Nursing Quiz on ICP, Scabies, and Patient Care
93 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is one of the strategies for managing increased intracranial pressure (ICP)?

  • Increasing fluid intake
  • Administering osmotic diuretics (correct)
  • Elevating blood pressure
  • Giving steroids

Which medication is likely to cause Stevens-Johnson syndrome?

  • Aspirin
  • Ibuprofen
  • Acetaminophen
  • Allopurinol (correct)

What is a risk factor for developing shingles?

  • Being vaccinated against chickenpox
  • Increased physical activity
  • Having had chickenpox (correct)
  • Young age

Where are scabies burrows most commonly observed?

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

Which of the following statements about treatment for scabies is true?

<p>All contacts should be treated simultaneously (C)</p> Signup and view all the answers

What precaution should be taken when a patient has shingles around the eyes?

<p>Monitor for potential blindness (D)</p> Signup and view all the answers

What is a common sign of scabies infection?

<p>Increased itching at night (C)</p> Signup and view all the answers

Which of the following actions is NOT recommended for managing increased ICP?

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

What is an appropriate action for a patient experiencing difficulty with communication due to aphasia?

<p>Give them a signboard for communication (A)</p> Signup and view all the answers

When administering more than one type of eye drop, how long should one wait between applications?

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

Which of the following factors is a risk for developing skin cancer?

<p>History of frequent tanning bed use (C)</p> Signup and view all the answers

What can a CNA not do when it comes to placing a warm compress on a patient's eye?

<p>Decide the temperature of the compress (B)</p> Signup and view all the answers

What should you teach a patient newly diagnosed with glaucoma regarding eye drop application?

<p>Regular follow-ups with the doctor are essential (A)</p> Signup and view all the answers

What is a characteristic feature of narcissistic personality disorder?

<p>Inflated sense of self-importance (C)</p> Signup and view all the answers

Which of the following traits is typical of someone with histrionic personality disorder?

<p>Provocative appearance and dramatic speech (B)</p> Signup and view all the answers

What is a common misconception about patients with aphasia?

<p>They communicate effectively without assistance (A)</p> Signup and view all the answers

What is a key characteristic of antisocial personality disorder?

<p>Lack of empathy and remorse (B)</p> Signup and view all the answers

What does the acronym 'A.M.S.U.I.C.I.D.E' stand for in borderline personality disorder?

<p>Abandonment, Mood instability, Suicidal tendencies, Unstable and intense relationships, Impulsivity, Control of anger, Identity disturbance, Dissociative states, Emptiness (A)</p> Signup and view all the answers

What is the main focus of Erik Erikson's stage 'Industry vs. Inferiority'?

<p>Gaining self-esteem and competence (B)</p> Signup and view all the answers

Which of the following represents the highest level in Maslow's hierarchy of needs?

<p>Self-Actualization (D)</p> Signup and view all the answers

What type of therapy is known for addressing automatic negative thoughts?

<p>Cognitive Behavioral Therapy (A)</p> Signup and view all the answers

What conflict is faced in Erikson's final stage of psychosocial development?

<p>Integrity vs. Despair (A)</p> Signup and view all the answers

Which symptom is commonly assessed when evaluating suicidal tendencies?

<p>Having a plan for self-harm (D)</p> Signup and view all the answers

Which of the following is a feature of individuals with antisocial personality disorder?

<p>Impulsive behaviors without forethought (B)</p> Signup and view all the answers

What is the primary therapeutic approach used in EMDR Therapy to alleviate PTSD symptoms?

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

What condition is characterized by involuntary repetitive movements due to long-term antipsychotic use?

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

Healthcare providers monitor lithium levels to achieve optimal effectiveness within which concentration range?

<p>0.6 to 1.2 mEq/L (C)</p> Signup and view all the answers

What is a common side effect of SSRIs, especially in patients under 25 years old?

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

Which eating disorder is marked by extreme food restriction and a fear of gaining weight?

<p>Anorexia Nervosa (B)</p> Signup and view all the answers

What behavior associated with certain eating disorders can lead to electrolyte imbalances?

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

In hospitalized psychiatric patients expressing feelings of hopelessness, which precaution is prioritized?

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

What syndrome can occur from overdosing on serotonin-based antidepressants?

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

What is the correct first step in managing autonomic dysreflexia?

