VN 42 CLO 1-3 FINAL Flashcards

1
Q
  1. Florence Nightingale is most well-known for what (PG.2)?
A
  • Known for setting the standard of a clean environment
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2
Q
  1. Know the common defense mechanisms and be able to identify examples (PG.98).
A
  • Denial
  • Repression
  • Disassociation
  • Rationalization
  • Compensation
  • Reaction Formation (overcompensation)
  • Regression
  • Sublimation
  • Projection
  • Displacement
  • Restitution (undoing)
  • Isolation
  • Conversion Reaction
  • Avoidance
  • Scapegoating
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3
Q
  1. Know psych medication adverse reactions. Which med is the most likely to cause adverse reactions?
A

Lithium for bipolar depression toxicity (greater than 1.5mEq/L):

Toxicity sx:
-severe diarrhea
-Persistent N/V
-Muscle weakness, tremors
-blurred vision
-Slurred speech
-Seizures
-coma & death

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4
Q
  1. Reflexology is based on the massage of this body part (pg.136):
A
  • Feet
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5
Q
  1. A sign of suicide is _____ in a person with depression?
A

a sudden lift of depression

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6
Q
  1. Antisocial personality disorder characteristics are (PG.209):
A

(OSHHRUGS)
*Often in trouble with the law
*Seldom feels affection, loyalty, guilt, or remorse
*Has difficulty handling frustration and anger
*High risk for substance abuse
*Requires immediate self-gratification
*Usually gregarious, charming, intelligent, and likable
Good at manipulating others for personal gain *Shows very little concern for the rights or feelings of others

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7
Q
  1. List positive signs of schizophrenia (see pp week 11)
A

(CHADBAD)
*Concrete thinking
*Hostility
*Agitation
*Delusions, thought disorders, hallucinations
*Bizarre behaviors
*Association Disturbances
*Disorganized speech

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8
Q
  1. dementia meds (PG.236)
A
  • Donepezil
  • Rivastigmine
  • Galantamine
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9
Q
  1. What is chlordiazepoxide used for (PG.158)?
A

*Anxiety caused by ETOH withdrawal

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10
Q
  1. Signs of anorexia (PG.270)?
A

(FPOREPAIRED)
*Frequent use of laxatives
*Physical signs can include slow pulse rate, electrolyte imbalances, fatigue, dry skin, and lanugo (fine body hair)
*Obsessive thoughts
*Restricting food intake often to only 200–300
*Excessive weight loss, usually more than 25% of body weight prior to dieting
*Perfectionism
*Absence of menstrual cycle (women)
*Intense fear of being fat
*Refusal to maintain normal weight
*Excessive exercise
calories per day
*Distorted body image

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11
Q
  1. Bipolar Manic Phase manifestations
A

*Being easily distracted
*little need for sleep (may feel rested after 3 hours of sleep)
*Poor temper control, easily becoming agitated and irritable
*Reckless behavior and lack of self-control, including:
-Drinking and/or drug use, binge eating
-Poor judgment
-Sex with many partners (promiscuity)
-Spending sprees

*Very elevated mood:
-Excess activity (hyperactivity)
-Increased energy
-Racing thoughts, flight of ideas
-Talking a lot
-Very high self-esteem, grandiosity (false beliefs about self or abilities)
*Very involved in activities

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12
Q
  1. Depressed Phase bipolar disorder
A

*Low mood or sadness
*Difficulty concentrating, remembering, or making decisions
*Eating problems:
-Loss of appetite and weight loss
-Overeating and weight gain
*Fatigue or lack of energy
*Feeling worthless, hopeless, or guilty
*Loss of pleasure in activities once enjoyed
*Loss of self-esteem
*Thoughts of death and suicide
*Trouble getting to sleep or sleeping too much
*Pulling away from friends or activities that were once enjoyed

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13
Q
  1. Risks for osteoporosis (PG.880)
A

Small, slim framed women
* Non-Hispanic, White or European descent, Asian
* Postmenopausal
* Family hx
* Aging
* Inactivity (long periods of immobility)
* Excessive caffein intake, tobacco
* Medications: loop diuretics, corticosteroids, thyroid meds, anticonvulsants
* Hx of malabsorption disorders: anorexia, celiac, bariatric surgery)

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14
Q
  1. Major complication of osteoporosis?
A

Fractures

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15
Q
  1. Risks for osteomyelitis(PG.878)?
A
  • Staphylococcus aureus
  • Streptococci & enterococci
  • Pseudomonas
  • Bone contamination directly by trauma (wounds/compound fxs)
  • Vascular insufficiency
  • PVD
  • Infection of pin sites
  • Long term dialysis
  • Chemotherapy, corticosteroid therapy, immunosuppressant meds
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16
Q
  1. Differences and examples of primary and secondary immunodeficiency
A

Primary immunodeficiency: -genetically acquired

Secondary immunodeficiency:
-Sepsis r/t a recent chemotherapy course

17
Q
  1. Mitral stenosis medical intervention (PG.319)
A

*balloon valvuloplasty

18
Q
  1. Children and burns important to know
A

-children w/significant burn percentages are at a higher risk for severe complications

19
Q
  1. Which of the following compensatory mechanisms for aortic stenosis has most likely maintained the woman’s ejection fraction until recently?(PG.313).
A

*Left ventricular hypertrophy

20
Q
  1. Position for hypovolemic shock when administering aggressive fluid resuscitation(Test 1).
A
  • Position supine w/feet slightly elevated
21
Q
  1. What can decrease the progression of osteoporosis(PG.881)?
A
  • Well-balanced diet that is high in calcium supplement, vitamin D & protein
22
Q
  1. With head injury/icu rationale for increasing the HOB, head in neutral alignment, and avoiding sharp hip flexion
A

avoid impeding venous outflow.