Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

NURS316 B Exam 2 LATEST 2025 COMPLETE KEY CONCEPT, Exams of Pharmacology

NURS316 B Exam 2 LATEST 2025 COMPLETE KEY CONCEPT Pathophysiological and Pharmacology for Accelerated BSN Students II GRADED A CSUSM

Typology: Exams

2024/2025

Available from 06/30/2025

kezia-wanyeki
kezia-wanyeki 🇺🇸

102 documents

1 / 12

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
NURS316 B Exam 2 LATEST 2025 COMPLETE KEY CONCEPT
The nurse should recognize which factors that distinguish personality disorders from psychosis?
A. Functioning is more limited in personality disorders than in psychosis.
B. Major disturbances of thought are absent in personality disorders.
C. Personality disordered clients require hospitalization more frequently.
D. Personality disorders do not affect family relationships as much as psychosis.
B. Major disturbances of thought are absent in personality disorders.
When planning care for clients diagnosed with personality disorders, what should be the
anticipated treatment outcome?
A. To stabilize pathology with the correct combination of medications
B. To change the characteristics of the dysfunctional personality
C. To reduce inflexibility of personality traits that interfere with functioning and relationships
D. To decrease the prevalence of neurotransmitters at receptor sites
C. To reduce inflexibility of personality traits that interfere with functioning and relationships
We have an expert-written solution to this problem!
A nursing instructor is teaching students about clients diagnosed with histrionic personality
disorder and the quality of their relationships. Which student statement indicates that learning
has occurred?
A. "Their dramatic style tends to make their interpersonal relationships quite interesting and
fulfilling."
B. "Their interpersonal relationships tend to be shallow and fleeting, serving their dependency
needs."
C. "They tend to develop few relationships because they are strongly independent but generally
maintain deep affection."
D. "They pay particular attention to details, which can frustrate the development of
relationships."
B. "Their interpersonal relationships tend to be shallow and fleeting, serving their dependency
needs."
pf3
pf4
pf5
pf8
pf9
pfa

Partial preview of the text

Download NURS316 B Exam 2 LATEST 2025 COMPLETE KEY CONCEPT and more Exams Pharmacology in PDF only on Docsity!

NURS316 B Exam 2 LATEST 2025 COMPLETE KEY CONCEPT

The nurse should recognize which factors that distinguish personality disorders from psychosis? A. Functioning is more limited in personality disorders than in psychosis. B. Major disturbances of thought are absent in personality disorders. C. Personality disordered clients require hospitalization more frequently. D. Personality disorders do not affect family relationships as much as psychosis. B. Major disturbances of thought are absent in personality disorders. When planning care for clients diagnosed with personality disorders, what should be the anticipated treatment outcome? A. To stabilize pathology with the correct combination of medications B. To change the characteristics of the dysfunctional personality C. To reduce inflexibility of personality traits that interfere with functioning and relationships D. To decrease the prevalence of neurotransmitters at receptor sites C. To reduce inflexibility of personality traits that interfere with functioning and relationships We have an expert-written solution to this problem! A nursing instructor is teaching students about clients diagnosed with histrionic personality disorder and the quality of their relationships. Which student statement indicates that learning has occurred? A. "Their dramatic style tends to make their interpersonal relationships quite interesting and fulfilling." B. "Their interpersonal relationships tend to be shallow and fleeting, serving their dependency needs." C. "They tend to develop few relationships because they are strongly independent but generally maintain deep affection." D. "They pay particular attention to details, which can frustrate the development of relationships." B. "Their interpersonal relationships tend to be shallow and fleeting, serving their dependency needs."