<p>Sit the patient up (C)</p> Signup and view all the answers

Which of the following is a common symptom of peri menopause?

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

Which statement is true regarding the recommendations for couples facing infertility?

<p>Hot tubs can affect fertility (D)</p> Signup and view all the answers

What is a priority nursing intervention for a burn patient if the face or neck is burned?

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

Which of the following best describes the Parkland burn formula?

<p>4ml x kg x total body surface area (BSA) % (C)</p> Signup and view all the answers

What is a common characteristic of a child with Attention-deficit/hyperactivity disorder during homework time?

<p>Needs few distractions (C)</p> Signup and view all the answers

What disorder is suggested in a teenager frequently receiving detentions for bullying others?

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

A child who has persistent worries about being sick during the night may be experiencing symptoms of which disorder?

<p>Obsessive-Compulsive Disorder (A)</p> Signup and view all the answers

What type of behavior is typical for a child diagnosed with Oppositional Defiant Disorder?

<p>Argumentative behavior against authority (C)</p> Signup and view all the answers

Which symptom may cause a patient experiencing mania to neglect eating and sleeping appropriately?

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

Which symptom is NOT typically associated with a cystocele?

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

What should be the priority for a patient experiencing heavy bleeding after surgery for an ectopic pregnancy?

<p>Evaluating fluid status (C)</p> Signup and view all the answers

What is a contraindication for prescribing oral contraceptives?

<p>History of blood clots (B)</p> Signup and view all the answers

What is a recommended method to assist a patient with aphasia in communication?

<p>Giving them a signboard for communication (D)</p> Signup and view all the answers

When administering multiple eye drops to a patient, what is the appropriate action to take?

<p>Wait five minutes in between them (C)</p> Signup and view all the answers

Which of the following is a risk factor for developing skin cancer?

<p>Having a history of frequent sunburns (A)</p> Signup and view all the answers

What can a CNA do when placing a warm compress on a patient's eye?

<p>Apply the warm compress (A)</p> Signup and view all the answers

What should be taught to a patient newly diagnosed with glaucoma regarding medication?

<p>Family members should be trained in eye drop administration (A)</p> Signup and view all the answers

Which characteristic is associated with narcissistic personality disorder?

<p>Excessive need for admiration (D)</p> Signup and view all the answers

What behavior is typical in individuals with a histrionic personality disorder?

<p>Engaging in dramatic speech and provocative appearance (C)</p> Signup and view all the answers

Which of the following statements regarding skin cancer risk is inaccurate?

<p>Using sunscreen does not reduce the risk of skin cancer (C)</p> Signup and view all the answers

What is a common characteristic of a vascular ulcer?

<p>Moist wound bed with heavy exudate (B)</p> Signup and view all the answers

Which symptom is indicative of an arterial ulcer?

<p>Dry, painful wound bed (D)</p> Signup and view all the answers

What is the primary focus when managing a patient during a seizure?

<p>Ensuring safety. (A)</p> Signup and view all the answers

Which of the following tests is used to assess balance?

<p>Romberg test (B)</p> Signup and view all the answers

Which of these factors contribute to the risk of developing multiple sclerosis (MS)?

<p>Autoimmune genetic disorder (A)</p> Signup and view all the answers

What would be observed in a patient with good blood flow to the nail bed?

<p>Pinkish color associated with the nail bed (B)</p> Signup and view all the answers

Which method would typically be used to diagnose scabies?

<p>Scraping of skin samples from burrows (C)</p> Signup and view all the answers

What is a key symptom to differentiate multiple sclerosis from other conditions?

<p>Unilateral vision changes (C)</p> Signup and view all the answers

What is the aim of administering osmotic diuretics in the management of increased ICP?

<p>To decrease cerebral edema (A)</p> Signup and view all the answers

Which of the following medications is commonly associated with causing Stevens-Johnson syndrome?

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

What should be done if a patient has shingles around the eyes?

<p>Seek immediate medical attention to prevent blindness (D)</p> Signup and view all the answers

What is one of the recommended strategies for controlling increased intracranial pressure?

<p>Elevating the head of the bed to 30 degrees (C)</p> Signup and view all the answers

Which of the following statements about scabies is true?

