NURSING 142 Final Exam QUESTIONS
AND CORRECT ANSWERS
What is Mental Illness - ANSWER-Disorders that affect mood, behavior, and thinking.
EX: depression, schizophrenia, anxiety disorders, addictive disorders.
Causes of mental illness: Individual factors - ANSWER-Biological make up
Intolerable or unrealistic worries or fears
Inability to distinguish reality from fantasy
Intolerance of life's uncertanties
Loss of meaning in one's lfe
Sense of disharmony
Causes of Mental Illness: Interpersonal Factors - ANSWER-Ineffective communication
Excessive dependency on or withdrawal from relationships
No sense of belonging
Inadequate social support
Loss of emotional control
Causes of Mental Illness: Social/Cultural factors - ANSWER-Lack of resources
Violence
Homelessness
Poverty
Unwarranted negative view of the world, discrimination (racism, classism, ageism,
sexism)
Common reasons of suicide? - ANSWER--Psychiatric disorders: depression, bipolar,
schizophrenia, substance abuse, PTSD, borderline personality disorder.
-Chronic medical illness: cancer, HIV, AIDS, diabetes, cerebrovascular accidents,
head/spinal cord injury.
- Environmental factors: Isolation, recent loss, lack of social support, unemployment,
critical life events, family history of depression or suicide
- Behavioral Factors: Impulsivity, erratic or unexplained changes from usual behavior,
unstable lifestyle.
Protective factors in regards to suicide - ANSWER-- Safety
-Never ignore any hint of suicidal ideation
-Lethality assessment- does the client have a plan
- Suicide prevention- treat underlying disorder
- Develop coping skills, sleep and nourishment needs, be problem specific.
Characteristics of those at high risk for eating disorders - ANSWER--Biological
vulnerability, developmental problems, family and social influences
-Genetic Vulnerability
,- Psychiatric disorders (dysfunction of the hypothalamus)
-Family history
Characteristics of those who have an eating disorder - ANSWER-Disturbed eating
habits
Disturbed attitudes toward food
Eating in secret
Preoccupation with food, eating, shape, or weight
Fear of losing control over eating/ wanting and empty stomach
Withdrawal symptoms of alcohol - ANSWER--Coarse hand tremors, sweating, elevated
pulse and BP, insomnia, anxiety, nausea, vomiting.
Severe: transient hallucinations, seizures, delirium
Alcohol withdrawal time frames - ANSWER-Usually begins 4-12 hours after cessation.
Peaks on day 2 ends by day 5
Withdrawal takes 1-2 weeks
Withdrawal symptoms of opioids - ANSWER-Anxiety, Restlessness, aching back and
legs, cravings for more.
Progressive withdrawal- nausea, vomiting, dysphoria, lacrimation, rhinorrhea, sweating,
diarrhea, yawning, fever, insomnia
Opioid withdrawal time frames - ANSWER-Develops when drug intake stops or
decreases.
Treatment of alcohol withdrawal - ANSWER--Benzodiazepines: lorazepam (Ativan),
Chlordiazepines (Librium), Diazepam (Valium)
Treatment of Opioid withdrawal - ANSWER-Methadone- opioid agonist eliminated
withdrawal symptoms by acting on opioid receptors in the brain. (A replacement for
opioid dosage is decreased over 2 weeks)
Naloxone (Narcan)- Opioid antagonist, given for opioid overdose.
Why would you hospitalize a patient with an eating disorder? - ANSWER--Severe fluid,
electrolyte, and metabolic imbalances
-Cardiovascular complications
-Severe weight loss
-Risk for suicide
Who should a nurse notify if the suspect child abuse - ANSWER-Local Government
Authorities.
(CPS, Children and family services, Department of health).
, If you suspect someone is being abused what questions would you ask? - ANSWER-
S.A.F.E. questions
What are S.A.F.E. questions - ANSWER-Stress/Safety
Afraid/Abused
Friends/Family
Emergency Plan
Nursing Diagnosis for a patient with dementia who is showing paranoid behavior? -
ANSWER-- Disturbed thought process & Disturbed sensory perception (appropriate for
client with psychotic symptoms)
-Chronic confusion
-Impaired Memory
-Risk for injury
Stage 1 -Alzheimer's Disease - ANSWER--No cognitive Impairment
-Memory problems not experienced or apparent to others
Stage 2- Alzheimer's Disease - ANSWER--Very Mild Decline
-Memory lapses
-Forgetting familiar names
-Losing everyday objects
-Not evident to others and not detectable during med exams
Stage 3- Alzheimer's Disease - ANSWER-- Mild Cognitive Decline
- Family/friends begin to notice and may be detected in med exams
-Trouble finding words/names
- Decreased ability to remember names when introduced to new people
- Retaining little info when reading a passage
- Decreased ability to plan/organize
-Losing or misplacing valuable objects
-Performance issues in social and work settings that are noticeable to others
Stage 4 Alzheimer's Disease - ANSWER--Moderate Cognitive Decline
- Deficiencies in knowledge of recent events
- Impaired ability to perform challenging mental arithmetic
- Decreased capacity to perform complex tasks
- Reduced memory for personal history
- Person appears subdued and withdrawn
Stage 5- Alzheimer's Disease - ANSWER--Moderately Severe Cognitive Decline
- Major deficits in memory and decline in cognitive function
- Some assistance with ADLs - but they can usually eat and use the toilet
- Usually retain knowledge about themselves and names of family
- Inability to recall current address/phone number
- Confusion about where they are, date, day of week, or season
AND CORRECT ANSWERS
What is Mental Illness - ANSWER-Disorders that affect mood, behavior, and thinking.
