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Questions and Answers
What is a common feature of separation anxiety in children?
What is a common feature of separation anxiety in children?
At which stage of Erikson's development does the conflict of trust versus mistrust occur?
At which stage of Erikson's development does the conflict of trust versus mistrust occur?
What virtue is associated with the stage of 'Autonomy vs Shame/Doubt' in Erikson's theory?
What virtue is associated with the stage of 'Autonomy vs Shame/Doubt' in Erikson's theory?
Which of the following is a sign or symptom of alcohol withdrawal?
Which of the following is a sign or symptom of alcohol withdrawal?
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What is the primary purpose of asking specific assessment questions about alcohol consumption?
What is the primary purpose of asking specific assessment questions about alcohol consumption?
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Which stage of Erikson's development involves establishing intimacy and relationships?
Which stage of Erikson's development involves establishing intimacy and relationships?
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What is a key characteristic of self-actualization in Maslow's hierarchy?
What is a key characteristic of self-actualization in Maslow's hierarchy?
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What action can help reduce a patient's intracranial pressure (ICP)?
What action can help reduce a patient's intracranial pressure (ICP)?
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What is a primary goal in managing increased intracranial pressure (ICP)?
What is a primary goal in managing increased intracranial pressure (ICP)?
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Which of the following medications is least likely to cause Stevens-Johnson syndrome?
Which of the following medications is least likely to cause Stevens-Johnson syndrome?
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What is an important precaution for patients with shingles?
What is an important precaution for patients with shingles?
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Which method is recommended to identify scabies lesions?
Which method is recommended to identify scabies lesions?
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What action is advised to prevent the spread of scabies within households?
What action is advised to prevent the spread of scabies within households?
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How should scabicide be applied for treating scabies?
How should scabicide be applied for treating scabies?
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What is a common symptom of scabies?
What is a common symptom of scabies?
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What is the role of osmotic diuretics in managing increased ICP?
What is the role of osmotic diuretics in managing increased ICP?
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Which characteristic is NOT associated with antisocial personality disorder?
Which characteristic is NOT associated with antisocial personality disorder?
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What is a common behavioral symptom of borderline personality disorder?
What is a common behavioral symptom of borderline personality disorder?
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What is assessed to evaluate suicidal ideation?
What is assessed to evaluate suicidal ideation?
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In Erik Erikson's stage of Industry vs. Inferiority, what do children seek to develop?
In Erik Erikson's stage of Industry vs. Inferiority, what do children seek to develop?
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Which of the following represents the highest level in Maslow's hierarchy of needs?
Which of the following represents the highest level in Maslow's hierarchy of needs?
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What is the primary function of antipsychotic medications?
What is the primary function of antipsychotic medications?
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Which stage of Erikson's psychosocial development involves older adults reflecting on their lives?
Which stage of Erikson's psychosocial development involves older adults reflecting on their lives?
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Cognitive Behavioral Therapy primarily aids patients in identifying what?
Cognitive Behavioral Therapy primarily aids patients in identifying what?
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Which therapy involves bilateral stimulation of the brain's hemispheres to reduce PTSD symptoms?
Which therapy involves bilateral stimulation of the brain's hemispheres to reduce PTSD symptoms?
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What term describes the involuntary repetitive movements often seen in patients who have used antipsychotics long-term?
What term describes the involuntary repetitive movements often seen in patients who have used antipsychotics long-term?
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What is the normal lithium level range that healthcare providers aim for in the blood?
What is the normal lithium level range that healthcare providers aim for in the blood?
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Which of the following class of medications carries a risk of dependence and tolerance when used for anxiety management?
Which of the following class of medications carries a risk of dependence and tolerance when used for anxiety management?
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Which eating disorder is characterized by extreme food restriction and a distorted body image?
Which eating disorder is characterized by extreme food restriction and a distorted body image?
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What type of symptoms are children more likely to report when experiencing depression and anxiety compared to adults?
What type of symptoms are children more likely to report when experiencing depression and anxiety compared to adults?
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Which of the following medications cannot be taken in conjunction with foods containing tyramine?
Which of the following medications cannot be taken in conjunction with foods containing tyramine?
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What syndrome can occur as a result of overdosing on medications such as SSRIs?
What syndrome can occur as a result of overdosing on medications such as SSRIs?
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Which disorder is characterized by a child requiring few distractions during homework time and clear directions?
