RNSG 2213 HESI Questions and 100%
Correct Answers.
Discuss why a nurse experiencing countertransference feelings, focused
on one patient, was not granted a reassignment to another patient. What is
the standard of practice that would justify denying the nurse's request? -
Correct Answers RELATIONSHIP SHOULD NOT BE TERMINATED
Nurse should be supportively assisted by other staff members to identify
his/her feelings and behaviors and recognize occurrence
Can often be improved through feedback
What are the characteristics of a family with healthy boundaries? - Correct
Answers Balanced: responsibility, relationships, boundaries (what belongs
to each person)
Age-appropriate autonomy, boundaries
Open communication
Discuss why it is important for parents to rear their children so that they are
allowed to express their own values and beliefs instead of being
reprimanded when the views of the children differ from those of their
parents. - Correct Answers People with a poorly differentiated "self"
depend too heavily on the acceptance and approval of others
A person with a well-differentiated "self" recognizes his realistic
dependence on others, but can stay calm and clear headed enough in the
face of conflict, criticism, and rejection
Do the majority of Selective Serotonin Reuptake Inhibitors (SSRIs) cause
anticholinergic side effects? - Correct Answers No. Anticholinergic drugs
work by blocking effects effects of acetylcholine. SSRIs have Less ability to
block muscarinic and histamine receptors.
,A patient is being discharged with an SSRI that rarely causes
anticholinergic side effects. What should the patient be taught before
discharge? - Correct Answers May increase the risk of suicidal thinking
and behaviors
Caution on discontinuing abruptly - can induce discontinuation syndrome
Discontinue all SSRI's for 2 to 5 weeks before starting an MAOI
Polypharmacy and the slowing of the normal metabolic process is why
SSRI's are of greatest concern for older adults --> aggravated side effects
and adverse events
What are the risks and adverse effects associated with ECT? - Correct
Answers Retrograde amnesia
Concentration/attention problems
General confusion
Nausea, headaches, muscle aches or spasms, and vomiting
Give the rationale why a nurse would not use humor as a nursing
intervention for anhedonia - Correct Answers Patient is depressed and
unable to feel happiness, so cracking a joke is not going to help and may
come across as belittling
Which are the symptoms associated with pseudo-Parkinsonism? - Correct
Answers tremor, reduced accessory movements (arms swinging when
walking), gait impairment, reduced facial expressiveness (mask facies),
slowing of motor behavior (bradykinesia)
Which classification of drugs are high-risk for pseudo-Parkinsonism? -
Correct Answers First generations antipsychotics
What is the treatment for pseudo-Parkinsonism? - Correct Answers Lower
antipsychotic dose
Treat EPS with Congentine, Artane, Benedyrl
Which classification of drugs are high-risk for tardive dyskinesia? - Correct
Answers First generations antipsychotics
, What are the symptoms associated with tardive dyskinesia? - Correct
Answers Starts in oral and facial muscles and progresses to include
fingers, toes,neck trunk or pelvis
Involuntary rhythmic movements- late signs are may be irreversible.
Persistent EPS
Grimacing
Lip smacking
Eye blinking
Chorea- quick rapid movements, purposeless and irregular
Athetoid- slow, complex, and sepentive
Neck and shoulder movements, hip jerks and rocks or twisting and pelvic
thrusts
What is/are the treatments for tardive dyskinesia? - Correct Answers
Valbenazine
What is diurnal variation? - Correct Answers Symptoms of depression
often worse in the mornings, improve throughout day
When is the patient, with diurnal variation, more likely to respond to a
nursing intervention? - Correct Answers when they are feeling better,
toward the afternoon
Which classification of antipsychotic medications are LEAST likely to cause
obesity? - Correct Answers 3rd generation (Abilify)
Compare and contrast the following adverse effects associated with
psychotropic drugs: agranulocytosis, cholinergic side effects, Serotonin
Syndrome, and Neuroleptic Syndromes - Correct Answers
agranulocytosis = flu-like symptoms
cholinergic = hot and dry
serotonin = restless, unstable vitals, GI upset, delirium, seizures
NMS = rigid, posturing, cogwheeling, dysphasia
Which classification of drugs are more at risk for causing the following
adverse effects: agranulocytosis, cholinergic side effects, Serotonin
Syndrome, and Neuroleptic Syndromes - Correct Answers
Agranulocytosis: clozapine(Clozaril)
Cholinergic:
Correct Answers.
