flashcards
Cognitive Function Assessment
Cognitive Function Assessment
Assesses memory, orientation, attention, and ability to follow commands.
Mental Status Assessment
Mental Status Assessment
Objective assessment of appearance, behavior, cognition, and thought processes.
Affect vs. Mood
Affect vs. Mood
Outward expression of emotion vs. sustained emotional state.
Therapeutic Communication Techniques
Therapeutic Communication Techniques
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Right to Refuse Treatment
Right to Refuse Treatment
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Duty to Warn
Duty to Warn
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False Imprisonment
False Imprisonment
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CBT
CBT
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Therapeutic Milieu
Therapeutic Milieu
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Handling Aggression
Handling Aggression
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Mood Stabilizers
Mood Stabilizers
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Lithium
Lithium
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Extrapyramidal Symptoms (EPS)
Extrapyramidal Symptoms (EPS)
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Anxiolytics
Anxiolytics
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Stimulants
Stimulants
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Sedative-Hypnotics
Sedative-Hypnotics
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Maslow's Hierarchy
Maslow's Hierarchy
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Dose Calculation Formula
Dose Calculation Formula
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IV Flow Rate Formula
IV Flow Rate Formula
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Drop Factor Calculation
Drop Factor Calculation
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Study Notes
- Study guide review for NRS 202 Exam 1
Mental Health Assessment & Cognitive Function
- Assessing cognitive function involves evaluating memory recall, orientation, attention span, and the ability to follow instructions
- Mental status assessment includes evaluating appearance, behavior, cognition, and thought processes
- Affect is the outward expression of emotions through facial expressions and tone, while mood refers to the client's emotional state
Therapeutic Communication
- Open-ended questions are an effective communication technique
- Judgmental or directive language should be avoided, instead use reflection, active listening, and summarization
- Barriers to communication includes providing false reassurance minimizing feelings, and interruption
Legal & Ethical Considerations
- Even involuntarily committed patients have the right to refuse treatment unless it is court-ordered
- Duty to warn means that confidentiality can be breached if a client threatens harm to others
- False imprisonment is the unjustified restraint of a client
- Battery is physically touching a client without consent
- Assault is threatening a client with harm
- Documentation should always use objective language
Mental Health Disorders & Treatment Approaches
- Cognitive Behavioral Therapy (CBT) focuses on identifying and modifying negative thought patterns
- Psychobiological interventions include medication administration and monitoring for side effects
- Therapeutic milieu is a structured environment that promotes healing and social interaction
Crisis Management & Safety
- When handling aggression, always ensure safety first, use de-escalation techniques, and avoid confrontation
- Seclusion & restraints should be used only as a last resort, requiring continuous monitoring and a provider's order
- Emergency admission is required when there is imminent danger to self or others
Medication Safety & Pharmacology
- SSRIs may take 4-6 weeks for full effect
- MAOIs: Avoid foods rich in tyramine to prevent hypertensive crisis
- Tricyclic antidepressants can cause orthostatic hypotension, dry mouth, and weight gain
- Monitor Lithium for toxicity, signs include severe diarrhea, blurred vision, and muscle weakness
- Haloperidol can cause extrapyramidal symptoms (EPS) such as muscle rigidity, shuffling gait, and tardive dyskinesia
- Anxiolytics have a risk of dependency and should not be stopped suddenly, avoid alcohol to prevent CNS depression
- Stimulants can cause weight loss, high BP, and insomnia
- Sedative-hypnotics should be taken before bed and may cause daytime drowsiness
Maslow's Hierarchy in Nursing Care
- Basic physiological needs come first
- Safety needs are next
- Self-esteem and self-actualization interventions come after physiological and safety needs are met
Dosage Calculation Review
- Dose calculation: (Ordered dose / Available dose) × Volume = Amount to give
- IV flow rate: (Total volume in mL / Time in hours) = mL/hr
- Drop factor calculation: (Volume in mL × Drop factor) / Time in minutes = gtt/min
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Description
Study guide for NRS 202 Exam 1. Topics include mental health assessment, cognitive function, therapeutic communication and legal and ethical considerations. It covers how to assess cognitive function, mental status as well as effective communication techniques.
