Download Galen MH Exam 4 Questions With Complete Solutions and more Exams Nursing in PDF only on Docsity!
Galen MH Exam 4 Questions With Complete Solutions Abuse in child reporting? Correct Answers it is mandated to report any suspicions Abuse primary prevention Correct Answers measure taken to preen the occurrence (education) Abuse Secondary prevention Correct Answers early intervention in abusive situations to minimize their disabling or long term effects Abuse tertiary prevention Correct Answers facilitate healing and rehab providing support assisting survivors achieve safety, health & well being Abused victims goal? Correct Answers empowerment develop solid sense of self acute stress disorder vs PTSD? Correct Answers Acute stress disorder - 3 days to 1 month PTSD - for longer than 1 month Alcohol Assessment- Questions to ask Correct Answers - open ended
- Type of alcohol
- how much consumed
- for how long
- when last consumed -have you ever had DTs or seizures
Alcohol nursing process? Correct Answers detox rehab housing/hospitalization Alcohol poisoning? Correct Answers A dangerous toxic condition that occurs when a person drinks a large amount of alcohol in a short period of time can result in aspiration or shut down of CNS Anger tx? Correct Answers model appropriate responses and ways to cope teach methods to appropriately express the anger coping mechanisms last resort restraints Complications of alcohol withdrawal? Correct Answers Wernickes and Korsakoffs Effects of incest? Correct Answers -negative self-image -depression -eating disorders -personality disorders -self-destructive behaviors -substance abuse End of life nursing care includes? Correct Answers communication (clear, listening, observing) presence keep comfortable anticipatory grief
Most common type of abuse in children? Correct Answers neglect psychological effects of sexual assault? Correct Answers Depression Suicide Anxiety Fear Difficulties with daily functioning Low self-esteem Sexual dysfunction Somatic complaints PTSD s/s? Correct Answers negative thoughts/feelings dissociative symptoms (depersonalization) intrusive symptoms avoidance arousal symptoms Restraint release procedure? Correct Answers communicate make sure know what behavior happened expectations debrief w/ pt and staff Sexual assault exam steps Correct Answers 1. head to toe assessment for injury
- detailed genital exam
- evidence collection
- documentation of physical findings
- tx (STDs), discharge planning, follow up care
sexual assault nursing interventions? Correct Answers counseling promotion of self-care activities case management Sexual distress is more common when? Correct Answers assaulted by intimates Specialized sexual assault services? Correct Answers -sexual assault nurse examiners (SANEs)
RNs with specialized training in caring for sexual assault patients demonstrated competency in conducting medical and legal evaluations ability to be an expert witness in court -sexual assault response team (SART) Tx for anorexia? Correct Answers SSRI zyprexia provac yoga group & family therapy We do not advise victim to leave abuser b/c? Correct Answers it implies judgement and victim is at greatest risk for being killed when they leave Wernickes is? Correct Answers acute/reversible What are alcohol poisoning s/s? Correct Answers inability to arouse
Fentanyl Methadone Meperidine What are heroin intoxication s/s? Correct Answers constricted pupils drowsiness slurred speech decreased rr &bp What are heroin withdrawal s/s? Correct Answers yawning pain n/v agitation loss of appetite diaphoresis nasal stuffiness runny eyes What are risk factors for complicated grief? Correct Answers death of spouse or child death of parent if under age 11 sudden death multiple deaths death by suicide or murder missing persons w/ no closure What are risks associated with opioid overdose? Correct Answers death resp depression
What are s/s of dying? Correct Answers modeling of skin death rattle What are s/s of wernickes & korsakoffs? Correct Answers altered gait vestibular dysfunction confusion ocular motility abnormalities sluggish reaction to light unequal pupil size What are signs of alcohol intoxication? Correct Answers staggering slurred speech repeats self lack of coordination What are signs of alcohol withdrawl? Correct Answers hyper alert anorexia irritable startles easily seizures elevated vs tremors n/v What are signs that eating habits are normalizing? Correct Answers They will start eating more on their own w/ out being told
