{"id":115420,"date":"2023-08-24T11:00:01","date_gmt":"2023-08-24T11:00:01","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115420"},"modified":"2023-08-24T11:00:04","modified_gmt":"2023-08-24T11:00:04","slug":"hesi-milestone-2-version-a-blueprint-with-actual-exam-hints-from-a-professor-latest-version-updated-2023-graded-a-2","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/24\/hesi-milestone-2-version-a-blueprint-with-actual-exam-hints-from-a-professor-latest-version-updated-2023-graded-a-2\/","title":{"rendered":"HESI MILESTONE 2 VERSION A BLUEPRINT with Actual Exam Hints from a Professor Latest Version Updated 2023 Graded A+"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p>HESI MILESTONE 2 VERSION A BLUEPRINT with Actual Exam Hints from a<br>Professor Latest Version Updated 2023 Graded A+<br>1 \/ 35<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Schizophrenia care-: Establish trust and rapport, encourage the client to talk<br>with you, be consistent in setting expectations, explain the procedures and be<br>certain the client understands, give positive feedback for the client successes,<br>show empathy, do not be judgemental, never convey to the client that you accept<br>their delusions as reality.<\/li>\n\n\n\n<li>Grief therapeutic response-: Allow the 5 steps of grieving: Denial, Anger,<br>Bargaining, Depression, and Acceptance (DABDA), active listening, and offering<br>a supportive presence.<br>Nursing Plans and Interventions:<br>A. If needed, refer to grief counseling or a support group.<br>B. Encourage activities that allow the individual to use past coping strategies to<br>promote a feeling of self-worth and increased self-esteem.<br>C. Encourage the individual to share his or her feelings.<br>D.Encourage socialization with family peers and reminisce about significant life<br>experiences.<\/li>\n\n\n\n<li>Delirium care-: Know usual mental status and if changes noted are long-term, it<br>probably represents dementia; if they are sudden\/acute in onset, it is more likely to<br>be delirium. Recognize and report symptoms immediately.Treatment of underlying<br>causes is important &#8211; if untreated, it can lead to permanent, irreversible brain<br>damage and death.<br>The primary goals of nursing care for clients with delirium are: PROTECTION<br>FROM INJURY, MANAGEMENT OF CONFUSION, AND MEETING PHYSIOLOGICAL AND PSYCHOLOGICAL NEEDS.<br>Ensure patient safety (fall risk) and manage behavioral problems.<br>Alert the prescriber of nonessential medications.<br>Nutritional and fluid intake must be monitored.<br>A quiet and calm environment.<br>Encourage visitors to touch and talk to patients.<br>Assess\/manage pain.<\/li>\n\n\n\n<li>Alzheimer&#8217;s hallucination-: Occurs in the late-middle to later stages of the<br>disease process and is treated with antipsychotics such as Haldol<\/li>\n\n\n\n<li>Alcohol withdrawal-: Symptoms of withdrawal usually begin 4 to 12 hours after<br>cessation or marked reduction of alcohol intake. Symptoms include coarse hand<br>tremors, sweating, elevated pulse, and blood pressure, insomnia, anxiety, and<br>nausea or vomiting. Severe or untreated withdrawal may progress to transient<br>hallucinations, seizures, or delirium, called delirium tremors. Alcohol withdrawal<br>usually peaks on the second day and is over in about 5 days. This can vary,<br>however, and withdrawal may take 1 to 2 weeks.Safe withdrawal is usually accom-<\/li>\n<\/ol>\n\n\n\n<p>HESI MILESTONE 2 VERSION A BLUEPRINT with Actual Exam Hints from a<br>Professor Latest Version Updated 2023 Graded A+<br>2 \/ 35<br>plished with the administration of benzodiazepines, such as lorazepam (Ativan),<br>chlordiazepoxide (Librium), or diazepam (Valium), to suppress the withdrawal<br>symptoms.<br>Nursing Plans and Interventions<br>A. Maintain safety, nutrition, hygiene, and rest.<br>B.Obtain a BAL on admission or when a client appears intoxicated after admission.<br>C. Implement suicide precautions if assessment indicates risk.<br>D. In general<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Monitor vital signs, input and output (I&amp;O), and electrolytes.<\/li>\n\n\n\n<li>Observe for impending DTs.<\/li>\n\n\n\n<li>Prevent aspiration; implement seizure precautions.<\/li>\n\n\n\n<li>Reduce environmental stimuli.<\/li>\n\n\n\n<li>Medicate with antianxiety medication, usually chlordiazepoxide (Librium) or<br>lorazepam<br>(Ativan)<\/li>\n\n\n\n<li>Provide high-protein diet and adequate fluid intake (limit caffeine).<\/li>\n\n\n\n<li>Provide vitamin supplements, especially vitamins B1 and B complex.<\/li>\n\n\n\n<li>Provide emotional support.<\/li>\n\n\n\n<li>Methadone-: Detoxification and maintenance therapy for opioid use disorder.<br>Suppression of withdrawal symptoms during detox related to opioids such as<br>heroin.<br>It can cause respiratory depression.<br>Do not give it to patients with acute or severe bronchial asthma.<br>It is contraindicated for patients taking MAOIs.<br>Methadone Overdose:<br>A). Physical Assessment<br>-Constricted pupils<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Respiratory depression leading to respiratory arrest<br>-Circulatory depression leading to cardiac arrest<br>-Unconsciousness leading to coma<br>-Death<br>B). General Appearance<br>-General physical and mental deterioration<br>-Rapid tolerance-overdose likely if not monitored.<br>-Impaired judgment<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Aggression response-: The nurse must protect others from these clients&#8217;<br>manipulative or aggressive behaviors. At the beginning of treatment, he or she<br>must set limits on unacceptable behavior. The limit setting involves the following<br>three steps:<\/li>\n<\/ol>\n\n\n\n<p>HESI MILESTONE 2 VERSION A BLUEPRINT with Actual Exam Hints from a<br>Professor Latest Version Updated 2023 Graded A+<br>3 \/ 35<br>Inform clients of the rule or limits.