Podcast
Questions and Answers
Which of the following best describes the concept of 'active listening' in therapeutic communication?
Which of the following best describes the concept of 'active listening' in therapeutic communication?
Which ethical principle is being prioritized when a patient is involuntarily committed to protect them from self-harm?
Which ethical principle is being prioritized when a patient is involuntarily committed to protect them from self-harm?
Which of the following is NOT a stage of the body's stress response?
Which of the following is NOT a stage of the body's stress response?
A client with a detailed plan to harm themselves, but no immediate plan to act on it, may be a candidate for involuntary commitment because:
A client with a detailed plan to harm themselves, but no immediate plan to act on it, may be a candidate for involuntary commitment because:
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Which of the following is a key element of therapeutic communication?
Which of the following is a key element of therapeutic communication?
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Which ethical principle emphasizes the importance of telling the truth to patients?
Which ethical principle emphasizes the importance of telling the truth to patients?
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Which of the following is an example of a psychosocial factor that might affect a patient's health?
Which of the following is an example of a psychosocial factor that might affect a patient's health?
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Which of the following is a stress management strategy?
Which of the following is a stress management strategy?
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What is the primary mechanism of action for antipsychotic medications?
What is the primary mechanism of action for antipsychotic medications?
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Which of the following is a key indicator for the effectiveness of antipsychotic medication?
Which of the following is a key indicator for the effectiveness of antipsychotic medication?
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What is a common side effect of antipsychotic medications that patients should be educated about?
What is a common side effect of antipsychotic medications that patients should be educated about?
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What aspect should be included when teaching patients about when to contact their primary care physician (PCP) regarding their medication?
What aspect should be included when teaching patients about when to contact their primary care physician (PCP) regarding their medication?
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Which psychological treatment method focuses specifically on improving interpersonal skills and relationships?
Which psychological treatment method focuses specifically on improving interpersonal skills and relationships?
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What is a key risk factor to assess when evaluating someone for suicidal ideation?
What is a key risk factor to assess when evaluating someone for suicidal ideation?
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Which of the following is an example of a protective factor against suicide?
Which of the following is an example of a protective factor against suicide?
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When assessing for suicidal ideation, what aspect of the suicide plan should be evaluated?
When assessing for suicidal ideation, what aspect of the suicide plan should be evaluated?
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What is a common symptom of Generalized Anxiety Disorder (GAD)?
What is a common symptom of Generalized Anxiety Disorder (GAD)?
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Which medication class is commonly used to treat anxiety disorders?
Which medication class is commonly used to treat anxiety disorders?
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Which nursing intervention is appropriate for a patient experiencing acute anxiety?
Which nursing intervention is appropriate for a patient experiencing acute anxiety?
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What is one component of assessing suicidal intent?
What is one component of assessing suicidal intent?
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What is the role of cultural beliefs in suicide prevention?
What is the role of cultural beliefs in suicide prevention?
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Which of the following is NOT a key concept within the Recovery Model?
Which of the following is NOT a key concept within the Recovery Model?
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What is a primary nursing intervention for a patient taking Olanzapine (Zyprexa)?
What is a primary nursing intervention for a patient taking Olanzapine (Zyprexa)?
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What is the primary focus for nurses when applying the Recovery Model?
What is the primary focus for nurses when applying the Recovery Model?
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Which antipsychotic requires weekly monitoring of white blood cell count due to the risk of agranulocytosis?
Which antipsychotic requires weekly monitoring of white blood cell count due to the risk of agranulocytosis?
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What is a primary use of hydroxyzine (Vistaril)?
What is a primary use of hydroxyzine (Vistaril)?
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What is the significance of the Recovery Model in nursing education?
What is the significance of the Recovery Model in nursing education?
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What symptom is associated with Akathisia, a type of drug-induced movement disorder?
What symptom is associated with Akathisia, a type of drug-induced movement disorder?
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Which medication is known for its delayed onset of action in treating anxiety?
Which medication is known for its delayed onset of action in treating anxiety?
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Which of the following nursing interventions is specific to patients taking Risperidone (Risperdal)?
Which of the following nursing interventions is specific to patients taking Risperidone (Risperdal)?
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Which of the following statements BEST describes the Recovery Model's view on recovery?
Which of the following statements BEST describes the Recovery Model's view on recovery?
