front 1 a patient diagnosed with major depression disorder began taking citalopram 5 days ago the patient now says this medicine isnt working the nurses best intervention would be too | back 1 Explain the time lag before antidepressants relieve symptoms |
front 2 a nurse conducting group therapy on the eating disorder unit schedules the sessions immediately after meals for the primary purpose of | back 2 promoting processing of anxiety associated with eating |
front 3 which nursing response demonstrates accurate information that should be discussed with a female patient diagnosed with bipolar disorder and her support system SATA | back 3 it is critical to let your healthcare provider know if you're not sleeping well remember that alcohol and caffeine can trigger a relapse of your symptoms is your family prepared to be actively involved in helping manage this disorder the symptoms tend to come and go and so you need to be able to recognize the early signs |
front 4 caring for patients who are terminally ill require the nurse to focus on communication are of presence and symptom management art of presence includes 2 essential skills these skills aew | back 4 listening and observing |
front 5 a patient being treated for an eating disorder is prescribed refeeding which outcomes are the primary reasons a patient receiving this treatment is closely monitored by the nursing staff(SATA) | back 5 fluid tolerance hypokalemia abnormal glucose metabolism |
front 6 a patient being treated for an eating disorder is prescribed refeeding which outcomes are the primary reasons a patient receiving this treatment is closely monitored by the nursing staff | back 6 No physical signs or symptoms of an electrolyte imbalance are observable |
front 7 four teenagers died in an automobile accident six months later which behavior by the parents best demonstrates acceptance of the tragedy | back 7 the parents who establish a fund for a teenage safe driving course Alternate Answers creates a scholarship fund at their child's highschool |
front 8 A patient referred to the eating disorders clinic has lost 35 pounds in 3 months which physical manifestations of anorexia nervosa would a nurse likely find SATA | back 8 peripheral edema constipation hypotension lanugo |
front 9 when teaching a patient with depression about foods to avoid while taking the MAOI phenelzine (nardil) which of the following would the nurse in charge include | back 9 salami |
front 10 an adolescent comes to the crisis clinic and reports sexual abuse by an uncle the adolescent told both parents about the uncles behavior but the parents did not believe the adolescent what type of crisis exists | back 10 situational |
front 11 during the initial interview at the crisis center a patient says ive been served with divorce papers im so upset and anxious that cant think clearly which comment should the nurse use to assess personal coping skills | back 11 in the past how have you handles difficult or stressful situations |
front 12 an outpatient diagnosed with bipolar disorder is prescribed lithium the patient telephones the nurse to say ive had severe diarrhea for 4 days i feel very weak and unsteady when i walk my usual hand terror has gotten worse what should i do the nurse will advise the patient to | back 12 have someone bring the patient to the clinic immediately |
front 13 a patient has blindness related to conversion disorder but is unconcerned about this problem which understanding should guide the nurses planning for this patient | back 13 the patient's anxiety is relieved through the physical symptom |
front 14 the mother of a teenager is concerned that her teenaged daughter may be anorexic which report of the teenagers behavior is support of such diagnosis(SATA) | back 14 peculiar handling of food cutting into small bits although she has grown 3 inches she has gained no weight hasnt had on menstrual period in the last 2 years |
front 15 which measure would be considered a form of primary prevention for suicide | back 15 helping school children learn to manage stress and be resilient |
front 16 a patient tells the nurse im ashamed of being bipolar when im manic my behavior embarrasses everyone even if i take my medication there are no guarantees im a burden to my family these statements support which nursing diagnoses( SATA) | back 16 powerlessness chronic low self esteem |
front 17 when considering protective factors related to risk of suicide these include | back 17 Access to effective mental healthcare and strong connection to family or friends |
front 18 as death approaches a patient diagnosed with AIDS says i do not have enough energy for many visitors anymore and i am embarrassed about how i look i only want to see my parents and sister which actions should the nurse take (SATA) | back 18 assist family to inform the patients family of the request support the patient to share the request with parents and sister |
front 19 the dying patient with a neurocognitive disorder such as alzeheimers disease is especially challenging to provide care for they may have symptoms or pain that they are unable to adequately describe or define reversible conditions that respond to treatment may affect level of consciousness anxiety or agitations include | back 19 distended bladder constipation or nausea |
front 20 disturbed body image is a nursing diagnosis established for a patient diagnosed with an eating disorder which outcome indicator is most appropriate to monitor | back 20 patient expresses satisfaction with the body appearance |
front 21 a patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium the patient threatens to hit another patient which comment by the nurse is appropriate | back 21 do not hit anyone if you are unable to control yourself we will help you |
front 22 a patient comes to the mental health clinic with insomnia irritability increased tension and headaches the symptoms began 1 week ago after the patient was laid off from work the patient expresses concern that this will result in a relocation that will be hard on the entire family the patient is most likely experiencing | back 22 a situational crisis |
front 23 an adult says to the nurse the cancer in my neck spread in only 2 months ive been cursed my whole life maybe if i had been more generous with others considering the stages of grief described by Kubler ross which stage is evident | back 23 bargaining |
front 24 physical assessment of a patient diagnosed with bulimia often reveals | back 24 prominent parotid glands |
front 25 what precipitating emotional factor has been associated with an increased incidence of cancers | back 25 feelings of hopelessness, despair from depression and prolonged intense stress |
front 26 priortity interventions for a patient diagnosed with major depressive disorder and feelings of worthlessness should include | back 26 careful unobtrusive observation around the clock |
