Finals
1. Conduct Disorder (Cruelty to Demonstrate a persistent pattern of behavior that violates the rights
Animals) of others or rules/norms of society.
In simpler words… CONDUCT DISORDER = BREAKS LAWS! MAKE
SURE THEY ARE AWARE OF THE RULES OF THE UNIT AND ANY
CONSEQUENCES OF VIOLATING THOSE RULES
Categories include:
*Assess Aggression towards people & animals
*Destruction property
*Deceitfulness or theft
*Serious violation of rules
2. Alcohol Abuse It declines as you age!
3. A nurse is caring for a client with a. You are being unreasonable
bipolar disorder. Client comes to the b. Go back to your room & I will get in touch later
nurses’ station at 3 am asking the c. I can’t call the doctor until later unless it’s an emergency
nurse to call the doctor. Which d. You seem upset, can I help you?
response is the most appropriate?
4. Benztropine (Cogentin) Why is it given?
*To treat Parkinson disease and also to control tremors and
stiffness of the muscles due to antipsychotic medications
(antipsychotics 1st-gen)
Treats EPS symptoms: (usually the 1st choice – can be given PPX
*Acute dystonia- severe spasm of the tongue, neck, face, & back
(crisis)
*Parkinsonism- bradykinesia, rigidity, shuffling gait, tremors,
drooling
*Akathisia- inability to sit/stand still & continual pacing & agitation.
*Tardive dyskinesia- late EPS, involuntary movement of tongue &
face, such as lip smacking & tongue fasciculation, involuntary
movement of arms, legs, & trunk.
5. A client is sleepwalking. The nurse a. Clutter free
should include following discharge b. Sleep on the ground floor
(SATA) c. Lock doors & windows
d. Alarm on bed
e. Hide car keysc
, DO NOT rearrange furniture
6. A client fell & had an abrasion on the Anyone who actually SAW the incident can write it (NOT he said,
forehead. Who can write an incident she said):
report/variance report? *CNA, LVN, or RN
the person who witnessed the fall (cosigned by the RN)
7. S/S of Acute Grief Grief is the inner emotional response to loss & is exhibited in as many
ways as there are individuals.
Emotional S/S: anger, restlessness, resentment, withdrawal,
hopelessness, & guilt
Somatic S/S: chest pain (tightness), palpitations, headaches, nausea,
changes in sleep, fatigue
8. S/S of ADHD Inability of a person to control behaviors requiring sustained
attention
S/S: impulsive, hyperactive, inattention, & not able to focus well
9. Erikson’s Stages of Development Trust vs. Mistrust (Infancy 0-1½ years)
*Forming attachment to mother, which lays foundation for later trust
in others.
Autonomy vs. Shame & Doubt (Early Childhood 1½-3 years)
*Gaining some basic control of self & environment (toilet training,
exploration)
Initiative vs. Guilt (Preschool 3-6 years)
*Becoming purposeful & directive
Industry vs. Inferiority (School Age 6-12 years)
*Developing social, physical, & school skills
Identity vs. Role Confusion (Adolescence 12-20 years)
*Making transition from childhood to adulthood; developing sense of
identity
Intimacy vs. Isolation (Early Adulthood 20-25 years)
*Establishing intimate bonds of love & friendship
Generativity vs. Self-Absorption (Middle Adulthood 35-65 years)
*Fulfilling life goals that involve family, career, & society; developing
concerns that embrace future generations
Integrity vs. Despair (Later Years 65 years-death)
*Looking back over one’s life & accepting its meaning
10. Ziprasidone (Geodon) 40 mg b.i.d. The medication affects both dopamine & serotonin, so it can be used
Is it a safe dose? – YES! for clients who have concurrent depression.
**It has a low risk of EPS, diabetes, weight gain, & dyslipidemia
11. Antipsychotic 2nd-gen (Atypical)
Therapeutic Range:
*Oral: 100 mg MAX per day (although greater than 80 mg is not
recommended)
*IM: 40 mg MAX per day
12. Clozapine (Clozaril) WBC count: 5,000-10,000
Absolute neutrophil count: 2,000+
13. Antipsychotic 2nd-gen (Atypical) Agranulocytosis
, If it is increased, what do you do?
a. Hold the medication; infectious process – take vitals – assess
for fever
14. A young female has experienced Self-esteem disturbances
partner violence. The client is most
likely at risk for the following
findings:
15. Denial Pretending the truth is not reality to manage the anxiety of
acknowledging what is real.
