MILESTONE 2 LATEST 2026 STUDY GUIDE QUESTIONS AND
ANSWERS GUARANTEE A+
✔✔Grief process therapeutic response - ✔✔Allow the 5 steps of grieving (DABDA),
active listening and offer a supportive presence
✔✔Dementia action refusing ADLs - ✔✔Encourage finger foods, distraction, speak
therapeutically
✔✔Alcohol withdrawal - ✔✔- Needs to be done under medical supervision b/c can be
deadly
- VS Q4, onset of symptoms 4-6 hours after last drink, give lorazepam, reduce temp.
- Tremors, nausea, vomiting
✔✔Methadone overdose - ✔✔S&S= constricted pupils, resp. depression, circul.
depression, LOC decreased
Give naloxone
✔✔Domestic violence screening tool - ✔✔- Don't probe, write evidence down verbatim,
provide a safe environment
- Increase in violence during pregnancy
- Cycle of violence= tension building, violent, honeymoon
✔✔Aggression response - ✔✔5-phase cycle= Triggering (event), Escalation (movement
toward a loss of control), Crisis (loss of control), Recovery (regain control), Postcrisis
(reconciliation)
***Hx = likely to occur again
✔✔Violence handling - ✔✔- Engage in dialogue to prevent escalation, intervene early in
the cycle
- Approach as non threatening, calm manner and convey empathy
- Encourage the client to express their anger, build trust, anticipate need for meds, be
consistent
✔✔Medication adverse reactions care (schizophrenia) - ✔✔Constipation is a common
side effect of antipsych meds, polydipsia occurs after years of treatment
Nurse can help minimize effects of delusions with distraction techniques, music, tv,
writing and talking to friends, positive self-talk and positive thinking
✔✔Self care Maslow - ✔✔- Physiologic, safety, love and belonging, self esteem, self-
actualization
- Basic drive and needs that motivate people
, ✔✔Anxiety Suicide Risks: - ✔✔Restless, difficulty concentrating, irritability
- "Have you had any suicidal thoughts since starting bupropion?"
✔✔Elder Abuse - ✔✔Someone stating "I no longer have time to do anything for myself
or anyone else" would be someone @ risk for abusing elder.
Bruising around breasts and pelvic area = abuse
Watch behavior toward family and document
Make caregiver leave room during questioning
*** include nonconsensual contact
✔✔Grief Priority - ✔✔Priority should be based on SHOCK!
✔✔ADHD Exam/Assessment - ✔✔- failure to listen/follow direction
- difficulty playing quietly/sitting still
- disruptive, impulsive behavior
- distractibility to external stimuli
- excessive talking
- shifting from one unfinished task to another
✔✔OCD - ✔✔- Patient checks where car keys are 8 times
- Patient has persistent thoughts about bacteria, germs and dirt
- Help encourage participation in social activities
✔✔Questions to ask someone with OCD - ✔✔- are there other in your family who must
do things a certain way
- is it difficult to keep certain thoughts out of your awareness
- do you do certain things over and over again
✔✔Therapeutic communication abuse victim - ✔✔1. Physical manifestations of abuse
2. Client safety
3. Legal responsibilities of the nurse
4. For children, the nurse is legally responsible for reporting all suspected cases of
abuse. In intimate-partner abuse, it is the adult's decision; the nurse should be
supportive of the decision. Remember to document objective factual assessment data
and the client's exact words in cases of sexual abuse and rape
✔✔Therapeutic Relationship Stages- TERMINATION - ✔✔Unresolved feelings related
to loss most likely may be recognized during this stage.
ANSWERS GUARANTEE A+
✔✔Grief process therapeutic response - ✔✔Allow the 5 steps of grieving (DABDA),
active listening and offer a supportive presence
✔✔Dementia action refusing ADLs - ✔✔Encourage finger foods, distraction, speak
therapeutically
✔✔Alcohol withdrawal - ✔✔- Needs to be done under medical supervision b/c can be
deadly
- VS Q4, onset of symptoms 4-6 hours after last drink, give lorazepam, reduce temp.
- Tremors, nausea, vomiting
✔✔Methadone overdose - ✔✔S&S= constricted pupils, resp. depression, circul.
depression, LOC decreased
Give naloxone
✔✔Domestic violence screening tool - ✔✔- Don't probe, write evidence down verbatim,
provide a safe environment
- Increase in violence during pregnancy
- Cycle of violence= tension building, violent, honeymoon
✔✔Aggression response - ✔✔5-phase cycle= Triggering (event), Escalation (movement
toward a loss of control), Crisis (loss of control), Recovery (regain control), Postcrisis
(reconciliation)
***Hx = likely to occur again
✔✔Violence handling - ✔✔- Engage in dialogue to prevent escalation, intervene early in
the cycle
- Approach as non threatening, calm manner and convey empathy
- Encourage the client to express their anger, build trust, anticipate need for meds, be
consistent
✔✔Medication adverse reactions care (schizophrenia) - ✔✔Constipation is a common
side effect of antipsych meds, polydipsia occurs after years of treatment
Nurse can help minimize effects of delusions with distraction techniques, music, tv,
writing and talking to friends, positive self-talk and positive thinking
✔✔Self care Maslow - ✔✔- Physiologic, safety, love and belonging, self esteem, self-
actualization
- Basic drive and needs that motivate people
, ✔✔Anxiety Suicide Risks: - ✔✔Restless, difficulty concentrating, irritability
- "Have you had any suicidal thoughts since starting bupropion?"
✔✔Elder Abuse - ✔✔Someone stating "I no longer have time to do anything for myself
or anyone else" would be someone @ risk for abusing elder.
Bruising around breasts and pelvic area = abuse
Watch behavior toward family and document
Make caregiver leave room during questioning
*** include nonconsensual contact
✔✔Grief Priority - ✔✔Priority should be based on SHOCK!
✔✔ADHD Exam/Assessment - ✔✔- failure to listen/follow direction
- difficulty playing quietly/sitting still
- disruptive, impulsive behavior
- distractibility to external stimuli
- excessive talking
- shifting from one unfinished task to another
✔✔OCD - ✔✔- Patient checks where car keys are 8 times
- Patient has persistent thoughts about bacteria, germs and dirt
- Help encourage participation in social activities
✔✔Questions to ask someone with OCD - ✔✔- are there other in your family who must
do things a certain way
- is it difficult to keep certain thoughts out of your awareness
- do you do certain things over and over again
✔✔Therapeutic communication abuse victim - ✔✔1. Physical manifestations of abuse
2. Client safety
3. Legal responsibilities of the nurse
4. For children, the nurse is legally responsible for reporting all suspected cases of
abuse. In intimate-partner abuse, it is the adult's decision; the nurse should be
supportive of the decision. Remember to document objective factual assessment data
and the client's exact words in cases of sexual abuse and rape
✔✔Therapeutic Relationship Stages- TERMINATION - ✔✔Unresolved feelings related
to loss most likely may be recognized during this stage.
