Nursing Quiz on ICP, Scabies, and Patient Care
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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</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</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</p> Signup and view all the answers

    What is a common sign of scabies infection?

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

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

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

    What is a characteristic feature of narcissistic personality disorder?

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

    What is a common misconception about patients with aphasia?

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

    What is a key characteristic of antisocial personality disorder?

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

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

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

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

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

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

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

    Which symptom is commonly assessed when evaluating suicidal tendencies?

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

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

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

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

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

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

    <p>Purging</p> Signup and view all the answers

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

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

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

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

    What is the correct first step in managing autonomic dysreflexia?

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

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

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

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

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

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

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

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

    <p>Distractibility</p> Signup and view all the answers

    Which symptom is NOT typically associated with a cystocele?

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

    What is a contraindication for prescribing oral contraceptives?

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

    Which characteristic is associated with narcissistic personality disorder?

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

    What is a common characteristic of a vascular ulcer?

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

    Which symptom is indicative of an arterial ulcer?

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

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

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

    Which of the following tests is used to assess balance?

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

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

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

    Which method would typically be used to diagnose scabies?

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

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

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

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

    <p>Phenobarbital</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</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</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</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</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</p> Signup and view all the answers

    What is a common characteristic of the shingles virus?

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

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

    <p>Hallucinations</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</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</p> Signup and view all the answers

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

    <p>Impulsivity</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</p> Signup and view all the answers

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

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

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

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

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

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

    In which mental health condition is impulsivity a key symptom?

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

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

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

    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.

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    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.

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