Final Exam

Question 1

what eating disorder doesn’t have body dysmorphia?

Answer 1

bulimia nervosa (binge eating disorder)

Question 2

what should you do if someone has bulimia nervosa?

Answer 2

stay with them for an hour after they eat and don’t let them out of your sight

Question 3

co-occurring disorder with anorexia

Answer 3

depression

Question 4

goal of crisis intervention?

Answer 4

to find a short-term solution to an immediate problem; help them find immediate supports

Question 5

do family members handle crisis in the same way?

Answer 5

no, everyone is different

Question 6

motivation of rapists

Answer 6

power and control

Question 7

key sign of child abuse

Answer 7

new and old bruising

Question 8

when working with an abuser, what is important for the nurse to consider?

Answer 8

see how you feel about it and remember that they might have their own past history of being abused

Question 9

what should the nurse tell someone who is being abused?

Answer 9

don’t tell them to move out; give them resources

Question 10

two times when a victim is most at risk

Answer 10

when leaving and when pregnant

Question 11

what kind of behaviors might a child have who is in an abusive home

Answer 11

• they might act out
• have disruptive behaviors
• might step in to protect parent being abused
• don’t really know how to act

Question 12

what is good to note about naltrexone?

Answer 12

it takes away cravings and it takes a while to work

Question 13

high risk factors for suicide

Answer 13

• previous attempts
• ACCESS TO LETHAL MEANS

Question 14

what should you do before you send a suicidal patient home?

Answer 14

make sure that their guns are locked up and they don’t have access to them

Question 15

what is important to note about suicide and schizophrenia?

Answer 15

people that have been diagnosed with both are highly impulsive and have a higher risk of being suicidal

Question 16

what could self-mutilating mean?

Answer 16

the person might have some type of trauma in their background and they do it to meet a need

Question 17

signs of suicide in elderly

Answer 17

• white men
• being isolated
• widowed

Question 18

what does Peplau equal?

Answer 18

anxiety

Question 19

what did Florence Nightingale do for nursing?

Answer 19

recognized emotional aspects as well as physical aspects

Question 20

why is it important to know a patient’s family history?

Answer 20

it might help form a diagnosis

Question 21

what is an open-ended question?

Answer 21

something that doesn’t have a yes or no answer

Question 22

example of clarification

Answer 22

do you mean this or do you mean this

Question 23

characteristic of a nurse that makes a difference in communication

Answer 23

genuineness as opposed to empathy

Question 24

how much communication is nonverbal?

Answer 24

80%

Question 25

what meds have the most weight gain?

Answer 25

zyprexa and clozaril (up to 40 lbs)

Question 26

what comorbidity goes with ADHD?

Answer 26

ODD; refuses to follow rules

Question 27

how does ADHD look in adults?

Answer 27

- difficulty completing tasks - drop in dopamine from old age

Question 28

if a child has ADHD, what is the likelihood of them having it as adults?

Answer 28

75%

Question 29

is the treatment of ADHD the same for adults and children?

Answer 29

yes

Question 30

purpose of cognitive therapy

Answer 30

- helps with cognitive distortions of the person getting better - how you think about things, affects how you feel, and affects your behaviors

Question 31

characteristic of OCD

Answer 31

person has difficulty completing tasks

Question 32

obsessions vs. compulsions

Answer 32

obsessions = thoughts compulsions = actions

Question 33

characteristic of narcissistic personality disorder

Answer 33

they feel entitled and as if rules don't apply to them

Question 34

characteristic of BPD

Answer 34

like to stir things up, don't hang out alone

Question 35

example of gravely impaired

Answer 35

homeless lady with frostbite

Question 36

can nurses do an M1 hold?

Answer 36

yes

Question 37

what is the law about restraints?

Answer 37

patients are entitled to the least restrictive treatment through the bill of rights

Question 38

what is included in the limbic system?

Answer 38

amygdala, diencephalon, hypothalamus

Question 39

if someone has a problem with their hippocampus, what can you expect?

Answer 39

they will struggle with memory

Question 40

defense mechanism in anorexia

Answer 40

denial

Question 41

defense mechanism in BPD

Answer 41

splitting