Which disorder is characterized by a child requiring few distractions during homework time and clear directions?
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What disorder is likely indicated in a teenager who frequently receives detentions for bullying?
What disorder is likely indicated in a teenager who frequently receives detentions for bullying?
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What is a common anxiety disorder symptom when a child continuously checks on parents at night due to illness fears?
What is a common anxiety disorder symptom when a child continuously checks on parents at night due to illness fears?
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Which disorder is indicated by argumentative behaviors against authority figures in children?
Which disorder is indicated by argumentative behaviors against authority figures in children?
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What is a primary teaching point for young girls regarding the menstrual cycle?
What is a primary teaching point for young girls regarding the menstrual cycle?
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What symptom may cause a patient in a state of mania to neglect essential needs like eating or sleeping?
What symptom may cause a patient in a state of mania to neglect essential needs like eating or sleeping?
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Which statement about autonomic dysreflexia is correct?
Which statement about autonomic dysreflexia is correct?
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What is a significant priority for a burn patient when the face or neck is not involved in the injury?
What is a significant priority for a burn patient when the face or neck is not involved in the injury?
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What is a potential sign of a cystocele?
What is a potential sign of a cystocele?
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What is the priority concern for a patient with ectopic pregnancy experiencing heavy bleeding post-surgery?
What is the priority concern for a patient with ectopic pregnancy experiencing heavy bleeding post-surgery?
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What should be taught to a patient preparing for a mammogram?
What should be taught to a patient preparing for a mammogram?
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What should be avoided as a contraindication for oral contraceptives?
What should be avoided as a contraindication for oral contraceptives?
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What is a critical nursing action for a couple experiencing infertility?
What is a critical nursing action for a couple experiencing infertility?
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Match the following substances with their monitoring requirements:
Match the following substances with their monitoring requirements:
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Match the eating disorder with its characteristic symptom:
Match the eating disorder with its characteristic symptom:
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Match the PTSD symptom with its description:
Match the PTSD symptom with its description:
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Match the following SSRIs with their indications:
Match the following SSRIs with their indications:
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Match the substance with its common risk factor:
Match the substance with its common risk factor:
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Match the psychological condition with its typical age of onset:
Match the psychological condition with its typical age of onset:
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Match the medication class with its primary consideration during use:
Match the medication class with its primary consideration during use:
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Match the common withdrawal symptoms with their descriptions:
Match the common withdrawal symptoms with their descriptions:
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Match the following concepts to their descriptions:
Match the following concepts to their descriptions:
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Match the following eating disorder symptoms with their definitions:
Match the following eating disorder symptoms with their definitions:
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Match the following PTSD symptoms with their characteristics:
Match the following PTSD symptoms with their characteristics:
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Match the following statements about Lithium monitoring to their implications:
Match the following statements about Lithium monitoring to their implications:
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Match the following eating disorders with their associated behaviors:
Match the following eating disorders with their associated behaviors:
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Match the following categories of SSRIs risks with their impact:
Match the following categories of SSRIs risks with their impact:
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Match the following benzodiazepines with their common usage:
Match the following benzodiazepines with their common usage:
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Match the following terms related to PTSD to their definitions:
Match the following terms related to PTSD to their definitions:
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Match the following aspects of lithium monitoring with their significance:
Match the following aspects of lithium monitoring with their significance:
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Match the following risks associated with benzodiazepines:
Match the following risks associated with benzodiazepines:
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Match the side effects of SSRIs commonly experienced by young adults:
Match the side effects of SSRIs commonly experienced by young adults:
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Match the following characteristics of eating disorders:
Match the following characteristics of eating disorders:
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Match the symptoms often seen in PTSD:
Match the symptoms often seen in PTSD:
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Match the following behaviors associated with PTSD:
Match the following behaviors associated with PTSD:
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Match the following outcomes with respective interventions for young adults on SSRIs:
Match the following outcomes with respective interventions for young adults on SSRIs:
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Match the following terms with their definitions regarding lithium therapy:
Match the following terms with their definitions regarding lithium therapy:
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What is the purpose of accurately calculating the total body surface area (TBSA) in burn management?
What is the purpose of accurately calculating the total body surface area (TBSA) in burn management?
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Which of the following factors can influence the calculation of total body surface area for burn injuries?
Which of the following factors can influence the calculation of total body surface area for burn injuries?
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How does understanding total body surface area (TBSA) affect the urgency of care for burn patients?
