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PN 259 FINAL EXAM QUESTIONS AND VERIFIED ANSWERS

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PN 259 FINAL EXAM QUESTIONS AND VERIFIED ANSWERS....

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PN 259
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PN 259

Voorbeeld van de inhoud

Types of anxiety disorders
GAD, Phobic Disorders, OCD, PTSD
Anxiety disorders: GAD, Phobic Disorders, OCD, PTSD
Possible symptoms: Fatigue, Headache, Increased HR & BP, Difficulty
Breathing
Nursing Interventions: Build trust, Restore Comfort, Modify Communication,
Adjust Teaching, help problem solve, Ensure safety
Treatments: Medications, Psychotherapy
Types of Mood Disorders
secondary depression, Major depression, Seasonal Affective disorder,
suicidology
Mood Disorders: secondary depression, Major depression, Seasonal Affective
disorder, suicidology
Possible Symptoms: Sad mood, appetite changes, disturbed sleep, apathy,
energy changes, suicidal thoughts
Nursing Interventions: client teaching, implementing suicide precautions (if
necessary), completing assessments, family teaching
Treatments: electroconvulsive therapy, medication, psychotherapy, surgical
interventions
Types of eating disorders
Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, Compulsive
Eating
Eating Disorders: Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder,
Compulsive Eating

,Possible Symptoms: Underweight, lanugo, feeling cold, oral health changes.
Overweight, hyperlipidemia, sleep apnea, difficulty regulating emotion
Nursing interventions: Implement weight management plans, client teaching,
family teaching
Treatments: nutritional therapy, drug therapy, psychotherapy, family
counseling, surgery


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Chemical Dependency: Alcohol dependence, nicotine dependence, cocaine &
methamphetamine, opioid dependence
possible symptoms and nursing interventions
Possible Symptoms: social changes, enlarged liver, pancreatitis, dental
deterioration, facial lesions/scars
Nursing Interventions: counseling/discussion, providing information,
completing detox protocol, monitor vital signs during detox
chronic worrying on a daily basis for 6+ months. Worrying is out of proportion
with reality. Other signs & symptoms of anxiety are included
GAD:
person manifests exaggerated fear (commonly insects, animals, life experiences
such as roller coasters, etc)
Phobic disorders:
manifested by the performance of an anxiety-relieving ritual (compulsion) to
terminate a disturbing, persistent, and recurring thought (obsession) (ex:
cleaning, checking, counting, touching, repeating)
OCD:
a delayed anxiety response 3+ months after an emotionally traumatic experience
PTSD

,sad feeling directly attributed to a situation or cause (loss of loved one). Also
called reactive depression
Secondary depression:
sad mood with no obvious relationship to situational events. Often a comorbid
(coexisting) condition among people with anxiety disorders and substance use
disorders
Major depression:
onset during darker winter months and spontaneously disappears in spring
SAD:
assume that if client is depressed, they are also suicidal. Use assessment (blunt
questions, SLAP (specificity, lethality, availability, proximity). If client is
suicidal, has a lethal plan, means to carry it out and no one nearby for rescue
must take it very seriously
Suicidology:
cycling among depressive, euthymic, and euphoric moods
Bipolar:
characterized by an obsession for thinness achieved through self-starvation.
More common in women
Anorexia nervosa:
characterized by a minimum of two episodes of secret food binges per week,
followed by behaviors intended to prevent weight gain (purging or
fasting/exercise). Must have persisted 6 months
Bulimia nervosa:
characterized as the inability to control overeating, accompanied by a guilty
feeling
Binge eating
characterized as eating in the absence of hunger or regardless of feeling full
compulsive eating

, chronic, progressive, multisystem disease characterized by an inability to
control the consumption of alcohol. Unchecked, is fatal
Alcohol dependence (ETOH):
most heavily used addictive, mood-altering substance in US. Responsible for
80-90% of deaths from lung cancer
Nicotine dependence:
CNS stimulants. Different modes on ingestion (cocaine as powder is snorted or
dissolved and injected intravenously. Crack is smoked. Meth is usually smoked
or injected intravenously). Both give CNS stimulation
Cocaine & methamphetamine dependence:
True or false: You May have both binge and compulsive eating
true
Risk factors contributing to mental health challenges.
Anxiety can be constructive (ex: mild - causes you to study for a test). But when
it becomes moderate or severe more issues arise (increase BP & HR, narrowed
perception of information, disorganized & distorted thinking, physical &
emotional fatigue)
Components of the MSE
1: Appearance
2: Behavior
3: Cognition
4: Thought Processes and Perceptions
a rapid screening instrument for mild cognitive dysfunction. It assesses different
cognitive domains: attention, concentration, executive functions, memory
language, calculations, orientation, conceptual thinking
Montreal Cognitive Assessment:

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