NUR 326 MENTAL HEALTH EXAM #2 DUE 10TH JULY 2024/2025
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Course
Mental health
Institution
Mental Health
NUR 326 MENTAL HEALTH EXAM #2
DUE 10TH JULY 2024/2025
A community nurse arrives at a patient's home who has been diagnosed with bulimia
nervosa. The nurse finds the client unconscious on the floor. The client has a history of
abusing laxatives and purging. To what would the nurse attribute th...
NUR 326 MENTAL HEALTH EXAM #2 DUE 10TH JULY 2024/ 2025 A community nurse arrives at a patient's home who has been diagnosed with bulimia nervosa. The nurse finds the client unconscious on the floor. The client has a history of abusing laxatives and purging. To what would the nurse attribute the client's sympto ms? A. Increased creatinine and blood urea nitrogen (BUN) levels. B. Abnormal electroencephalopgram (EEG). C. Metabolic Acidosis. D. Metabolic Alkalosis. - CORRECT ANSWER -C. Metabolic Acidosis. A client who is 5' 6" tall and weighs 98 lbs is admitted with a medical diagnosis of anorexia nervosa. What is the primary nursing diagnosis at this time? A. Ineffective coping R/T food obession. B. Altered nutrition: less than body requirements R/T inad equate food intake. C. Risk for injury R/T suicidal tendencies. D. Altered body image R/T perceived obesity. - CORRECT ANSWER -B. Altered nutrition: less than body requirements R/T inadequate food intake. Jill is a patient being seen for bulimia nervosa. She just came back to the unit from lunch and her roommate tells you she is throwing up in the bathroom. The nurse should expect to: A. Restrict the patient to the unit for future meals. B. Plan to monitor patient for 1 hour after meals to keep patient from purging. C. Take away phone privileges from the patient until she can demonstrate healthy and compliant behavior. D. Put the patient on 1 to 1 observations for safety. - CORRECT ANSWER -B. Plan to monitor patient for 1 hour after meals to keep patie nt from purging. The environment in the home can be a major influence in the development of eating disorders. Which home environment could be associated with the development of an eating disorder? A. The home environment places an overemphasis on food. B. The home environment places loose personal boundaries. C. The home environment has the kids in after school activities. D. The home environment is overprotective and demands perfection. - CORRECT ANSWER -D. The home environment is overprotective and demands perfection. ----- - CORRECT ANSWER ------- fatigue - CORRECT ANSWER -"a subjective lack of physical and/or mental energy that is perceived by the individual or caregiver to interfere with usual and desired activities" scope of fatigue - CORRECT ANSWER -No fatigue (full functional status), mild fatigue, moderate fatigue, exhaustion (impaired functional status) Markowitz and Rabow three defining characteristics: - CORRECT ANSWER --perception of generalized weakness, result ing in inability to initiate certain activities -easy fatiguability and the reduced capacity to maintain performance -mental fatigue resulting in impaired concentration and loss of memory and emotional stability normal physiological process for fatigue - CORRECT ANSWER --fatigue can be considered an expected symptom experienced by healthy individuals, but it is not considered a normal or expected finding when fatigue is persistent or severe -in healthy individuals, fatigue is received by physical and/or co gnitive rest categories of fatigue - CORRECT ANSWER --each classification of fatigue can further be categorized as: *temporary or *chronic=lasting longer than 6 months theoretical links to fatigue - CORRECT ANSWER --there are many models or theories to explain what happens within the body to cause fatigue, but no single theory completely explains this multidimensional concept -three leading theories three leading theories of fatigue - CORRECT ANSWER -*waste product accumulation *insufficient supply of subs tances *an inflammatory process common occurring physiological consequences of fatigue - CORRECT ANSWER --
significant changes in a persons life that result in the loss of a job, loss of relationships, and inability to care for oneself -significant psycholo gical consequences, particularly depression -mortality from suicide was higher in patients than the general population -poor prognosis for complete long -term resolution of symptoms risk factors for fatigue across various populations - CORRECT ANSWER -all individuals are potentially at risk for fatigue populations at greatest risk for fatigue - CORRECT ANSWER --older adults -women individual risk factors for fatigue - CORRECT ANSWER --underlying conditions -treatment -related factors -nutritional status -lifestyle choices subjective assessment for fatigue (history) - CORRECT ANSWER --personal description of the fatigue -onset and course -duration and daily pattern -factors that allevi ate or exacerbate -impact on daily life objective assessment for fatigue (physical examination) - CORRECT ANSWER --
inspection: general appearance, gait, skin -palpation: lymph adenopathy, thyroid nodules, and goiter -auscultation: heart and lungs underlyin g conditions common diagnostic tests for fatigue - CORRECT ANSWER --there are no specific diagnostic markers for fatigue (diagnostic testing is primarily completed to rule out underlying diseases) -measurement of motor or cognitive function does not show s ignificant correlations with perceived fatigue primary prevention for fatigue - CORRECT ANSWER --primary prevention focuses on maintaining a healthy lifestyle including topics like: *good nutrition *exercise *getting adequate sleep *managing stress *vitamin supplements secondary prevention (screening) for fatigue - CORRECT ANSWER --no population -
wide screening efforts with respect to fatigue -high-risk patients or fatigue should be asked additional questions or use a fatigue screening tool collabor ative interventions for fatigue - CORRECT ANSWER -*manage physiological fatigue by managing poor lifestyle choices and disease *manage secondary fatigue to treat underlying condition and reduce fatigue -exercise/rest therapy -sleep hygiene -nutrition teac hing -stress management -pharmacological treatment -psychological care Chronic Fatigue Syndrome (CFS) - CORRECT ANSWER --also called chronic fatigue and immune dysfunction or myalgic encephalomyelitis -characterized by debilitating fatigue and associated complaints -affects 1 million people in the U.S. -women more than men Chronic Fatigue Syndrome etiology and pathophysiology - CORRECT ANSWER --
precise mechanisms remain unknown -many theories about cause *neuroendocrine abnormalities involving a hypo funct ion of HPA axis and HPG (hypothalamic -pituitary -gonadal) axis -severe microorganisms -changes in CNS chronic fatigue syndorme clinical manifestations - CORRECT ANSWER --difficult to distinguish between CFS and fibromyalgia -onset insidious, intermittent, or sudden -incapacitating fatigue most common -associated symptoms may fluctuate chronic fatigue syndrome diagnostic studies - CORRECT ANSWER --physical examination and diagnostic studies rule out other possibilities -in general, a diagnosis of exclusion -CDC algorithm *major criterion + four or more of minor criteria for 6 months or more *major criterion=fatigue *minor criteria=specific associated symptoms chronic fatigue syndrome nursing and collaborative management - CORRECT ANSWER --supportive care -patient teaching -drug therapy *NSAIDs *antihistamines/decongestants *tricyclic antidepressants *clonazepam (Klonopin) *low-dose hydrocortisone chronic fatigue syndrome nursing and collaborative management cont.... - CORRECT ANSWER --activity -well-balanced diet *fiber *dark -colored fruits and vegetables -behavioral therapy
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