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Exam (elaborations)

Mental Health-FINAL EXAM Rasmussen QUESTIONS WITH ANSWERS

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What type of patients go to memory care? - correct answer--Dementia or Alzheimers What type of environment is a memory care unit? - correct answer--Locked unit, 24-7 supervision. What type of activities do you implement to interact with memory care patients? - correct answer--Activities that help them to recall their past-show old photos, ask questions like what was your first job? where did you grow up? what was your parents names? If a patient is not engaged in a group of people sharing photos what might they be feeling? - correct answer--Depressed, Isolated, Angry Can a social worker make a decision about placement for an elderly person if that person has living family members, a POA? - correct answer--No, they cannot make the decision. Nurses must educate family about decisions. What does agnosia mean? - correct answer--Inability to interpret sensations and hence to recognize things, typically as a result of brain damage. Example of something that could cause agnosia? - correct answer--TBI, vascular dementia. Characteristics of delirium. - correct answer--Rapid in onset, 24-72 hours, related to infection, NOT common with aging. What is an important intervention for patients with delirium? - correct answer--Reorient them. What are the primary characteristics of borderline personality disorder? - correct answer--splitting people (Pitting a group against each other). Self-defeating cycle of behavior. What do you give a patient who has overdosed on PCP? - correct answer--Benzodiazepine Example of a benzodiazpine antidote? - correct answer--Flumazenil What type of personality disorder might a patient who still lives at home at 30 and depends on their mother for everything, have? - correct answer--dependent personality disorder Give an example of a positive statement made by a recovering alcohol that made signal that they are getting better? - correct answer--I will identify things that trigger my cravings Symptoms of patient with suspected opioid abuse/overdose? - correct answer--Contracted pupils, increased HR, shallow Resp., increased temp (but not always). What do you give a opioid overdose patient? - correct answer--Narcan (Naloxone) S/S of acute alcohol withdrawal? - correct answer--Everything is increased! RR, BP, Temp, HR, delerium Characteristics of histrionic personality disorder? - correct answer--Mania, melodramatic, manipulative, emotional attention seeking behavior, often seductive and flirtatious. Interventions for histrionic personality disorder patient - correct answer--They are very manipulative. Set fine lines, do not offer relationship advice, avoid situations where they are the center of attention. Possible fatal complications of patient withdrawing from CNS stimulant - correct answer--Respiratory failure, suicide, and depression. What is a hypochondriac? - correct answer--Someone who thinks that everything is wrong with them. Ex. their acute headache is caused by a brain tumor. How does cocaine stimulate the body? What do cocaine users use to combat these effects? - correct answer--It is an upper. Alcohol-allows them to sleep. Characteristics of borderline personality disorder - correct answer--Split people apart and are very manipulative. Interventions for nurses dealing with borderline personality disorder patients - correct answer--Keep all the staff on the same page. Set limits and rules. What is a personality disorder in general? What type of issues do these patients have? - correct answer--When people rely on others to make decisions. They have difficulties in their social life, work, relationships, family problems. Place the blame on others. Many go undiagnosed.

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