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Which nursing intervention is applicable for patients taking lorazepam (Ativan)?
Which nursing intervention is applicable for patients taking lorazepam (Ativan)?
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How does the Recovery Model promote patient autonomy?
How does the Recovery Model promote patient autonomy?
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Which of the following is a characteristic of Tardive Dyskinesia?
Which of the following is a characteristic of Tardive Dyskinesia?
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What nursing intervention should be prioritized for patients taking Chlorpromazine (Thorazine)?
What nursing intervention should be prioritized for patients taking Chlorpromazine (Thorazine)?
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What should be specifically monitored when patients are prescribed propranolol (Inderal)?
What should be specifically monitored when patients are prescribed propranolol (Inderal)?
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What is the main concept behind the "Strengths-Based Approach" within the Recovery Model?
What is the main concept behind the "Strengths-Based Approach" within the Recovery Model?
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How does the Recovery Model promote community integration?
How does the Recovery Model promote community integration?
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What is a common side effect of diphenhydramine (Benadryl) that patients should be educated about?
What is a common side effect of diphenhydramine (Benadryl) that patients should be educated about?
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What common side effect is associated with the long-term use of Fluphenazine (Prolixin)?
What common side effect is associated with the long-term use of Fluphenazine (Prolixin)?
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Which of the following is NOT a key takeaway from the text regarding nursing exams?
Which of the following is NOT a key takeaway from the text regarding nursing exams?
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What key nursing intervention is necessary for managing acute dystonia caused by antipsychotic medications?
What key nursing intervention is necessary for managing acute dystonia caused by antipsychotic medications?
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Which medication is typically associated with a risk of developing dependence?
Which medication is typically associated with a risk of developing dependence?
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Which medication should have a patient educated about avoiding abrupt discontinuation?
Which medication should have a patient educated about avoiding abrupt discontinuation?
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Which medication should be monitored for increased sedation when combined with other CNS depressants?
Which medication should be monitored for increased sedation when combined with other CNS depressants?
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Study Notes
Exam Slam - Spring 2025
- Exam dates are Spring 2025
- Exam hosts include Drs. Fran, Touw, and K
Topics Covered for Exam 1
- Exam 1 is on week 5 of spring 2025
- Exam 1 will be held at the testing center
- Exam 1 will run from 1:00 pm to 4:00 pm
- Mental Health and Mental Illness is covered in 6 chapters (Ch. 2, Ch. 1, 3, Ch. 5, Ch. 6, 7)
- Stress and Adaptation/Psychobiolgogy is covered in Ch. 1, 3
- Legal and Ethical Basis for Practice is covered in chapters 5,6,7 and in the Ethical Principles
- Relationship Development & Therapeutic Communication is covered in Ch. 5, 6, 7
- Suicide/Crisis prevention is covered in Ch. 12,16
- Recovery Models are covered in Ch. 20
- Schizophrenia Spectrum is covered in Ch. 24
- Anxiety, Obsessive-Compulsive, and related issues is covered in Ch. 27
- Total number of questions are 80
Remediation Activity
- Students who score 80 or below on exam 1 will need to complete a remediation activity
- Directions can be found in the Assignment Submission module
General Notes on Exams
- Nursing school exams are NOT about stable patients
- Exams generally focus on what can kill patients, and if you can recognize cues for intervention
- The goal of exams is to assess if a nurse can recognize risks and manage those risks, to keep patients safe
Recovery Model (Chapter 20)
- Recovery is person-driven, and involves the control of the path to recovery
- Healthcare workers act in collaboration with patients, support people and family members
- No "one-size-fits-all" approach as recovery paths vary greatly
- Approach includes but is not limited to clinical treatment, support, and community engagement
- Holistic approach emphasizing well-being, not only managing symptoms
- Emphasizing strengths rather than solely addressing lacks
- Important to recognize and value community relationships and support networks
Recovery Model (Chapter 20) - Additional Information
- Do not focus on specific models, but instead focus on interventions in the recovery model
- Reference Chapter 20, Table 20-1 (pages 344-345) and nurse-patient collaboration in mental health
Therapeutic Communication (Chapter 7)
- Utilize Tables 7-2 and 7-3
- The tables provide examples with techniques, explanations and examples
- Include "Better Alternative" statements in non-therapeutic communication
- Consider active listening, voicing doubt, validation, humor, or stigmatizing language
- Also consider clarifying or refocusing the client
- Focus on LEAPs from Dr. Touw
Therapeutic Communication (Chapter 7) - Additional Information
- Effective communication is a crucial assessment intervention in addition to building relationships and positive patient outcomes
- Include important concepts of verbal and nonverbal communication
- Understanding what active listening involves and looks like
- Understanding the importance of empathy and acknowledging patient concerns
Legal & Ethical (Chapter 5)
- Emphasize Ethical Principles instead of ethical theories
- Study all terms related to legal and ethical issues
- Important information in sample slides, such as patient rights (e.g., assault, battery, false imprisonment), ethical principles (autonomy, beneficence, non-maleficence, veracity), duty to warn, and civil rights (voluntary/involuntary commitment)
Legal & Ethical (Chapter 5) - Additional Information
- Client with a detailed plan to harm themselves may need involuntary commitment, even without an immediate plan.
