Test 2: Blueprint (2)

Question 1

What is another name for depression?

Answer 1

pseudodementia

Question 2

Depression mimics the _____ changes noticed with a _____ _____.

Answer 2

cognitive

neurocognitive disorder

Question 3

Pseudodementia (depression) is:

Answer 3

• Rapid onset
• Forgetful (but doesn’t confabulate)
• Oriented to time and place
• Does not wander
• Performance is variable
• Better as day progresses
• Appetite poor
• Concentration intact

Question 4

NCD is:

Answer 4

• slow onset
• forgetful and confabulates
• disoriented to time and place
• wanders in search of familiar
• consistently poor performance
• worsens as day progresses
• unchanged appetite but doesn’t remember to eat
• impaired concentration

Question 5

Symptoms of ADHD:

Answer 5

• inattention
• hyperactivity
• impulsiveness

Question 6

Common nursing dx for ADHD:

Answer 6

• Risk for injury r/t impulsive and accident prone behavior and the inability to perceive self-harm
• Impaired social interaction r/t intrusive and immature behavior
• Low self-esteem r/t dysfunctional family system and negative feedback
• Noncompliance with task expectations r/t low frustration tolerance and short attention span

Question 7

What is an outcome for “Risk for injury r/t impulsive and accident-prone behavior and the inability to perceive self-harm”?

Answer 7

Experience not physical harm

Question 8

What is an outcome for “Impaired social interaction r/t intrusive and immature behavior”?

Answer 8

Interacts appropriately

Question 9

What is an outcome for “Low self-esteem r/t dysfunctional family system and negative feedback”?

Answer 9

Verbalized positive aspects about self

Question 10

What is an outcome for “Noncompliance with task expectations r/t low frustration tolerance and short attention span”?

Answer 10

Demonstrates fewer demanding behaviors;

Cooperates with staff in an effort to complete assigned tasks

Question 11

What is important to focus on with ADHD?

Answer 11

• Client SAFETY!!!
• Increase self-worth
• Foster motivation for compliance

Question 12

Nursing interventions for ADHD:

Answer 12

• decrease environmental stimuli
• set limits on behavior
• provide safe environment
• behavior contract
• administer ordered meds

Question 13

Meds used for ADHD:

Answer 13

stimulants
antidepressants
centrally acting alpha agonists

Question 14

Stimulants for ADHD:

Answer 14

troamphetamine
methylphenidate
pemoline
dextroamphetamine/amphetamine

Question 15

Antidepressants for ADHD:

Answer 15

atomoxetine

buproprion

Question 16

Centrally Acting Alpha Agonists for ADHD:

Answer 16

clonidine

guafacine

Question 17

Symptoms of autism:

Answer 17

• withdrawal of the child into self
• does not like to be touched
• inappropriate laughing
• no fear of danger
• insensitive to pain
• no eye contact
• difficulty expressing needs
• difficulty interacting with others
• sustained unusual or repetitive play
• echoing of words/ phrases

Question 18

Common nursing diagnoses for autism:

Answer 18

• Risk for SELF-MUTILATION r/t neurological alterations
• Impaired SOCIAL INTERACTION r/t inability to trust and neurological alterations
• Impaired VERBAL COMMUNICATION r/t withdrawal into self and neurological alterations
• DISTURBED PERSONAL IDENTITY r/t neurological alterations

Question 19

What outcome is seen with “Risk of self-mutilation”?

Answer 19

exhibits no evidence of self-harm

Question 20

What outcome is seen with “Impaired social interaction”?

Answer 20

interacts appropriately with at least 1 staff member

Question 21

What outcome is seen with “Impaired verbal communication”?

Answer 21

able to communicate so that he can be understood by at least one staff member

Question 22

What outcome is seen with “Disturbed personal identity”?

Answer 22

demonstrates behaviors that indicate he has begun the separation/individuation process