HURST LATEST EXAMS SCRIPT QUESTIONS AND
ANSWERS SURE A+
✔✔during schizophrenia the pt has halluicinations which halluicination is most
common? - ✔✔- auditory
✔✔what is the treatment for schizophrenia - ✔✔- decrease stimuli
- observe frequently w/o looking suspicious
- keep convo reality based
- warn before you touch them !!!
- turn tv off
✔✔command hallucinations - ✔✔auditory hallucinations that command the client to hurt
themselves or others. often frightening for the client and can signal a psychiatric
emergency
✔✔what are the S/S of paranoid personality disorder? - ✔✔- always suspicious, but
have no reason to be;distrust others
- cannot explain away their delusions or FALSE beliefs
- pathologic jealously
✔✔what is the treatment for paranoid personality disorder? - ✔✔- be reliable ( your goal
is to build trust. if you say you will do something, you must do it !)
- be honest
- consistent nurses and brief visits
- be careful with TOUCH
- dont MIX meds.
✔✔what is the joint commission standards on restraints - ✔✔- client must be evaluated
in-person by a PCP within ONE HOUR OF RESTRAINT
- Orders must be renewed: every 4 hours for adults
every 2 hours for ages 9-17
every hour for less than 9 years of age
,- check client face-to face every 15 minutes
✔✔what are the S/S of anxiety disorders - ✔✔- universal emotion
- becomes a disorder when it interferes with day-day functioning
- nurse should stay during HIGHLY anxious clients
- clients who is highly anxious needs step-by-step instructions
✔✔what are some S/S of generalize anxiety disorder ( GAD) - ✔✔- chronic anxiety
- clients live with it daily
- always seek HELP
✔✔what is the treatment for GAD? - ✔✔- short term use of aniolytics
- re-channel anxiety through excerise
- stay calm
✔✔what are the S/S of panic disorder? - ✔✔- onset of panic attacks start in the late
20s!!!
- they can be as frequent as WEEKLY, or spread out, like monthly
- client may present to ER with symptoms of MI
✔✔what is the treatment for panic disorders? - ✔✔- stay with the client in a non-
threatening way. give them space, and be calm. dont add to anxiety.
- use simple words or messages when talking.
- teach ways to stop anxiety. teach that the symptom should peak within 10 minutes and
be gone within 20-30 min. !!!!!!!!!!!!!
- journaling to help manage the anxiety
✔✔phobias - ✔✔object the client fears often does not present a danger
✔✔what is the treatment for phobias? - ✔✔- must develop a trusting relationship with
the client
- do not talk about the phobia a lot
- it is unconsicous anxiety that causes people to have a phobia
- normal coping mechanism havent worked and for some reason, this fear may help
them cope better
✔✔desensitization - ✔✔gradual exposure to fear
✔✔S/S of OCD - ✔✔-obsession is recurrent
- complusion is a recurrent act. they cannot stop
- come from anxiety
✔✔what is the treatment for OCD - ✔✔- need a structed schedule
- provide distraction techniques to distance themselves from the anxiety producing
thoughts
,- teach relaxation techniques like meditation
✔✔during a OCD patient do we give them time for their rituals? - ✔✔- yes
✔✔during a OCD pt what do we do to the amount of time? - ✔✔- decrease it
✔✔what are the two eating disorders? - ✔✔anorexia nervosa and bulimia nervosa
✔✔what are the S/S of anorexia nervosa - ✔✔- distorted body image: sees an
overweight person when looking in the mirror, even when weight is 75 lbs
- preoccupied with food, but wont eat
- menses stop due to malnourished ( they may have languo)
- decreased SEXUAL development
- they lose WEIGHT
- they have HYPOthermia
✔✔what is the treatment for anorexia nervousa - ✔✔- increase WEIGHT gradually.