How does understanding total body surface area (TBSA) affect the urgency of care for burn patients?
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What limitation is associated with using the Rule of Nines for TBSA estimation?
What limitation is associated with using the Rule of Nines for TBSA estimation?
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Why is it important to have a refined assessment for burn injuries as time progresses?
Why is it important to have a refined assessment for burn injuries as time progresses?
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What percentage of total body surface area does the perineum account for according to the Rule of Nines?
What percentage of total body surface area does the perineum account for according to the Rule of Nines?
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Which category of burn depth is characterized by visual characteristics such as redness and mild swelling?
Which category of burn depth is characterized by visual characteristics such as redness and mild swelling?
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Which factor is NOT typically considered in a comprehensive burn assessment?
Which factor is NOT typically considered in a comprehensive burn assessment?
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What does Total Body Surface Area (TBSA) measure in a burn patient?
What does Total Body Surface Area (TBSA) measure in a burn patient?
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In the Rule of Nines, what is the total percentage of TBSA accounted for by each leg?
In the Rule of Nines, what is the total percentage of TBSA accounted for by each leg?
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What role does age play in the assessment of burn severity?
What role does age play in the assessment of burn severity?
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Which burn depth classification involves damage to all layers of the skin and potentially underlying tissue?
Which burn depth classification involves damage to all layers of the skin and potentially underlying tissue?
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Which characteristic would most likely indicate the need for urgent medical intervention in burn cases?
Which characteristic would most likely indicate the need for urgent medical intervention in burn cases?
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Match the following body regions with their corresponding percentage of body surface area (BSA) according to the Rule of Nines:
Match the following body regions with their corresponding percentage of body surface area (BSA) according to the Rule of Nines:
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Match the following statements with their relevance to the Rule of Nines:
Match the following statements with their relevance to the Rule of Nines:
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Match the clinical considerations with their corresponding descriptions regarding the use of the Rule of Nines:
Match the clinical considerations with their corresponding descriptions regarding the use of the Rule of Nines:
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Match the following terms with their definitions in the context of burn treatment:
Match the following terms with their definitions in the context of burn treatment:
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Match the body regions impacted by burns with their corresponding percentages according to the Rule of Nines:
Match the body regions impacted by burns with their corresponding percentages according to the Rule of Nines:
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What is the primary purpose of the Parkland formula in burn management?
What is the primary purpose of the Parkland formula in burn management?
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How should the fluid calculated using the Parkland formula be administered?
How should the fluid calculated using the Parkland formula be administered?
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Which factor is NOT typically considered in fluid resuscitation for burn patients?
Which factor is NOT typically considered in fluid resuscitation for burn patients?
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What critical monitoring parameter indicates successful fluid resuscitation?
What critical monitoring parameter indicates successful fluid resuscitation?
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Why is ongoing monitoring vital in the management of burn patients?
Why is ongoing monitoring vital in the management of burn patients?
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Which characteristic is most significant during the transition phase of the first stage of labor?
Which characteristic is most significant during the transition phase of the first stage of labor?
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What is the primary focus of nursing care during the second stage of labor?
What is the primary focus of nursing care during the second stage of labor?
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What is the main event that characterizes the third stage of labor?
What is the main event that characterizes the third stage of labor?
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What occurs during the active phase of the first stage of labor?
What occurs during the active phase of the first stage of labor?
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Which of the following best describes the duration of the first stage of labor?
Which of the following best describes the duration of the first stage of labor?
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Study Notes
Separation Anxiety
- Great worry when faced with ordinary separation
- Worry for parental safety and the child's safety
- Normal, but declines between ages 3 and 5
- Nursing management involves finding the reason for the anxiety (e.g., death, divorce, or military deployment) and if a new family member is present
- Use SSRIs (selective serotonin reuptake inhibitors) as needed.
Erikson's 8 Stages
- Infancy (0-1): Trust vs. Mistrust; Virtue: Hope; Description: Trust that basic needs like food and affection will be met.
- Early Childhood (1-3): Autonomy vs. Shame/Doubt; Virtue: Will; Description: Develop a sense of independence in many tasks and skills.
- Play age (3-6): Initiative vs. Guilt; Virtue: Purpose; Description: Take initiative on activities but might feel guilt when unsuccessful or overstepping boundaries.
