NU 432 Exam 4 With
Correct Answers
What are the basic precautions taken before electroconvulsive therapy (ECT)?
- ANSWER Benzodiazepines should be discontinued, as the goal is to induce a
seizure, the client will be NPO 6-8 hours prior to treatment (make sure no
insulin given), the client is given a rapid-acting general anesthetic & a
muscle-paralyzing agent to prevent muscle distress & fractures
When caring for a manic patient, we must address care within Maslow's
Hierarchy of needs. What are some of the nursing interventions and
observations we should be aware of for manic patients? - ANSWER When
using Maslow's hierarchy of needs, the nurse determines that the priority
finding is physical exhaustion because of the client's constant motion, risk
for inadequate nutritional intake, and altered judgment when in a manic
state. Because of the manic state, the nurse should encourage frequent rest
periods throughout the day. Excessive physical activity can lead to
exhaustion. The nurse should decrease the environmental stimuli as much as
possible.
Patients are not always forthcoming with continued suicidal ideation when
being assessed in the inpatient setting. What are some other indications that
patients may be experiencing continued SI? - ANSWER Giving away or saying
,they will be giving away all their belongings
getting very sentimental randomly
they will chronically start preparing for the end
What are behavioral indications and warning signs that indicate a patient is
at increased risk for suicide across the lifespan? - ANSWER Teenage
Population: impulsive tattoos, impulsive piercings, & change in hair,
emotional outbursts and mood swings & then apologize for it, NOT future
oriented, tend to struggle academically & don't seek intervention
Psychotherapy is a non-invasive type of treatment for depression. What are
some examples of psychotherapy? - ANSWER CBT
DBT
Individual Therapy
Some patients may prefer herbal remedies for depression. What are the most
common herbs/supplements taken for depression? And what are points of
patient education relevant to each? - ANSWER St. John's wort: interactions
, with other meds, can cause serotonin syndrome (if taking with SSRI)
Presentation from serotonin syndrome: restlessness, hot flashes, HTN,
muscle rigidity, tachycardia, hot, n/v/d
If a patient expresses suicidal ideation, what additional questions should be
asked/investigated? - ANSWER Do you have a plan, Do you have access to
guns, do you have a surplus of medication, protective factors, stressors,
coping mechanisms
Hanging and shooting are at highest risk, males (60+ & White) highest risk
THINK: PLAN, INTENT, & LETHALITY
Life stressors place patients at increased risk of suicide and are often called
precipitants. What are some common precipitants of suicide in the adult
population? - ANSWER Financial distress
employment instability
health problems and concerns
Correct Answers
What are the basic precautions taken before electroconvulsive therapy (ECT)?
- ANSWER Benzodiazepines should be discontinued, as the goal is to induce a
seizure, the client will be NPO 6-8 hours prior to treatment (make sure no
insulin given), the client is given a rapid-acting general anesthetic & a
muscle-paralyzing agent to prevent muscle distress & fractures
When caring for a manic patient, we must address care within Maslow's
Hierarchy of needs. What are some of the nursing interventions and
observations we should be aware of for manic patients? - ANSWER When
using Maslow's hierarchy of needs, the nurse determines that the priority
finding is physical exhaustion because of the client's constant motion, risk
for inadequate nutritional intake, and altered judgment when in a manic
state. Because of the manic state, the nurse should encourage frequent rest
periods throughout the day. Excessive physical activity can lead to
exhaustion. The nurse should decrease the environmental stimuli as much as
possible.
Patients are not always forthcoming with continued suicidal ideation when
being assessed in the inpatient setting. What are some other indications that
patients may be experiencing continued SI? - ANSWER Giving away or saying
,they will be giving away all their belongings
getting very sentimental randomly
they will chronically start preparing for the end
What are behavioral indications and warning signs that indicate a patient is
at increased risk for suicide across the lifespan? - ANSWER Teenage
Population: impulsive tattoos, impulsive piercings, & change in hair,
emotional outbursts and mood swings & then apologize for it, NOT future
oriented, tend to struggle academically & don't seek intervention
Psychotherapy is a non-invasive type of treatment for depression. What are
some examples of psychotherapy? - ANSWER CBT
DBT
Individual Therapy
Some patients may prefer herbal remedies for depression. What are the most
common herbs/supplements taken for depression? And what are points of
patient education relevant to each? - ANSWER St. John's wort: interactions
, with other meds, can cause serotonin syndrome (if taking with SSRI)
Presentation from serotonin syndrome: restlessness, hot flashes, HTN,
muscle rigidity, tachycardia, hot, n/v/d
If a patient expresses suicidal ideation, what additional questions should be
asked/investigated? - ANSWER Do you have a plan, Do you have access to
guns, do you have a surplus of medication, protective factors, stressors,
coping mechanisms
Hanging and shooting are at highest risk, males (60+ & White) highest risk
THINK: PLAN, INTENT, & LETHALITY
Life stressors place patients at increased risk of suicide and are often called
precipitants. What are some common precipitants of suicide in the adult
population? - ANSWER Financial distress
employment instability
health problems and concerns
