NUR 180 EXAM 2 QUESTIONS WITH VERIFIED
ACCURATE ANSWERS
Fetal Alcohol Syndrome - Answers - Microcephaly
Small gestational age (body)
Fail to develop normally
Habituation + Adaptation = - Answers - Tolerance
S/S of heroin use - Answers - Dilated pupils
Drowsiness
Euphoria
Respiratory depression
S/S of heroin use that is main priority - Answers - Respiratory depression
S/S of PCP use - Answers - Increased VS (BP)
Agitated movements
Belligerence
Nonsensical talk
Violence
Bizarre behaviors
S/S of PCP use that is main priority - Answers - Safety
A patient comes into the ER staggering. When the nurses try to get VS on him, he kicks
and fights. He refuses to let anyone touch him and insists that all he wants is to lie
down.
Which blood alcohol level do you expect? - Answers - 0.20% (at least 5 drinks)
Dual diagnosis (or "co-occurring") - Answers - 75% of patients with mental illness abuse
substances
Stress reaction (effect) - Answers - Results from stress of stopping the addictive
behavior
- Anxiety
Affects ANS
- Increased HR
- Increased BP
- Sweating
Rebound symptoms (effect) - Answers - Occur when adaptive changes in the brain that
encounter the effects of the addiction continue despite cessation of the addictive
substance or behavior
,- Low mood
- Fatigue
- Opposite effect of abused drug
S/S of alcohol withdrawal - Answers - Occurs within 6 - 9 hrs
Tremors
HBP
Change in mental status
Prone to seizures
What assessment question should you ask someone who has struggled with alcohol
abuse and is being seen for withdrawal symptoms? - Answers - When was the last time
you had a drink?
Symptoms/behaviors of addiction - Answers - Insomnia
Fatigue
Changes in mood
Weight loss
Anorexia
Overabundant use of mouthwash or toiletries
Unkempt appearance
DUIs
Financial problems
Poverty
Absenteeism from work
Wernicke's encephalopathy - Answers - Acute
Controls language reception
Left temporal lobe
Reversible brain damage
- Tx with thiamine
Korsakoff's syndrome - Answers - Chronic alcohol abuse
Results from severe thiamine deficiency
Not reversible
Brain damage
S/S of anxiety - Answers - Muscle rigidity
Sweating
Dry mouth
- Explore stressors
Denial - Answers - Refusal to acknowledge conflict and thus escapes reality of situation
- A child covered with chocolate refuses to admit eating candy
Displacement - Answers - Redirecting of energies to another person or object
, - A husband shouts at his wife, the wife then berates her child, who then scolds the dog
Projection - Answers - Putting off one's own unacceptable thoughts, wishes, and
emotions onto others
- A woman is afraid to leave her house because she knows people will ridicule her
Rationalization - Answers - Use of a "good" (but not real) reason to explain behavior to
make unacceptable motivation more acceptable
- A student justifies failing an exam by saying there was too much material to cover
Regression - Answers - Coping with present conflict, stress by returning to earlier, more
secure stage of life
- A 4 year old's parents are going through a divorce so she begins to suck her thumb
and wet the bed
Suppression - Answers - Removal of conflict by removing anxiety from consciousness
- A woman with a family history of breast cancer "forgets" her mammogram appointment
Stages of grief by Kubler-Ross - Answers - DABDA
Denial
Anger
Bargaining
Depression
Acceptance
Types of Loss - Answers - Situational - Divorce, Death
Maturational - Child leaves home, Elder to NH
Unexpected
Anticipatory - Impending
Children with a terminal illness are more concerned with what? - Answers - Illness
interfering with their play time
Generalized anxiety disorder (GAD) - Answers - People with this illness always worry
- Tell them that they are safe, and you are there to help
Tx of generalized anxiety disorder - Answers - CBT
SSRIs or SNRIs
Anti-anxiety meds
May be experienced by a catastrophe survivor such as a victim of rape or someone who
witnessed death or having a close family member/friend experience such an event -
Answers - Traumatic stress response
Tx of OCD - Answers - Desensitization (slow process)
Set limits
ACCURATE ANSWERS
Fetal Alcohol Syndrome - Answers - Microcephaly
Small gestational age (body)
Fail to develop normally
Habituation + Adaptation = - Answers - Tolerance
S/S of heroin use - Answers - Dilated pupils
Drowsiness
Euphoria
Respiratory depression
S/S of heroin use that is main priority - Answers - Respiratory depression
S/S of PCP use - Answers - Increased VS (BP)
Agitated movements
Belligerence
Nonsensical talk
Violence
Bizarre behaviors
S/S of PCP use that is main priority - Answers - Safety
A patient comes into the ER staggering. When the nurses try to get VS on him, he kicks
and fights. He refuses to let anyone touch him and insists that all he wants is to lie
down.
