Nur 181 Exam 3 Questions With Complete Solutions
Acute phase of Rape Trauma Syndrome treatment. (4) Correct
Answers - counseling
- therapy (CBT and rehearsal)
- follow up care for emotional and physical trauma
- medication (SSRIs, antidepressants, anxiolytics, short term
benzo)
Prozac increase ejaculatory time in males.
Alcohol / CNS Depressants pharm treatment for withdrawal.
Correct Answers Benzodiazepines (substitution therapy)
- need to titrate them down, usually with CIWA scale which
determines the dose of the med based on numbers of scale
Withdrawal: Alcohol (Substitution Therapy)
Librium is the drug of choice.
Sometimes Lorazepam (Ativan) or Diazepam (Valium)
- based on stock and facility guidelines.
- Combined w/ Thiamin, multivitamins, and folic acid
Alcohol / CNS Depressants pharm. treatment. Correct Answers
disulfiram (aversion therapy)- aversion therapy denies any
alcohol (including lotion, hand sanitizer) & if they do use, will
become violently ill- stays in system for 1-2 weeks
- symptoms include: flushed skin, elevated vitals
Assessment after the death of loved one. Correct Answers All
children recognize loss (even infants notice primary caregiver
loss)
,- might not understand it is permanent until middle childhood
years
- adolescents have SAME understanding of death as adults
- Abstract vs concrete thinking questions to determine how old
their mind function at
- Assess for changes in eating, sleeping, mood, anxiety
- Lashing out is a good sign, it means the they are comfortable
with them.
Assessment needed for Interpersonal Violence. (6) Correct
Answers - Assess in order of severity of injuries
(life threatening ones first, other injuries after patient injuries is
assure
- Complete medical history (determine whether patient has
history of injuries that could result from abuse)
- Consider patient's emotional state
- If possible, same gender care staff
- Some hospital assess victims of violence on locked units
- Minimize exposure of victims and staff to perpetrators
Assimilation vs Acculturation. Correct Answers Assimilation: -
process of adapting to and integrating characteristics of
dominant culture
(they keep some of their own original culture)
Acculturation: - accepting the majority group's culture as one's
own
CAGE assessment. Correct Answers - have you ever felt you
should Cut down on your drinking?
- have people Annoyed you by criticizing your drinking?
,- have you ever felt bad or Guilty about your drinking?- have
you ever had a drink first thing in the morning to steady your
nerves or to get rid of a hangover (Eye opener)?
Cannabis Intoxication symptoms. (1) Correct Answers
Characterized by:
- impaired motor coordination
- euphoria
- anxiety
- sensation of slowed time
- impaired judgement,
- social withdrawal that develop during or shortly after cannabis
use.
Physical symptoms include
- conjunctival injection (enlargement of eye vessels causing
redness)
- increased appetite
- dry mouth,
- tachycardia.
The impairment of motor skills lasts for 8 to 12 hours.
Cannabis withdrawal symptoms (4) Correct Answers Much
more psychological w/ a few minor physical symptoms - More
of a craving than anything.
- symptoms that occur within a week following cessation
Physical symptoms: abdominal pain, tremors, sweating, fever,
chills, headache
Restlessness, irritability, insomnia, loss of appetite
, Criteria for Alcohol Intoxication. (6) Correct Answers One (or
more) of the following signs or symptoms developing during, or
shortly after, alcohol use:
- slurred speech
- incoordination
- unsteady gait
- nystagmus (uncontrollable eye movements)
- impairment in attention or memory
- stupor or coma
(legal limit: 0.08)
Criteria for Alcohol withdrawal. (9) Correct Answers Two (or
more) of the following, developing within several hours to a few
days (4-12 hrs) after tech cessation of (or reduction in) alcohol
use described by:
- autonomic hyperactivity (sweating or pulse greater than 100
bpm)
- increased hand tremor
- insomnia
- nausea or vomiting
DT's/ Delirium Tremens: (the following conditions below, rare
but makes alcohol withdrawal potentially fetal)
- transient visual, tactile, or auditory hallucinations or illusions
- psychomotor agitation
- anxiety
- generalized tonic clonic seizures
Define culture and diversity. Correct Answers Culture:
- the patterns of behavior and thinking that people living in
social groups learn, develop and share
Acute phase of Rape Trauma Syndrome treatment. (4) Correct
Answers - counseling
- therapy (CBT and rehearsal)
- follow up care for emotional and physical trauma
- medication (SSRIs, antidepressants, anxiolytics, short term
benzo)
Prozac increase ejaculatory time in males.
