Nursing Exam: Patient Cues and Recovery Model

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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?

<p>Alarm reaction (B)</p> Signup and view all the answers

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

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

What is the primary purpose of applying therapeutic communication techniques?

<p>To build a strong therapeutic relationship and promote patient outcomes. (C)</p> 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?

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

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

<p>Non-maleficence (C)</p> Signup and view all the answers

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

<p>Treating depression (A)</p> Signup and view all the answers

Which medication requires monitoring for respiratory depression?

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

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

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

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

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

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

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

Which medication requires education about avoiding sudden discontinuation?

<p>Propranolol (Inderal) (A)</p> Signup and view all the answers

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

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

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

<p>Olanzapine (C)</p> 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?

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

Which antipsychotic medication requires monitoring for gynecomastia?

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

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

<p>History of previous suicide attempts (B)</p> Signup and view all the answers

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

<p>Akathisia (B)</p> 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)?

<p>Buspirone (BuSpar) (A)</p> Signup and view all the answers

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

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

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

<p>Monitor blood pressure (D)</p> Signup and view all the answers

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

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

Which antipsychotic medication requires educating patients to avoid grapefruit juice?

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

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

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

Which antipsychotic medication is associated with a risk of photosensitivity?

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

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

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

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

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

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

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

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

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

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

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

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

<p>Involuntary, repetitive movements (D)</p> Signup and view all the answers

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

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

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

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

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

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

In which age group is Tardive Dyskinesia more common?

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

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

<p>Focus on managing symptoms only (B)</p> Signup and view all the answers

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

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

How do 'LEAPs' contribute to therapeutic communication?

<p>LEAPs are a framework for active listening, empathy, and promoting a collaborative nurse-patient relationship (B)</p> 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?

<p>Offering advice without being asked (A)</p> Signup and view all the answers

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

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

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

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

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

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

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

<p>To effectively build rapport, establish trust, and facilitate patient care (D)</p> Signup and view all the answers

Flashcards

Recognizing Cues

Identifying signs indicating patient deterioration to intervene effectively.

Recovery Model

A framework emphasizing individual control in their path to recovery, involving various supportive interventions.

Multiple Pathways

The idea that recovery can involve different methods unique to each individual.

Holistic Approach

Improving overall wellness, not just treating symptoms, considering all life aspects.

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Strengths-based Approach

Focusing on an individual's strengths to promote autonomy and insight rather than just weaknesses.

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Community Integration

Emphasizing the role of community and support networks in the recovery process.

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Non-Therapeutic Techniques

Communication methods that can hinder the therapeutic process, contrasted with better alternatives.

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Therapeutic Communication

Effective communication techniques that facilitate understanding and healing between nurse and patient.

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Anxiolytics

Medications primarily used to reduce anxiety symptoms.

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Lorazepam (Ativan)

An anxiolytic used for short-term anxiety and sedation.

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Hydroxyzine (Vistaril)

An antihistamine with sedative effects used for anxiety relief.

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Benzodiazepines

A class of anxiolytics used for their sedative and muscle-relaxing effects.

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Non-benzodiazepine anxiolytics

Alternative anxiolytics that don’t belong to the benzodiazepine class.

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Sedation monitoring

Assessing a patient’s level of sedation while on anxiolytics.

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Antihistamines

Drugs used to treat allergies but also have sedative properties.

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Medication management for anxiety

Involves monitoring the effects and side effects of anxiety medications.

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Active Listening

Engaging fully to understand a speaker's message without interruption.

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Suicide Risk Factors

Indicators that increase the likelihood of suicide, including ideation, plans, and mental health history.

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Suicide Inquiry

The process of evaluating an individual's suicidal thoughts and intentions by asking direct questions.

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Protective Factors

Strengths or supports that reduce the risk of suicide, such as social support and reasons for living.

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Generalized Anxiety Disorder (GAD)

A mental health condition characterized by excessive worry about various aspects of life.

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Medications for Anxiety

Pharmaceutical options to manage anxiety, including SSRIs, Benzodiazepines, and Buspirone.

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Suicide Prevention Resources

Support systems and tools used to help individuals experiencing suicidal crisis.

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Nursing Interventions for Anxiety

Actions taken by nurses to support patients dealing with anxiety, including assessment and care plans.

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Empathy in Care

The ability to understand and acknowledge a patient’s feelings without judgment, crucial for building trust.

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Patient's Right

The principle that patients have the autonomy to make decisions about their own care.

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Holistic Care

An approach that considers the whole person, including psychosocial factors, in treatment planning.

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Stages of Stress Response

The body reacts to stress in three stages: alarm reaction, resistance, and exhaustion.

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Involuntary Commitment

Legal action required when a person poses a significant risk to themselves, necessitating safety measures and treatment.

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Strategies for Coping with Stress

Methods to manage stress effectively, including understanding triggers and using supportive actions.

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Acute Dystonia

Sudden muscle contractions often occurring shortly after starting DRBA.

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Tardive Dyskinesia (TD)

Involuntary movements developing after long-term use of DRBAs, may persist.

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Prognosis of Acute Dystonia

Generally resolves quickly with appropriate treatment like anticholinergics.

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Prognosis of Tardive Dyskinesia

Can be persistent, often harder to treat than Acute Dystonia; may not fully resolve.

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Age of Onset for TD

More common in older adults due to prolonged medication use.

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Antipsychotics

Medications used to manage psychiatric disorders, primarily schizophrenia.

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Haloperidol (Haldol)

An antipsychotic used to treat acute agitation and schizophrenia; monitor for EPS.

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Tardive Dyskinesia

Chronic involuntary movements, usually irreversible, occurring after long-term antipsychotic use.

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Agranulocytosis

A severe decrease in white blood cells, a risk with Clozapine treatment.

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Akathisia

A feeling of inner restlessness and inability to stay still, common in early treatment.

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Extrapyramidal Symptoms (EPS)

Drug-induced movement disorders such as tremors, rigidity, and abnormal postures.

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Olanzapine (Zyprexa)

An atypical antipsychotic effective for schizophrenia; monitor weight and metabolic health.

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Fluphenazine (Prolixin)

An antipsychotic that requires monitoring for EPS and avoiding sudden drug cessation.

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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
  • 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.

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