<br>Explain the consequences if clients exceed the limit.<br>State expected behavior.<br>Nursing Plans and Interventions: Conduct and Defiant Disorders<br>A. Assess verbal and nonverbal cues for escalating behavior so as to decrease<br>outbursts.<br>B. Use a nonauthoritarian approach.<br>C. Avoid asking &#8220;why&#8221; questions.<br>D. Initiate a &#8220;show of force&#8221; with a child who is out of control.<br>E. Use a &#8220;quiet room&#8221; when external control is needed.<br>F.Clarify expressions or jargon if meanings are unclear.<br>G.Teach to redirect angry feelings to safe alternative, such as a pillow or punching<br>bag.<br>H. Implement behavior modification therapy if indicated.<br>I. Role-play new coping strategies with client.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"8\">\n<li>Duty to warn-: The obligation of a healthcare provider to warn third parties of<br>potential threats or harm aimed at them by another individual.<\/li>\n\n\n\n<li>Schizophrenia- treatment evaluation-: 1.) Clients should have decreased agitation, combativeness, and psychomotor activity.<br>2.) Decreased psychotic behaviors such as decreased hallucinations and delusions.<\/li>\n\n\n\n<li>Anxiety drugs risk-: Most of these drugs are benzodiazepines, which are<br>commonly prescribed for anxiety. Benzodiazepines have a high potential for abuse<br>and dependence, so their use should be short-term, ideally no longer than 4 to 6<br>weeks. One chief problem encountered with benzodiazepines is their tendency to<br>cause physical dependence.Significant discontinuation symptoms occur when the<br>drug is stopped; these symptoms often resemble the original symptoms for which<br>the client sought treatment. This is especially a problem for clients with long-term<br>benzodiazepine use, such as those with panic or generalized anxiety disorder.<br>I am 100% convinced that this is the fact that three weeks after starting an<br>anxiolytic, a patient is at a significantly higher risk of suicide due to increased<br>energy and not wanting to go back to feeling anxious or depressed. It&#8217;s mentioned<br>both in Realize It and in the HESI prep<\/li>\n\n\n\n<li>ADHD exam-: &#8211; Failure to listen\/follow direction<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Difficulty playing quietly\/sitting still<\/li>\n\n\n\n<li>Disruptive, impulsive behavior<\/li>\n<\/ul>\n\n\n\n<p>HESI MILESTONE 2 VERSION A BLUEPRINT with Actual Exam Hints from a<br>Professor Latest Version Updated 2023 Graded A+<br>4 \/ 35<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Distractibility to external stimuli<\/li>\n\n\n\n<li>Excessive talking<\/li>\n\n\n\n<li>Shifting from one unfinished task to another.<\/li>\n\n\n\n<li>Underachievement in school performance<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Obsessive compulsive disorder-Nursing Diagnosis: Nursing Diagnosis<br>Ineffective Coping<br>Inability to form a valid appraisal of the stressor<br>Inadequate choices of practiced responses and\/or<br>Inability to use available resources.<br>Nursing Assessment<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Recurring, intrusive thoughts and repetitive behaviors that interfere with normal<br>functioning<br>. Ambivalence regarding decisions or choices<\/li>\n\n\n\n<li>Disturbances in normal functioning due to obsessive thoughts or compulsive<br>behaviors (loss of job, loss of\/or alienation of family members, etc.)<\/li>\n\n\n\n<li>Inability to tolerate deviations from standards<\/li>\n\n\n\n<li>Rumination<\/li>\n\n\n\n<li>Low self-esteem<\/li>\n\n\n\n<li>Feelings of worthlessness<br>. Lack of insight<br>Nursing interventions<br>A. Actively listen to the client&#8217;s obsessive themes.<br>B. Acknowledge the effects that ritualistic acts have on the client.<br>C. Demonstrate empathy.<br>D.Avoid being judgmental.<br>E. Provide for client&#8217;s physical needs.<br>F.Allow performance of the compulsive activity with attention given to safety (e.g.,<br>skin integrity of a hand washer).<br>G. Explore meaning and purpose of the behavior with client.<br>H. Avoid punishing and criticizing.<br>I. Establish routine to avoid anxiety-producing changes.<br>J. Assist client with learning alternative methods of dealing with stress.<br>K. Avoid reinforcing compulsive behavior.<br>L. Limit the amount of time for performance of ritual and encourage client to<br>gradually decrease the time.<br>M. Administer antianxiety medications as prescribed<br>N. Administer SSRIs or tricyclic antidepressants as prescribed<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Therapeutic communication abuse victim-: -Listen.<br>-Believe what the person says.<br><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>HESI MILESTONE 2 VERSION A BLUEPRINT with Actual Exam Hints from aProfessor Latest Version Updated 2023 Graded A+1 \/ 35 HESI MILESTONE 2 VERSION A BLUEPRINT with Actual Exam Hints from aProfessor Latest Version Updated 2023 Graded A+2 \/ 35plished with the administration of benzodiazepines, such as lorazepam (Ativan),chlordiazepoxide (Librium), or diazepam (Valium), to suppress [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115420","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115420","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115420"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115420\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115420"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115420"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115420"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}