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NP 230 EXAM 1 | QUESTIONS AND ANSWERS | 2026 UPDATE | 100% CORRECT.

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NP 230 EXAM 1 | QUESTIONS AND ANSWERS | 2026 UPDATE | 100% CORRECT.

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NP 230 EXAM 1 | QUESTIONS AND ANSWERS | 2026 UPDATE | 100% CORRECT.




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1 of 18

Definition



(level 1) Physiological Needs
(level 2) Safety and Security
(level 3) Relationships, Love and Affection
(level 4) Self Esteem
(level 5) Self Actualization



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suicide warning signs Symptoms of opioid withdrawal




Maslow's Hierarchy of Needs Risk for suicide


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, 2 of 18

Term



General Principles of therapeutic communication?



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No why questions! detoxification
Open ended questions addiction treatment programs
Don't touch the patient self-help group meetings




Asking "why" questions
Keep patient oriented to environment
Failure to listen
as much as possible
Failure to explore clients point of
Keep environment calm and quiet
view
Explain procedures
Failure to probe


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3 of 18

Term



Signs and symptoms of lithium toxicity



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, Noticeable elation/euphoria
Marked sedation/drowsiness
Confusion
Constricted pupils
Slowed breathing
Intermittent nodding off, or loss of consciousness
Constipation
Doctor shopping (getting multiple prescriptions from different doctors)
Shifting or dramatically changing moods
Extra pill bottles turning up in the trash
Social withdrawal/isolation
Sudden financial problems.
Liver disease, cirrhosis
Jaundice




Early signs and symptoms of lithium toxicity: (lithium level 1.5-2 mEq/L)
GI: V/D/N, abdominal pain, dryness of mouth
Neurologic symptoms: Ataxia, tremor, dizziness, slurred speech, nystagmus,
lethargy or excitement, muscle weakness.


Moderate to severe intoxication: (lithium level 2-2.5 mEq/L)
GI: A/N/V - persistent
Neurologic symptoms: Blurred vision, clonic limb movements, convulsions,
delirium, EEG changes, stupor, coma, cardiac failure

Severe lithium intoxication (lithium level > 2.5 mEq/L)
Generalized convulsions, oliguria, renal failure and death!


General Pearls about Lithium Toxicity:
Risk factors for toxicity includes exceeding the recommended dosage, renal
impairment, low-sodium diet, drug interactions, and dehydration. Elderly are
more vulnerable. The higher the lithium level (concentration) the worse the s/s
of toxicity will be.


Lithium Toxicity = Medical emergency

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