weigh them in their underwear because they will manipulate their weight
- monitor exercise routine
- teach healthy eating and excerise
✔✔what are the S/S of bulimia nervousa - ✔✔- overeat and then vomit
- normal weight
- binges are alone and secret
- laxative and diuretic use
✔✔what is the treament for builimia nervousa - ✔✔- sit with client at meals and observe
for 1 hour after eating
- intense family therapy is usually needed because family PROBLEMS
✔✔clients with builimia and anorexia feel _____________ as long as they are eating
what they want - ✔✔- in control
✔✔what are the S/S of PTSD - ✔✔- emotionally numb
- isolate themselves
✔✔what is the treatment for PTSD? - ✔✔- support groups
- establish sense of safety
✔✔individuals are considered to have a substance use disorder when the use of the
substance interefers with the ____________ to fulfill obligations such as work, school,
home - ✔✔ability
✔✔alcohol is a what? - ✔✔- depressant
, ✔✔what are the three stages of withdrawal? - ✔✔- stage i = minor withdrawal
- stage II = moderate to severe withdrawal
- stage III= most dangerous withdrawal : delirium tremens ( DTs)
✔✔stage I - minor withdrawal - ✔✔- starts 4-12 hrs of essation of drinking
- mild tremors, nervous, nausea, insomnia, HA, and palpatations
- oriented to time, place, and person
✔✔stage II - moderate to severe withdrawal - ✔✔- increased tremors, confused,
hyperthermis, hyperactive
- carefully assess and provide treatment during stage I and stage II to prevent the client
from progressing to delirium tremens
✔✔stage III- most dangerous withdrawal: delirium tremens ( DTs) - ✔✔- medical
emergency
- kinestethic DT are most common ( clients feel things crawling on them)
- tonic clonic seizures are possible
✔✔what is the treatment for alochol withdrawl/disorder - ✔✔- keep the light on. clients
are very scared
- walk and talk to them
- orient the client freq.
- clarify illusions
✔✔what drug is frequently used for outpatient detox - ✔✔- chlordiazepoxide ( librium) =
an anxiolytic
✔✔sedatives like benzodiazepines are used because they not only sedate but have
____________________qualities - ✔✔anticonvulsants
ex: chlordiazepoxidie ( librium) , diazepam ( valium)
✔✔CIWA-Ar is what ? - ✔✔- assessment tool that guides alchohol withdrawal
medication dosing
- treatment begins when scores reach 8-10 and client may be transferred to ICU for
scores > 20
✔✔thiamine deficiency can lead to what? - ✔✔- chronic conditions of wernickes
encepalopathy and Korsakoff psychosis
✔✔wernickes encephalopathy - ✔✔most serious form of thiamine deficiency in alcoholic
patients
✔✔what are the symptoms of wernickes envephalopathy? - ✔✔- paralysis of the ocular
muscles, diplopia, ataxia, somnolence, and stupor
ANSWERS SURE A+
✔✔during schizophrenia the pt has halluicinations which halluicination is most
common? - ✔✔- auditory
✔✔what is the treatment for schizophrenia - ✔✔- decrease stimuli
- observe frequently w/o looking suspicious
- keep convo reality based
- warn before you touch them !!!
- turn tv off
✔✔command hallucinations - ✔✔auditory hallucinations that command the client to hurt
themselves or others. often frightening for the client and can signal a psychiatric
emergency
✔✔what are the S/S of paranoid personality disorder? - ✔✔- always suspicious, but
have no reason to be;distrust others
- cannot explain away their delusions or FALSE beliefs
- pathologic jealously
✔✔what is the treatment for paranoid personality disorder? - ✔✔- be reliable ( your goal
is to build trust. if you say you will do something, you must do it !)
- be honest
- consistent nurses and brief visits
- be careful with TOUCH
- dont MIX meds.
✔✔what is the joint commission standards on restraints - ✔✔- client must be evaluated
in-person by a PCP within ONE HOUR OF RESTRAINT
- Orders must be renewed: every 4 hours for adults
every 2 hours for ages 9-17
every hour for less than 9 years of age
,- check client face-to face every 15 minutes
✔✔what are the S/S of anxiety disorders - ✔✔- universal emotion
- becomes a disorder when it interferes with day-day functioning
- nurse should stay during HIGHLY anxious clients
- clients who is highly anxious needs step-by-step instructions
✔✔what are some S/S of generalize anxiety disorder ( GAD) - ✔✔- chronic anxiety
- clients live with it daily
- always seek HELP
✔✔what is the treatment for GAD? - ✔✔- short term use of aniolytics
- re-channel anxiety through excerise
- stay calm
✔✔what are the S/S of panic disorder? - ✔✔- onset of panic attacks start in the late
20s!!!
- they can be as frequent as WEEKLY, or spread out, like monthly
- client may present to ER with symptoms of MI
✔✔what is the treatment for panic disorders? - ✔✔- stay with the client in a non-
threatening way. give them space, and be calm. dont add to anxiety.
- use simple words or messages when talking.
