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47 Cards in this Set
- Front
- Back
Patient was sexually assaulted and is now in ER. What is your best nursing intervention?
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assist her in a crisis
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what is the definition of rape?
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sex against one's will by intimidation/physical force
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child has partial thickness burns around genitalia. What should you report?
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report suspected child abuse; you have the legal responsibility to report
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what is the goal for anger management?
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learn to take responsibility for anger and control it
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patient attempts suicide. what is your nursing goal?
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safety
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why should you evaluate a patient for suicide?
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decide if they are a danger to themselves or others
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patient is admitted to psych hospital. patient has history of several self injury behaviors in the last month. you ask the patient, "how did you get those scars?" why do you ask?
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evidence of suicide gestures
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what is your main goal when planning care for a patient with a crisis?
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stable psychologic equilibrim
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what qualifies hospice care?
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less than 6 months to live
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what is the best approach to hospice care?
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interdisciplinary team approach
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what phase correctly describes palliative care?
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eases symptoms of the disease without compromising medical interventions
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what are symptoms of marijuana?
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amotivational syndrome (apathy), red eyes, compuslive eating/laughing, impaired memory, drowsiness.
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what is polysubstance abuse?
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use of two or more psychoactive drugs in combination to achieve particular effect
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what are symptoms of opioids? (oxycontin)
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pupil constriction, constipation.
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whats the antidote to opioid toxicity?
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narcan
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what are toxic symptoms of opioids?
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decreased respirations and LOC, slurred speech.
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What are withdrawal symptoms of marijuana?
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possibly depression
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What are abstinence syndrome symptoms?
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sweating rhinorrhea, PILOERECTION (chills), tremors, irritability, severe weakness, nausea, vomiting, dilated pupils, muscle/bone pain, muscle spasms
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What are alcohol withdrawal symptoms?
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abdominal cramping, vomiting, tremors, restlessness, inability to sleep, increased HR, increased BP, increased resp. rate, increased temp; tonic, clonic seizures, DELIRIUM TREMENS
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what is delirium tremens?
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alcohol withdrawal symptoms that include severe disorientation, psychotic symptoms, severe hypertension, cardiace dysrhythmias, delirium, death
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what is Antabuse (disulfiram)?
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aversion therapy for maintaining alcohol abstinence (produces unpleasant effect when taken with alcohol)
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what shoul you avoid when taking Antabuse?
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avoid all alcohol and alcohol products
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what are cocaine withdrawal symptoms?
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depression, craving, excess sleeping
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what is the cause of delirium?
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secondary to another medical condition: infection or substance abuse
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patient has delirium. what is your nursing goal?
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safety
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patient has alzheimer's disease. what is your nursing goal?
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safety
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patient has mild cognitive impairment. what type of therapy is used?
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reality orientation
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patient has alcohol abuse and has symptoms of confabulation. what is confabulation?
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make up stories
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what is peek-a-boo and ring around the rosey?
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childhood games
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patient has ADHD. what is the appropriate behavior modification to reward appropriate conduct?
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identify desired behaviors and reward them
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what are symptoms of autism?
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bizzare behaviors such as hand or finger flapping, clapping, rocking, swaying, head banging, hand biting, preoccupation with certain repetitive activities
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what is clinging behavior?
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separation anxiety disorder; excessive anxiety when separated from or anticipating separation from home or parents
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what is oppositional defiant disorder?
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argues against caregiver
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what is the goal for patient with conduct disorder?
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have respect for rights of others
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what is lacrimation?
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shedding tears
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what is the definition of delirium?
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rapid onset over a short period of time (HOURS TO DAYS)
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what is alzheimer's disease?
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patient can consistently fold towels and pillow cases
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what is the nursing intervention for family members who are getting frustrated while giving care to alzheimer's patient?
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provide support to caregivers
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how do you establish a relationship with a child who is autistic?
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sit with child, use one to one interaction
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how does a child with autism respond to their parents?
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lack of responsiveness and interest in others; indifferent
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patient says they do not have a problem with drugs or alcohol but have a history of abuse. what is this called?
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denial - necessary to confirm addiction
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why do patients show signs of denial?
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reduces feeling of guilt
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what is successful acts of alcohol rehabilitation?
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motivational readiness to learn, change, emotional readiness
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patient has polysubstance abuse problem. what is the goal for them?
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hope to recognize problem
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patient has alcohol problem. what should you ask them?
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when was your last drink?
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what is the best advice to deal with alcohol addiction?
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total abstinence
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patient has alcohol withdrawal symptoms - tremors, restlessness. what should you look out for?
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change in level of consciousness; seizure precautions
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