16. A LOT of alcoholics/substance users >>>Example:
use this defense mechanism! * You have a nurse who is abusing alcohol. She is questioned by her
supervisor.
*A parent who is informed that his son was killed in combat tells
everyone he is coming home for the holidays.
*A man reacts to the death of a loved one by saying, “No, I don’t
believe you,” to initially protect himself from the overwhelming news.
* A woman whose husband died 3 years earlier still keeps his clothes
in the closet & talks about him in present tense
17. Projection Blaming others for unacceptable thoughts & feelings
>>>Example:
*A young adult blames his substance use disorder on his parents’
refusal to buy him a new car.
*A woman who has a repressed an attraction toward other women
refuses to socialize. She fears another woman will make homosexual
advances toward her.
18. Rationalization Creating reasonable & acceptable explanations for unacceptable
behavior
>>>Example:
*A young adult explains he had to drive home from a party after
drinking alcohol because he had to feed his dog.
*An employee says, “I didn’t get a raise because the boss doesn’t like
me.”
*A man who thinks his son was fathered by another man excuses his
malicious treatment of the boy y saying, “He is lazy & disobedient,”
when that is not the case.
19. Oppositional Defiant Disorder Nursing Diagnosis: Risk for Violence
Usually… This disorder is characterized by a recurrent pattern of the following
*Aggressive to others antisocial behaviors:
*Vindictive *Negativity
*Disobedience
*Hostility
*Defiant behaviors (toward authority)
*Stubbornness
*Argumentativeness
*Limit testing
*Unwilling to compromise
*Refusal to accept responsibility for misbehavior
-Misbehavior is seen at home toward the best known person (mom or
dad)
-Children who have this disorder DO NOT see themselves as defiant &
view their behavior as a response to unreasonable demands
-Have low-self esteem, mood lability, & low frustration threshold.
**ODD can develop into Conduct Disorder**
1. Conduct Disorder (Cruelty to Demonstrate a persistent pattern of behavior that violates the rights
Animals) of others or rules/norms of society.
In simpler words… CONDUCT DISORDER = BREAKS LAWS! MAKE
SURE THEY ARE AWARE OF THE RULES OF THE UNIT AND ANY
CONSEQUENCES OF VIOLATING THOSE RULES
Categories include:
*Assess Aggression towards people & animals
*Destruction property
*Deceitfulness or theft
*Serious violation of rules
2. Alcohol Abuse It declines as you age!
3. A nurse is caring for a client with a. You are being unreasonable
bipolar disorder. Client comes to the b. Go back to your room & I will get in touch later
nurses’ station at 3 am asking the c. I can’t call the doctor until later unless it’s an emergency
nurse to call the doctor. Which d. You seem upset, can I help you?
response is the most appropriate?
4. Benztropine (Cogentin) Why is it given?
*To treat Parkinson disease and also to control tremors and
stiffness of the muscles due to antipsychotic medications
(antipsychotics 1st-gen)
Treats EPS symptoms: (usually the 1st choice – can be given PPX
*Acute dystonia- severe spasm of the tongue, neck, face, & back
(crisis)
*Parkinsonism- bradykinesia, rigidity, shuffling gait, tremors,
drooling
*Akathisia- inability to sit/stand still & continual pacing & agitation.
*Tardive dyskinesia- late EPS, involuntary movement of tongue &
face, such as lip smacking & tongue fasciculation, involuntary
movement of arms, legs, & trunk.
5. A client is sleepwalking. The nurse a. Clutter free
should include following discharge b. Sleep on the ground floor
(SATA) c. Lock doors & windows
d. Alarm on bed
e. Hide car keysc
, DO NOT rearrange furniture
6. A client fell & had an abrasion on the Anyone who actually SAW the incident can write it (NOT he said,
forehead. Who can write an incident she said):
report/variance report? *CNA, LVN, or RN
the person who witnessed the fall (cosigned by the RN)
7. S/S of Acute Grief Grief is the inner emotional response to loss & is exhibited in as many
ways as there are individuals.
