NURSING 3012 EXAM 3 FOCUS TOPICS ANSWERED QUESTIONS RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 (QUESTIONS & RATIONALES FROM PAGE 15)

NURSING 3012 EXAM 3 FOCUS TOPICS ANSWERED QUESTIONS RATED A+ GUARANTEED SUCCESS LATEST UPDATE 2022 (QUESTIONS & RATIONALES FROM PAGE 15) Exam covers Chapters 12, 13, 14, 22, 25, & 26 and content from weeks 7, 8, & 9 75 test questions, 4 Select all that apply Chapter 12 Schizophrenia & Schizophrenia Spectrum Disorders Auditory hallucinations - Hearing voices, noises, music or sounds that are not actually real Waxy flexibility - Extended maintenance of posture - Usually seen in catatonia - Nurse raises patients arm and the patient continues to hold position in statue like manner. Loose Associations - Communication pattern characterized by lack of clarity of connection between one thought and the next - Thoughts, speech jump around from topic to topic, and makes little to no sense Concrete thinking - Impaired ability to think abstractly - Resulting in interpreting or perceiving things in a literal manner - Difficulty responding to concepts like love or humor Neologism - Newly coined word expression - Made up word - Ex: headshoe= hat Command hallucinations - Disturbed auditory sensory perceptions demanding that client take action often to harm self or others - Considered dangerous - Often referred as voices Schizophrenia – outcomes; prodromal stage assessment findings - Prodromal stage o Symptoms are subtle but present - Affective Symptoms o involve emotions and expression ▪ dysphoria ▪ suicidality hopelessness o cognitive symptoms: subtle changes in memory or attention or thinking • inattention • poor problem-solving skills • poor decision-making skills • impaired judgement o negative symptoms ▪ blunt affect ▪ poverty of thought (alogia) ▪ loss of motivation (avolition) ▪ Inability to experience pleasure (anhedonia) o Positive Hallucinations ▪ Delusions Disorganized speech Bizarre behavior What are interventions for delusions of persecution? - Give patient prepackaged food Chapter 13 Bipolar and Related Disorders Mood - Euphoric mood associated with mania is unstable - Overly joyous mood is out of proportion to what is going on and the cheerfulness may be inappropriate for the circumstances - Person will often give away money, prized possessions and expensive gifts Grandiosity - Exaggerated sense of superiority or self-importance - Beliefs that one holds special superpower, unique knowledge or is extremely important Acute mania – outcomes; interventions; associated nursing diagnoses; documentation in treatment plan - Interventions: depressive episodes- hospitalization for suicida, physchotic or catatonic sings o Manic episodes: hospitalization for acute mania or bipolar 1 o Monitor fluid intake o Work with aggression o medication - Primary outcome: prevent injury o Reflects both physiological and psychiatric issues - Dx: risk for injury, risk for other related violence, sleep deprivation, altered thought process, self-care deficit, impaired social interaction - Outcome: patient safety and medical stabilization Nsg diagnosis – - imbalanced nutrition: - less than body requirements; - disturbed sleep pattern; - risk for injury - ineffecgtive coping - care giver role strain - impaired social interaction - self care deficit What is cause of bipolar disorder? - Genetics - Neurotransmitters - Neuroendocrine o Hypothyroidism - Environmental stressors - Psych factors o Stressful event What are the genetic components involved in the development of bipolar disorder? - Women: more likely to internalize feelings and drink or do drugs - Men: externalize feelings and commit acts of violence. How do you counteract staff splitting? - Frequent staf f meetings to deal with patient behavior and staf f response - Set limits consistently What are complications of lithium (eg. Side effects/adverse effects)? - Hypothyroidism - Kidney Impairement - Contraindications o Cardiovascular disease, brain damage, renal disease, thyroid disease, pregnancy, breastfeeding, children younger than 12 What elements are included in seclusion protocols? - Obtain seclusion/restraint prescription - Observe pt behavior Q15M - Offer food/fluids Q30-60M - Offer use of restroom Q1-2H - Measure vital signs Q1-2H Chapter 14 Depressive Disorders Major depressive disorder – interventions; lab tests a physician may order to rule out a medical condition; associated nursing diagnoses – situational low self-esteem - Interventions o Acute phase (6 to 12 weeks) o - Reduction of depressive symptoms & restoration of psychosocial & work function o - Hospitalization may be required o Continuation phase (4 to 9 months) o - Prevention of relapse o - Pharmacotherapy, psychotherapy, & education o Maintenance phase (1 year or more) o - Prevention of further episodes - Dx; o •Risk for suicide—safety is always the highest priority •Hopelessness •Ineffective coping •Social isolation •Spiritual distress •Self-care deficit - Lab test o Thyroid Mood and affect - Affect; appearance of observable emotions - Mood: how the patient tells you they are feeling Anhedonia - Inability to feel pleasure What cautions are given to patients who start new SSRI therapy? - Increased risk for suicide when beginning to take What is the risk to the nurse who works with severely depressed patients?