<p>A warm bath should be taken before applying scabicide (D)</p> Signup and view all the answers

Which of the following is a sign of increased itching associated with scabies?

<p>Itching that worsens at night (C)</p> Signup and view all the answers

Which action is recommended for treating scabies in a household?

<p>Treating all residents, staff, and families simultaneously (D)</p> Signup and view all the answers

What is a common characteristic of the shingles virus?

<p>It follows the nerve pathways (C)</p> Signup and view all the answers

What moves the brain's hemispheres rhythmically in EMDR therapy to help with PTSD symptoms?

<p>Bilateral stimulation (B)</p> Signup and view all the answers

Which of the following traits is commonly found in individuals with antisocial personality disorder?

<p>Lack of empathy and remorse (B)</p> Signup and view all the answers

Which of the following is classified as a positive symptom of schizophrenia?

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

What psychological conflict is faced during Erik Erikson's stage of 'Industry vs. Inferiority'?

<p>Developing a sense of competence or feeling inferior (D)</p> Signup and view all the answers

Which blood lithium concentration range is monitored for patients undergoing treatment to ensure safety?

<p>0.6 to 1.2 mEq/L (B)</p> Signup and view all the answers

In Borderline Personality Disorder, which characteristic is specifically associated with emotional regulation?

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

What is a potential side effect of SSRIs especially in patients younger than 25?

<p>Increased risk of suicidal thoughts (C)</p> Signup and view all the answers

What defines the highest level of Maslow's hierarchy of needs?

<p>Self-actualization (A)</p> Signup and view all the answers

What is the term for the syndrome that can result from overdosing on serotonin-based medications?

<p>Serotonin Syndrome (B)</p> Signup and view all the answers

Which of the following therapies is specifically focused on cognitive distortions?

<p>Cognitive Behavioral Therapy (B)</p> Signup and view all the answers

What is the primary emotional disturbance experienced by individuals with Borderline Personality Disorder?

<p>Chronic feelings of emptiness (C)</p> Signup and view all the answers

In the context of eating disorders, what does purging refer to?

<p>Self-induced vomiting or laxative use (B)</p> Signup and view all the answers

Which behavior is indicative of Erikson's final stage of psychological development?

<p>Reflecting on achievements and choices (B)</p> Signup and view all the answers

What disorder is characterized by little eye contact and limited facial expressions?

<p>Autism Spectrum Disorder (B)</p> Signup and view all the answers

Which type of precautions are crucial for inpatient psychiatric patients who express feelings of hopelessness?

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

In which mental health condition is impulsivity a key symptom?

<p>Antisocial Personality Disorder (B)</p> Signup and view all the answers

Which symptom is most commonly associated with obsessive-compulsive disorder in children?

<p>Checking on parents due to health fears (C)</p> Signup and view all the answers

What characteristic behavior might indicate a child has Oppositional Defiant Disorder?

<p>Exhibiting argumentative behavior towards authority (C)</p> Signup and view all the answers

What is a typical indicator of mania that could affect a patient's basic needs such as eating and sleeping?

<p>Loss of monitoring for personal care (D)</p> Signup and view all the answers

Which of the following signs is NOT typically linked with the condition of a cystocele?

<p>Sudden weight loss (A)</p> Signup and view all the answers

What is a recommended monthly health practice for younger women regarding breast health?

<p>Perform self-exams every month before their period (C)</p> Signup and view all the answers

What priority should be addressed for a patient experiencing heavy bleeding post-surgery for an ectopic pregnancy?

<p>Immediate fluid resuscitation (A)</p> Signup and view all the answers

What behavioral trait is most likely to be observed in a child with Attention-deficit/hyperactivity disorder (ADHD) during homework?

<p>Easily distracted and needing frequent breaks (B)</p> Signup and view all the answers

What are the common manifestations in infants born to mothers with substance abuse problems?

<p>High pitched cry and irritability (C)</p> Signup and view all the answers

Flashcards

Increased ICP Management

Managing increased intracranial pressure (ICP) involves decreasing cerebral edema, CSF volume, and cerebral blood flow while maintaining perfusion.

Osmotic Diuretics (e.g., Mannitol)

Medications that draw water out of the brain tissue, reducing swelling.