Stress & Coping (Chapter 1)
- Stress response occurs in stages: alarm, resistance, and exhaustion
- Learn methods for managing and coping with stress
- Stress can be emotional, physical, environmental, or a combination
- Look for reasons for stress in patients and utilize active listening skills to support
Stress as a Biological Response (Chapter 1)
- Hans Selye's work in 1956 on biological response of a system to changes
- Leads to "general adaptation syndrome," including alarm reaction, resistance, and exhaustion phases in response to stress, which can potentially cause illnesses if not managed.
- Look at the figures and the significance of each phase.
Suicide (Chapter 16)
- Assess for current suicidal ideation, plan, behavior, and intent.
- Identify risk factors, such as recent stressors, losses, trauma, and substance abuse.
- Consider protective factors, such as supports, reasons for living, and cultural/religious beliefs
- Review risk factors, sociological theory and Table 16-1: Facts and Myths
- Review Figures 16-1 to 16-3 and the nursing process for creating care plans.
Anxiety Disorders (Chapter 27)
- Focus on Dr. Touw's slides and page 571 for Panic, GAD, Agoraphobia, and Social Anxiety
- Ignore assessment methods on box 27.1 +2 for diagnosis
- Address and focus on types of anxiety-related medications
- Review Outcome Criteria on page 581 and Table 27-3
- Importance of medical conditions and implications for anxiety disorder treatment
Generalized Anxiety Disorder (GAD)
- Symptoms of GAD, importance of nursing interventions, and medication options
- Important medications as options include but are not limited to: Buspirone, SSRIs, Benzodiazepines, Beta-Blockers, Antihistamines.
- Important antihistamine Vistaril (hydroxyzine)
- Uses of antihistamine, such as treating anxiety.
Medication Management - Anxiolytics
- Review Dr. Touw's slides and Table 24-7, and Chapter 4, pages 61-63 (Table 4-3) for specific information
- Important details on benzodiazepines and non-benzodiazepines for anxiety
- Understand the difference between benzodiazepines and non-benzodiazepine anxiolytics and their indications and monitoring.
Medication Management - Antipsychotics
- Review pages 490 of chapter 4 &24 for important indications, actions, and side effects.
- Review safety, issues, and nursing interventions from page 73
Teaching Patients/SO/Family About Medication Management
- Essential questions to ask to help understand medication management.
- Include questions such as what are the indications for use, when will I feel better, when to contact PCP, how to manage side effects, when to go to the ER, and how to refill the prescription
Schizophrenia (Chapter 24)
- Understand the phases and symptoms of schizophrenia.
- Important topics like: positive and negative symptoms and the dopamine hypothesis
- Review pages 474-485, including disturbed thought processes.
- Study nursing interventions, care plans, assessment tools.
- Review psychological treatments (individual, group, CBT, social skills, etc.) in pages 486-488
Additional Notes on Medications
- Page 22 has specific drug interventions and nursing interventions for a list of medications
DRBA-induced movement disorders
- Study tables from pages 23-24 to understand acute dystonia and tardive dyskinesia.
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Description
Test your knowledge on therapeutic communication, ethical principles, and stress management strategies relevant to nursing practice. This quiz covers important topics such as active listening, involuntary commitment, and the effects of antipsychotic medications. Perfect for students and professionals looking to review key concepts in patient care.
