NSG 322 Exam 1 – 3 | New Full Questions and Answers ( Included ) 100% Correct ( Latest 2024 )
NSG 322 Exam 1
New Full Questions and Answers ( Included ) 100% Correct
( Latest 2024 )
- when was psychiatric nursing recognized?
Answer: in the late 1800s - when was psychiatric nursing taught in nursing schools?
Answer: 1950s - when were psychotropic drugs first developed
Answer: in the early 1950s - what wasthe 1963 Community Mental Health Center Act
Answer: it was an act to pushtowards community care for mental illness rather than
institutionalizing whenever possible - the 1963 Community Mental Health Center Act gained momentum when?
Answer: -after World War II and increased rates of PTSD - what is stigma?
Answer: a negative perception of something that is not always justified.it is fueled by what
society says about it - what is holistic practice
Answer: the integration of both scientific knowledge and caringarts (essence of nursing) - what is nursing process
Answer: assessment/data gathering, nursing diagnosis, interventions, outcome evaluation - what is the DSM-5
Answer: the official manual for psychiatric medical diagnosis - why is the DSM-5 useful for a non-advanced practice RN?
Answer: because it is a good reference for people to know a quick overview of what is going on
with a patient - which is a nursing responsibility that only an APRN-PMH can perform?
1) conducting psychotherapy
2) administering prescription medications
3) integrating biological and complementary therapies
4) adapting health instruction to a patient’s specific needs
Answer: conducting psychotherapy
- what does the therapeutic milieu refer to
Answer: the environment in which holistic treatment occurs and includes all members of the
treatment teach, a positive physical setting, interactions between those who are hospitalized
and activities thatpromote recovery - do nurses or patients have countertransference?
Answer: nurses - every instance ofseclusion of restraint use must what
Answer: be made under aneworder written for that client in thatspecific circumstance in order
to be legally justifiedand uphold the client’s right to safe and non-harmful care - voluntary commitment =
Answer: inpatient/outpatient - emergency involuntary commitment =
Answer: limited, observational/inpatient - involuntary commitment =
Answer: long-term/inpatient or outpatient - when it comes to civil rights, just because a patient is committed to amental institution
doesn’t mean
Answer: that their civil rights are revoked - what was the 1974Tarasoff case about?
Answer: a ruling that therapists and advanced practice RN/doctors have the duty to warn and
protect people - who has the need to notify someone to warn and protect a person?
Answer: staffnurses and members of the mental health team NOTIFY/REPORT to APRNs
andpsychiatric mental health NP’s to warn but CANNOT warn themselves - Duty
Answer: your responsibilities/obligations, what you have to do - breach of duty
Answer: failing to meet your duty
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NSG 322 Exam 2
New Full Questions and Answers ( Included ) 100% Correct
( Latest 2024 )
- complex trauma
Answer: developmental consequences of multiple traumatic events orprolonged exposure to
trauma - complex trauma may develop from
Answer:
-maltx
-neglect
-abuse - immediate emotional response
Answer:
-numbness and detachment
-anxiety/severe fear
-guilt
-exhilaration
-anger.sadness
-helplessness
-depersonalization
-disorientation
-feeling out of control
-denial
-constriction of feelings
-feeling overwhelmed - delayed emotional response
Answer:
-irritability/hostility
-depression
-mood swings
-anxiety
-fear of trauma recurrence
-grief reactions
-shame feelings of fragility
-emotional detachment - immediate cognitive response
Answer:
-Difficulty concentrating
-Racing thoughts
-Distortion of time and space
-Memory problems
-Strong identification with victims - delayed cognitive response
Answer:
-Intrusive memories or flashbacks
-Reactivation of previous traumatic events
-Self-blame
-Preoccupation with event
-Difficulty making decisions
