MH Test 2

Build up tolerance for one drug while also building up tolerance for another drug

24-48 hrs after alcohol cessation with delirium…

Unable to perform once familiar/purposeful tasks. Gait effected-inability to walk, dressing self-unable to put on right

Use validation therapy to place more emphasis on _____ and less on factual content, this is respect to pt feeling/belief

Risk for an abuse prone individual?

Secondary to another condition. Medical conditions, substance use(intoxication/withdrawal) and med/toxin exposure

Drugs that can cause delirium over age 65

Alzheimer’s is a sub type of

Which questions would you ask a parent suspected of being an abuser?

Clocks and calendars, eyeglasses and hearing aids, adequate lighting without glare, short periods of interaction for?

Existence of SUDs along with one or more additional mental disorders also called “dual diagnosis”

reviewed by all members of tx team to identify potential overlooked clues/faulty judgements(may need to change protocol)

Flu like s/s, yawning, hot/cold sweats/goose bumps, severe muscle aches and pain, runny nose, teary eyes, low energy,

Inconsistent food, water, shelter, hygiene, lack of schooling, medical care, exposure to violence or substance abuse

Priority assessment of suicide plan?

Perpetrator now loving, gifts, promises change, sorry for behavior. Vulnerable person hopes they change, restart cycle

CAM

Loss of ability to recognize object/loss of ability to recognize familiar sounds. Eventually unable to recognize family

Goal of relapse prevention is?

E- cigarettes contain nicotine and potentially toxic ingredients like formaldehyde and acetaldehyde

Name calling, excess criticism, ignore accomplish, yell, swearing, locking in room, deny abuse, intimidate, blame Victim

#1 nursing diagnosis with delirium

Alcohol can cause which effect on a baby if mother drank while pregnant

Alcohol withdrawal usually begins _____ after cessation

During questioning, Children better express themselves through?

How lethal is the proposed method? Guns, hanging, carbon monoxide and staging care crash are?

Which of the following should be used in an interview with a child suspected of abuse?

Can determine the level of intoxication AND the level of TOLERANCE

Quick identification and resolution of causative factor of delirium can reverse it?

Questionnaire for Alcohol use

First step in treatment of opioid addiction

minor episodes of anger & verbal abuse & some minor physical(shoving), vulnerable person tense, ^tense perpetrator uses

Delirium results in changes in

Brain biochemical function change that is the MOST associated with suicidal behavior?

“Parents passed away and only sibling recently committed suicide, I feel so alone” no suicidal ideation, nurse should?

Treatment for alcohol withdrawal most common drug used?

Which feeling is most related to suicide risk?

A parent tells nurse about the death of a child 2 years ago. Which comment by parent warrants nurses priority attention?

MedEmergency! Delirium peaks @48-72 hrs after cessation & lasts 2-5 days.

Apolipoprotein E gene (APOE e4)

Elevated BP, HR, Temp, diaphoresis, illusions/hallucinate,ataxia,seizures, dysarthria, hyperreflexia, insomnia,delerium

Risk factors of AD that make African Americans at higher risk due to being more prone to them?

May not recognize they are refusing to accept reality

The more detailed plan of suicide means

Emotional abuse & kicking, hitting, pushing, choking, burning, shove down stairs, tied up periods of time,

Chronic Low self esteem develops when a pt _____

Dementia is a decline in mental ability severe enough to interfere with daily life. This falls into category of?

“I won’t be a problem much longer.” “Things will never work out” “nothing feels good anymore & prob. Never will”

When assessing for Suicide risk, which (Overt) statements would be alarming?

Alzheimer’s is a

View that male dominance in political/economic exists to enforce status of men over women, women viewed as property

Repetition of phrases or behavior

Tension^ & serious abuse occurs. Victim may provoke perp. to reduce^tension, cover wounds/try to get help. Short\violent

When are women at higher risk of ^^^abuse and death?

Making up of stories or answers to maintain self esteem when pt does not remember

S/S of _______: ^HR, BP, T(100-103), tactile hallucinations,delusions, illusions, seizures, change LOC

Domestic Violence occurs between a perpetrator and victim

LSD, Phenylcychlohexyl Piperidine(PCP), Flunitrazepam(Rohypnol) , Ketamine, Methamphetamine, y-Hydroxybutyrate, MDMA

Vaginal/anal rape, making victim watch/ participate in pornography, being sold for sex, touching or watching victim

Most important risk factor for AD

Which is a sign of abuse by intimate partner?

Methadone maintenance is for opioid addiction and it

Risk factors for DV

Intervention for family/friends (survivors) of person who completed a suicide, called a ______, initiate within 24-72hrs

Interaction between 2 or more drugs causing total effect of combined drugs to be greater than each drug alone

Delirium pts have dramatic mood changes, may tear off clothes and next moment be laughing

Giving away prized possessions, farewell notes, making a will, putting personal affairs in order, sudden good mood,

Cholinesterase inhibitors that slow down AD progression for 3-6 months

Which of the following are required to report suspected child abuse?

Which of the following could indicate an impaired nurse?

Regular physical activity, healthy diet, lifelong learning/cognitive training may reduce risk of dementia

Bugs are crawling on me!

A SAD PERSONS score of over _____ requires hospitalization.

A person can have withdrawal symptoms while still intoxicated and the higher amt alcohol higher risk respiratory probs

Pt committed suicide one day after discharge. Recognizing likely reactions of staff, nursing supervisor should first ?

A person with a high BAC level and minimal signs of impairment means that the patient

Facial and body bruising present, states hit by partner bc of something at work. The nurse should?

In assessing a hx of suicidal attempt you should assess for the?

Suppressed the craving and pleasurable effects of alcohol and used for opioid withdrawal

SAD PERSONS scale measures

Cooccurring neuropsychiatric and other Mental Illnesses require?

Chronic use of marijuana develop loss of motivation. Apathy, difficulty learning &memory, decrease concentration

Loss of language ability- difficultly finding correct word>few words>babbling or mutism

How lethal is the proposed method? Slashing wrists, inhaling natural gas, and ingesting pills are?

S/S: Pinpoint pupils, Respiratory Depression, Decreased LOC. Treatmeant: Reversal agent, airway and oxygenation

widow says “sometimes life doesn’t seem worth living anymore, I wish I could go to sleep and never wake up” nurse says?

Medication associated with memory and learning, targets moderate to severe stage AD symptoms

Points at machine, “Somebody tied me up with ropes!”