HONDROS NUR 180 FINAL EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+

1 HONDROS NUR 180 FINAL EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRADED A+ Another name for Narcan and what it does? Correct Answer: Naloxone. Reverses effects of opiods. True of false: Morphine is not a controlled substance. Correct Answer: False The nurse needs further instruction when she makes which statements? (Select all that apply) A. It is okay to wear perfume while taking Disulfiram B. You can not use cough syrup while taking Disulfiram C. It is ok to use mouth wash to Disulfiram as long as it is Listerine D. Disulfiram is used for antebuse (ETOH) Correct Answer: A, C What is venlafaxine (Effexor)? Correct Answer: SNRI Antidepressant Causes insomnia 2 What are nursing interventions for Effexor? Correct Answer: Monitor BP/HR Take with food Assess at Lipid panel SNRI is used for? Correct Answer: Dependent Personality Disorder SSRIs are used for? Correct Answer: Bulimia Lams and Pams are? Correct Answer: Benzos What to avoid with MAOIs? Correct Answer: Tyramine foods What to know about Fluoxetine? Correct Answer: SSRI Antidepressant Takes about 4 wks to see results 3 GI bleed caused by ASA Watch for wt changes, dizziness, drowsiness, insomnia, nausea Lithium Carbonate Correct Answer: Watch for use with Lasix Normal range 0.6-1.2 Start to see signs at 1.5 Watch Na Levels Signs of toxicity: vomitting, tremors, lethargy, diarrhea What are antipsychotic drugs? Correct Answer: Haloperidol (Haldol) Quetiapine Olanzopine Fluphenazine Risperidone Prone to EPS What is Cogentin (Benztropine) indicated for? Correct Answer: It's an Antiparkinsonian drug. Used with anti-psychotics to reduce EPS effects. 4 Anticholenergic Diphenhydramine can also be used What to consider when interviewing mental pt? Correct Answer: Provide privacy Delegate Watch nonverbal communication Maslow's-apply to mental pt Correct Answer: Nutrition Safety Warmth Levels of anxiety Correct Answer: 1. Mild (Normal Vs) 2. Moderate (VS slightly elevated; attentive) 3. Severe (Fight or flight) 4. Panic ( low VS, difficulty learning) Make instructions clear and simple 5 Things that prevent coping Correct Answer: Family dynamics Addiction Culture Stress Cognition Primary, Secondary, Tertiary prevention for anxiety Correct Answer: Primary- no stress yet Secondary- Possiblity Tertiary- Already anxious Signs of abuse in Elderly Correct Answer: Poor hygiene Malnutrition Unexplained bruises Sexual sometimes not recognized Signs of Bullying (Victim) Correct Answer: Stomachache HA Low self esteem Suicide 6 Signs of increased Violence Correct Answer: Agitation Anxiety Frustration Survivors of Sucide Victims feel? Correct Answer: Guilt, Anger, Shame What to do for trauma pt? Correct Answer: Stay with them Let them know they're safe Improve cognitive impairment Correct Answer: Carpeted room No flickering lights Dim lights White noise Treat with calendars, large clocks and daily routine What is spiritual care? Correct Answer: Inner strength 7 Self awareness Meaning of life Relationships Collecting data for spiritual care Correct Answer: Role of religion Source of strength Do they pray? Any special holidays? What is sprititual distress? Correct Answer: Questioning your faith Religious accessories? Correct Answer: Check with surgery Questions for anorexia nervosa pt Correct Answer: How do you feel about your appearance? What do you know about hypokalemia? Characteristics of Anorexia Nervosa pt Correct Answer: Hyperactive Introverted 8 Rapid speech, walk, talk Perfectionist Denies hunger What do you need to know about refeeding syndrome? Correct Answer: Assess VS Caused by high carb diet What are precautions for ECT (Shock therapy) Correct Answer: Need a ride home NPO due to general anesthesia 1 min seizure Monitor VS Won't get if you have increased ICP Side Effects are confusion, short term memory loss, HA Depression Correct Answer: Social isolation Apathy Anhedonia (no pleasure) Negative feelings Suicide Ideation questions 9 Correct Answer: How would you do it? Are you sleeping? Any previous manic/ depressive episodes? Suicidal thoughts? Treatment for depressive disorder Correct Answer: Cognitive behavioral therapy Interventions with substance related issues Correct Answer: Educate Encourage here and now Encourage problem solving Alcohol withdrawal Correct Answer: Feel is 6-9 hrs after last drink Will have course tremors, irritability, anxiety Psychosis Correct Answer: Disorganized thinking Delusions Hallucinations What are the voices telling you? Say "I don't hear the voices but I see they frighten you. You are safe." 10 positive symptoms of schizophrenia Correct Answer: delusions and hallucinations negative signs of schizophrenia Correct Answer: avolition - lack of drive. alogia - lack of speech. anhedonia - inability to experience pleasure. flat affect - no signs of normal emotion. ambivalence - contradictory attitudes or feelings. all difficult to treat Cluster A personality disorders Correct Answer: paranoid, schizoid, schizotypal Cluster B personality disorders Correct Answer: antisocial, borderline, narcissistic Cluster C personality disorders Correct Answer: avoidant, dependent, obsessive-compulsive OCD treatment Correct Answer: desensitization, set limits for them Phobia treatment Correct Answer: Flooding 11 extrapyramidal symptoms Correct Answer: side effects of antipsychotic medications that affect a person's gait, movement, or posture