Exam 3: NUR253/ NUR 253 (New 2023/ 2024 Update) Concepts of Mental Health Nursing Exam Review| Guide with Questions and Verified Answers| 100% Correct- Galen
Exam 3: NUR253/ NUR 253 (New 2023/ 2024 Update) Concepts of Mental Health Nursing Exam Review| Guide with Questions and Verified Answers| 100% Correct- Galen QUESTION SXS of Dementia Answer: Denial •Confabulation (made up stories) •Perseveration •Aphasia (unable to understand speech) •Apraxia (inability to perform activities) •Agnosia (unable to interpret sensations) •Agraphia (unable to write) •Hyperorality (put things in mouth) •Hypermetamorphosis QUESTION NI for Dementia Answer: Therapeutic Lies •Redirection •May need to assist with basics (Maslow) Rationale: They will not improve because it is progressive and irreversible QUESTION Meds for Dementia Answer: Cholinesterase Inhibitors: Tacrine (cognex) - liver (no longer in U.S.) **Donepezil (aricept)- GI** Rivastigmine (Exelon)-GI Galantamine (Razadyne) •Caution if taking NSAIDs , GI problems •Can cause bradycardia and syncope Namenda (moderate to severe stages unlike other drugs) works on glutamate - May be used with cholinesterase inhibitors QUESTION Hallucinations Answer: something is coming through one of the 5 senses that is not present at all NI: - Decrease environmental stimuli, such as loud noise extreme bright colors and flashing lights - Attempt to identify precipitating factors by asking the client what happened prior to the onset of hallucination - Monitor TV programs to minimize external stimuli - Monitor command hallucinations that may precipitate aggressive or violent behavior - Admin. prescribed meds. QUESTION illusions Answer: you see, hear, etc. something
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