A client diagnosed with borderline personality disorder brings up a conflict with the staff in a community meeting and develops a following of clients who unreasonably demand modification of unit rules. How can the nursing staff best handle this situation? A. Allow the clients to apply the democratic process when developing unit rules. B. Maintain consistency of care by open communication to avoid staff manipulation. C. Allow the client spokesperson to verbalize concerns during a unit staff meeting. D. Maintain unit order by the application of autocratic leadership. B. Maintain consistency of care by open communication to avoid staff manipulation. A client diagnosed with antisocial personality disorder comes to a nurses' station at 11:00 p.m., requesting to phone a lawyer to discuss filing for a divorce. The unit rules state that no phone calls are permitted after 10:00 p.m. Which nursing reply is most appropriate? A. "Go ahead and use the phone. I know this pending divorce is stressful." B. "You know better than to break the rules. I'm surprised at you." C. "It is after the 10:00 p.m. phone curfew. You will be able to call tomorrow." D. "The decision to divorce should not be considered until you have had a good night's sleep." C. "It is after the 10:00 p.m. phone curfew. You will be able to call tomorrow." A nurse should identify topiramate (Topamax) as the drug of choice for which of the following conditions? A. Bingeing and purging with a diagnosis of bulimia nervosa B. Weight loss with a diagnosis of anorexia nervosa C. Amenorrhea with a diagnosis of anorexia nervosa D. Emaciation with a diagnosis of bulimia nervosa A. Bingeing and purging with a diagnosis of bulimia nervosa Which nursing intervention is appropriate when caring for clients diagnosed with either anorexia nervosa or bulimia nervosa? A. Provide privacy during meals. B. Remain with the client for at least 1 hour after the meal. C. Encourage the client to keep a journal to document types of food consumed. D. Restrict client privileges when provided food is not completely consumed. B. Remain with the client for at least 1 hour after the meal.

A. Deal with physical symptoms in a detached manner. B. Challenge the validity of physical symptoms. C. Meet dependency needs until the physical limitations subside. D. Encourage a discussion of feelings about the lower-extremity problem. A. Deal with physical symptoms in a detached manner. A client is diagnosed with dissociative identity disorder (DID). What is the primary goal of therapy for this client? A. To recover memories and improve thinking patterns B. To prevent social isolation C. To decrease anxiety and need for secondary gain D. To collaborate among subpersonalities to improve functioning D. To collaborate among subpersonalities to improve functioning A nursing instructor is teaching about the etiology of dissociative disorders from a psychoanalytical perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred? A. "Dissociative behaviors occur when individuals repress distressing mental information from their conscious awareness." B. "When their physical symptoms relieve them from stressful situations, their amnesia is reinforced." C. "People with dissociative disorders typically have strong egos." D. "There is clear and convincing evidence of a familial predisposition to this disorder." A. "Dissociative behaviors occur when individuals repress distressing mental information from their conscious awareness." Carly has been diagnosed with somatic symptom disorder. As the nurse is talking with Carly and her family, which of the following statements suggest primary or secondary gains that the physical symptoms are providing for the client? A. The family agrees that Carly began having physical symptoms after she lost her job. B. Carly states that even though medical tests have not found anything wrong, she is convinced her headaches are indicative of a brain tumor. C. Carly's mother reports that someone from the family stays with Carly each night because the physical symptoms are incapacitating. D. Carly states she noticed feeling hotter than usual the last time she had a headache.

C. Carly's mother reports that someone from the family stays with Carly each night because the physical symptoms are incapacitating. A nurse is working with a client diagnosed with somatic symptom disorder. What predominant symptoms should a nurse expect to assess? A. Disproportionate and persistent thoughts about the seriousness of one's symptoms B. Amnestic episodes in which the client is pain free C. Excessive time spent discussing psychosocial stressors D. Lack of physical symptoms A. Disproportionate and persistent thoughts about the seriousness of one's symptoms Which medication orders should a nurse anticipate for a client who has withdrawal symptoms from opioids? A. Fluoxetine (Prozac) B. Methadone C. Disulfiram (Antabuse) and lorazepam (Ativan) D. Chlordiazepoxide (Librium) B. Methadone A client, diagnosed with chronic alcoholism, says to the nurse, "I'm tired of using and I want to stop. Is there a medication that can help me maintain sobriety?" About which medication would the nurse provide information? A. Carbamazepine (Tegretol) B. Clonidine (Catapres) C. Disulfiram (Antabuse) D. Folic acid (Folvite) C. Disulfiram (Antabuse) On the first day of a client's alcohol detoxification, which nursing intervention should take priority? A. Strongly encourage the client to attend 90 Alcoholics Anonymous meetings in 90 days. B. Educate the client about the biopsychosocial consequences of alcohol abuse. C. Administer ordered chlordiazepoxide (Librium) in a dosage according to protocol. D. Administer vitamin B1 to prevent Wernicke-Korsakoff syndrome.