- School age (7-11): Industry vs. Inferiority; Virtue: Competence; Description: Develop self-confidence in abilities when competent or sense of inferiority when not competent.
- Adolescent (12-18): Identity vs. Confusion; Virtue: Fidelity; Description: Experiment and develop one's identity and roles.
- Early Adult (19-29): Intimacy vs. Isolation; Virtue: Love; Description: Establish intimacy and relationships with others.
- Middle Adult (20-64): Generativity vs. Stagnation; Virtue: Care; Description: Contribute to society and be part of a family.
- Older Adult (65-on): Integrity vs. Despair; Virtue: Wisdom; Description: Assess life and the meaning of contributions.
Maslow's Hierarchy
- Self-Actualization: The desire to become the most one can be.
- Esteem: Respect, self-esteem, strength.
- Love and Belonging: Friends, family, intimacy, connection.
- Safety Needs: Security, job, health.
- Physiological Needs: Water, air, food, shelter, clothing.
Alcohol Withdrawal
- Ask questions about alcohol consumption (frequency, quantity, when started).
- Determine if delirium tremens (DTs) are imminent (happens within 24-36 hours after last drink).
- Symptoms: Headaches, anxiety, tremors, insomnia, fatigue, gastrointestinal issues, mood changes, heart palpitations, increased blood pressure/heart rate, hyperthermia, rapid breathing, hallucinations, and seizures.
Increased Intracranial Pressure (ICP)
- Management of increased ICP: Decrease cerebral edema, lower CSF volume, 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 Virus
- Higher risk if had chickenpox previously.
- Follows nerve pathways, common in older adults.
- Eye involvement can cause blindness.
Scabies
- Contagious skin disease caused by mites.
- Not necessarily spread by scratching.
- Small, raised burrows, usually on the hands, fingers, wrists, and/or between the fingers.
- Characterized by increased itching (especially during nighttime).
Diagnosing Scabies
- Use a magnifying glass and penlight to find small, raised burrows between fingers and toes.
- Scrape superficial epidermis off burrows with a small scalpel blade.
- Look for threadlike lesions (brown or black).
Vascular Ulcers
- More common than arterial ulcers.
- Impaired return of venous blood from tissues to the heart.
- Symptoms: Edema, moist wound, heavy exudate.
- Treatment: Reduce edema and topical therapy, prevent complications.
Arterial Ulcers
- Poor arterial blood flow.
- Painful, dry wound bed, little to no edema, surrounding tissue is pale.
Seizure Priority
- Safety is the priority.
- Turn the patient onto their side, protect their head, move any furniture that could be a hazard.
Romberg Test
- Test for balance.
- Patient stands, closes eyes, assess for swaying.
Cranial Nerve III
- Assessed by evaluating eye movement.
Multiple Sclerosis (MS) Risk Factors
- Low vitamin D
- More common in females.
- Genetic factors.
- Exposure to Epstein-Barr virus.
- Located in northern regions.
Multiple Sclerosis (MS) Signs and Symptoms
- Loss of balance, dizziness.
- Muscle weakness in limbs.
- Unilateral vision changes.
- Relapse-remitting course.
- Limbs weakness.
- Spasticity.
- Lose of balance/coordination.
Multiple Sclerosis (MS) Interventions
- Fluid and fiber.
- Physical therapy and steroid infusions.
- Enhance urine and bowel functions (MiraLAX or stool softeners).
- Improve communication and sexual function.
Aphasia Interventions
- Provide a signboard for communication.
- Work with speech therapy.
Eye Drops
- Wait 5 minutes between applications.
Skin Cancer Risk Factors
- People who live in areas with higher sunlight exposure.
- Fair-skinned people.
- History of burns or x-ray treatment.
- People who use acne medication (Accutane).
Glaucoma Education
- Educating about the importance of appointment follow-ups.
- Demonstrate safe methods of administering eye drops (or ensure family members can do so properly).
Narcissistic Personality
- Grandiose, inexhaustible need for admiration.
- Believe they are superior, special, and unique.
- Handle criticism poorly.
- Believe they are entitled.
- Ambitious for fame and fortune.
- Cannot show empathy.
Histrionic Personality
- Excessive needs for admiration; attention-seeking.
- Excessively emotional and excitable.
- In love with attention, love approval.
- Speech is dramatic.
- Strong dependency; single relationships; uncomfortable.
- Innate sensitivity to the moods and thoughts of those they wish to please.
- Depressed when not center of attention.