- teach ways to stop anxiety. teach that the symptom should peak within 10 minutes and
be gone within 20-30 min. !!!!!!!!!!!!!
- journaling to help manage the anxiety
✔✔phobias - ✔✔object the client fears often does not present a danger
✔✔what is the treatment for phobias? - ✔✔- must develop a trusting relationship with
the client
- do not talk about the phobia a lot
- it is unconsicous anxiety that causes people to have a phobia
- normal coping mechanism havent worked and for some reason, this fear may help
them cope better
✔✔desensitization - ✔✔gradual exposure to fear
✔✔S/S of OCD - ✔✔-obsession is recurrent
- complusion is a recurrent act. they cannot stop
- come from anxiety
✔✔what is the treatment for OCD - ✔✔- need a structed schedule
- provide distraction techniques to distance themselves from the anxiety producing
thoughts
,- teach relaxation techniques like meditation
✔✔during a OCD patient do we give them time for their rituals? - ✔✔- yes
✔✔during a OCD pt what do we do to the amount of time? - ✔✔- decrease it
✔✔what are the two eating disorders? - ✔✔anorexia nervosa and bulimia nervosa
✔✔what are the S/S of anorexia nervosa - ✔✔- distorted body image: sees an
overweight person when looking in the mirror, even when weight is 75 lbs
- preoccupied with food, but wont eat
- menses stop due to malnourished ( they may have languo)
- decreased SEXUAL development
- they lose WEIGHT
- they have HYPOthermia
✔✔what is the treatment for anorexia nervousa - ✔✔- increase WEIGHT gradually.
weigh them in their underwear because they will manipulate their weight
- monitor exercise routine
- teach healthy eating and excerise
✔✔what are the S/S of bulimia nervousa - ✔✔- overeat and then vomit
- normal weight
- binges are alone and secret
- laxative and diuretic use
✔✔what is the treament for builimia nervousa - ✔✔- sit with client at meals and observe
for 1 hour after eating
- intense family therapy is usually needed because family PROBLEMS
✔✔clients with builimia and anorexia feel _____________ as long as they are eating
what they want - ✔✔- in control
✔✔what are the S/S of PTSD - ✔✔- emotionally numb
- isolate themselves
✔✔what is the treatment for PTSD? - ✔✔- support groups
- establish sense of safety
✔✔individuals are considered to have a substance use disorder when the use of the
substance interefers with the ____________ to fulfill obligations such as work, school,
home - ✔✔ability
✔✔alcohol is a what? - ✔✔- depressant
, ✔✔what are the three stages of withdrawal? - ✔✔- stage i = minor withdrawal
- stage II = moderate to severe withdrawal
- stage III= most dangerous withdrawal : delirium tremens ( DTs)
✔✔stage I - minor withdrawal - ✔✔- starts 4-12 hrs of essation of drinking
- mild tremors, nervous, nausea, insomnia, HA, and palpatations
- oriented to time, place, and person
✔✔stage II - moderate to severe withdrawal - ✔✔- increased tremors, confused,
hyperthermis, hyperactive
- carefully assess and provide treatment during stage I and stage II to prevent the client
from progressing to delirium tremens
✔✔stage III- most dangerous withdrawal: delirium tremens ( DTs) - ✔✔- medical
emergency
- kinestethic DT are most common ( clients feel things crawling on them)
- tonic clonic seizures are possible
✔✔what is the treatment for alochol withdrawl/disorder - ✔✔- keep the light on. clients
are very scared
- walk and talk to them
- orient the client freq.
- clarify illusions
✔✔what drug is frequently used for outpatient detox - ✔✔- chlordiazepoxide ( librium) =
an anxiolytic
✔✔sedatives like benzodiazepines are used because they not only sedate but have
____________________qualities - ✔✔anticonvulsants
ex: chlordiazepoxidie ( librium) , diazepam ( valium)
✔✔CIWA-Ar is what ? - ✔✔- assessment tool that guides alchohol withdrawal
medication dosing
- treatment begins when scores reach 8-10 and client may be transferred to ICU for
scores > 20
✔✔thiamine deficiency can lead to what? - ✔✔- chronic conditions of wernickes
encepalopathy and Korsakoff psychosis
✔✔wernickes encephalopathy - ✔✔most serious form of thiamine deficiency in alcoholic
patients
✔✔what are the symptoms of wernickes envephalopathy? - ✔✔- paralysis of the ocular
muscles, diplopia, ataxia, somnolence, and stupor
