final exam (class review) Flashcards
(65 cards)
what is an intervention that a nurse should implement for a hospitalized child with autism spectrum disorder to help reduce anxiety and make the client feel more comfortable?
maintain the clients routine
Which personality disorder cluster would a fresh two-inch cut on arms and legs be indicative of?
cluster B
“wild”
How can the nurse best respond to a client with a personality disorder who is using defensive coping?
*deliver consequences in a matter-of-fact manner
- use positive reinforcement to encourage desired behaviors
- recognize that the behavior is unacceptable, instead of saying the client is unacceptable
what is a trademark of all personality disorders?
they are comfortable with their altered behaviors (they think that other people are the ones who have something wrong)
How would someone with avoidant personality disorder receive a compliment?
fear rejection and humiliation afterwards
which personality disorder is implicated by a client who is dramatic, attention seeking, and seductive?
histrionic
How may a client with obsessive compulsive personality disorder respond to nurses alternating weekend shifts?
“you can’t just make these kinds of changes? what about rules?”
rule driven
how should the nurse reinforce positive behaviors in a client with borderline personality disorder?
give unit privileges for positive behaviors
what intervention should be made for a client with paranoid personality disorder who becomes very violent?
use clear, calm statements and a confident stance
what should a nurse say to a client who has antisocial personality disorder who exhibits angry outbursts?
“during group , you raised your voice and slammed the door”
- state facts without accusation
why do patients with schizoid personality disorder exhibit self isolation?
due to an inability to relate to others
what are the cluster A personality disorders?
weird
- schizoid, paranoid, schizotypal
what communication technique should be used for a client with intellectual disability disorder?
provide simple directions and praise independence
what is an appropriate step for a client who is having opioid toxication?
administer naloxone
A recovering alcoholic patient who is using medication to promote abstinence presents with headaches, tachycardia, flushing, and dyspnea after a glass of wine; what do you suspect is happening?
a disulfiram reaction
what are expected symptoms during alcohol detoxification?
- tremors
- delirium
- hypertension
- hyperactivity
what is the beginning step for a client to become successful in an alcohol recovery process?
they are able to correlate alcohol use with stress (what emotions/factors led to them drinking)
what is a priority nursing intervention during the first 24 hr of a client’s alcohol detoxification?
administering benzodiazepines; chlordiazepoxide due to risk for seizures
how should a nurse best respond to a client who has antisocial personality disorder who is spitting, cursing and refusing to answer questions?
recognize that you understand they are upset but behavior is not tolerated
-“I understand, but this will not be tolerated”
describe an example of tangentiality?
a client with schizophrenia is unable to stay focused on the topic of discussion
- never gets to main point
what is expected during the prodromal stage of schizophrenia?
significant deterioration of function
What would be indicated for a client who has complicated grief but states, “I started exercising to release tension?”
resolution of grief
- they have return to usual function
What is an appropriate goal for a client who has anorexia nervosa?
they can verbalize adequate nutritional intake in 2 weeks
what client education should be given for bulimia nervosa?
- purging can leas to tooth loss
- laxatives can cause dehydration
- depressed mood follows binging behavior
