Exam 3: NUR253/ NUR 253 (New 2023/ 2024 Update) Concepts of Mental Health Nursing Exam Review| Guide with Questions and Verified Answers| 100% Correct- Galen

Exam 3: NUR253/ NUR 253 (New 2023/ 2024 Update) Concepts of Mental Health Nursing Exam Review| Guide with Questions and Verified Answers| 100% Correct- Galen

Exam 3: NUR253/ NUR 253 (New 2023/ 2024
Update) Concepts of Mental Health Nursing
Exam Review| Guide with Questions and
Verified Answers| 100% Correct- Galen
QUESTION
SXS of Dementia
Answer:
Denial
•Confabulation (made up stories)
•Perseveration
•Aphasia (unable to understand speech)
•Apraxia (inability to perform activities)
•Agnosia (unable to interpret sensations)
•Agraphia (unable to write)
•Hyperorality (put things in mouth)
•Hypermetamorphosis
QUESTION
NI for Dementia
Answer:
Therapeutic Lies
•Redirection
•May need to assist with basics (Maslow)
Rationale: They will not improve because it is progressive and irreversible
QUESTION
Meds for Dementia
Answer:
Cholinesterase Inhibitors:

Tacrine (cognex) – liver (no longer in U.S.)
Donepezil (aricept)- GI
Rivastigmine (Exelon)-GI
Galantamine (Razadyne)
•Caution if taking NSAIDs , GI problems
•Can cause bradycardia and syncope
Namenda (moderate to severe stages unlike other drugs) works on glutamate – May be used with
cholinesterase inhibitors
QUESTION
Hallucinations
Answer:
something is coming through one of the 5 senses that is not present at all
NI:

• Decrease environmental stimuli, such as loud noise extreme bright colors and flashing lights
• Attempt to identify precipitating factors by asking the client what happened prior to the onset of
  hallucination
• Monitor TV programs to minimize external stimuli
• Monitor command hallucinations that may precipitate aggressive or violent behavior
• Admin. prescribed meds.
  QUESTION
  illusions
  Answer:
  you see, hear, etc. something but misinterpret it (my IV tubing is rope to hang me)
  QUESTION
  Delusions
  Answer:
  a belief that is not true: People are trying to poison me

NI:

• Don’t whisper or laugh in the presence of the client
• Don’t argue or attempt to disprove delusional or suspicious thoughts
• Explain all procedures and interventions, including medication management.
• Provide for personal space and don’t touch without warning the client
• Maintain eye contact during interactions with client
• Provide consistency in care
• Awareness syndrome
  Medication management.
• Neuroleptic meds/antipsychotic
• Improvement 1-2 days ; full effect is 6-8 wks
  QUESTION
  Reactive Attachment Disorder
  Answer:
  consistent pattern of inhibited & emotionally withdrawn behavior. Rarely directs attachment to
  behavior to caregiver & doesn’t seek comfort from them when distressed.
  Caused by lack of bonding experience w/ primary caregiver by the age of 8 months.
  Related to:
  -severe neglect
• changes in caregivers
• care in institutional setting
  QUESTION
  NI for reactive attachment disorder
  Answer:
• Structure
• Consistency
• loving environment
  QUESTION
  Disinhibited Social Engagement Disorder
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