Nursing and the Recovery Model Quiz
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Questions and Answers

Which of the following is NOT a core principle of the Recovery Model?

  • Multiple pathways
  • Holistic approach
  • Person-driven recovery
  • Symptom management as the primary focus (correct)
  • What is the primary goal of the Recovery Model?

  • To provide clinical treatment as the main intervention
  • To cure mental illness
  • To manage symptoms effectively
  • To help individuals achieve optimal quality of life (correct)
  • Which of the following is NOT a component of the Recovery Model's strengths-based approach?

  • Promoting autonomy and insight
  • Focusing solely on addressing deficits (correct)
  • Encouraging self-efficacy
  • Building upon an individual's strengths
  • Why is it important for nurses to understand the Recovery Model?

    <p>To collaborate with patients in their recovery journeys (C)</p> Signup and view all the answers

    Which of the following is an example of a non-therapeutic communication technique?

    <p>Offering advice (D)</p> Signup and view all the answers

    Which of the following is a key component of therapeutic communication?

    <p>Using active listening to understand the client's perspective (C)</p> Signup and view all the answers

    What is the primary focus of nursing exams in relation to patient care?

    <p>Identifying and addressing potential risks to patient safety (D)</p> Signup and view all the answers

    What is the primary message conveyed in the provided content regarding the focus of nursing exams?

    <p>Nurses should be prepared to recognize and respond to potential patient deterioration (C)</p> Signup and view all the answers

    Which of the following is NOT a typical indication for the use of antipsychotic medications?

    <p>Relief of anxiety symptoms (B)</p> Signup and view all the answers

    What is a common side effect of antipsychotic medications that can be particularly concerning?

    <p>Extrapyramidal symptoms (EPS) (D)</p> Signup and view all the answers

    What are the four components of a suicide inquiry?

    <p>Ideation, Plan, Behavior, Intent (B)</p> Signup and view all the answers

    Which of the following is a key element of teaching patients about antipsychotic medications?

    <p>Emphasizing the importance of taking the medication as prescribed and not abruptly stopping (D)</p> Signup and view all the answers

    What is the primary mechanism of action for most antipsychotic medications?

    <p>Blocking dopamine receptors (A)</p> Signup and view all the answers

    Which of the following is NOT a protective factor against suicide?

    <p>Recent significant loss or trauma (A)</p> Signup and view all the answers

    Which of the following is NOT a common symptom of generalized anxiety disorder (GAD)?

    <p>Increased appetite (A)</p> Signup and view all the answers

    Which of the following is an example of a cognitive behavioral therapy (CBT) intervention that could be used for a patient with schizophrenia?

    <p>Providing the patient with unconditional support and validation (B)</p> Signup and view all the answers

    Which of the following medications is NOT commonly used to treat anxiety disorders?

    <p>Antibiotics (D)</p> Signup and view all the answers

    What does the acronym 'SI' refer to in the context of suicidal ideation?

    <p>Suicide Ideation (B)</p> Signup and view all the answers

    Which of the following is an example of a preparatory action or rehearsal for suicide?

    <p>All of the above (D)</p> Signup and view all the answers

    Which medication is an antihistamine often used to treat anxiety?

    <p>Vistaril (C)</p> Signup and view all the answers

    Which of the following is NOT a risk factor for suicide?

    <p>Strong social support system (A)</p> Signup and view all the answers

    What is the most common symptom of acute dystonia?

    <p>Sudden muscle spasms (D)</p> Signup and view all the answers

    Which medication is associated with agranulocytosis, a potentially life-threatening condition?

    <p>Clozapine (Clozaril) (C)</p> Signup and view all the answers

    Which of the following is a nursing intervention for patients taking aripiprazole (Abilify)?

    <p>Assess for changes in mood or behavior (D)</p> Signup and view all the answers

    Which EPS (Extrapyramidal Symptoms) is characterized by involuntary movements, primarily of the face, limbs, and tongue?

    <p>Tardive dyskinesia (D)</p> Signup and view all the answers

    When is it most likely to see the onset of akathisia?

    <p>Immediately after starting medication (A)</p> Signup and view all the answers

    Which of the following is NOT a nursing intervention for patients taking haloperidol (Haldol)?

    <p>Monitor white blood cell count (A)</p> Signup and view all the answers

    Which antipsychotic is associated with an increased risk of weight gain and changes in the menstrual cycle?

    <p>Chlorpromazine (Thorazine) (A)</p> Signup and view all the answers

    What is the main reason for advising patients to avoid grapefruit juice while taking paliperidone (Invega)?

    <p>Grapefruit juice can interfere with the drug's metabolism (A)</p> Signup and view all the answers

    Which of these side effects of antipsychotic medications is more likely to become permanent?

    <p>Tardive Dyskinesia (A)</p> Signup and view all the answers

    Which of these is a shared symptom of both Acute Dystonia and Tardive Dyskinesia?

    <p>Abnormal postures (C)</p> Signup and view all the answers

    Which age group is more likely to experience Tardive Dyskinesia?

    <p>Older adults (B)</p> Signup and view all the answers

    What is the typical treatment for Acute Dystonia?

    <p>Anticholinergics or antihistamines (A)</p> Signup and view all the answers

    Which of these is NOT a key difference between Acute Dystonia and Tardive Dyskinesia?

