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