NURS 4750 Exam 1 Questions with Correct
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Terms in this set (143)
- Muscle tension
- Tingling in hands
- Feelings of apprehension
- Difficulty falling/staying asleep
- Psychomotor agitation (fidgeting, jitteriness,
restlessness)
- Tightened or wrinkled brow
What are some symptoms
- Palpitations
of Anxiety?
- Strained (worried) facial expression
- Hypervigilance (scans environment)
- Startles easily
- Sweaty palms
- Fragmented sleep pattern
- Tachycardia
- Tachypnea
, - Sudden onset
- Cognitive function impairment
- Restlessness, agitation, and combative behavior
- Drowsiness
- Slurred speech, inappropriate statements or "word
salad," mumbling or inappropriate gestures
What are the early
- Short attention spans (need questions repeated);
symptoms of ICU
inability to learn new material
psychosis?
- Disordered awake-sleep cycle
- Disorientation to person, place, time, and situation
- Difficulty in separating dreams form reality (may
experiences bizarre dreams/nightmares)
- Anger at staff for continued questions about his or
her orientation
- S/S tend to fluctuate throughout the day and night
- Early symptoms continue and may be more frequent
and of longer duration
What are the late - Illusions
symptoms of ICU - Hallucinations
psychosis? - Extreme agitation (attempts to climb out of bed, pull
out catheters, rip off dressings)
- Calling out in loud voice, swearing, or attempting to
bite or hit
- Threats of death
- Threat of survival with significant residual problems
- Pain or discomfort
- Lack of sleep
- Loss of autonomy
What are some
- Loss of control over environment (loss of privacy,
contributing factors to
lights, and noises)
ICU psychosis?
- Separation from family or significant others
- Loss of dignity
- Boredom
- Loss of ability to express self verbally when
intubated
, - Approach the pt. with a calm demeanor
- In responding to hallucinations -- do NOT deny,
argue, or attempt to disprove the existence of the
What is the proper way to perceived event
handle an ICU pt. who is - Express to the pt. that your experience is different
having hallucinations? and acknowledge how frightening his or hers must be
- DO NOT explore the content of the hallucination
- Talk concretely about things that are really
happening
- Explain all unseen noises, voices, and activity simply
What is the proper way to and clearly
handle an ICU pt. who is - Avoid the "negative challenge" of the delusion
having delusions? - Do not engage in unnecessary laughter or
whispering
For the pt. with - Permit refusal if not life threatening
persecutory delusions - Try back in 20 mins.
who refuses food or meds - Allow the pt. to choose alternatives or read labels
due to the belief they are
poisoned or tainted, how
would you handle their
care?
- Cheyne-Stokes respirations
- Death rattle
- Weakness/drowsy
- Unresponsive
What are the clinical
- Pain
manifestations of end of
- Fear/anxiety
life?
- N/V
- Incontinence
- Constipation
- Renal failure
Answers 100% Verified
Save
Terms in this set (143)
- Muscle tension
- Tingling in hands
- Feelings of apprehension
- Difficulty falling/staying asleep
- Psychomotor agitation (fidgeting, jitteriness,
restlessness)
- Tightened or wrinkled brow
What are some symptoms
- Palpitations
of Anxiety?
- Strained (worried) facial expression
- Hypervigilance (scans environment)
- Startles easily
- Sweaty palms
- Fragmented sleep pattern
- Tachycardia
- Tachypnea
, - Sudden onset
- Cognitive function impairment
- Restlessness, agitation, and combative behavior
- Drowsiness
- Slurred speech, inappropriate statements or "word
salad," mumbling or inappropriate gestures
What are the early
- Short attention spans (need questions repeated);
symptoms of ICU
inability to learn new material
psychosis?
- Disordered awake-sleep cycle
- Disorientation to person, place, time, and situation
- Difficulty in separating dreams form reality (may
experiences bizarre dreams/nightmares)
- Anger at staff for continued questions about his or
her orientation
- S/S tend to fluctuate throughout the day and night
- Early symptoms continue and may be more frequent
and of longer duration
What are the late - Illusions
symptoms of ICU - Hallucinations
psychosis? - Extreme agitation (attempts to climb out of bed, pull
out catheters, rip off dressings)
- Calling out in loud voice, swearing, or attempting to
bite or hit
- Threats of death
- Threat of survival with significant residual problems
- Pain or discomfort
- Lack of sleep
- Loss of autonomy
What are some
- Loss of control over environment (loss of privacy,
contributing factors to
lights, and noises)
ICU psychosis?
- Separation from family or significant others
- Loss of dignity
- Boredom
- Loss of ability to express self verbally when
intubated
, - Approach the pt. with a calm demeanor
- In responding to hallucinations -- do NOT deny,
argue, or attempt to disprove the existence of the
What is the proper way to perceived event
handle an ICU pt. who is - Express to the pt. that your experience is different
having hallucinations? and acknowledge how frightening his or hers must be
- DO NOT explore the content of the hallucination
- Talk concretely about things that are really
happening
- Explain all unseen noises, voices, and activity simply
What is the proper way to and clearly
handle an ICU pt. who is - Avoid the "negative challenge" of the delusion
having delusions? - Do not engage in unnecessary laughter or
whispering
For the pt. with - Permit refusal if not life threatening
persecutory delusions - Try back in 20 mins.
who refuses food or meds - Allow the pt. to choose alternatives or read labels
due to the belief they are
poisoned or tainted, how
would you handle their
care?
- Cheyne-Stokes respirations
- Death rattle
- Weakness/drowsy
- Unresponsive
What are the clinical
- Pain
manifestations of end of
- Fear/anxiety
life?
- N/V
- Incontinence
- Constipation
- Renal failure
