NFDN 2007 PPT UNIT 7 TO 12
Sharon "sterilizes" her towels with bleach and hot water in the
washing machine. She then wipes every surface she is going to
touch with rubbing alcohol and these sterile towels. Today she
has been admitted for a ruptured diverticulum and is
ambulatory but hooked up to IV medications. What is the
appropriate intervention for the first day or two of care in
terms of Sharon's need to perform these rituals?
A. permit this behavior to continue=
in OCD if interval are stopped their anxiety goes up intervals are repeated over and
over
A Panic Disorder is sometimes confused as which
DX?
A. Heart Attack
B. Stomachache
C. Headache
D. Delusion
A. Heart Attack
What are the differences between
anxiety and fear?
A. Fear gives way to anxiety or unease
B. Anxiety is the unpleasant emotion caused by a belief.
C. Fear is an idiosyncratic belief or impression.
D. Characteristic of the trigger or stimulus.
A. Fear gives way to anxiety or unease
anxiety= characterized by the- apprehension or dread of a
potentially threatening outcome
fear= is emotional response toa specific a proximal threat
Transient psychotic symptoms that occur with
borderline personality disorder are most likely
treated with which of the following?
A. Anticonvulsant mood stabilizers
B. Antipsychotics
C. Benzodiazepines
D. Lithium
B. Antipsychotics
True or False
Clients with borderline personality disorder may engage
in self-mutilation behavior as a means of dealing with
intense emotions
True
What is a priority at Risk Nursing DX for a patient
with Delirium in a confused state?
,A. Risk for suicide
B. Risk for injury
C. Risk for malnutrition
D. Risk for electrolyte imbalance
Risk for injury
Taylor is in the school cafeteria line when she feels as if she is
suffocating, her heart rate increases, and she has chest pain,
sweating, nausea, and dizziness. She runs out of the cafeteria,
leaving her books and backpack behind. When you find her
outside a few minutes later, she is calming down but is scared
something is wrong with her heart.
What other disorder do these symptoms indicate?
A. PTSD
B. Panic
C. Agoraphobia
D. Generalized anxiety
Panic
True or False
Norepinephrine is implicated in Anxiety
Disorders?
true
activates the amygdala behaviour
brain,ar-related
↑ "implicated inning
↳ too much anxiety
to little's depression
highly addictive
highly addictive
A client is experiencing delusions and
hallucinations.
What is the best response from the nurse?
A. Check on the client every 30 minutes and remind them to use their call
bell.
B. Lay them flat in bed, provide extra covers and lift all four bed rails
C. Provide the patient with padded bedrails and give a PRN.
D. Stay with the client or check frequently
Stay with the client or check frequently
True or False
GABA is the amino acid neurotransmitter believed
to be dysfunctional in anxiety disorders?
true
gaba-inhibitory
Which of the following is a physiologic outcome
to stress?
,A. Emotions
B. Intense emotions—disturbance in intellectual functioning
C. Feeling challenged or threatened
D. Sympathetic response
Sympathetic response
A person comes into the ER complaining of an
elephant crushing on their chest, as a nurse what
are you going to assess?
A. Back
B. Medication History
C. Anxiety History
D. Chest what is causing the "elephant crushing" symptom
D. Chest what is causing the "elephant crushing" symptom
Your patient is diagnosed with GAD.
Which of the following symptoms best explain
what a client DX. With GAD would experience?
A. Fear and anxiety
B. Hopelessness and future-oriented
C. Powerlessness and content
D. Frustrated and hopeless
Frustrated and hopeless
The nurse is planning the care of a 14-year-old boy who
has been diagnosed with psychosis following a referral
from the community.
Which of the following nursing diagnoses should the
nurse prioritize when planning this child's care?
A. Social isolation due to atypical social interactions.
B. Risk for impaired attachment due to impaired cognition.
C. Risk for injury due to impaired judgment.
D. Chronic confusion due to impaired cognition.
C. Risk for injury due to impaired judgment
True or False
Panic can be normal, often initiated when a person is put
in a real or perceived life-threatening situation?
true
Which of the following are an example of Systemic
Desensitization.
A . The three c's - cognitive therapy
B . Utilizing distraction
C . Exposing the client to their fear
D . Incorporating breathing and relaxation
Exposing the client to their fear
True or False
Agoraphobia is a type of panic disorder that
, results when they are in high places?
false
AGORAPHOBIA Fear of being in an open space, being alone, or being
in a public space
where escape might be difficult
Which of the following is an assessment to rate a
clients anxiety level?
A. MSE= mental state examination
B. DSM 5
C. HAM A =hamilton anxiety rating scale
D. Anything used online works
HAM A
Your patient is diagnosed with Acute Stress
Disorder. They are sitting close to the door and
looking at the wall.
Which of the following best describes what your
patient is experiencing.?
A. Amnesia
B. Dissociation
C. Avoidance
D. Marked Arousal
Avoidance
Your patient is diagnosed with Acute Stress
Disorder.
Which of the following best describes dissociation
what your patient is experiencing.?
A. Numb
B. Happy
C. Hyperactive
D. Fatigue
Numb & depersonalized -
being detached from one's body or mental processes
If you suspect your client/patient is being abused
by someone what would be the most appropriate
approach?
A. Straight forward=ALWAYS the approach in mental health
B. Call 911
C. Separate the client from others and interview separately =separating is notan
approach in mental health
D. Contact the doctor - police needs to be involved.
Straight forward
What type of disorder is characterized by
someone thinking someone else is out to get
them?
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