front 27 substance abuse is often present in people diagnosed with bipolar disorder the 28 year old patient drinks alcohol instead of her prescribed medications the nurse caring for the patient recognizes | back 27 alcohol used as a form of self medication for bipolar symptoms |
front 28 which of the following statements about non suicidal self injury is incorrect | back 28 patient. who engage in NSSI are not necessarily suicidal even when their injuries become life threatening |
front 29 A patient is seen in the ER for cuts on both wrists that are minimal patient paces and solves but after a few minutes the patient is calmer the nurse attempts to determine the patients perception of the precipitating event by asking | back 29 what was happening when you started feeling this way |
front 30 a team of nurses report to the community after a category 5 hurricane devastates many homes and businesses the nurses provide emergency supplies of insulin to the persons with diabetes and help transfer patients in skilled nursing facilities to sites that have electrical power which aspects of disaster management have these nurses fulfilled (SATA) | back 30 response mitigation |
front 31 a nurse interacts with an outpatient who has a history of multiple suicide attempts select the most helpful response for a nurse to make when the patient states I am considering committing suicide | back 31 bringing up these feelings is a very positive action on your part |
front 32 a patient experiencing moderate anxiety says i feel undone an appropriate response for the nurse would be | back 32 im not sure i understand give me an example |
front 33 a woman who is 5'7 160 lbs and wears a size 8 she says my feet are huge ive asked three orthopedists to surgically reduce my feet this person tries to buy shoes to make her feet look smaller in social settings conceals both feet under a table chair which health problem is likely | back 33 body dysmorphic disorder |
front 34 serotonin syndrome is believed to be related to over activation of the central serotonin receptors which of the following are true about serotonin syndrome (SATA) | back 34 it is commonly associated with the use of tricyclic antidepressants cyproheptadine is used as part of treatment |
front 35 a patient with a new diagnosis of cancer says my father died of pancreatic cancer i took care of him during his illness so i know what is ahead for me which nursing diagnosis applies | back 35 anticipatory grieving |
front 36 which action by a nurse are most appropriate when caring for a hospice patient (SATA) | back 36 giving choices offering interventions that convey respect fostering personal control supporting the patients spirituality |
front 37 a patient diagnosed with anorexia nervosa is resistant to weight gain what is the rationale for establishing a contract with a patient to participate in measures designed to produce a specific weekly weight gain | back 37 patient involvement in decision making increases sense of control and promotes adherence to the plan of care |
front 38 when coumdeling patients diagnosed with major depressive disorder and advanced practice nurse will address the negative though patterns by using | back 38 cognitive behavioral therapy |
front 39 a patient is experiencing psychomotor agitation associated with major depressice disorder which observation would the nurse associate with the symptom | back 39 paces aimlessly around the room |
front 40 a medical surgical nurse works with a patient diagnosed with an illness anxiety disorder care planning is facilitated by understanding that the patient will most likely to | back 40 be resistant to accepting psychiatric help |
front 41 in the current healthcare environment with constant advances in technology and dying has become more complex this adds to difficult decision patients and loved ones face at the end of life in the united states this is correlated with | back 41 it is our ethical duty to try as many. treatments as available |
front 42 patient with a somatic symptom disorder has the nursing diagnosis interrupted family processes related to patients disabling symptoms as evidenced by spouse and children assuming rows and tasks that previously belonged to patient an appropriate outcome us that the patient will | back 42 demonstrate performance of former rules and tasks |
front 43 the plan of care for a patient in the manic stage of bipolar disorder should include which interventions (SAT) | back 43 provide a structured environment for the patient ensure that the patients nutritional needs are met |
front 44 which medication should the nurse be prepared to educate patients on when theyre prescribed a selective serotonin reuptake inhibitor (SSRI) for panic attacks | back 44 fluoxetine(Prozac) |
front 45 a patient was diagnosed with anorexia nervosa the history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight the serum is currently 2.7 mg/dl | back 45 imbalanced nutrition less that body requirements related to reduced oral intake as evidenced by loss of 25% of body weight and hypokalemia |
front 46 the columbia protocol also known as the columbia suicide severity rating scale (C-SSRS) supports suicide risk assessment through a series of simple questions which of the following is correct about CSSRS (SATA) | back 46 ask whether and when they attempted suicide or began a suicide attempt that was either interrupted by another person or stopped of their own volition includes actions they have taken and when to prepare for suicide asks if they have had thoughts about suicide |
front 47 an imbalance of certain transmitters are thought to disrupt specific brain regions that contribute to various anxiety disorders these neurotransmitters are (SATA) | back 47 epinephrine ,norepinephrine dopamine serotonin, GABA( BOOK) Serotonin,GABA, norepinerphine |
front 48 which question would be a priority when assessing symptoms of major depression | back 48 you look really sad have you ever thought of harming yourself |
front 49 a patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down the nurse and patient explore the likelihood of an actual fire the patient states this event is not likely this counseling demonstrates principles of | back 49 cognitive restructuring |
front 50 a patient undergoing diagnostic tests says nothing is wrong with me except a stubborn chest cold the spouse reports to the patient smokes coughs daily lost 15 pounds and is easily fatigued which defense mechanism is the patient using | back 50 denial |
front 51 what is an essential difference between somatic symptom disorders and factitious disorders | back 51 factitious disorders are under voluntary control whereas somatic symptom disorders involve expression of psychological stress through somatization |