Antisocial Personality
- Disregard for and violation of the rights of others.
Suicide Assessment
- Assess for thoughts of self-harm.
- Determine if they have a plan.
- Determine if they have acted on a plan.
- Determine if they have attempted before.
Antipsychotic Treatment and Side Effects
- Used to reduce hallucinations and delusions (positive symptoms).
- Side effects can include EPS (extrapyramidal symptoms) which include tardive dyskinesia.
Lithium Levels
- Monitor lithium blood levels to ensure optimal effectiveness.
- Therapeutic range is 0.6-1.2 mEq/L.
Benzodiazepines
- Short-term management of anxiety.
- Risk of dependence and tolerance
SSRIs and Suicidal Thoughts
- SSRIs may increase suicidal thoughts, especially in patients under 25.
Anorexia Nervosa
- Characterized by extreme food restriction, intense fear of gaining weight, and distorted body image.
Purging
- Imbalances in electrolytes, dental erosion as a consequence of disordered behavior.
Posttraumatic Stress Disorder (PTSD)
- Intrusive symptoms, avoidance behaviors, negative alterations in mood and cognition, and heightened arousal and reactivity.
Anhedonia
- Inability to experience joy or pleasure (symptom of depression).
Somatic Symptoms
- Children with depression and anxiety more likely to report these as opposed to adults.
Monoamine Oxidase Inhibitors (MAOIs)
- Cannot eat foods containing tyramine.
Suicide Precautions
- Necessary precautions in inpatient psychiatric hospitals.
Serotonin Syndrome
- Possible with OD of SSRIs & SNRIs.
Autism Spectrum Disorder
- Displays little eye contact and few facial expressions.
Child with ADHD
- Requires minimal distractions and consistent rules.
Bullies and Contact Disorder
- Can be linked to a contact disorder when severe or repeated.
Obsessive-Compulsive Disorder
- Checking behaviors, fears of contamination or illness.
Oppositional Defiant Disorder
- Argumentative behavior towards authority figures.
Pelvic Organ Prolapse (Cystocele)
- Bulge of tissue through the vaginal opening, pain and fullness.
- Signs/Symptoms: fullness, heaviness, pain in pelvic area, frequent UTIs, trouble starting or slowing a urine stream or leakage of urine, difficulty inserting tampons/feminine products.
APGAR Score
- Used to assess a newborn's physical condition immediately after birth.
- 0 - 3: severely distressed, 4 - 6: moderately distressed, 7 - 10: good condition.
- Appearance, Pulse, Grimace, Activity, Respiration.
Ectopic Pregnancy
- Fluid status is the priority, then a CBC to determine blood needs.
Contraindications for Oral Contraceptives
- Blood clots, stroke, pregnancy, cancer
Breast Exams
- Yearly mammograms are essential for women.
Postpartum Breastfeeding
- Teach about breastfeeding techniques and what to look out for in the event of mastitis.
Menstrual Cycle Teaching
- Normal bleeding cycle is approximately 5-7 days.
Peri Menopause
- Hot flashes, vaginal dryness, and irregular periods.
- Menopause occurs when there is no menstruation or period for 12 months.
Infertility Assessment
- Look for a history of infections (childhood and STDs).
Burn Patient Priority
- Fluid status is a priority for burn patients, especially those with neck or face burns.
Rule of Nines
- Used to estimate the extent of burns.
Autonomic Dysreflexia
- Life-threatening condition (occurs in spinal cord injuries) that causes very high blood pressure.
- Sit the patient up first, before looking at other possible causes.
Myasthenia Gravis Concern
- Falls, difficulty with eye movements and ptosis, and possible aspiration.
Spinal Tap Complications
- Check for signs of infection post-procedure.
Stages of Labor
- Stage 1: onset of labor until cervix is fully dilated; Stage 2: from full dilation to delivery; Stage 3: delivery of placenta and membranes; Stage 4: recovery.
Meniere's Disease
- Inner ear condition characterized by vertigo, tinnitus, and hearing loss.
Parkland Burn Formula
- Provides calculations for fluid amounts to give with burns.
Scar Management
- Compression wraps are used for reducing scarring.
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Description
Test your knowledge on key concepts in child development and psychological disorders. This quiz covers topics such as Erikson's stages of development, symptoms of separation anxiety, and management of mental health conditions. Assess your understanding of psychological theories and their clinical applications.