HESI MILESTONE #2 RETAKE 2023-2024 ACTUAL EXAM
TEST BANK 200 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (100% VERIFIED ANSWERS)
|ALREADY GRADED A+
If a patient comes into the ER and is suspected of domestic violence,
what do you want to make sure the patient has?
- safety plan is set in place regardless of the restraining order
What are some therapeutic communication for abuse victim? - gain trust
- show no judgement
- do not give advice
- offer support
How do you manage a patient in the escalation phase? - take control of the situation
- provide directions in a firm, calm voice
- direct client to time-out in quiet room or area
- communicate that aggressive behavior is not acceptable
- show of force
How to respond to aggression: - use a calm/firm voice
- talk to them first before anything else; safety is a priority but
communication is key
What happens if a client who is angry and frustrated believes that no one
is listening to them are more prone to behave in a hostile or aggressive
manner? - try to speak to them first
EPS side effects
- acute muscle rigidity/cramping
- difficulty swallowing
- thick tongue
- muscle jerks
EPS S/S - muscle twitch/spasm
- movement of the tongue, face and neck
- lip smacking and blinking
- stop medication IMMEDIATELY
What is acute dystonia s/s? - involuntary movements, postures, and contractions; within the first 1-2
weeks
What is neuroleptic malignant syndrome s/s? - high fever
- sweating
- unstable B/P
What is tardive dyskinesia s/s? - involuntary
- repetitive movements of the jaw
- face/neck becomes permanent
- long term
How do you first prioritize care with Maslow’s hierarchy of needs> - physiological needs are most important such as nutrition, elimination,
shelter, etc…
What patient education should you teach a patient taking MAOI’s?
you should not eat:
- aged cheese/ meats
- blue cheese
- smoked fish
- sausage/salami
- beer/wine
- HYPERTENSIVE CRISIS if combined
- OTC medications should not be used b/c they Interact with most drugs
S/S of elder abuse: - multiple bruises
- stages of healing (measure and document the wounds and bruises)
- poor hygiene such as: do not have their glasses/denture; body oder;
incontinence - not enjoying activity they once loved
- avoiding eye contact
What is an acceptable grief? - anger
- sadness
What is an unacceptable grief? - suicide
- drinking to numb experience
How can you effectively communicate with an ADHD patient to stay on
task? - give them one task at a time
Note: having a list of tasks can feel overwhelming to them
What are questions to ask an abuse victim?
“Any thoughts of suicide?”
“How are you feeling?”
“Are you about to check out the hospital or out of life?”
What should happen in the termination stage?
- pt should have everything they need such as follow up appt resources;
problem solving, self care and ability to take care of themselves.
What are some labs we need to look for when dealing with a anorexia
patient? - abnormal ABGS
- low potassium
- low B/P
- low HR
- low blood glucose
What are the psychopharmacology principles? - effectiveness take time (several weeks)
- may have to be tapered to get to the full therapeutic dose
How should you treat a patient who has conduct disorder? - consistency and consequence
Echolaila
repeats what other says
Clang associations
when they rhyme things
Word Salad
“dinner, trees, grass”; they have no association with each other
Single idea
single idea/topic that is all they talk about