NURS 215/ NURS215 EXAM 1 NEWEST
ACTUAL EXAM (2 VERSIONS) WITH
COMPLETE QUESTIONS AND DETAILED
VERIFIED ANSWERS GRADED A+ | 100%
VERIFIED | 2024 UPDATE!!!
what are the causes of delirium - ✔✔✔ Correct Answer >
- post-op state
- intoxicated
- alcohol withdrawal
- infections
- metabolic disorders
- prescribed drugs
- neurological disorders
- tumors (cerebral)
- psychosocial stressors
· Substance or medication-induced psychotic disorder
· Can be r/t another medical condition
,· Delusional disorder
· Caused by the overactivity of neurotransmitters - ✔✔✔
Correct Answer > psychosis
Tx: traditional antipsychotics (i.e. Haldol)
what are the 3 subtypes of delirium? - ✔✔✔ Correct
Answer > - mixed (combo of both)
- hyperactive (restless, pacing, agitation, rapid mood swings,
hallucinations)
- hypoactive (decreased motor activity, sluggishness,
drowsiness, dazed
- motor disorder caused by antipsychotics & other drugs
- S/S: acute dyskinesia, dystonic reactions, tardive dyskinesia,
parkinsonism, akinesia, akathisia, neuroleptic malignant
syndrome (NPS) - ✔✔✔ Correct Answer >
extrapyramidal symptoms (EPS)
- life-threatening motor disorder caused by some antipsychotics
- severe muscle rigidity, hyperpyrexia, altered LOC, stupor,
labile HTN, tachycardia, diaphoresis, drooling
,- S/S: fever over 103, elevated CPK & WBC, VS instability,
encephalopathy, rigidity - ✔✔✔ Correct Answer >
neuroleptic malignant syndrome (NMS)
morbid fear associated with extreme anxiety - ✔✔✔ Correct
Answer > Phobia
false belief that is firmly maintained, even though it's not
shared by others & is contradicted by reality - ✔✔✔ Correct
Answer > Delusion
filling in memory gaps with situations or events that can't be
remembered - ✔✔✔ Correct Answer > Confabulation
abnormal condition that is often manifested by motor
restlessness, such as the inability to sit still or by feeling the
need to pace - ✔✔✔ Correct Answer > Akathisia
neuro movement disorder characterized by involuntary muscle
contractions, generally in the face, tongue, neck, & jaw - ✔✔✔
Correct Answer > Dystonia
, shuffling gait, drooling, tremors, muscle rigidity - ✔✔✔
Correct Answer > Parkinson's disease
- neuro movement disorder characterized by involuntary
muscle contractions
- can be a side effect of some 1st gen antipsychotics
- S/S: sticking out tongue, puckering lips, lip smacking, puffing
cheeks, chewing mvmts - ✔✔✔ Correct Answer >
Tardive dyskinesia
Class: phenothiazine (antipsychotic)
O: neuro
C: hypersensitivity, cross-hypersensitivity to phenothiaines,
angle-closure glaucoma, bone marrow depression, liver disease
or CV disease, lacting
S: sedation, hypotension, photosensitivity, blurry vision, dry
eyes, constipation, dry mouth
K: use sunscreen, no CNS depressants, don't take antacids or
antidiarrheals within 2h of taking - ✔✔✔ Correct Answer
> Chlorpromazine / Thorazine
