Nursing Exam: Patient Cues and Recovery Model

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following is NOT an ethical principle that guides healthcare professionals?

Beneficence

Non-Maleficence

Empathy (correct)

Autonomy

A client with a detailed plan to harm themselves, regardless of whether they have an immediate plan to act on it, might be a candidate for involuntary commitment because:

It is a straightforward legal procedure for any client with suicidal ideation.

They have a history of mental illness and are therefore considered unstable.

It infringes on their autonomy, but their need for safety outweighs this right. (correct)

They are deemed a danger to their family and community.

Active listening, as a key element in therapeutic communication, is best described as:

Focusing on the patient's concerns and acknowledging them. (correct)

Making assumptions about the patient's feelings and offering solutions.

Patiently waiting for the patient to finish talking.

Interrupting the patient to redirect the conversation to a more productive topic.

Which stage of the stress response involves the body's initial reaction to a perceived threat?

Alarm reaction (B) Signup and view all the answers

What is a key aspect of providing holistic care to patients?

Understanding the patient's psychosocial factors and how they influence their health. (A) Signup and view all the answers

What is the primary purpose of applying therapeutic communication techniques?

To build a strong therapeutic relationship and promote patient outcomes. (C) Signup and view all the answers

Which of the following situations would NOT be considered a potential violation of a patient's right to autonomy?

A patient choosing to participate in a clinical trial. (B) Signup and view all the answers

The ethical principle that emphasizes preventing harm to patients is called:

Non-maleficence (C) Signup and view all the answers

Which of the following is NOT a common use for hydroxyzine (Vistaril)?

Treating depression (A) Signup and view all the answers

Which medication requires monitoring for respiratory depression?

Lorazepam (Ativan) (D) Signup and view all the answers

Which antipsychotic medication requires weekly monitoring of white blood cell count?

Clozapine (A) Signup and view all the answers

Which medication requires consistent dosing due to its delayed onset of action?

Buspirone (BuSpar) (D) Signup and view all the answers

Which extrapyramidal symptom is characterized by chronic involuntary movements, often of the face and limbs?

Tardive Dyskinesia (B) Signup and view all the answers

Which medication requires education about avoiding sudden discontinuation?

Propranolol (Inderal) (A) Signup and view all the answers

Which medication requires monitoring for sedation and educating patients about avoiding alcohol?

All of the above (D) Signup and view all the answers

Which antipsychotic medication requires education regarding the risk of orthostatic hypotension?

Olanzapine (C) Signup and view all the answers

Which medication requires monitoring for dry mouth and education about potential for increased sedation when combined with other CNS depressants?

Hydroxyzine (Vistaril) (D) Signup and view all the answers

Which antipsychotic medication requires monitoring for gynecomastia?

Risperidone (A) Signup and view all the answers

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

History of previous suicide attempts (B) Signup and view all the answers

Which extrapyramidal symptom is characterized by inner restlessness and an inability to stay still?

Akathisia (B) Signup and view all the answers

Which medication requires monitoring for dizziness and lightheadedness and educating patients about the delayed onset of action (1-2 weeks)?

Buspirone (BuSpar) (A) Signup and view all the answers

When assessing for suicidal ideation, what should the nurse consider?

The frequency, intensity, and duration of thoughts (C) Signup and view all the answers

Which of the following is NOT a nursing intervention for Diphenhydramine (Benadryl)?

Monitor blood pressure (D) Signup and view all the answers

Which antipsychotic medication requires education about the importance of consistency in taking medications?

Aripiprazole (C) Signup and view all the answers

Which antipsychotic medication requires educating patients to avoid grapefruit juice?

Paliperidone (D) Signup and view all the answers

What is the primary focus of the nursing process when managing suicidal thoughts?

Ensuring the safety of the individual and preventing self-harm (D) Signup and view all the answers

Which antipsychotic medication is associated with a risk of photosensitivity?

Chlorpromazine (D) Signup and view all the answers

Which of the following medication classes is commonly used to treat anxiety disorders?

Antihistamines (A) Signup and view all the answers

Which of the following is a common symptom of Generalized Anxiety Disorder (GAD)?

Excessive worry (D) Signup and view all the answers

When assessing for suicidal ideation, what is the recommended approach regarding direct questioning?

Ask direct questions to understand the intensity and seriousness of their thoughts. (C) Signup and view all the answers

What is the nursing intervention for a patient experiencing a panic attack?

Providing a calm and supportive environment and encouraging deep breathing exercises. (D) Signup and view all the answers

What is the primary focus of the nursing care plan for a patient with anxiety disorders?

Developing coping skills to manage anxiety and stress. (D) Signup and view all the answers

Which of the following is a symptom associated with Tardive Dyskinesia (TD)?

Involuntary, repetitive movements (D) Signup and view all the answers

What is the primary difference in onset timing between Acute Dystonia and Tardive Dyskinesia?

