Exam (elaborations)
NR-452 Capstone Course Mental_Health_focused_Review_Questions
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- NR-452 Capstone Course
- Institution
- Chamberlain College Nursing
NR-452 Capstone Course
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1. A nurse is caring for a client who is admitted to the unit for self-mutilation. Whattype of behavioral therapy would the nurse expect to be ordered for this client?
Aversion therapy – paring of a maladaptive behavior with a punishment or unpleasant
stimuli to promote a change in the behavior.
2. A nurse is completing a physical assessment on a child. What are three (3)
potential signs of neglect?
Always looking dirty or unclean
Being left alone or in the care of other young children
Eating more than usual or saving food for later
3. A nurse is facilitating group therapy and the group is currently in the working
phase of group development. What is the primary focus during this phase?
Working phase is to promote problem-solving skills to facilitate behavioral changes.
Power and control issues may dominate this phase.
4. A nurse is caring for a client with delirium. What is the onset and clinical
manifestations of this disorder?
Onset is rapid over a short period of time (hours or days)
Manifestations include impairments in memory, judgement, ability to focus, and ability to
calculate, which can fluctuate throughout the day. Disorientation and confusion often
worse at night and early morning. Level of consciousness is usually altered and can
rapidly fluctuate.
5. An older adult client is suspected to abuse alcohol. What questions can the nurse
ask using the CAGE questionnaire?
CAGE questionnaire asks questions of clients to determine how they perceive their
current alcohol use.
Have you ever felt you needed to Cut down on your drinking?
Have people Annoyed you by criticizing your drinking?
Have you ever felt Guilty about drinking?
Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or
to get rid of a hangover?
6. A nurse is caring for a client with an anger disorder. What medications are
commonly prescribed during aggressive/violent episodes? Identify three (3)
nursing considerations when administering these medications.
Haloperidol; monitor for clinical findings of parkinsonian and anticholinergic adverse
effects. Keep client hydrated, check vital signs, and test for muscle rigidity due to the risk
of neuroleptic malignant syndrome.
Olanapine, ziprasidone; used to control aggressive and impulsive behaviors. These are
used more commonly than haloperidol because of the severity of adverse effects of
haloperidol.
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