nurs 465 exam 2 questions with complete solutions
1st generation antipsychotics (typicals) Correct Answers
Haloperidol
Chlorpromazine
acute phase of mania Correct Answers 1.) Medical stabilization
2.) Maintaining safety
3.) Self-care needs (poor hygiene dehydration)
* USUALLY requires hospitalization
* Marked impairment in functioning of mood, cognition,
perception, activity, and behavior.
adjunct medications to antipshycotic therapy Correct Answers
antidepressants
mood stablizers
Akathisia treatment Correct Answers beta blockers,
benzodiazepines
alogia Correct Answers relative absence of speech
AMA Correct Answers patient signs out against medical advice
from inpatient treatment.
- ** Cannot hold patient who presents no risk to self or others
this is false imprisonment **
ANC considerations for clozapine therapy Correct Answers
ANC must be greater than or = to 1500 to initiate treatment.
WBC - must remain above 3500
,Anhedonia Correct Answers inability to experience pleasure
anticipatory grieving Correct Answers acknowledging that the
loss is inevitable and preparing emotionally for it
antidepressant drugs Correct Answers moa: increased
availability of serotonin, Norepi., and dopamine.
s/e: HTN, heart block, tachycardia, dizziness, sedation, apetite
changes, ED, nausea, vomiting, dry mouth, urinary retention
APD (advanced psychiatric directive) Correct Answers an
APD identifies a patients treatment choices and surrogate
decision maker.
assessment when using restraints Correct Answers Assess &
meet basic needs of the patient
When in restraints: Routinely release restraints for ROM Assess
circulatory status of extremities
Ensure elimination needs are met
autistic thinking Correct Answers restricts thinking to the
literal and immediate so that the individual has private rules of
logic and reasoning that make no sense to anyone else
Avolition Correct Answers a symptom of schizophrenia
marked by apathy and an inability to start or complete a course
of action
,berevement Correct Answers acknowledgement of the
objective fact that one has experienced a death and the period of
grief and mourning after a death.
best treatment choice for a patient that has rapid cycling disorder
Correct Answers anticonvulsant drugs
- more effective with no family hx of bipolar
BIOLOGICAL THEORIEs of depression Correct Answers -
Genetic theory
- Neurotransmitter theories - catecholamines, dopamine,
noriepinephrine
- Structural and functional brain abnormalities
- Neuroendocrine factors
blood tests for clozapine therapy Correct Answers initial blood
test to check that you have a normal level of white blood cells
before you first start on Clozapine.
If this is OK and you begin treatment with Clozapine, you will
need to have a blood test on day 3 of treatment and then every
week for 18 weeks.
Broset Violence Checklist Correct Answers confusion,
irritability, boisterousness, physically threatening, verbally
threatening, attacking objects;
scores aggression risk and is good risk indicator for up to 24
hours
score of 1-2 - risk is moderate
, score of 2+ - risk is very high
Carbamazepine (Tegretol) use in mental health Correct
Answers acute mania, mixed and rapid cycling mania
Catharsis Correct Answers a release of emotional tension
chronic aggression medications Correct Answers
Anticonvulsants: carbamazepine, valproic acid
ß-blockers: propranolol
2nd generation antipsychotics
Longer acting benzodiazepines such as clonazepam
Circumstantiality Correct Answers delay in reaching the point
of a communication because of unnecessary and tedious details
clang associations Correct Answers the stringing together of
words that rhyme but have no other apparent link
Clozapine (Clozaril) Correct Answers use: treatment-resistant
schizophrenia that also has been shown to reduce the risk of
suicide and suicidal ideation in patients with schizophrenia
moa: antagonistic effects at serotonin receptors and enhances
serotonin release
Clozapine side effects Correct Answers agranulocytois
(requires weekly Wbc count), neutropenia and seizures
complicated greif Correct Answers Person void of emotion;
1st generation antipsychotics (typicals) Correct Answers
Haloperidol
Chlorpromazine
acute phase of mania Correct Answers 1.) Medical stabilization
2.) Maintaining safety
3.) Self-care needs (poor hygiene dehydration)
* USUALLY requires hospitalization
* Marked impairment in functioning of mood, cognition,
perception, activity, and behavior.
adjunct medications to antipshycotic therapy Correct Answers
antidepressants
mood stablizers
Akathisia treatment Correct Answers beta blockers,
benzodiazepines
alogia Correct Answers relative absence of speech
AMA Correct Answers patient signs out against medical advice
from inpatient treatment.
- ** Cannot hold patient who presents no risk to self or others
this is false imprisonment **
ANC considerations for clozapine therapy Correct Answers
ANC must be greater than or = to 1500 to initiate treatment.
WBC - must remain above 3500
,Anhedonia Correct Answers inability to experience pleasure
anticipatory grieving Correct Answers acknowledging that the
loss is inevitable and preparing emotionally for it
antidepressant drugs Correct Answers moa: increased
availability of serotonin, Norepi., and dopamine.
s/e: HTN, heart block, tachycardia, dizziness, sedation, apetite
changes, ED, nausea, vomiting, dry mouth, urinary retention
APD (advanced psychiatric directive) Correct Answers an
APD identifies a patients treatment choices and surrogate
decision maker.
assessment when using restraints Correct Answers Assess &
meet basic needs of the patient
When in restraints: Routinely release restraints for ROM Assess
circulatory status of extremities
Ensure elimination needs are met
autistic thinking Correct Answers restricts thinking to the
literal and immediate so that the individual has private rules of
logic and reasoning that make no sense to anyone else
Avolition Correct Answers a symptom of schizophrenia
marked by apathy and an inability to start or complete a course
of action
,berevement Correct Answers acknowledgement of the
objective fact that one has experienced a death and the period of
grief and mourning after a death.
best treatment choice for a patient that has rapid cycling disorder
Correct Answers anticonvulsant drugs
- more effective with no family hx of bipolar
BIOLOGICAL THEORIEs of depression Correct Answers -
Genetic theory
- Neurotransmitter theories - catecholamines, dopamine,
noriepinephrine
- Structural and functional brain abnormalities
- Neuroendocrine factors
blood tests for clozapine therapy Correct Answers initial blood
test to check that you have a normal level of white blood cells
before you first start on Clozapine.
If this is OK and you begin treatment with Clozapine, you will
need to have a blood test on day 3 of treatment and then every
week for 18 weeks.
Broset Violence Checklist Correct Answers confusion,
irritability, boisterousness, physically threatening, verbally
threatening, attacking objects;
scores aggression risk and is good risk indicator for up to 24
hours
score of 1-2 - risk is moderate
, score of 2+ - risk is very high
Carbamazepine (Tegretol) use in mental health Correct
Answers acute mania, mixed and rapid cycling mania
Catharsis Correct Answers a release of emotional tension
chronic aggression medications Correct Answers
Anticonvulsants: carbamazepine, valproic acid
ß-blockers: propranolol
2nd generation antipsychotics
Longer acting benzodiazepines such as clonazepam
Circumstantiality Correct Answers delay in reaching the point
of a communication because of unnecessary and tedious details
clang associations Correct Answers the stringing together of
words that rhyme but have no other apparent link
Clozapine (Clozaril) Correct Answers use: treatment-resistant
schizophrenia that also has been shown to reduce the risk of
suicide and suicidal ideation in patients with schizophrenia
moa: antagonistic effects at serotonin receptors and enhances
serotonin release
Clozapine side effects Correct Answers agranulocytois
(requires weekly Wbc count), neutropenia and seizures
complicated greif Correct Answers Person void of emotion;
