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H-psych

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Exam of 14 pages for the course H-psych at H-psych (H-psych)

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H-psych grade A q&a
1.) Histrionic personality - (correct answer)--are Seductive


1.) Borderline personality

2.) Antisocial - (correct answer)Manipulative personality--



s/s of HEROIN withdrawal:

--sneezing

--yawning
--teary eyes - (correct answer)Research indicates that sneezing, yawning, and teary
eyes are the first physical signs of withdrawal from heroin



When all members of a family blame one member for all their problems, *scapegoating*
is occurring. - (correct answer)...



An *illusion* is a misperception of an actual stimulus. - (correct answer)A pt. is saying
that it sounds like there is a roaring fire in the bathroom. In reality, the client's roommate
has just turned the shower on full force.


*Bipolar*--

--Irritability
--Grandiosity

--*Pressured Speech*---{is a tendency to speak rapidly and frenziedly, as if motivated by
an urgency not apparent to the listener.} - (correct answer)...



When planning care for a client who has just completed withdrawal from multiple-drug
abuse, the nurse should take into consideration that this client probably is:

--Unable to delay gratification (to resist temptation) - (correct answer)--Delayed
gratification, or deferred gratification, is the ability to resist the temptation for an
immediate reward and wait for a later reward.

, *Lithium*--(0.5 to 1.5 mEq/L)



---If level is high--implement seizure precautions - (correct answer)--Teach pt. not to
change SALT intake, especially athletes who eliminate salt thru sweating.



How long after the last dose should the nurse schedule to have a client's blood drawn to
evaluate the serum lithium level?


---{8 to 12 hours} - (correct answer)Absorption and excretion of lithium occur 8 to 12
hours after the last dose.



Decreased sodium intake can accelerate lithium retention, resulting in toxicity. - (correct
answer)...



Lithium can trigger *hypothyroidism*.

Nursing intervention:

----Educating the client regarding the management of hypothyroidism. - (correct
answer)--(TSH) thyroid stimulating hormone-- levels-(2 to 10)



List these client assessments in order of escalating aggression, from the lowest risk to
the highest.


1. Increasing tension in facial expression

2. Having difficulty waiting to take turns during a group project

3. Pacing in the hall

4. Engaging in verbal abuse toward the nurse

5. Pushing another client while waiting in line to the dining room - (correct
answer)Increasing tension in facial expression indicates increasing anxiety, but the
client is still maintaining self-control. Impulsivity, as demonstrated by the inability to take

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