NUR 356 exam 2
What is some patient teaching for mood stabilizers? - answer- patient should continue
taking the mood stabilizer even if their symptoms are relieved
-
What are five medications that would be prescribed for bipolar disorder? - answer
lithium carbonate, valproic acid, carbamazepine, lamotrigine, topiramate
What symptoms/behaviors that are associated with mania? - answerexcessive
spending, risk taking, increased sexual activity, reduced need for sleep, verbosity
What symptoms are associated with HYPOmania? - answerless sleep, more verbal,
increased sexual activity, may still be able to work and function in social situations
What is the therapeutic range for valproic acid? - answer50-120 mcg/mL
What are some predisposing factors for bipolar disorder? - answergenetic, biochemical
imbalances, substance side effects, childhood trauma, high socioeconomic status
What biochemicals imbalances are associated with bipolar disorder? - answerexcess
norepinephrine, excess dopamine, and low serotonin
What are the phases of the nurse patient relationship? - answerPre-orientation,
orientation, working, termination
What is the first phase of the nurse patient relationship? what occurs in this phase? -
answer- pre-orientation
- the nurse gains information about the patient and assesses their own thoughts and
feelings about working with this patient
A nurse receives admission paperwork about a patient who she will be charged with
taking care of. The patent is being admitted with broken ribs after getting in car accident
due to being intoxicated. The nurse assesses her thoughts and feelings about drunk
driving. What phase is this? - answerpre-orientation phase
What is the second phase of the nurse patient relationship? what occurs in this phase? -
answer- orientation
- The nurse speaks to or meets the patient for the first time. The nurse works to build
rapport with the patient.
- A verbal contract is set for participation and expectations.
, A nurse goes into the room of a patient who is in the fetal position on their bed and
tearful. The nurse introduces herself and asks the patient what name they like to be
called. The nurse offers to get the patient a drink and a warm blanket. What phase is
this? - answerorientation phase
The nurse and patient have introduced themselves to each other. The nurse states "in
order for you to get the most out of this experience, you will need to be respectful of our
rules, and be willing to be an active participant in your care" What phase is this? -
answerorientation phase
A patient states "I have nothing to live for. Nothing will ever get better." What are they
feeling? what are they at risk for? - answerHopelessness; high risk for suicide
What is the third phase of the nurse patient relationship? What occurs in this phase? -
answer- working phase
- The patient trusts the nurse enough to allow them to point out issues. They work
together to come up with action plans (nursing interventions) to work on the issues.
A nurse tells the patient "I believe that one of the issues that is largely affecting you is
poor coping skills. Can we discuss some coping strategies that you can implement to
prevent your depression from getting to this point?" What phase is this? -
answerWorking phase
*ensure rapport is established before pointing out
issues*
What is the final phase of the nurse patient relationship? What occurs in this phase? -
answer- termination
- either the nurse's shift ends or the patient is discharged
"What would you like to discuss this morning?" is an example of what therapeutic
communication technique? - answerbroad opening
What are some SSRI's we should know? - answersertraline, fluoxetine, citalopram,
paroxetine
what type of drug is bupropion? - answerNDRI: norepinephrine and dopamine reuptake
inhibitors
When would bupropion (Wellbutrin) be prescribed? - answerif a patient cannot tolerate
the sexual side effects of an SSRI or for patients who are wanting to quit smoking
What are some side effects associated with electroconvulsive therapy? -
answertemporary confusion, lethargy, and memory loss
What is some patient teaching for mood stabilizers? - answer- patient should continue
taking the mood stabilizer even if their symptoms are relieved
-
What are five medications that would be prescribed for bipolar disorder? - answer
lithium carbonate, valproic acid, carbamazepine, lamotrigine, topiramate
What symptoms/behaviors that are associated with mania? - answerexcessive
spending, risk taking, increased sexual activity, reduced need for sleep, verbosity
What symptoms are associated with HYPOmania? - answerless sleep, more verbal,
increased sexual activity, may still be able to work and function in social situations
What is the therapeutic range for valproic acid? - answer50-120 mcg/mL
What are some predisposing factors for bipolar disorder? - answergenetic, biochemical
imbalances, substance side effects, childhood trauma, high socioeconomic status
What biochemicals imbalances are associated with bipolar disorder? - answerexcess
norepinephrine, excess dopamine, and low serotonin
What are the phases of the nurse patient relationship? - answerPre-orientation,
orientation, working, termination
What is the first phase of the nurse patient relationship? what occurs in this phase? -
answer- pre-orientation
- the nurse gains information about the patient and assesses their own thoughts and
feelings about working with this patient
A nurse receives admission paperwork about a patient who she will be charged with
taking care of. The patent is being admitted with broken ribs after getting in car accident
due to being intoxicated. The nurse assesses her thoughts and feelings about drunk
driving. What phase is this? - answerpre-orientation phase
What is the second phase of the nurse patient relationship? what occurs in this phase? -
answer- orientation
- The nurse speaks to or meets the patient for the first time. The nurse works to build
rapport with the patient.
- A verbal contract is set for participation and expectations.
, A nurse goes into the room of a patient who is in the fetal position on their bed and
tearful. The nurse introduces herself and asks the patient what name they like to be
called. The nurse offers to get the patient a drink and a warm blanket. What phase is
this? - answerorientation phase
The nurse and patient have introduced themselves to each other. The nurse states "in
order for you to get the most out of this experience, you will need to be respectful of our
rules, and be willing to be an active participant in your care" What phase is this? -
answerorientation phase
A patient states "I have nothing to live for. Nothing will ever get better." What are they
feeling? what are they at risk for? - answerHopelessness; high risk for suicide
What is the third phase of the nurse patient relationship? What occurs in this phase? -
answer- working phase
- The patient trusts the nurse enough to allow them to point out issues. They work
together to come up with action plans (nursing interventions) to work on the issues.
A nurse tells the patient "I believe that one of the issues that is largely affecting you is
poor coping skills. Can we discuss some coping strategies that you can implement to
prevent your depression from getting to this point?" What phase is this? -
answerWorking phase
*ensure rapport is established before pointing out
issues*
What is the final phase of the nurse patient relationship? What occurs in this phase? -
answer- termination
- either the nurse's shift ends or the patient is discharged
"What would you like to discuss this morning?" is an example of what therapeutic
communication technique? - answerbroad opening
What are some SSRI's we should know? - answersertraline, fluoxetine, citalopram,
paroxetine
what type of drug is bupropion? - answerNDRI: norepinephrine and dopamine reuptake
inhibitors
When would bupropion (Wellbutrin) be prescribed? - answerif a patient cannot tolerate
the sexual side effects of an SSRI or for patients who are wanting to quit smoking
What are some side effects associated with electroconvulsive therapy? -
answertemporary confusion, lethargy, and memory loss
