NSG 221 HESI FINAL EXAM QUESTIONS WITH 100% CORRECT ANSWERS

NSG 221 HESI FINAL EXAM QUESTIONS WITH 100% CORRECT ANSWERS Countertransference - CORRECT ANSWER-occurs when the therapist/nurse displaces onto the client attitudes or feelings from his or her past Tardive Dyskinesia - CORRECT ANSWER-a syndrome of permanent involuntary movements, is most commonly caused by the long-term use of conventional antipsychotic drugs. Characteristics: Tongue thrusting and protruding, lip smacking, blinking, grimacing, and other excessive unnecessary facial movements are characteristic. Civil Rights-Psychiatric Clients - CORRECT ANSWER-Clients receiving mental health care retain all civil rights afforded to all people except the right to leave the hospital in the case of involuntary commitment. Group Therapy - CORRECT ANSWER-clients participate in sessions with a group of people. The members share a common purpose and are expected to contribute to the group to benefit others and receive benefit from others in return. Crisis Intervention-Empathy - CORRECT ANSWER-the ability to place oneself into the experience of another for a moment in time Clarification Communication - CORRECT ANSWER-Understanding the context of communication is extremely important in accurately identifying the meaning of a message. To clarify context, the nurse must gather information from verbal and nonverbal sources and validate findings with the client. Depressed Adolescent Rapport (Establishing Rapport) - CORRECT ANSWER-When assessing a new patient, establish this first. If not, much time is available to establish, or if the patient is guarded or suspicious, you can say, "The questions I am about to ask you I ask all of my patients," and then proceed. Some other tips include the following: Establish rapport and connection by showing interest in the patient and by listening. Clonidine (Catapress) - CORRECT ANSWER-an alpha-2-adrenergic agonist used to treat hypertension. It is given to clients with opiate dependence to suppress some effects of withdrawal or abstinence. It is most effective against nausea, vomiting, and diarrhea, but produces modest relief from muscle aches, anxiety, and restlessness Disulfiram (Antabuse) - CORRECT ANSWER-may be prescribed to help deter clients from drinking. If a client taking disulfiram drinks alcohol, a severe adverse reaction occurs with flushing, a throbbing headache, sweating, nausea, and vomiting. In severe cases, severe hypotension, confusion, coma, and even death may result. Alcohol Detoxification - CORRECT ANSWER-through pharmacologic means generally takes place in a hospital setting but may occur in the home. The home care nurse shares the responsibility for teaching patients how to use chlordiazepoxide effectively and how to recognize medication responses that should be reported to the health care provider. The nurse instructs the patient and/or caregivers to recognize signs and symptoms of alcohol withdrawal and reviews the pharmacologic treatment regimen with them. Anxiety Cognitive Behavioral Techniques - CORRECT ANSWER-Cognitive-behavioral therapy (CBT) is used successfully to treat anxiety disorders. Positive reframing means turning negative messages into positive messages Decatastrophizing involves the therapist's use of questions to more realistically appraise the situation. Assertiveness training helps the person take more control over life situations. These techniques help the person negotiate interpersonal situations and foster self-assurance. They involve using "I" statements to identify feelings and to communicate concerns or needs to others. Valproic Acid (Depakote) Monitoring Lab - CORRECT ANSWER-is an anticonvulsant used for simple absence and mixed seizures, migraine prophylaxis, and mania. The mechanism of action is unclear. Therapeutic levels are monitored periodically to remain at 50 to 125 µg/mL, as are baseline and ongoing liver function tests, including serum ammonia levels and platelet and bleeding times. Antisocial Personality Disorder - CORRECT ANSWER-Disregard for rights of others, rules, and laws. They generally do not seek treatment voluntarily unless they perceive some personal gain from doing so. Clients with this disorder have an established pattern of reacting impulsively when confronted with problems. The nurse can teach problem-solving skills and help clients practice them Clozapine Labs - CORRECT ANSWER-Prior to beginning the administration it is necessary to obtain a baseline white blood cell count and neutrophil count. Also, it is important to monitor the blood glucose level regularly for hyperglycemia, especially if signs and symptoms of diabetes mellitus or risk factors are present. May cause agranulocytosis, a potentially life-threatening event. Clients who are being treated must have a baseline WBC count and differential before initiation of treatment and a WBC count every week throughout treatment and for 4 weeks after discontinuation of clozapine. Haldol Tapering - CORRECT ANSWER-When discontinuing it is essential to taper the dosage to prevent extrapyramidal symptoms. If the medication is abruptly discontinued, the patient is at risk for this condition. Insight Definition - CORRECT ANSWER-the ability to understand the true nature of one's situation and accept some personal responsibility for that situation. The nurse can frequently infer from the client's ability to realistically describe the strengths and weaknesses of his or her behavior (understanding one's own part in current situation) Judgment Definition - CORRECT ANSWER-refers to the ability to interpret one's environment and situation correctly and to adapt one's behavior and decisions accordingly. Problems may be evidenced as the client describes recent behavior and activities that reflect a lack of reasonable care for self or others. (Interpretation of environment)