HCD MOD B Questions with Correct Solutions
Question:
1. whats the difference between primary and secondary gain ?
Answer:
primary gain refer to the individual desire to relieve anxiety Secondary gain refers to the
attention or support the individual derives from others because of the illness
Question:
2. GAD nursing interventions
Answer:
1. Provide a calm quiet environment
2. Ask pts to identify what & how they feel.
3. Encourage pts to describe & discuss their feelings with you.
4. Help pt identify possible causes of their feelings.
5. Listen carefully to pts' expressions of helplessness & hopelessness.
6. Ask pts whether they feel suicidal or have a plan to harm self.
7. Plan & involve pts in activities such as going for walks or playing recreational games.
Question:
3. What would it be like to have a panic attack ?
Answer:
educate both pt and partner on what a panic disorder and the experience your not loosing
your mind you will not die during the attack
Question:
4. what are the key interventions for a panic attack ?
Answer:
• Stay with pt.
• Maintain calm demeanor and tone
• Speak in short, simple sentences
• Hyperventilation?
• Allow release of tension and energy...how?
• Communicate safety
• Decrease environmental stimuli
• Encourage expression of perceptions or fears
Question:
5. what is Obsession?
,Answer:
Obsessions: recurrent, persistent, thoughts, ideas, impulses or images intrusive thoughts
senseless in nature ego-dystonic and therefore stressful and anxiety-provoking
Question:
6. what is compulsions ?
Answer:
repetitive behaviors such as washing , cleaning, coating checking performed in a particular
manner in response to an anxiety produced obsession
Question:
7. what are the key nursing intervention for OCD ?
Answer:
1. Ensure basic needs are met (i.e., food, rest, grooming).
2. Provide time to perform rituals
3. Explain expectations, routines, & changes.
4. Be empathetic toward pt & their need to perform rituals
5. Assist with connecting behaviors & feelings.
6. Structure simple activities, games, & tasks.
7. Reinforce & recognize positive nonritualistic behaviors
Question:
8. what are the key nursing intervention for PTSD ? 1-8
Answer:
1. Be nonjudgmental & honest; offer empathy & support; acknowledge any unfairness or
injustices r/t trauma
2. Assure pts feelings & behaviors are typical reactions of serious trauma
3. Help pts recognize connections btw. trauma & current feelings, behaviors, and problems
4. Help pt evaluate past behaviors in the context of the trauma, not in the context of values &
standards
5. Encourage safe verbalization of feelings, especially anger
6. Encourage adaptive coping strategies, exercise, relaxation techniques, & sleeppromoting
strategies
7. Facilitate progressive review of the trauma and its consequences
8. Encourage pts to establish & re-establish relationships
Question:
9. what does research say about PTSD ?
Answer:
PTSD and TBI result in greater report of post-concussive symptomology than either condition
alone
, Question:
10. patients who did not delve PTSD receive what after injury , and what about who did
develop PTSD ?
Answer:
who did not 76% received morphine who did develop PTSD 61% received morphine
Question:
11. how can you prevent PTSD ?
Answer:
more effective pain relief at the time of the trauma diminishes the amount of distress
associated with it neuro-physiologically, memory consolidation is decreased
Question:
12. medications for GAD
Answer:
BuSpar, SSRI, SNRI, BENZO
Question:
13. medications for OCD
Answer:
SSRI usually at a higher dose than for depression
Question:
14. medications for PTSD
Answer:
antidepressants, particularly SSRIs, antipsychotics, mood stabilizers (Lithium,
anticonvulsant)
Question:
15. what is addiction defined as ?
Answer:
defined as a psychological or physical need for a substance or process to the extent that the
individual will risk negative consequences in an attempt to meet the need.
Question:
16. what is a addictive behavior defined as ?
Question:
1. whats the difference between primary and secondary gain ?
Answer:
primary gain refer to the individual desire to relieve anxiety Secondary gain refers to the
attention or support the individual derives from others because of the illness
Question:
2. GAD nursing interventions
Answer:
1. Provide a calm quiet environment
2. Ask pts to identify what & how they feel.
3. Encourage pts to describe & discuss their feelings with you.
4. Help pt identify possible causes of their feelings.
5. Listen carefully to pts' expressions of helplessness & hopelessness.
6. Ask pts whether they feel suicidal or have a plan to harm self.
7. Plan & involve pts in activities such as going for walks or playing recreational games.
Question:
3. What would it be like to have a panic attack ?
Answer:
educate both pt and partner on what a panic disorder and the experience your not loosing
your mind you will not die during the attack
Question:
4. what are the key interventions for a panic attack ?
Answer:
• Stay with pt.
• Maintain calm demeanor and tone
• Speak in short, simple sentences
• Hyperventilation?
• Allow release of tension and energy...how?
• Communicate safety
• Decrease environmental stimuli
• Encourage expression of perceptions or fears
Question:
5. what is Obsession?
,Answer:
Obsessions: recurrent, persistent, thoughts, ideas, impulses or images intrusive thoughts
senseless in nature ego-dystonic and therefore stressful and anxiety-provoking
Question:
6. what is compulsions ?
Answer:
repetitive behaviors such as washing , cleaning, coating checking performed in a particular
manner in response to an anxiety produced obsession
Question:
7. what are the key nursing intervention for OCD ?
Answer:
1. Ensure basic needs are met (i.e., food, rest, grooming).
2. Provide time to perform rituals
3. Explain expectations, routines, & changes.
4. Be empathetic toward pt & their need to perform rituals
5. Assist with connecting behaviors & feelings.
6. Structure simple activities, games, & tasks.
7. Reinforce & recognize positive nonritualistic behaviors
Question:
8. what are the key nursing intervention for PTSD ? 1-8
Answer:
1. Be nonjudgmental & honest; offer empathy & support; acknowledge any unfairness or
injustices r/t trauma
2. Assure pts feelings & behaviors are typical reactions of serious trauma
3. Help pts recognize connections btw. trauma & current feelings, behaviors, and problems
4. Help pt evaluate past behaviors in the context of the trauma, not in the context of values &
standards
5. Encourage safe verbalization of feelings, especially anger
6. Encourage adaptive coping strategies, exercise, relaxation techniques, & sleeppromoting
strategies
7. Facilitate progressive review of the trauma and its consequences
8. Encourage pts to establish & re-establish relationships
Question:
9. what does research say about PTSD ?
Answer:
PTSD and TBI result in greater report of post-concussive symptomology than either condition
alone
, Question:
10. patients who did not delve PTSD receive what after injury , and what about who did
develop PTSD ?
Answer:
who did not 76% received morphine who did develop PTSD 61% received morphine
Question:
11. how can you prevent PTSD ?
Answer:
more effective pain relief at the time of the trauma diminishes the amount of distress
associated with it neuro-physiologically, memory consolidation is decreased
Question:
12. medications for GAD
Answer:
BuSpar, SSRI, SNRI, BENZO
Question:
13. medications for OCD
Answer:
SSRI usually at a higher dose than for depression
Question:
14. medications for PTSD
Answer:
antidepressants, particularly SSRIs, antipsychotics, mood stabilizers (Lithium,
anticonvulsant)
Question:
15. what is addiction defined as ?
Answer:
defined as a psychological or physical need for a substance or process to the extent that the
individual will risk negative consequences in an attempt to meet the need.
Question:
16. what is a addictive behavior defined as ?