    <p>Affected areas (C)</p> Signup and view all the answers

    Which of the following is NOT a key element of therapeutic communication?

    <p>Professional boundaries (B)</p> Signup and view all the answers

    Study Notes

    Exam Slam - Spring 2025

    • Exam Slam is scheduled for Spring 2025
    • Hosts are Drs. Fran, Touw, and K
    • Exam 1 is held at the Testing Center
    • Exam 1 duration: 1:00 PM to 4:00 PM
    • All students start their exam at 1:00 PM

    Topics Covered on Exam 1

    • Mental Health and Mental Illness: Chapters 1, 2, 3 (6 questions)
    • Stress and Adaptation/Psychobiology: Chapters 1 and 3 (10 questions)
    • Legal and Ethical Basis for Practice: Chapter 5, 6, and 7 (15 questions)
    • Relationship Development & Therapeutic Communication: Chapter 5 (10 questions)
    • Suicide/Crisis Prevention: Chapters 12 and 16 (10 questions)
    • Recovery Model: Chapter 20 (5 questions)
    • Schizophrenia Spectrum and Other Psychotic Disorders: Chapter 24 (12 questions)
    • Anxiety, Obsessive-Compulsive, and Related Disorders: Chapter 27 (12 questions)
    • Total number of questions: 80

    Remediation Activity

    • Students who scored 80 or less on Exam 1 will need further review
    • Further information regarding remediation is located in the Assignment Submission Module.

    Important Information About Exams

    • Nursing school exams, including the NCLEX, focus on recognizing potential patient harm and managing risk
    • Exams assess the ability to identify and respond to patient deterioration cues.

    Recovery Model (Chapter 20)

    • Person-driven recovery is a key principle for recovery models; Individuals have control over their journey.
    • Multiple pathways for recovery-there isn't one size fits all
    • Holistic approach focuses on overall well-being.
    • Strength-based approach focuses on building upon strengths.
    • Community integration is vital for recovery.
    • Don't test on the specific models, but review the interventions and nurse-patient collaboration processes.
    • Refer to Table 20-1 (pages 344-345).

    Therapeutic Communication (Chapter 7)

    • Review Tables 7-2 and 7-3 for techniques, explanations, and examples.
    • Learn better alternative statements from Non-Therapeutic Techniques Table.
    • Understand active listening, voicing doubt, validation, humor, and stigmatizing language.
    • Focus on the LEAPs model (from Dr. Touw) for clarification and refocusing clients.
    • Focus on ethical principles, not ethical theories.
    • Review important legal aspects like patient rights (e.g., assault and battery, false imprisonment).
    • Understand ethical principles (e.g., autonomy, beneficence, non-maleficence, veracity) and how they influence nursing actions.
    • Know your duty-to-warn responsibilities.
    • Review the importance of civil rights, including voluntary and involuntary commitments
    • Review sample cases

    Suicide (Chapter 16)

    • Know current suicidal ideation (frequency, intensity, duration) in addition to suicide plans.
    • Assess intent, access to means.
    • Review previous suicide attempts (timing, method, intent), mental health history, and substance abuse.
    • Review recent stressors.
    • Understand protective factors (strengths).
    • Actively assess suicide risk factors using the suicide risk factors list.

    Anxiety Disorders (Chapter 27)

    • Focus on Dr. Touw's slides and page 571.
    • Skip over the diagnosis section in the chapter and go to page 577 for more details.
    • Focus on anxiety conditions associated with substance use or medical conditions and related diagnoses
    • Review outcome criteria from table 27-3 for care plans.

    Generalized Anxiety Disorder (GAD)

    • Learn the common symptoms of GAD
    • Understand relevant nursing interventions and medications for managing anxiety, including but not limited to Buspirone, SSRIs, Benzodiazepines, Beta-Blockers, Antihistamines.
    • Be aware that Vistaril (hydroxyzine) is classified as an antihistamine but is also frequently used to manage anxiety due to its sedative and anxiolytic properties

    Medication Management - Anxiolytics

    • Review Dr. Touw's slides and table 24-7, Chapter 4 pages 61–63 (Table 4-3) for specific information.
    • Understand the differences between benzodiazepines, non-benzodiazepines (examples provided), and indications for use, and monitoring.
    • Review the importance of educating patients and significant others on the use and management of anxiolytics.

    Medication Management - Antipsychotics (Chapter 4 & 24)

    • Review pages 490–493, chapter 4 and 24
    • Understand nursing interventions for antipsychotics.
    • Be prepared for side effect identification and teaching strategies.

    Teaching Patients /SO/ Family About Medication Management

    • Discuss indications for the medications being used
    • Explain when to anticipate improvement
    • Share when to contact PCP
    • Explain how to manage the medication side effects
    • Detail the appropriate situations to seek ER intervention
    • Clearly explain the prescription refill process

    Extrapyramidal Symptoms (EPS)

    • Understand and be familiar with characteristics and descriptions of acute dystonia, akathisia, drug-induced parkinsonism, and tardive dyskinesia.
    • Review tables that provide information and details on EPS causes, duration, etc

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    Exam Slam Spring 2025 Exam PDF

    Description

    Test your knowledge of the Recovery Model principles and the role of nursing in patient care. This quiz covers essential concepts related to antipsychotic medications, therapeutic communication techniques, and the focus of nursing exams. Perfect for nursing students looking to enhance their understanding of these critical topics.

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