Shingles Virus

A viral infection that follows nerve pathways, often affecting older adults with a higher risk if they have had chickenpox. Care is needed if it's near the eyes

Scabies Symptoms

Characterized by intense itching, especially at night, and small, often wavy, burrows on the skin, especially between fingers and on wrists. Treatment of all household members is crucial for prevention.

Signup and view all the flashcards

Scabies Treatment

Requires treating the entire body, excluding face and scalp, with a medicated lotion like lindane or permethrin for a period of time. Follow-up washing and isolation to stop its spread

Signup and view all the flashcards

Drugs linked to Stevens-Johnson Syndrome

Certain medications can cause Stevens-Johnson Syndrome (SJS), a severe skin reaction

Signup and view all the flashcards

Controlling Fever for ICP

Fever increases metabolic demands, making ICP management harder. Keeping temperature normal is crucial.

Signup and view all the flashcards

Maintaining Blood Pressure and Oxygenation

Stable blood pressure and adequate oxygen levels are essential for adequate brain tissue perfusion during increased ICP management.

Signup and view all the flashcards

Treating Aphasia

Using communication aids and speech therapy to help patients with language difficulties.

Signup and view all the flashcards

Giving Multiple Eye Drops

Wait at least five minutes between eye drops.

Signup and view all the flashcards

Skin Cancer Risk Factors

Factors that increase the chance of developing skin cancer, including sun exposure, skin tone, past burns, radiation treatments, and medications (like Accutane).

Signup and view all the flashcards

CNA Role: Warm Compress

A Certified Nursing Assistant (CNA) can obtain supplies and apply warm compresses to a patient's eye.

Signup and view all the flashcards

Glaucoma Patient Education

Educating newly diagnosed glaucoma patients on appointment follow-ups and eye drop application, or teaching family if the patient can't apply.

Signup and view all the flashcards

Narcissistic Personality Disorder

Characterized by a grandiose sense of self-importance, need for admiration, lack of empathy, and sensitivity to criticism.

Signup and view all the flashcards

Histrionic Personality Disorder

Characterized by attention-seeking behavior, emotional excitability, and a need for reassurance.

Signup and view all the flashcards

Improving Bowel/Urine Function

Using MiraLAX or stool softeners to enhance bowel and urine functions.

Signup and view all the flashcards

Antisocial Personality Disorder

A mental health condition characterized by a disregard for and violation of the rights of others and societal rules.

Signup and view all the flashcards

Borderline Personality Disorder

A mental disorder marked by unstable moods, intense relationships, fear of abandonment, and impulsive behaviors.

Signup and view all the flashcards

Suicide Assessment Questions

Important questions to ask someone who might be thinking about hurting themselves.

Signup and view all the flashcards

Erikson's Industry vs. Inferiority

A developmental stage in which school-age children develop competence or feel inferior based on societal expectations.

Signup and view all the flashcards

Integrity vs. Despair

Erikson's final stage, where older adults reflect on their life and seek fulfillment or despair.

Signup and view all the flashcards

Esteem Needs (Maslow)

The need for recognition, respect, and a sense of accomplishment in Maslow's hierarchy.

Signup and view all the flashcards

Self-Actualization (Maslow)

The highest level of Maslow's hierarchy, representing the full potential and pursuit of self-fulfillment.

Signup and view all the flashcards

Cognitive Behavioral Therapy (CBT)

A therapy that helps patients identify and change negative thought patterns.

Signup and view all the flashcards

What are the signs and symptoms of Mastitis?

Mastitis is an inflammation of the breast tissue that often occurs in breastfeeding mothers. Symptoms include pain, redness, swelling, warmth, and fever.

Signup and view all the flashcards

Menstrual Cycle: What do you teach young girls?

Teach young girls about the normal menstrual cycle, including the fact that bleeding typically lasts 5-7 days, that they can get pregnant even during their period, and that emotional fluctuations are common during their cycle.

Signup and view all the flashcards

What are the signs and symptoms of perimenopause?

Perimenopause is the time leading up to menopause. It's characterized by irregular periods, hot flashes, vaginal dryness, mood swings, sleep disturbances, and a decrease in fertility.

Signup and view all the flashcards

What are the priorities for a burn patient?

Immediate priorities for burn patients include ensuring airway patency, especially if the face or neck is burned. After airway, maintain fluid status and watch for signs of infection.

Signup and view all the flashcards

What is Autonomic Dysreflexia?