Acute Dystonia occurs within hours to days of starting treatment, while Tardive Dyskinesia develops after months to years of use. (B) Signup and view all the answers

Which of the following is a common treatment for Acute Dystonia?

Anticholinergics (A) Signup and view all the answers

What is a key difference in the prognosis of Acute Dystonia and Tardive Dyskinesia?

Acute Dystonia resolves quickly with treatment, while Tardive Dyskinesia can persist and be difficult to treat. (B) Signup and view all the answers

In which age group is Tardive Dyskinesia more common?

Older Adults (B) Signup and view all the answers

Which of the following principles is NOT a key component of the Recovery Model?

Focus on managing symptoms only (B) Signup and view all the answers

In the context of the Recovery Model, what does community integration refer to?

Building support networks and developing relationships outside of the clinical setting (B) Signup and view all the answers

How do 'LEAPs' contribute to therapeutic communication?

LEAPs are a framework for active listening, empathy, and promoting a collaborative nurse-patient relationship (B) Signup and view all the answers

Which of the following non-therapeutic communication techniques is most likely to undermine a patient's trust and autonomy?

Offering advice without being asked (A) Signup and view all the answers

What is the primary goal of studying non-therapeutic communication techniques?

To identify and avoid using these techniques in practice (A) Signup and view all the answers

Which of the following statements best represents the focus of nursing education in the context of patient care?

Recognizing and responding to cues of declining patient health (B) Signup and view all the answers

According to the content, what is the primary reason for studying the Recovery Model in nursing education?

To promote a person-centered approach to recovery and empower patients (A) Signup and view all the answers

Why is it essential for nurses to understand therapeutic communication techniques?

To effectively build rapport, establish trust, and facilitate patient care (D) 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

Topics Covered - Exam One

Exam 1 is a 5-week exam in a testing center
Exam 1 takes place from 1:00pm - 4:00pm
Exam One covers a range of chapters
Total number of questions on Exam One is 80
Chapters and the number of questions for each chapter are listed

Remediation Activity

Remediation activity is required for those scoring 80 or less on Exam 1
Further information will be available on the Assignment Submission Module

Recognizing Patient Cues

Nursing exams, including NCLEX, focus on identifying potential patient problems and intervening accordingly
Recognizing cues of deterioration is key to successful patient care

Recovery Model (Chapter 20)

Individuals should control their recovery journey
Healthcare workers collaborate with patients, support people, or their families in achieving optimal quality of life
Recovery involves improving overall wellness and reaching one's full potential
Multiple interventions are possible, including clinical support and community resources
The model emphasizes building on a person's strengths, not just addressing deficits
Community relationships and support networks are vital

Legal & Ethical (Chapter 5)

Focus on ethical principles, applying them in practice scenarios
Includes patient rights, ethical principles (autonomy, beneficence, non-maleficence, veracity), and implications for involuntary commitment
Assessing situations for risk is important

Stress & Coping (Chapter 1)

Stress responses can be categorized into stages (alarm, resistance, exhaustion)
Stress management and coping strategies are necessary components of care
Stress is multi-faceted. Understand the emotional, physical, environmental factors to fully support patients

Stress as a Biological Response

Physiological responses of the stress response and the general adaptation syndrome are presented and explained
Stages of the reaction are described

Suicide (Chapter 16)

Identifying risk factors and protective factors for suicidal behavior.
Assessing suicidal ideation, plans, and behaviors.
Specific elements to include in the suicide assessment are listed
How to assess and manage suicidal ideation
The application of the nursing process is key in understanding how to manage this situation

Anxiety Disorders (Chapter 27)

Diagnosis and management of anxiety-related disorders (including panic disorder, generalized anxiety disorder, agoraphobia, and social anxiety).
Important considerations for medical conditions and substance abuse that may correlate with anxiety are crucial
Interventions and treatment options for these conditions

Generalized Anxiety Disorder (GAD)

Symptoms of GAD and interventions in the nursing context
Anxiolytic medications, like Buspirone, SSRIs, Benzodiazepines, Beta-blockers, and antihistamines and their applications

Medication Management - Anxiolytics

Understand the indications for use, monitoring, and differences between benzodiazepines and non-benzodiazepines anxiolytics. (including lorazepam and hydroxyzine)

Medication Management - Antipsychotics

Understand the indications, actions, side effects and safety alerts for these medications.
The AIMS test and intervention strategies are important
Different types of antipsychotics and their uses.

Teaching Patients/SO/Family

Questions to guide the teaching process related to medication management.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz assesses knowledge on recognizing patient cues and the recovery model, essential for nursing exams like the NCLEX. It covers key concepts that support patient care and collaborative healthcare practices. Prepare to identify potential patient problems and understand the significance of recovery in healthcare.