Health Proctored Exam 2023-2024 Graded
A+
Bipolar II - ANS--Client has one or more hypomanic episodes alternating with MDD
Bipolar Meds - ANS--Lithium=mood stabilizer
Anticonvulsants such as Valproic Acid (Depakote), Clonazapam, Lamitcal, Gabapentin,
and Topiramate
Benzos such as Lorazepam used on a short term basis
SSRIs such as Prozac
A client in a true manic state will... - ANS--Not stop moving, and does not eat or drink, or
sleep. This can become a medical emergency
Alogia - ANS--Poverty of thought or speech; the client may sit with a visitor but may only
mumble or respond vaguely to questions
Avolition - ANS--Lack of motivation in activities and hygiene
Grandeur - ANS--Believes that she is all powerful and important, like a god
Somatic Delusionals - ANS--Believes that his body is changing in an unusual way, such
as growing a third arm
Depersonalization - ANS--Nonspecific feeling that a person has lose their identity, self is
different or unreal
Wernicke-Korsakoff Expected Finding - ANS--Confusion
Heroin Intoxication Expected Finding - ANS--Respiratory Depression
Reaction of Terminal Cancer Diagnosis - ANS--Denial
Valproic Acid Teaching - ANS--Teach the need to regularly monitor liver function levels
due to the risk of hepatotoxicity
When should Donapezil be taken? - ANS--Bedtime to reduce the risks for injury due to
bradycardia and syncope
Methadone is indicated for TX of.... - ANS--Opiate use disorder
Phenelzine---Finding to report - ANS--Elevated BP: increases risk for hypertensive crisis
,This is an MAOI!
Acute Main---Priority Goal - ANS--Maintain adequate hydration
Binge-eating expected finding - ANS--Abdominal pain
Stage 4 Alzheimers expected finding - ANS--Client is able to identify the names of
family members
Restricting type anorexia expected finding - ANS--Decreased caloric intake due to
excessive fear of weight gain
ECT Potential Complications - ANS--Cardiac arryhthmia
Cocaine intoxication expected finding - ANS--Dilated pupils
Alcohol withdrawal expected findings - ANS--Insomnia and restlessness
Mematine is used to treat - ANS--Severe alzheimers
ADHD teaching - ANS--Ignore child's attention seeking behaviors that are not
dangerous
Rape-Trauma Syndrome finding - ANS--Report of intense guilt
Medication that is given during alcohol detox - ANS--Diazepam
ECT expected findings - ANS--Memory loss
Nausea
Tachycardia
ECT is given for - ANS--Bipolar with rapid cycling
Vagus Nerve Stimulation adverse effects - ANS--Voice changes
Dysphagia
Neck pain
Modeling - ANS--Allows client to see a demonstration of appropriate behaviors in a
stressful situation. The goal is that the client will imitate the behaviors
Systemic Desentization - ANS--Begins with mastering of relaxation techniques. Then a
client is exposed to increasing levels of anxiety-producing stimulus.
Flooding - ANS--Exposing the client to a great deal of undesirable stimulus in an
attempt to turn off anxiety response.
Most useful for phobias
,Thought Stopping - ANS--Teaches a client to say "stop" when a negative thought or
compulsive behavior arises and substitute positive thought. The goal is that the client
with time will use command silently
Eye Movement Desentization and Reprocessing (EMDR) - ANS--Therapy for clients
who have PTSD. Encourages eye focus on a separate stimuli while thinking of or talking
about the traumatic event
PTSD expected findings - ANS--Hallucinations
Recurring nightmares
How is seasonal depression treated? - ANS--Light therapy
Dysthymic Disorder - ANS--Mild form of depression that usually has an early onset,
such as in childhood and lasts at least 2 years in length
St. John's Wort adverse effects - ANS--Photosensitivity
Skin rash
Rapid heart rate
GI distress
Abdominal pain
Depressive disorders are most prevalent in... - ANS--Adults between ages of 15-40
Transpersonal Communication - ANS--Addresses an individual's spiritual needs and
providers interventions to meet those needs
Empathy - ANS--UNDERSTANDING of feelings
Rapid Cycling - ANS--4 or more episodes of acute mania within 1 year
Bipolar I - ANS--Client has at least one episode of mania alternating with major
depression
More severe
Benzo---finding that would indicate questioning the provider - ANS--Hypotension
Alcohol Withdrawal Medication - ANS--Disulfram
Can give____________with lithium - ANS--Valproic Acid
Both treat bipolar
Common adverse effect of Buspirone - ANS--Dizziness
Confusion develops...... - ANS--SLOWLY with alzheimers
, What food type to avoid with Disulfram - ANS--Pure vanilla extract
Conduct Disorder expected finding - ANS--Aggressive behavior toward others
Heroin withdrawal expected findings - ANS--Muscle aches
Derealization - ANS--Perception that environment has changed
Global Assessment of Functioning (GAF Scale) - ANS--Helps to determine a client's
ability to perform ADLs and to function independently
Mileu - ANS--Safe, structured environment that decreases anxiety and distracts the
client from constant thinking and hallucinations
Atypical Antipsychotics - ANS--Treat BOTH positive and negative symptoms of
schizophrenia
Abilify
Geodon
Zyprexa
Seroquel
Risperdal
Clozaril (Clozapine)
Conventional Antipsychotics - ANS--Treat positive symptoms of schizo
Haloperidol (Haldol)
Loxapine
Chlorpromazine (Thorazine)
Fluphenazine
Benzos - ANS--Lorazepam (ativan)
Clonazepam (Klonopin)
Positive Symptoms of Schizo (obvious) - ANS--Hallucinations
Delusions
Use of clang association
Constantly waving arms (bizarre movements)
Spitting - ANS--Client tends to characterize people or things as all good or all bad at any
particular moment
For example, client might say, "You are the worse person in the world!" Later that day,
she might say, "You are best, but the nurse from the last shift is terrible!"
Seen in borderline personality disorder
Cluster A Disorders - ANS--Odd or eccentric traits