nur 253 Mental health Exam 3 Questions With Complete
Solutions
#1 priority for abused patient Correct Answers safety!
• Alcohol Correct Answers CNS depressant ( acts on GABA
receptors, increases availability of dopamine and
norepinephrine)
• Alcohol intoxication s/s Correct Answers - signs- slurred
speech, incoordination, unsteady gait, decreased B/P,
drowsiness, stupor, Nystagmus, impaired memory or attention,
sexual, mood, and judgment prob.
• Attempted rape Correct Answers physical attempts and verbal
threats of rape. Attempted rape can also be something a person
is charged with.
• Cocaine and Amphetamines Correct Answers increases level
of norepinepherine, serotonin, and dopamine.
• Opiates/Herion Correct Answers action on opiod receptors,
dopamine, catecholamine, GABA syst., and glutamate.
• Rape Correct Answers type of sexual assault that is non-
consensual, it can be vaginal, anal, or oral penetration obtained
by force or threat of bodily harm or when a person is incapable
of giving consent.
• Re-feeding syndrome Correct Answers complications that
occur from having the patient eat regular portions. The
,electrolytes will shift because the body cannot accommodate the
increased calories. This can cause cardiac collapse.
• Resources to send abused victims Correct Answers o Safe
houses
o Battered Women shelter
We're going to protect these patients and bring them into a
shelter that is private. These shelters look like regular houses in
neighborhoods. They are private non-advertised shelters that are
meant to not look like shelters to maintain safety.
• Risk Factors for Abusive Persons and Family Violence:
Correct Answers o A child that has been abused when they
were younger will think the abuse is normal and will continue,
as they get older. These individuals have a higher risk factor for
abusing other people.
• Tolerance- Correct Answers person physical response, when
body gets used to amount of the substance that is being ingested.
Person requires more substance for same effect.
• When behaviors emerge Correct Answers o Calmly review
therapeutic goals
o boundaries of treatment
o avoid rejection and rescuing
• Assess for suicide intentions
• Withdraw Correct Answers Body's response to a sudden
discontinuance of a substance- due to a blood and tissue
concentration decreased levels. Psychological, and physical
symptoms depending on substance.
, abnormal lab values Correct Answers starvation
Abuse programs- Correct Answers AA, residential programs, tx
programs= for those who have long history.
Abuse= Correct Answers that's all they focus on, that drug will
interfere in ability to maintain work, unable to fulfill major
roles.
alcohol and cocaine together Correct Answers can cause
tachycardia. must not mix
alcohol and opiates equal Correct Answers synergistic effect-
will have double the effect
(both are cns depressants)
can be lethal
Alcohol withdrawal- Correct Answers • Cessation of alcohol
with cause- n/v/anxiety, hallucinations (visual, auditory, and
tactile), increased pulse (greater than 100), hand tremors,
seizures (Grand Mal), sweating, psychomotor agitation,
insomnia. With use that has been heavy or prolonged.
(2 or more of the side effects is considered alcohol withdrawal)
amenorrhea Correct Answers low weight
anemic pancytopenia Correct Answers starvation
Solutions
#1 priority for abused patient Correct Answers safety!
• Alcohol Correct Answers CNS depressant ( acts on GABA
receptors, increases availability of dopamine and
norepinephrine)
• Alcohol intoxication s/s Correct Answers - signs- slurred
speech, incoordination, unsteady gait, decreased B/P,
drowsiness, stupor, Nystagmus, impaired memory or attention,
sexual, mood, and judgment prob.
• Attempted rape Correct Answers physical attempts and verbal
threats of rape. Attempted rape can also be something a person
is charged with.
• Cocaine and Amphetamines Correct Answers increases level
of norepinepherine, serotonin, and dopamine.
• Opiates/Herion Correct Answers action on opiod receptors,
dopamine, catecholamine, GABA syst., and glutamate.
• Rape Correct Answers type of sexual assault that is non-
consensual, it can be vaginal, anal, or oral penetration obtained
by force or threat of bodily harm or when a person is incapable
of giving consent.
• Re-feeding syndrome Correct Answers complications that
occur from having the patient eat regular portions. The
,electrolytes will shift because the body cannot accommodate the
increased calories. This can cause cardiac collapse.
• Resources to send abused victims Correct Answers o Safe
houses
o Battered Women shelter
We're going to protect these patients and bring them into a
shelter that is private. These shelters look like regular houses in
neighborhoods. They are private non-advertised shelters that are
meant to not look like shelters to maintain safety.
• Risk Factors for Abusive Persons and Family Violence:
Correct Answers o A child that has been abused when they
were younger will think the abuse is normal and will continue,
as they get older. These individuals have a higher risk factor for
abusing other people.
• Tolerance- Correct Answers person physical response, when
body gets used to amount of the substance that is being ingested.
Person requires more substance for same effect.
• When behaviors emerge Correct Answers o Calmly review
therapeutic goals
o boundaries of treatment
o avoid rejection and rescuing
• Assess for suicide intentions
• Withdraw Correct Answers Body's response to a sudden
discontinuance of a substance- due to a blood and tissue
concentration decreased levels. Psychological, and physical
symptoms depending on substance.
, abnormal lab values Correct Answers starvation
Abuse programs- Correct Answers AA, residential programs, tx
programs= for those who have long history.
Abuse= Correct Answers that's all they focus on, that drug will
interfere in ability to maintain work, unable to fulfill major
roles.
alcohol and cocaine together Correct Answers can cause
tachycardia. must not mix
alcohol and opiates equal Correct Answers synergistic effect-
will have double the effect
(both are cns depressants)
can be lethal
Alcohol withdrawal- Correct Answers • Cessation of alcohol
with cause- n/v/anxiety, hallucinations (visual, auditory, and
tactile), increased pulse (greater than 100), hand tremors,
seizures (Grand Mal), sweating, psychomotor agitation,
insomnia. With use that has been heavy or prolonged.
(2 or more of the side effects is considered alcohol withdrawal)
amenorrhea Correct Answers low weight
anemic pancytopenia Correct Answers starvation