Autonomic dysreflexia is a potentially life-threatening condition that can occur in people with spinal cord injuries above the T6 level. It involves a sudden, uncontrolled surge in blood pressure, often triggered by a noxious stimulus below the level of the injury.

Signup and view all the flashcards

Attention-Deficit/Hyperactivity Disorder (ADHD)

A disorder characterized by inattention, hyperactivity, and impulsivity. Children with ADHD may have difficulty focusing, sitting still, and controlling their actions.

Signup and view all the flashcards

Conduct Disorder

A behavioral disorder characterized by a pattern of violating rules and the rights of others. Teenagers with Conduct Disorder may engage in bullying, aggression, and defiance.

Signup and view all the flashcards

Obsessive-Compulsive Disorder (OCD)

A disorder characterized by persistent, intrusive thoughts (obsessions) and repetitive behaviors (compulsions) aimed at reducing anxiety.

Signup and view all the flashcards

Oppositional Defiant Disorder (ODD)

A disorder characterized by a pattern of negative, defiant, and hostile behavior towards authority figures. Children with ODD may argue, disobey, and deliberately annoy others.

Signup and view all the flashcards

Distractibility in Mania

A symptom of mania characterized by difficulty focusing attention, rapid shifts in thoughts, and an inability to filter irrelevant stimuli.

Signup and view all the flashcards

Cystocele

A condition where the bladder protrudes into the vagina, causing symptoms like urinary incontinence, pelvic pressure, and difficulty emptying the bladder.

Signup and view all the flashcards

Ectopic Pregnancy Complications

A pregnancy where the fertilized egg implants outside the uterus, often in the fallopian tube, potentially leading to life-threatening bleeding.

Signup and view all the flashcards

Substance Abuse and Newborn

Babies born to mothers with substance abuse problems may experience withdrawal symptoms, such as irritability, tremors, and difficulty feeding.

Signup and view all the flashcards

EMDR Therapy

A therapy that uses rhythmic eye movements to help process and reduce trauma symptoms, particularly PTSD.

Signup and view all the flashcards

Tardive Dyskinesia

An involuntary, repetitive movement disorder, often in the face and limbs, caused by long-term use of antipsychotic medications.

Signup and view all the flashcards

Positive Symptoms of Psychosis

Symptoms added to a person's normal experience, such as hallucinations and delusions.

Signup and view all the flashcards

Negative Symptoms of Psychosis

Symptoms that involve a decrease or absence of normal behavior, such as flat affect, alogia, and avolition.

Signup and view all the flashcards

Therapeutic Lithium Levels

The optimal blood concentration range for lithium medication, ensuring effectiveness while minimizing toxicity.

Signup and view all the flashcards

Benzodiazepines

Short-acting medications, like Xanax and Ativan, used to manage anxiety, but carry a risk of dependence and tolerance.

Signup and view all the flashcards

Anorexia Nervosa

An eating disorder characterized by extreme food restriction, intense fear of gaining weight, and a distorted body image.

Signup and view all the flashcards

Purging

A disordered eating behavior that involves self-induced vomiting, excessive exercise, or misuse of laxatives.

Signup and view all the flashcards

Draining CSF

Removing cerebrospinal fluid, the liquid that surrounds the brain and spinal cord, to decrease pressure.

Signup and view all the flashcards

Stevens-Johnson Syndrome

A severe skin reaction that can be caused by certain medications like anti-seizure drugs, anti-gout drugs, and antibiotics.

Signup and view all the flashcards

Scabies

A highly contagious skin infection caused by tiny mites.

Signup and view all the flashcards

MiraLAX or Stool Softeners

Medications used to improve bowel function by making stools softer and easier to pass.

Signup and view all the flashcards

Aphasia Communication

Difficulty communicating due to brain damage, often caused by stroke. Patients may have trouble speaking, writing, or understanding language.

Signup and view all the flashcards

Multiple Eye Drops

When administering more than one type of eye drop, wait at least five minutes between each drop. This allows the first drop to be absorbed.

Signup and view all the flashcards

Warm Compress Application

A Certified Nursing Assistant (CNA) can help apply warm compresses to a patient's eye by obtaining necessary supplies and applying them.

