Final Exam) NSG 322 Final Exam Study Guide: Questions & Answers: Updated Guide Solution

What is the significance of monitoring white blood cell count in patients on clozapine? (Ans- To detect potential neutropenia early. What is the effect of clozapine on white blood cell levels? (Ans- It may cause a decrease in white blood cell count. What is a common misconception about SSRIs when patients start treatment? (Ans- Patients may believe they work immediately. What is the role of grounding techniques during a panic attack? (Ans- To help the patient regain focus and reduce anxiety. What is a common emotional response of children with reactive attachment disorder? (Ans- They rarely seek or respond to comfort from caregivers. What should patients be advised regarding unprotected sex while on clozapine? (Ans- It is important to avoid unprotected sex, but this is not the priority instruction. What is the relationship between eating and anxiety in patients with eating disorders? (Ans- Eating produces high anxiety, which must be processed in therapy. What is a key symptom of Bipolar 1 disorder? (Ans- Acute mania episode. What is a goal for a patient who experienced Intimate Partner Violence before discharge? (Ans- Identify 2 resources. What are the expected outcomes of administering Narcan (Naloxone)? (Ans- Increase respirations; Narcan counteracts the respiratory depression caused by opioids. What should a bulimic patient be educated about regarding meal habits? (Ans- Not to skip meals or restrict food. What is the primary goal of health teaching for a client with bulimia nervosa? (Ans- Normalization of eating habits. Why is trauma-informed care important? (Ans- To prevent traumatization. What common characteristic is seen in all personality disorders? (Ans- Impaired interpersonal conflict. Why is frequent team meetings necessary for staff working with clients with personality disorders? (Ans- To address the client's ability to provoke interpersonal conflict. What are some assessment findings that mark the prodromal stage of schizophrenia? (Ans- Withdrawal, misinterpreting, poor concentration, and preoccupation with religion. What assessment findings are associated with the acute stage of schizophrenia? (Ans- Auditory hallucinations, ideas of reference, thought insertion, and broadcasting. What should a nurse do if a patient with an eating disorder expresses hopelessness about treatment? (Ans- Phone the patient and conduct a brief nursing assessment. What defines Dissociative Identity Disorder (DID)? (Ans- Presence of 2 or more distinct, split, separate personalities. What symptom is indicative of Depersonalization Disorder? (Ans- Feeling detached and experiencing life as though looking through a cloudy window. What is a common experience reported by individuals with Depersonalization Disorder? (Ans- Feeling in a dream-like state. What is the difference between Dissociative Amnesia and Depersonalization Disorder? (Ans- Dissociative Amnesia involves memory loss, while Depersonalization Disorder involves feeling detached from oneself. What are the symptoms of Acute Stress Disorder (ASD)? (Ans- Three or more dissociative symptoms associated with a traumatic event, including detachment and derealization. What is the significance of normalization of eating habits in bulimia nervosa treatment? (Ans- It helps prevent rebound bingeing caused by food restriction. What is the role of staff meetings in managing clients with personality disorders? (Ans- To counteract the effects of the client's attempts to split staff and create interpersonal conflict. What does the term 'internal preoccupation' refer to in schizophrenia? (Ans- It describes a state where the patient is focused inwardly, often marked by unusual behaviors. What is a common symptom of the prodromal stage of schizophrenia? (Ans- Withdrawal and poor concentration. What is a potential outcome for a patient treated with Narcan? (Ans- Restoration of normal respiratory function. What is a common misconception about the symptoms of schizophrenia? (Ans- That all symptoms are present during the acute stage; many are actually prodromal.