Capstone Pharmacology
Avoid being outside and impaired ability to perform duties - ANSWER:AGORAPHOBIA
Palpitations, chest pain, SOB, nausea, feeling of depersonalization, fear of dying or insanity -
ANSWER:PANIC DISORDER
Horror, intense fear, flashbacks, irritability, difficulty with concentrating and sleep disturbance -
ANSWER:POSTTRAUMATIC STRESS DISORDER (PTSD)
Engages in ritualistic, compulsive behaviors and recurrent thoughts - ANSWER:OBSESSIVE COMPULSIVE
DISORDER (OCD)
The planned, progressive, or graduated exposure to anxiety-provoking stimuli in real-life situations, or by
imagining events that cause anxiety. During this exposure, the anxiety response is suppressed through
the use of relaxation techniques - ANSWER:SYSTEMATIC DESENSITIZATION
Positive rewards are given for positive behavior (positive reinforcement). - ANSWER:OPERANT
CONDITIONING
A therapist or treatment team may use unpleasant stimuli, such as bitter taste or mild electric shock, as
punishment for behaviors such as alcoholism, violence, self-mutilation, and thumb sucking. -
ANSWER:AVERSION THERAPY
Can be used in the acute care milieu to help clients improve interpersonal skills. The therapist
demonstrates appropriate behavior in a stressful situation with the goal of having the client imitate the
behavior. - ANSWER:MODELING
Used to help the client focus on what is actually happening and to dispel delusions, hallucinations, or
faulty beliefs. - ANSWER:PRESENTING REALITY
Used to determine if the message received was accurate and uses techniques such as restating,
reflecting, paraphrasing, exploring - ANSWER:CLARIFYING TECHNIQUES
Allows time for meaningful reflection. - ANSWER:SLIENCE
Demonstrates a willingness to spend time with the client. Limited personal information may be shared,
but the focus should return to the client as soon as possible. Relevant self-disclosure by the nurse allows
the client to see that his experience is shared by others and understood. - ANSWER:OFFERING SELF
Emphasizes important points and reviews what has been discussed. - ANSWER:SUMMARIZING
Bradykinesia, rigidity, shuffling gait, drooling, tremors. - ANSWER:PARKINSONISM
Inability to sit or stand still; Continual pacing and agitation. - ANSWER:AKATHISIA
Sudden high fever; Blood pressure fluctuations; Dysrhythmias; Muscle rigidity; Changes in level of
consciousness; Coma. - ANSWER:NEUROLEPTIC MALIGNANT SYNDROME
, Severe spasm of the tongue, neck, face, and back. - ANSWER:ACUTE DYSTONIA
Involuntary movements of the tongue and face, such as lip smacking; Involuntary movements of the
arms, legs, and trunk. - ANSWER:TADIVE DYSKINESIA
The tension becomes too much to bear and serious abuse takes place. - ANSWER:ACUTE BATTERING
PHASE
The situation is defused for a while after the violent episode. The abuser become loving, promises to
change, and is sorry for the behavior. - ANSWER:HONEYMOON PHASE
The abuser has minor episodes of anger and may be verbally abusive and responsible for some minor
physical violence. - ANSWER:TENSION-BUILDING PHASE
This relates to the quality of doing good and can be described as charity. Example: A nurse helps a newly
admitted client with psychosis feel safe in the environment of the mental health facility. -
ANSWER:BENEFICENCE
This refers to being honest when dealing with a client. Example: A client states, "You and that other staff
member were talking about me, weren't you?" The nurse truthfully replies, "We were discussing ways to
help you relate to the other clients in a more positive way." - ANSWER:VERACITY
This relates to loyalty and faithfulness to the client and to one's duty. Example: A client asks a nurse to be
present when she talks to her mother for the first time in a year. The nurse remains with the client
during this interaction. - ANSWER:FIDELITY
This refers to the client's right to make his own decisions. But the client must accept the consequences
of those decisions. The client must also respect the decisions of others. Example: Rather than giving
advice to a client who has difficulty making decisions, a nurse helps the client explore all alternatives and
arrive at a choice. - ANSWER:AUTONOMY
This is defined as fair and equal treatment for all. Example: During a treatment team meeting, a nurse
leads a discussion regarding whether or not two clients who broke the same facility rule were treated
equally. - ANSWER:JUSTICE
A client is experiencing acute alcohol withdrawal. Which of the following observations should the nurse
expect to make? Select all that apply.
Select one or more:
a. Disorientation
b. Inability to sleep
c. Grandiosity
d. Tremors
e. Bradycardia - ANSWER:A,B,D
A nurse is caring for a client experiencing acute benzodiazepine withdrawal. Which of the following is the
priority intervention?