Which blood alcohol level do you expect? - Answers - 0.20% (at least 5 drinks)
Dual diagnosis (or "co-occurring") - Answers - 75% of patients with mental illness abuse
substances
Stress reaction (effect) - Answers - Results from stress of stopping the addictive
behavior
- Anxiety
Affects ANS
- Increased HR
- Increased BP
- Sweating
Rebound symptoms (effect) - Answers - Occur when adaptive changes in the brain that
encounter the effects of the addiction continue despite cessation of the addictive
substance or behavior
,- Low mood
- Fatigue
- Opposite effect of abused drug
S/S of alcohol withdrawal - Answers - Occurs within 6 - 9 hrs
Tremors
HBP
Change in mental status
Prone to seizures
What assessment question should you ask someone who has struggled with alcohol
abuse and is being seen for withdrawal symptoms? - Answers - When was the last time
you had a drink?
Symptoms/behaviors of addiction - Answers - Insomnia
Fatigue
Changes in mood
Weight loss
Anorexia
Overabundant use of mouthwash or toiletries
Unkempt appearance
DUIs
Financial problems
Poverty
Absenteeism from work
Wernicke's encephalopathy - Answers - Acute
Controls language reception
Left temporal lobe
Reversible brain damage
- Tx with thiamine
Korsakoff's syndrome - Answers - Chronic alcohol abuse
Results from severe thiamine deficiency
Not reversible
Brain damage
S/S of anxiety - Answers - Muscle rigidity
Sweating
Dry mouth
- Explore stressors
Denial - Answers - Refusal to acknowledge conflict and thus escapes reality of situation
- A child covered with chocolate refuses to admit eating candy
Displacement - Answers - Redirecting of energies to another person or object
, - A husband shouts at his wife, the wife then berates her child, who then scolds the dog
Projection - Answers - Putting off one's own unacceptable thoughts, wishes, and
emotions onto others
- A woman is afraid to leave her house because she knows people will ridicule her
Rationalization - Answers - Use of a "good" (but not real) reason to explain behavior to
make unacceptable motivation more acceptable
- A student justifies failing an exam by saying there was too much material to cover
Regression - Answers - Coping with present conflict, stress by returning to earlier, more
secure stage of life
- A 4 year old's parents are going through a divorce so she begins to suck her thumb
and wet the bed
Suppression - Answers - Removal of conflict by removing anxiety from consciousness
- A woman with a family history of breast cancer "forgets" her mammogram appointment
Stages of grief by Kubler-Ross - Answers - DABDA
Denial
Anger
Bargaining
Depression
Acceptance
Types of Loss - Answers - Situational - Divorce, Death
Maturational - Child leaves home, Elder to NH
Unexpected
Anticipatory - Impending
Children with a terminal illness are more concerned with what? - Answers - Illness
interfering with their play time
Generalized anxiety disorder (GAD) - Answers - People with this illness always worry
- Tell them that they are safe, and you are there to help
Tx of generalized anxiety disorder - Answers - CBT
SSRIs or SNRIs
Anti-anxiety meds
May be experienced by a catastrophe survivor such as a victim of rape or someone who
witnessed death or having a close family member/friend experience such an event -
Answers - Traumatic stress response
Tx of OCD - Answers - Desensitization (slow process)
Set limits