Alcohol / CNS Depressants pharm treatment for withdrawal.
Correct Answers Benzodiazepines (substitution therapy)
- need to titrate them down, usually with CIWA scale which
determines the dose of the med based on numbers of scale
Withdrawal: Alcohol (Substitution Therapy)
Librium is the drug of choice.
Sometimes Lorazepam (Ativan) or Diazepam (Valium)
- based on stock and facility guidelines.
- Combined w/ Thiamin, multivitamins, and folic acid
Alcohol / CNS Depressants pharm. treatment. Correct Answers
disulfiram (aversion therapy)- aversion therapy denies any
alcohol (including lotion, hand sanitizer) & if they do use, will
become violently ill- stays in system for 1-2 weeks
- symptoms include: flushed skin, elevated vitals
Assessment after the death of loved one. Correct Answers All
children recognize loss (even infants notice primary caregiver
loss)
,- might not understand it is permanent until middle childhood
years
- adolescents have SAME understanding of death as adults
- Abstract vs concrete thinking questions to determine how old
their mind function at
- Assess for changes in eating, sleeping, mood, anxiety
- Lashing out is a good sign, it means the they are comfortable
with them.
Assessment needed for Interpersonal Violence. (6) Correct
Answers - Assess in order of severity of injuries
(life threatening ones first, other injuries after patient injuries is
assure
- Complete medical history (determine whether patient has
history of injuries that could result from abuse)
- Consider patient's emotional state
- If possible, same gender care staff
- Some hospital assess victims of violence on locked units
- Minimize exposure of victims and staff to perpetrators
Assimilation vs Acculturation. Correct Answers Assimilation: -
process of adapting to and integrating characteristics of
dominant culture
(they keep some of their own original culture)
Acculturation: - accepting the majority group's culture as one's
own
CAGE assessment. Correct Answers - have you ever felt you
should Cut down on your drinking?
- have people Annoyed you by criticizing your drinking?
,- have you ever felt bad or Guilty about your drinking?- have
you ever had a drink first thing in the morning to steady your
nerves or to get rid of a hangover (Eye opener)?
Cannabis Intoxication symptoms. (1) Correct Answers
Characterized by:
- impaired motor coordination
- euphoria
- anxiety
- sensation of slowed time
- impaired judgement,
- social withdrawal that develop during or shortly after cannabis
use.
Physical symptoms include
- conjunctival injection (enlargement of eye vessels causing
redness)
- increased appetite
- dry mouth,
- tachycardia.
The impairment of motor skills lasts for 8 to 12 hours.
Cannabis withdrawal symptoms (4) Correct Answers Much
more psychological w/ a few minor physical symptoms - More
of a craving than anything.
- symptoms that occur within a week following cessation
Physical symptoms: abdominal pain, tremors, sweating, fever,
chills, headache
Restlessness, irritability, insomnia, loss of appetite
, Criteria for Alcohol Intoxication. (6) Correct Answers One (or
more) of the following signs or symptoms developing during, or
shortly after, alcohol use:
- slurred speech
- incoordination
- unsteady gait
- nystagmus (uncontrollable eye movements)
- impairment in attention or memory
- stupor or coma
(legal limit: 0.08)
Criteria for Alcohol withdrawal. (9) Correct Answers Two (or
more) of the following, developing within several hours to a few
days (4-12 hrs) after tech cessation of (or reduction in) alcohol
use described by:
- autonomic hyperactivity (sweating or pulse greater than 100
bpm)
- increased hand tremor
- insomnia
- nausea or vomiting
DT's/ Delirium Tremens: (the following conditions below, rare
but makes alcohol withdrawal potentially fetal)
- transient visual, tactile, or auditory hallucinations or illusions
- psychomotor agitation
- anxiety
- generalized tonic clonic seizures
Define culture and diversity. Correct Answers Culture:
- the patterns of behavior and thinking that people living in
social groups learn, develop and share