-Magical thinking
-Belief that feelings or memories are dangerous
-Generalization of triggers
-Suicidal thinking - immediate behavioral response
Answer:
-Startled reaction
-Restlessness
-Sleep and appetite disturbances
-Difficulty expressing oneself
-Argumentative behavior
-increased use of alcohol, drugs, and tobacco
-Withdrawal and apathy
-Avoidant behaviors - delayed behavioral response
Answer:
-Avoidance of event reminders
-social relationship disturbances
-Decreased activity level
-Engagement in high-risk behaviors
-Increased use of alcohol and drugs
-Withdrawal - trauma informed care
Answer: focuses on how trauma may affect an individual’slife andhis or her response to
behavioral health services from prevention through treatment - trauma informed approach incorporates
Answer:
-realizing the prevalence of trauma
-recognizing how trauma affects all individuals involved in the program, org, or syst
-responding by putting this knowledge into practice - Reactive Attachment Disorder
Answer: a consistent pattern of inhibited, emotionally withdrawn behavior toward adult
caregivers (child rarely seeks comfort or respondsto comforting) - reactive attachment disorder symptoms
Answer:
-limited pos affect
-irritability
-sadness
-fearfulness
-minimal soc responsiveness - reactive attachment disorder causes
Answer:
-inconsistent care
-freq changes in caregivers
-living in foster homes/orphanages - reactive attachment disorder tx
Answer:
-ind. and family therapy
-med for underlying depression/anxiety
-bibliotherapy - rape-trauma syndrome
Answer:specific type of PTSD which can develop after a clienthas been victim of sexual
assault - symptoms of PTSD
Answer: - re-experiencing symptoms
- avoidance behavior
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NSG 322 Exam 3
New Full Questions and Answers ( Included ) 100% Correct
( Latest 2024 )
- Gamma-hydroxybutyrate (GHB) affects the
Answer: Central nervous system - GHB is dangerous when it is mixed with
Answer: Alcohol - What kind of amnesia does GHB cause
Answer: Anterograde amnesia (when you can’tmake new memories) - GHB clears from the body
Answer: Quickly and it is hard to detect by testing - GHB is therapeutically used to treat
Answer: Narcolepsy type 1 - Flunitrazepam is a potent
Answer: Benzodiazepine it is 10x stronger than diazepam - Flunitrazepam is known as the
Answer: Forget drug or roofies - Flunitrazepam causes which type of amnesia?
Answer: Retrograde (amnesia whereyou can’t recall memories that were formed before the
event that caused the amnesia)
Anterograde (where you can’t make new memories) - Ketamine is what kind of drug
Answer: Hallucinogenic/psychedelic/dissociative drug - Ketamine causes what kind of amnesia
Answer: Causes anterograde amnesia (whereyou can’t make new memories) - Ketamine is also used to treat
Answer: Resistant depression
Procedural sedation and or anesthesia in medical setting more frequently - Medications used for alcohol withdrawal
Answer:
Benzodiazepines
Anticonvulsants
Beta-blockers
Mag sulfate, thiamine, folic acid, and multivitamins - Which drug is the first king for sedation/seizure prevention control
Answer: Benzodiazepines - With benzos you want to
Answer: Taper and discontinue benzos once detox is complete - Diazepam is not metabolized in the
Answer: Liver - What other drugs are used to treat seizure prevention/control
Answer:
Carbamazepines
Valproic acid
Magnesium - What does naltrexone do?
Answer: Reduces the cravings of alcohol - What does Acamprosate do?
Answer: Reduces the cravings of alcohol but prolongswithdrawal symptoms - Acamprosate has been found to help with the
Answer: Unpleasant symptoms ofabstinence - When taking Acamprosate the benefits are seen
Answer: 30-90 days later - Disulfiram is used for
Answer: alcohol aversion therapy
When they ingest any alcohol, it causes unpleasant effects like (N/V, Hera hache,and flushing) - Before starting Disulfiram they must be alcohol free for
Answer: At least 14 days toavoid this reaction when starting the medication
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