small freq meals distract from exercise accompany to bathroom after meals limit exercise What are some interventions for bulimia? Correct Answers coping strategies identify triggers restric bathroom after meals or monitor stabilize first (concerned w/ electrolytes) health teaching and promotion CBT What are the 3 types of grieving? Correct Answers Complicated disenfranchised grief caused by public tragedy What can we give for anger interventions? Correct Answers benzo halodal What do opiates do? Correct Answers Depress CNS slow RR What does cocaine do? Correct Answers cns stimulant increase sexual arousal increase violence
What is a potentially lethal tx complication that can occur when severely malnourished pts are refed? Correct Answers refeeding syndrome need to consult dietician What is a risk associated with inhalant use? Correct Answers cardiac arrhythmias What is Al-Anon? Correct Answers a support group for an alcoholic's family and friend. What is Alateen? Correct Answers a support group to help teenagers whose parents are alcoholics What is Anorexia Nervosa? Correct Answers refusal to maintain a minimally normal weight, intense fear of gaining weight, often has a need for control What is avoidant/restrictive food intake disorder? Correct Answers avoiding/restricting food starting in childhood, no distortion of body image What is behavioral theory? Correct Answers learned responses, particularly if the behavior is rewarded What is bereavement? Correct Answers period of grieving following a death, includes process by which a person experience grief including thoughts and feelings What is Bulimia Nervosa? Correct Answers binge eating followed by purging (vomiting, laxatives, diuretics)
What is loss of security and sense of belonging? Correct Answers the loss of an individual impacts a relationship/changes role What is loss of self-esteem? Correct Answers chang in value r/t work, peers, relationships What is loss r/t self-actualization? Correct Answers loss of hope to fulfill dreams What is mourning? Correct Answers the act of showing sorrow or grief What is palliative care? Correct Answers taking care of pt w/ terminal dx (ex. cancer, dementia) goal is to keep comfortable and optimizing quality of life What is Passive euthanasia? Correct Answers individual is unable to consent What is persistent complex bereavement disorder? Correct Answers 12 months or more What is pharm alcohol tx? Correct Answers antibuse atrexia contrave What is Physiological loss? Correct Answers loss of mobility, organ, extremity What is pica? Correct Answers eating non food items
What is required for us to do for intimate abuse? Correct Answers provide education on a safety plan What is rumination disorder? Correct Answers Repeated regurgitation, chewing, and re-swallowing of food What is Russell's sign? Correct Answers Calluses on knuckles from self-induced vomiting What is social learning theory? Correct Answers observe and imitate others (learned response) What is the 1st most dangerous to withdraw from? Correct Answers alcohol What is the 2nd most dangerous to withdraw from? Correct Answers benzos What is the acute battering stage? Correct Answers tension becomes unbearable, victim may provoke an incidence to get it over with serious battering incident victim may try to cover up the injury or may look for help What is the best way to approach a pt who is escalating? Correct Answers clamly, give space, back up "It looks like your pretty upset, what happened?" What is the greatest predictor of violence? Correct Answers previous violence
elimination What puts someone at higher risk for DTs? Correct Answers medical dx or experienced them before people who have been using hard & heavy for a long time What s/s will anorexia pt have? Correct Answers under- nourished sunken eyes yellow skin cold extremities dry brittle hair & nails poor skin turgor amenorrhea bradycardia constipation fine hair all over body to help reg temps What s/s will bulimia pt have? Correct Answers healthy looking difficulty with impulsivity & compulsivity vomiting (self induced) dehydration electrolyte imbalance bradycardia dental caries/tooth erosion russells sign What to assess for Anorexia? Correct Answers How long? How much wt pt has lost? intake?
What to educate bulimia pt to watch for? Correct Answers s/s of electrolyte imbalance When a child comes in w/ broken bone, what should we ask? Correct Answers What happened? What happens when you act badly? Ask parent how do they discipline and do they have any help? When do DTx occur? Correct Answers 24-72 hours after last drink When pt is verbally abusive? Correct Answers say that is not appropriate and leave the room (setting boundaries) Which is easier to treat bulimia or anorexia? Correct Answers Bulimia d/t nourishment & shame/want for change Whose at large risk for alcohol poisoning? Correct Answers college students Why do we see so much substance abuse? Correct Answers self medication With anger we should be? Correct Answers proactive vs reactive (intervene early) With anger what can we help identify? Correct Answers the feeling behind the anger