EX: depression, schizophrenia, anxiety disorders, addictive disorders.
Causes of mental illness: Individual factors - ANSWER-Biological make up
Intolerable or unrealistic worries or fears
Inability to distinguish reality from fantasy
Intolerance of life's uncertanties
Loss of meaning in one's lfe
Sense of disharmony
Causes of Mental Illness: Interpersonal Factors - ANSWER-Ineffective communication
Excessive dependency on or withdrawal from relationships
No sense of belonging
Inadequate social support
Loss of emotional control
Causes of Mental Illness: Social/Cultural factors - ANSWER-Lack of resources
Violence
Homelessness
Poverty
Unwarranted negative view of the world, discrimination (racism, classism, ageism,
sexism)
Common reasons of suicide? - ANSWER--Psychiatric disorders: depression, bipolar,
schizophrenia, substance abuse, PTSD, borderline personality disorder.
-Chronic medical illness: cancer, HIV, AIDS, diabetes, cerebrovascular accidents,
head/spinal cord injury.
- Environmental factors: Isolation, recent loss, lack of social support, unemployment,
critical life events, family history of depression or suicide
- Behavioral Factors: Impulsivity, erratic or unexplained changes from usual behavior,
unstable lifestyle.
Protective factors in regards to suicide - ANSWER-- Safety
-Never ignore any hint of suicidal ideation
-Lethality assessment- does the client have a plan
- Suicide prevention- treat underlying disorder
- Develop coping skills, sleep and nourishment needs, be problem specific.
Characteristics of those at high risk for eating disorders - ANSWER--Biological
vulnerability, developmental problems, family and social influences
-Genetic Vulnerability
,- Psychiatric disorders (dysfunction of the hypothalamus)
-Family history
Characteristics of those who have an eating disorder - ANSWER-Disturbed eating
habits
Disturbed attitudes toward food
Eating in secret
Preoccupation with food, eating, shape, or weight
Fear of losing control over eating/ wanting and empty stomach
Withdrawal symptoms of alcohol - ANSWER--Coarse hand tremors, sweating, elevated
pulse and BP, insomnia, anxiety, nausea, vomiting.
Severe: transient hallucinations, seizures, delirium
Alcohol withdrawal time frames - ANSWER-Usually begins 4-12 hours after cessation.
Peaks on day 2 ends by day 5
Withdrawal takes 1-2 weeks
Withdrawal symptoms of opioids - ANSWER-Anxiety, Restlessness, aching back and
legs, cravings for more.
Progressive withdrawal- nausea, vomiting, dysphoria, lacrimation, rhinorrhea, sweating,
diarrhea, yawning, fever, insomnia
Opioid withdrawal time frames - ANSWER-Develops when drug intake stops or
decreases.
Treatment of alcohol withdrawal - ANSWER--Benzodiazepines: lorazepam (Ativan),
Chlordiazepines (Librium), Diazepam (Valium)
Treatment of Opioid withdrawal - ANSWER-Methadone- opioid agonist eliminated
withdrawal symptoms by acting on opioid receptors in the brain. (A replacement for
opioid dosage is decreased over 2 weeks)
Naloxone (Narcan)- Opioid antagonist, given for opioid overdose.
Why would you hospitalize a patient with an eating disorder? - ANSWER--Severe fluid,
electrolyte, and metabolic imbalances
-Cardiovascular complications
-Severe weight loss
-Risk for suicide
Who should a nurse notify if the suspect child abuse - ANSWER-Local Government
Authorities.
(CPS, Children and family services, Department of health).
, If you suspect someone is being abused what questions would you ask? - ANSWER-
S.A.F.E. questions
What are S.A.F.E. questions - ANSWER-Stress/Safety
Afraid/Abused
Friends/Family
Emergency Plan
Nursing Diagnosis for a patient with dementia who is showing paranoid behavior? -
ANSWER-- Disturbed thought process & Disturbed sensory perception (appropriate for
client with psychotic symptoms)
-Chronic confusion
-Impaired Memory
-Risk for injury
Stage 1 -Alzheimer's Disease - ANSWER--No cognitive Impairment
-Memory problems not experienced or apparent to others
Stage 2- Alzheimer's Disease - ANSWER--Very Mild Decline
-Memory lapses
-Forgetting familiar names
-Losing everyday objects
-Not evident to others and not detectable during med exams
Stage 3- Alzheimer's Disease - ANSWER-- Mild Cognitive Decline
- Family/friends begin to notice and may be detected in med exams
-Trouble finding words/names
- Decreased ability to remember names when introduced to new people
- Retaining little info when reading a passage
- Decreased ability to plan/organize
-Losing or misplacing valuable objects
-Performance issues in social and work settings that are noticeable to others
Stage 4 Alzheimer's Disease - ANSWER--Moderate Cognitive Decline
- Deficiencies in knowledge of recent events
- Impaired ability to perform challenging mental arithmetic
- Decreased capacity to perform complex tasks
- Reduced memory for personal history
- Person appears subdued and withdrawn
Stage 5- Alzheimer's Disease - ANSWER--Moderately Severe Cognitive Decline
- Major deficits in memory and decline in cognitive function
- Some assistance with ADLs - but they can usually eat and use the toilet
- Usually retain knowledge about themselves and names of family
- Inability to recall current address/phone number
- Confusion about where they are, date, day of week, or season