Signup and view all the flashcards

Narcissistic Personality

Characterized by a grandiose sense of self-importance, a need for admiration, a lack of empathy, and sensitivity to criticism. These individuals believe they are superior and special, and often demand special treatment.

Signup and view all the flashcards

Histrionic Personality

Characterized by attention-seeking behavior, emotional excitability, and a need for reassurance. These individuals are often dramatic, seductive, and have a strong dependency on others.

Signup and view all the flashcards

Scabies Diagnosis

Identifying scabies involves looking for a red rash, especially between fingers and toes, and examining the skin for burrows - tiny, wavy lines caused by the mites.

Signup and view all the flashcards

Vascularization in Nail Bed

Checking for good blood flow to the nail bed involves observing its pink color and using a capillary refill test to see how quickly the color returns after pressing down on the nail.

Signup and view all the flashcards

Vascular Ulcer

A vascular ulcer is caused by poor blood flow back to the heart. It often presents with swelling, a moist wound bed, and heavy exudate.

Signup and view all the flashcards

Arterial Ulcer

Arterial ulcers result from poor blood flow to the tissues. They are typically painful, dry, have minimal swelling, and the surrounding skin appears pale.

Signup and view all the flashcards

Seizure Priority

The most important priority during a seizure is safety. This includes protecting the patient's head, turning them on their side, and removing any obstacles.

Signup and view all the flashcards

Romberg Test

The Romberg test assesses balance. The patient stands with feet together, closes their eyes, and if they sway, it's a positive test, indicating a potential inner ear or equilibrium problem.

Signup and view all the flashcards

Cranial Nerve III Assessment

Assessing cranial nerve III involves observing the movement of the eyes up and down using the H pattern movement test to see if the eyes follow the pattern correctly.

Signup and view all the flashcards

MS Risk Factors

Factors that increase the risk of developing MS include low vitamin D levels, being female, having a family history, living in northern cities, and exposure to the Epstein-Barr virus.

Signup and view all the flashcards

Borderline Personality Disorder (BPD)

A mental disorder marked by unstable moods, impulsive behaviors, intense relationships, and fear of abandonment. Individuals with BPD may exhibit self-harm or suicidal tendencies.

Signup and view all the flashcards

Erik Erikson's Industry vs. Inferiority Stage

This stage in psychosocial development (ages 6-12) sees children developing competence or feeling inferior based on societal expectations and their ability to succeed in school and other activities.

Signup and view all the flashcards

Integrity vs. Despair Stage

Erikson's final stage of psychosocial development (late adulthood) involves reflecting on life and seeking fulfillment or despair based on how the individual has lived.

Signup and view all the flashcards

Ectopic Pregnancy

A pregnancy where the fertilized egg implants outside the uterus, often in the fallopian tube, potentially leading to life-threatening bleeding.

Signup and view all the flashcards

Study Notes

Separation Anxiety

  • Great worry when faced with everyday separation
  • Concern for parental safety and the child's safety
  • Normal, but declines between ages 3 and 5
  • Nursing management, including finding the reason for anxiety (e.g., death, divorce, military deployment, new family member)
  • Use of SSRIs may be considered

Erikson's 8 Stages

  • Infancy (0-1): Trust vs. Mistrust. Virtue: Hope. Description: Trust that basic needs are met.
  • Early Childhood (1-3): Autonomy vs. Shame/Doubt. Virtue: Will. Description: Developing independence in many tasks.
  • Play Age (3-6): Initiative vs. Guilt. Virtue: Purpose. Description: Taking initiative in activities, but with potential for guilt when unsuccessful or boundaries are exceeded.
  • School Age (7-11): Industry vs. Inferiority. Virtue: Competence. Description: Developing self-confidence in abilities when competent, or feeling inferior when not.
  • Adolescence (12-18): Identity vs. Confusion. Virtue: Fidelity. Description: Experimentation and development of identity and roles.
  • Early Adulthood (19-29): Intimacy vs. Isolation. Virtue: Love. Description: Forming close relationships with others.
  • middle Adulthood (20-64): Generativity vs. Stagnation. Virtue: Care. Description: Contributing to society and being involved in family.
  • Older Adulthood (65+): Integrity vs. Despair. Virtue: Wisdom. Description: Reflecting on one's life and finding meaning and purpose.