Discuss why a nurse experiencing countertransference feelings, focused
on one patient, was not granted a reassignment to another patient. What is
the standard of practice that would justify denying the nurse's request? -
Correct Answers RELATIONSHIP SHOULD NOT BE TERMINATED
Nurse should be supportively assisted by other staff members to identify
his/her feelings and behaviors and recognize occurrence
Can often be improved through feedback
What are the characteristics of a family with healthy boundaries? - Correct
Answers Balanced: responsibility, relationships, boundaries (what belongs
to each person)
Age-appropriate autonomy, boundaries
Open communication
Discuss why it is important for parents to rear their children so that they are
allowed to express their own values and beliefs instead of being
reprimanded when the views of the children differ from those of their
parents. - Correct Answers People with a poorly differentiated "self"
depend too heavily on the acceptance and approval of others
A person with a well-differentiated "self" recognizes his realistic
dependence on others, but can stay calm and clear headed enough in the
face of conflict, criticism, and rejection
Do the majority of Selective Serotonin Reuptake Inhibitors (SSRIs) cause
anticholinergic side effects? - Correct Answers No. Anticholinergic drugs
work by blocking effects effects of acetylcholine. SSRIs have Less ability to
block muscarinic and histamine receptors.
,A patient is being discharged with an SSRI that rarely causes
anticholinergic side effects. What should the patient be taught before
discharge? - Correct Answers May increase the risk of suicidal thinking
and behaviors
Caution on discontinuing abruptly - can induce discontinuation syndrome
Discontinue all SSRI's for 2 to 5 weeks before starting an MAOI
Polypharmacy and the slowing of the normal metabolic process is why
SSRI's are of greatest concern for older adults --> aggravated side effects
and adverse events
What are the risks and adverse effects associated with ECT? - Correct
Answers Retrograde amnesia
Concentration/attention problems
General confusion
Nausea, headaches, muscle aches or spasms, and vomiting
Give the rationale why a nurse would not use humor as a nursing
intervention for anhedonia - Correct Answers Patient is depressed and
unable to feel happiness, so cracking a joke is not going to help and may
come across as belittling
Which are the symptoms associated with pseudo-Parkinsonism? - Correct
Answers tremor, reduced accessory movements (arms swinging when
walking), gait impairment, reduced facial expressiveness (mask facies),
slowing of motor behavior (bradykinesia)
Which classification of drugs are high-risk for pseudo-Parkinsonism? -
Correct Answers First generations antipsychotics
What is the treatment for pseudo-Parkinsonism? - Correct Answers Lower
antipsychotic dose
Treat EPS with Congentine, Artane, Benedyrl
Which classification of drugs are high-risk for tardive dyskinesia? - Correct
Answers First generations antipsychotics
, What are the symptoms associated with tardive dyskinesia? - Correct
Answers Starts in oral and facial muscles and progresses to include
fingers, toes,neck trunk or pelvis
Involuntary rhythmic movements- late signs are may be irreversible.
Persistent EPS
Grimacing
Lip smacking
Eye blinking
Chorea- quick rapid movements, purposeless and irregular
Athetoid- slow, complex, and sepentive
Neck and shoulder movements, hip jerks and rocks or twisting and pelvic
thrusts
What is/are the treatments for tardive dyskinesia? - Correct Answers
Valbenazine
What is diurnal variation? - Correct Answers Symptoms of depression
often worse in the mornings, improve throughout day
When is the patient, with diurnal variation, more likely to respond to a
nursing intervention? - Correct Answers when they are feeling better,
toward the afternoon
Which classification of antipsychotic medications are LEAST likely to cause
obesity? - Correct Answers 3rd generation (Abilify)
Compare and contrast the following adverse effects associated with
psychotropic drugs: agranulocytosis, cholinergic side effects, Serotonin
Syndrome, and Neuroleptic Syndromes - Correct Answers
agranulocytosis = flu-like symptoms
cholinergic = hot and dry
serotonin = restless, unstable vitals, GI upset, delirium, seizures
NMS = rigid, posturing, cogwheeling, dysphasia
Which classification of drugs are more at risk for causing the following
adverse effects: agranulocytosis, cholinergic side effects, Serotonin
Syndrome, and Neuroleptic Syndromes - Correct Answers
Agranulocytosis: clozapine(Clozaril)
Cholinergic:
