Milestone Exam 2 Version A Blueprint COMPLETE UPDATED 2023

Milestone Exam 2 Version A Blueprint COMPLETE UPDATED 2023 lOMoARcPSD| MILESTONE EXAM 2 Blueprint 123 Med Surg 1 221 Mental Health 222 Family 223 Med Surg 2 NSG221.12.01.0 5 Schizophrenia care ● Reorient them to reality ● Ensure medication adherence ● Help family recognize early signs and symptoms NSG221.04.02.0 4 Grief therapeutic response ● If needed, refer to grief counseling or a support group. ● Encourage activities that allow the individual to use past coping strategies that will promote a feeling of self-worth and increased self-esteem. ● Encourage the individual to share his or her feelings. ● Encourage socialization with family peers and reminiscing about significant life experiences. NSG221.13.02.0 5 NSG123.08.01.0 3 Delirium care ● Address the underlying issue ● Safety ● Monitor vitals ● Keep patient oriented to environment as much as possible ● Reduce environmental stimuli (Keep environment calm and quiet and well lit) ● Explain procedures ● Excellent table in this module ● Safety is priority ● Respond quickly to calls for assistance NSG221.13.02.0 5 NSG123.08.01.0 3 Alzheimer's hallucinations ● Middle to late stage of the disease ● Have patient close to nurse's station ● Reorientate the person ● Safety ● Part of the neurodegenerative disease process in advance of dementia during the mild cognitive impairment stage or even earlier NSG221.06.01.0 4 Alcohol withdrawal ● Develops 48 to 72 hours after cessation of alcohol and decrease within 4 to 5 days ● Elevated vitals ● Delirium tremens (DTs); may appear 12 to 36 hours after last drink ● Transient visual, auditory, or tactile hallucinations or illusions ● CIWA will determine if medication and what kind is needed ● Symptoms of withdrawal usually begin 4 to 12 hours after cessation or marked reduction of alcohol intake ● Alcohol withdrawal usually peaks on the second day and is over in about 5 days. This can vary, however, and withdrawal may take 1 to 2 weeks. ● Safe withdrawal is usually accomplished with the administration of 1 lOMoARcPSD| benzodiazepines, such as lorazepam (Ativan), chlordiazepoxide (Librium), or diazepam (Valium), to suppress the withdrawal symptoms ● Develops 48 to 72 hours after cessation of alcohol and decrease within 4 to 5 days ● Elevated vitals ● Delirium tremens (DTs); may appear 12 to 36 hours after last drink ● Transient visual, auditory, or tactile hallucinations or illusions ● CIWA will determine if medication and what kind is needed NSG221.06.01.0 4 Methadone ● is an opioid ● Symptoms of opioid withdrawal cause significant distress, but do not require pharmacologic intervention to support life or bodily functions. Longer acting substances such as methadone may not produce significant withdrawal symptoms for 2 to 4 days, and the symptoms may take 2 weeks to subside. ● Also used to treat addiction & withdrawl ● Methadone can be used as a replacement for opioids, and the dosage is then decreased over 2 weeks. Substitution of methadone during detoxification reduces symptoms to no worse than a mild case of flu ● Treat narcotic drug addiction ● OD signs: ○ decreased level of consciousness ○ respiratory depression ○ constricted pupils NSG221.05.01.0 5 NSG221.05.02.0 3 Aggression response ● Assess verbal and nonverbal cues for escalating behavior ● Have patient talk about about what triggered them ● Use seclusion or have others leave the room NSG221.05.01.0 5 Duty to warn ● Tort law ● A patient has communicated an explicit threat of imminent serious physical harm or death to a clearly identified or identifiable victim or victims, and the patient has the apparent intent and ability to carry out such a threat NSG221.12.01.0 6 Schizophrenia- treatment evaluation ● Antipsychotic medication is first-line treatment ● Safety ● Are they able to successfully function in society NSG221.07.04.0 1 Anxiety drugs risk ● Never stop taking abruptly ● Must taper before a new medication can be started ● Sedation ● Respiratory decline ● Seizure ● Loss of consc