Maslow's Hierarchy

  • Self-Actualization: The desire to become the most one can be.
  • Esteem: Respect, self-esteem, and strength.
  • Love and Belonging: Friends, intimacy, and family connection.
  • Safety: Security, job, and health.
  • Physiological: Water, air, food, shelter, and clothing.

Alcohol Withdrawal

  • Ask Assessment Questions: How much/often, when was last drink, when did drinking begin. Understand if delirium tremens (DTs) are about to start. DTs can happen 24-36 hrs after last drink.
  • Signs and Symptoms: Headaches, anxiety, tremors, insomnia, fatigue, gastrointestinal disturbances, mood changes, heart palpitations, increased blood pressure/heart rate, hyperthermia, rapid abnormal breathing, hallucinations, and seizures.

Increased Intracranial Pressure (ICP)

  • Management: Decrease cerebral edema, lower cerebrospinal fluid (CSF) volume, and decrease cerebral blood flow while maintaining perfusion.
  • Methods: Administer osmotic diuretics (Mannitol), restrict fluids, drain CSF, control fever, and maintain systolic blood pressure and oxygenation. Elevate the head of the bed to 30 degrees.

Shingles

  • Higher risk in those who've had chickenpox
  • Follows nerve pathways
  • Commonly seen in older adults
  • Serious risk of blindness if shingles develops around the eye

Scabies

  • Highly contagious skin condition caused by mites.
  • Symptoms include intense itching, especially during the night.
  • Mites create burrows, observable between fingers, wrists.
  • Diagnosis involves checking for small, raised burrows using a magnifying glass and penlight.

Vascular Ulcers

  • More common than arterial ulcers
  • Result from impaired venous blood return from tissue to the heart
  • Symptoms include edema in the lower extremity, and wound bed with heavy exudate
  • Treatment involves reducing edema, preventing complications, and using topical therapies and dressings.

Arterial Ulcers

  • Result from poor arterial blood flow
  • Symptoms include painful, dry wound beds, little to no edema, and pale surrounding tissue.

Seizure Priority

  • Maintaining a patent airway is the priority.

Romberg Test

  • Test for balance
  • Patient stands with feet together, eyes closed
  • Positive test indicates swaying

Cranial Nerve III

  • Assessed by observing eye movement in the horizontal and vertical planes

Multiple Sclerosis (MS) Risk Factors

  • Low vitamin D
  • More common in females
  • Autoimmune genetic disorder
  • Living in northern climates
  • Epstein-Barr virus

Multiple Sclerosis (MS) Signs and Symptoms

  • Loss of balance
  • Dizziness
  • Muscle weakness in limbs
  • Unilateral vision changes
  • Relapse-remitting course
  • Spasticity
  • Loss of coordination

Multiple Sclerosis (MS) Interventions and Treatments

  • Fluid and fiber intake
  • Physical therapy
  • Steroid infusions
  • Maintain bowel/bladder function with measures like MiraLAX or stool softeners. Sexual function and communication support

Aphasia treatment

  • Provide a communication board
  • Speech therapy

Eye Drop Administration

  • Wait 5 minutes between drops

Skin Cancer Risk Factors

  • People who live in areas closer to the sun
  • Fair-skinned people
  • History of burn scars
  • History of x-ray treatment
  • Accutane (isotretinoin) use for acne

Warm Compress for Eye

  • CNA role involves obtaining supplies & applying warm compress

Glaucoma Education

  • Appointment follow-up is essential.
  • Ensuring the patient, and family members can properly administer eye drops.

Narcissistic Personality

  • Grandiose, superior self-perception
  • Inability to empathize with others
  • Easily offended, and handles criticism poorly
  • Entitled

Histrionic Personality

  • Excessive attention-seeking behavior
  • Emotional excitability
  • Provocative appearance or speech
  • Strong dependency on others

Antisocial Personality

  • Disregard for and violation of the rights of others
  • Arrogant, self-centered beliefs
  • Exploiting others
  • Lack of empathy

Suicide Assessment

  • Assess patient intent
  • Assess patient's suicidal thoughts
  • Make sure patient has a safety plan

Antipsychotics

  • Used to treat and reduce hallucinations
  • Include use of certain medications

SSRIs/SNRIs

  • Potential risk for suicidal thoughts in those under 25 years old.