Emotional S/S: anger, restlessness, resentment, withdrawal,
hopelessness, & guilt
Somatic S/S: chest pain (tightness), palpitations, headaches, nausea,
changes in sleep, fatigue
8. S/S of ADHD Inability of a person to control behaviors requiring sustained
attention
S/S: impulsive, hyperactive, inattention, & not able to focus well
9. Erikson’s Stages of Development Trust vs. Mistrust (Infancy 0-1½ years)
*Forming attachment to mother, which lays foundation for later trust
in others.
Autonomy vs. Shame & Doubt (Early Childhood 1½-3 years)
*Gaining some basic control of self & environment (toilet training,
exploration)
Initiative vs. Guilt (Preschool 3-6 years)
*Becoming purposeful & directive
Industry vs. Inferiority (School Age 6-12 years)
*Developing social, physical, & school skills
Identity vs. Role Confusion (Adolescence 12-20 years)
*Making transition from childhood to adulthood; developing sense of
identity
Intimacy vs. Isolation (Early Adulthood 20-25 years)
*Establishing intimate bonds of love & friendship
Generativity vs. Self-Absorption (Middle Adulthood 35-65 years)
*Fulfilling life goals that involve family, career, & society; developing
concerns that embrace future generations
Integrity vs. Despair (Later Years 65 years-death)
*Looking back over one’s life & accepting its meaning
10. Ziprasidone (Geodon) 40 mg b.i.d. The medication affects both dopamine & serotonin, so it can be used
Is it a safe dose? – YES! for clients who have concurrent depression.
**It has a low risk of EPS, diabetes, weight gain, & dyslipidemia
11. Antipsychotic 2nd-gen (Atypical)
Therapeutic Range:
*Oral: 100 mg MAX per day (although greater than 80 mg is not
recommended)
*IM: 40 mg MAX per day
12. Clozapine (Clozaril) WBC count: 5,000-10,000
Absolute neutrophil count: 2,000+
13. Antipsychotic 2nd-gen (Atypical) Agranulocytosis
, If it is increased, what do you do?
a. Hold the medication; infectious process – take vitals – assess
for fever
14. A young female has experienced Self-esteem disturbances
partner violence. The client is most
likely at risk for the following
findings:
15. Denial Pretending the truth is not reality to manage the anxiety of
acknowledging what is real.
16. A LOT of alcoholics/substance users >>>Example:
use this defense mechanism! * You have a nurse who is abusing alcohol. She is questioned by her
supervisor.
*A parent who is informed that his son was killed in combat tells
everyone he is coming home for the holidays.
*A man reacts to the death of a loved one by saying, “No, I don’t
believe you,” to initially protect himself from the overwhelming news.
* A woman whose husband died 3 years earlier still keeps his clothes
in the closet & talks about him in present tense
17. Projection Blaming others for unacceptable thoughts & feelings
>>>Example:
*A young adult blames his substance use disorder on his parents’
refusal to buy him a new car.
*A woman who has a repressed an attraction toward other women
refuses to socialize. She fears another woman will make homosexual
advances toward her.
18. Rationalization Creating reasonable & acceptable explanations for unacceptable
behavior
>>>Example:
*A young adult explains he had to drive home from a party after
drinking alcohol because he had to feed his dog.
*An employee says, “I didn’t get a raise because the boss doesn’t like
me.”
*A man who thinks his son was fathered by another man excuses his
malicious treatment of the boy y saying, “He is lazy & disobedient,”
when that is not the case.
19. Oppositional Defiant Disorder Nursing Diagnosis: Risk for Violence
Usually… This disorder is characterized by a recurrent pattern of the following
*Aggressive to others antisocial behaviors:
*Vindictive *Negativity
*Disobedience
*Hostility
*Defiant behaviors (toward authority)
*Stubbornness
*Argumentativeness
*Limit testing
*Unwilling to compromise
*Refusal to accept responsibility for misbehavior
-Misbehavior is seen at home toward the best known person (mom or
dad)
-Children who have this disorder DO NOT see themselves as defiant &
view their behavior as a response to unreasonable demands
-Have low-self esteem, mood lability, & low frustration threshold.
**ODD can develop into Conduct Disorder**
