RPNCE Exam 1
Main Nursing Priority - answer physical safety (then emotional, then sleep, etc)
which system is responsible for extrapyramidal side effects - answer parasympathetic
which class of drugs treat EPS - answer anticholinergics (tropines)
Clozapine blood monitoring - answer weekly for the first 6mo
Normal blood glucose level - answer4-7 mmol/L
which neurotransmitter is involved wit Alzheimer’s - answer acetylcholine
Erikson's Psychosocial Theory - answer stage theory of psychosocial development,
lifespan consists of eight dilemmas that must be solved correctly in order to solve the
next dilemma
Erickson stage 1 - answertrust vs mistrust
Erickson stage 2 - answerautonomy vs shame and doubt
Erickson stage 3 - answerinitiative vs guilt
Erickson stage 4 - answerindustry vs inferiority
Erickson stage 5 - answerIdentity vs. Role Confusion (Adolescence)
Erickson stage 6 - answerintimacy vs isolation
Erickson stage 7 - answergenerativity vs stagnation
Erickson stage 8 - answerintegrity vs despair
Maslow's Hierarchy of Needs - answer(level 1) Physiological Needs
(level 2) Safety and Security
(level 3) Relationships, Love and Affection,
(level 4) Self Esteem, (level 5) Self Actualization
Sullivan's Stages of Personality Development - answer1) Infancy
2) Childhood
3) Juvenile
, 4) Preadolescence
5) Early adolescence
6) Late adolescence
Phases of Nurse-Patient Relationship - answerPre-interaction
Orientation
Working
Termination
Preinteraction phase - answeroccurs before meeting the patient. Nurse reviews
available data, including medical and nursing history, identifies a location and setting
that fosters comfortable, private interaction, etc.
orientation phase - answerIntroduce, Discuss confidentiality, Set goals
working phase - answerThe phase of the nurse-patient relationship during which the
nurse and patient identify and explore areas that are causing problems in the patient's
life.
termination phase - answerThe final, integral phase of the nurse-patient relationship.
Therapeutic Clarification - answerRestating nuclear or ambiguous messages.
Therapeutic focusing - answerAllows nurse to ask goal directed questions to help client
focus on a specific area of concern.
- "Let's talk about your difficulty with your father."
Therapeutic Reflecting - answerDirects feelings and clients back to the client to
encourage elaboration.
"You're really feeling sad since you've been unable to go back to work."
Panic attack symptoms - answerfear and apprehension, trembling, sweating,
hyperventilation, sense of unreality.
- can be confused with MI. When in doubt, rule out MI first.
MAOIs - answerprevent breakdown of:
- epi
- norepi
- serotonin
- dopamine
- AND Tyramine
*can lead to hypertensive crisis*
Serotonin Syndrome - answerSimilar to NMS but caused by serotonin medications, and
has HYPER-reflexive muscle activity.
Main Nursing Priority - answer physical safety (then emotional, then sleep, etc)
which system is responsible for extrapyramidal side effects - answer parasympathetic
which class of drugs treat EPS - answer anticholinergics (tropines)
Clozapine blood monitoring - answer weekly for the first 6mo
Normal blood glucose level - answer4-7 mmol/L
which neurotransmitter is involved wit Alzheimer’s - answer acetylcholine
Erikson's Psychosocial Theory - answer stage theory of psychosocial development,
lifespan consists of eight dilemmas that must be solved correctly in order to solve the
next dilemma
Erickson stage 1 - answertrust vs mistrust
Erickson stage 2 - answerautonomy vs shame and doubt
Erickson stage 3 - answerinitiative vs guilt
Erickson stage 4 - answerindustry vs inferiority
Erickson stage 5 - answerIdentity vs. Role Confusion (Adolescence)
Erickson stage 6 - answerintimacy vs isolation
Erickson stage 7 - answergenerativity vs stagnation
Erickson stage 8 - answerintegrity vs despair
Maslow's Hierarchy of Needs - answer(level 1) Physiological Needs
(level 2) Safety and Security
(level 3) Relationships, Love and Affection,
(level 4) Self Esteem, (level 5) Self Actualization
Sullivan's Stages of Personality Development - answer1) Infancy
2) Childhood
3) Juvenile
, 4) Preadolescence
5) Early adolescence
6) Late adolescence
Phases of Nurse-Patient Relationship - answerPre-interaction
Orientation
Working
Termination
Preinteraction phase - answeroccurs before meeting the patient. Nurse reviews
available data, including medical and nursing history, identifies a location and setting
that fosters comfortable, private interaction, etc.
orientation phase - answerIntroduce, Discuss confidentiality, Set goals
working phase - answerThe phase of the nurse-patient relationship during which the
nurse and patient identify and explore areas that are causing problems in the patient's
life.
termination phase - answerThe final, integral phase of the nurse-patient relationship.
Therapeutic Clarification - answerRestating nuclear or ambiguous messages.
Therapeutic focusing - answerAllows nurse to ask goal directed questions to help client
focus on a specific area of concern.
- "Let's talk about your difficulty with your father."
Therapeutic Reflecting - answerDirects feelings and clients back to the client to
encourage elaboration.
"You're really feeling sad since you've been unable to go back to work."
Panic attack symptoms - answerfear and apprehension, trembling, sweating,
hyperventilation, sense of unreality.
- can be confused with MI. When in doubt, rule out MI first.
MAOIs - answerprevent breakdown of:
- epi
- norepi
- serotonin
- dopamine
- AND Tyramine
*can lead to hypertensive crisis*
Serotonin Syndrome - answerSimilar to NMS but caused by serotonin medications, and
has HYPER-reflexive muscle activity.
