{"id":129269,"date":"2023-12-01T14:02:21","date_gmt":"2023-12-01T14:02:21","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=129269"},"modified":"2023-12-01T14:02:23","modified_gmt":"2023-12-01T14:02:23","slug":"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","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/12\/01\/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\/","title":{"rendered":"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"},"content":{"rendered":"\n<p>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<\/p>\n\n\n\n<p>Exam 3: NUR253\/ NUR 253 (New 2023\/ 2024<br>Update) Concepts of Mental Health Nursing<br>Exam Review| Guide with Questions and<br>Verified Answers| 100% Correct- Galen<br>QUESTION<br>SXS of Dementia<br>Answer:<br>Denial<br>\u2022Confabulation (made up stories)<br>\u2022Perseveration<br>\u2022Aphasia (unable to understand speech)<br>\u2022Apraxia (inability to perform activities)<br>\u2022Agnosia (unable to interpret sensations)<br>\u2022Agraphia (unable to write)<br>\u2022Hyperorality (put things in mouth)<br>\u2022Hypermetamorphosis<br>QUESTION<br>NI for Dementia<br>Answer:<br>Therapeutic Lies<br>\u2022Redirection<br>\u2022May need to assist with basics (Maslow)<br>Rationale: They will not improve because it is progressive and irreversible<br>QUESTION<br>Meds for Dementia<br>Answer:<br>Cholinesterase Inhibitors:<\/p>\n\n\n\n<p>Tacrine (cognex) &#8211; liver (no longer in U.S.)<br><strong>Donepezil (aricept)- GI<\/strong><br>Rivastigmine (Exelon)-GI<br>Galantamine (Razadyne)<br>\u2022Caution if taking NSAIDs , GI problems<br>\u2022Can cause bradycardia and syncope<br>Namenda (moderate to severe stages unlike other drugs) works on glutamate &#8211; May be used with<br>cholinesterase inhibitors<br>QUESTION<br>Hallucinations<br>Answer:<br>something is coming through one of the 5 senses that is not present at all<br>NI:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Decrease environmental stimuli, such as loud noise extreme bright colors and flashing lights<\/li>\n\n\n\n<li>Attempt to identify precipitating factors by asking the client what happened prior to the onset of<br>hallucination<\/li>\n\n\n\n<li>Monitor TV programs to minimize external stimuli<\/li>\n\n\n\n<li>Monitor command hallucinations that may precipitate aggressive or violent behavior<\/li>\n\n\n\n<li>Admin. prescribed meds.<br>QUESTION<br>illusions<br>Answer:<br>you see, hear, etc. something but misinterpret it (my IV tubing is rope to hang me)<br>QUESTION<br>Delusions<br>Answer:<br>a belief that is not true: People are trying to poison me<\/li>\n<\/ul>\n\n\n\n<p>NI:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Don&#8217;t whisper or laugh in the presence of the client<\/li>\n\n\n\n<li>Don&#8217;t argue or attempt to disprove delusional or suspicious thoughts<\/li>\n\n\n\n<li>Explain all procedures and interventions, including medication management.<\/li>\n\n\n\n<li>Provide for personal space and don&#8217;t touch without warning the client<\/li>\n\n\n\n<li>Maintain eye contact during interactions with client<\/li>\n\n\n\n<li>Provide consistency in care<\/li>\n\n\n\n<li>Awareness syndrome<br>Medication management.<\/li>\n\n\n\n<li>Neuroleptic meds\/antipsychotic<\/li>\n\n\n\n<li>Improvement 1-2 days ; full effect is 6-8 wks<br>QUESTION<br>Reactive Attachment Disorder<br>Answer:<br>consistent pattern of inhibited &amp; emotionally withdrawn behavior. Rarely directs attachment to<br>behavior to caregiver &amp; doesn&#8217;t seek comfort from them when distressed.<br>Caused by lack of bonding experience w\/ primary caregiver by the age of 8 months.<br>Related to:<br>-severe neglect<\/li>\n\n\n\n<li>changes in caregivers<\/li>\n\n\n\n<li>care in institutional setting<br>QUESTION<br>NI for reactive attachment disorder<br>Answer:<\/li>\n\n\n\n<li>Structure<\/li>\n\n\n\n<li>Consistency<\/li>\n\n\n\n<li>loving environment<br>QUESTION<br>Disinhibited Social Engagement Disorder<br>Powered by <a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=<\/a><\/li>\n<\/ul>\n\n\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" 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[&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","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 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