Eating Disorders (Anorexia Nervosa)

  • Extreme food restriction
  • Intense fear of gaining weight
  • Distorted body image

Eating Disorders (Purging)

  • Can cause electrolyte imbalances and dental erosion

Post-Traumatic Stress Disorder (PTSD)

  • Intrusive symptoms (e.g., flashbacks)
  • Avoidance behaviors
  • Negative alterations in mood, cognition, and arousal
  • Heightened reactivity

Anhedonia

  • Inability to experience pleasure and joy

Somatic Symptoms

  • More common in children experiencing depression and anxiety

Monoamine Oxidase Inhibitors (MAOIs)

  • Medication that interacts with tyramine

Suicide Precautions

  • Essential for inpatients reporting feelings of hopelessness.

Serotonin Syndrome

  • Possible with overdosing of SSRIs or SNRIs

Autism Spectrum Disorder

  • Characterized by little eye contact and limited facial expressions

Attention-Deficit/Hyperactivity Disorder (ADHD)

  • Requires structure, clear instructions, and minimal distractions
  • Often associated with bullying

Obsessive-Compulsive Disorder (OCD)

  • Checking behaviors and repeated rituals

Oppositional Defiant Disorder (ODD)

  • Argumentative behavior toward authority figures

Cystocele

  • Bulge of tissue in the vaginal area
  • Pain, fullness, and difficulty emptying bladder
  • Frequent UTIs
  • Difficulty inserting tampons/other items

Ectopic Pregnancy

  • Prioritize fluid status when bleeding heavily post surgery, then CBC.

APGAR Score

  • Assessment of newborn's appearance, pulse, grimace, activity, and respiration. Scores are given for each category at one and five minutes to indicate the newborn's health.

Contraindications for Oral Contraceptives

  • Blood clots
  • Stroke
  • Pregnancy
  • Cancer

Breast Exam Teaching

  • Teaching women to perform self-breast exams, usually done monthly, a few days after the period.

Lactation/Breastfeeding

  • Proper use and care instruction for breastfeeding/lactation mothers while in the hospital.

Menopause/Peri-menopause

  • Symptoms and indications that a woman is approaching the start of menopause.

Infertility Assessment

  • Infertility check-up for a woman who is experiencing difficulty conceiving. Includes a history of past infections and STDs.

Burn Injury treatment

  • Fluids are a priority, along with infection prevention and nutritional support.

Autonomic Dysreflexia

  • Diaphoresis, pounding headache, elevated blood pressure, must sit patient up first to assess other causes

Stroke Management Priorities

  • IV fluids
  • Blood pressure management
  • CT scan

Spinal Tap Complications

  • Infection is a potential complication

Stages of Labor

  • Stage 1: Begins with the first uterine contractions, ongoing until dilatation of the cervix to 10 centimeters.
  • Stage 2: Begins when the cervix is fully dilated and continues until the birth of the baby. Effacement and dilation of the cervix. Baby is born, then assess for any other complications. Assess the mother's fluid levels.
  • Stage 3: The expulsion of the placenta and fetal membranes.
  • Stage 4: Postpartum period, first few hours after delivery.

Studying That Suits You

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

Quiz Team

Related Documents

"STUDY GUIDE - FINAL" PDF

Description

Test your knowledge on crucial nursing practices regarding increased intracranial pressure, scabies management, and patient care strategies. This quiz covers medication risks, communication aids for aphasia, and the proper techniques for administering eye drops. Perfect for nursing students or professionals looking to refresh their clinical knowledge.

More Like This

Traumatic Brain Injury Nursing Care Quiz
130 questions

Traumatic Brain Injury Nursing Care Quiz

WellBredUnity1718 avatar
WellBredUnity1718
Increased Intracranial Pressure Management
40 questions

Increased Intracranial Pressure Management

StainlessConnemara5495 avatar
StainlessConnemara5495
Intracranial Pressure and Nursing Interventions
37 questions

Intracranial Pressure and Nursing Interventions

RighteousChrysoprase2734 avatar
RighteousChrysoprase2734
Neuroblastoma and Increased Intracranial Pressure
5 questions

Neuroblastoma and Increased Intracranial Pressure

CompliantJasper4970 avatar
CompliantJasper4970
Use Quizgecko on...
Browser
Open
Browser
Browser