Manic Symptoms (2)

  • euphoria (elevated, expansive, or irritable) mood
  • inflated self-esteem
  • decreased need for sleep
  • talkative or pressured speech
  • racing thoughts/flight of ideas
  • distractibility
  • increase in goal-directed activity
  • excessive involvement in pleasurable activities Nursing Diagnosis of Manic and Depression (2) Manic: risk for injury, risk for violence: self-directed or other-directed Depressive:complicated grieving, low self-esteem, powerlessness, spiritual distress Common: Risk for suicide, Insomnia, Imbalanced nutrition: Less than body requirements, Self- care deficit (hygiene, grooming), Social isolation/Impaired social interaction,Disturbed thought process, Disturbed sensory perception Medications for treatment of depression (2)
  • SSRIs (most effective, safest, less side effects than TCAs)
  • Paxin
  • Bupropion (Wellbutrin) - DNRI Side effects of SSRIs nausea, loose bowel movements, anxiety or hyperstimulation (jitteriness, restlessness), headache, insomnia, sedation and increased sweating
  • sexual dysfunction
  • Serotonin Syndrome
  • SSRIs also block histamine receptors, alpha adrenergic and muscarinic receptors How to manage hyperstimulation of SSRIs
  • lower the dose
  • change to different antagonist
  • Propranolon What should you not use with SSRIs in combo MAOIs Serotonin Syndrome
  • sweating, shivering, HTN, tachycardia
  • delirium, hallucinations, confusion
  • tremor, hyperreflexia
  • even death... Treatment: stop drugs, supportive care Bupropion (Wellbutrin)
  • DNRI (dopamine norepinephrine reuptake inhibitor)
  • antidepressants with no sexual side effects
  • don't use with patients with seizures or eating disorders
  • Sides: h/a, nausea, anxiety, INSOMNIA, tremors, restlessness, sweating Medications for mania (2)
  • Start with lithium, valproate, or an atypical antipsychotic Panic disorder treatment (1)
  • management of acute symptoms use benzos (Klonopin)
  • long acting agents are less addictive than shorter acting (Xanax)
  • deep breathing, relaxation exercises, guided imagery, and deep muscle relaxation
  • maintenance treatment: SSRIs and TCAs
  • continue to assess for suicide risk and other maladaptive behaviors Specific phobias treatment (1)

Nursing assessment for anxiety (subjective data)

  • encourage clients to describe symptoms in their own words and how the symptoms effect their ADLS
  • may report emotional distress, cognitive and perceptual changes, somatic discomfort, or role impairment emotional distress from anxiety clients feel in immediate danger and may seek protection and reassurance from others cognitive and perceptual changes from anxiety clients frequently have difficultly concentrating and making decisions somatic discomfort from anxiety may complain of nausea, indigestion, h/a, decreased appetite, a constant feeling of fatigue
  • clients with PTSD may report fitful sleeping, nightmares, and fear to returning to sleep
  • clients with COPD may report special health problems such as tissue breakdown or hair loss role impairment from anxiety report of worrying about losing jobs or being unable to continue caring for families Nursing assessment for anxiety (objective) physical findings,emotional changes, cognitive deficits, impact on role function physical finding from anxiety clients may experience a panic rxn and show extreme discomfort, acute physical changes (dyspnea, sweating, trembling, and/or vomiting), difficulty verbalizing,
  • long term: could develop infections, ulcers, HTN, or asthma
  • substance abuse can occur emotional changes from anxiety
  • increased irritability, suspiciousness, angry outbursts, and tendency to blame others
  • lack of emotional distress may be seen in clients with phobic disorders or obsessive compulsive disorders cognitive defects from anxiety clients may distort or exaggerate details
  • make errors in judgement
  • often forgetful and unable to concentrate or attend to details
  • errors in calculation and grammar are more common impact on role function from anxiety clients may use obsessions and compulsions to negotiate social interactions and social roles
  • nurses should first assess impact of the symptoms on family system when planning an intervention Planning and Implementation of anxiety
  • nursing interventions should be geared toward effective coping (reducing fear and anxiety,teaching clients about medications, promote effective coping, promoting safety, promoting optimal tissue perfusion, promoting effective sensory perception and thought processes, promoting sleep) reducing anxiety first priority during an acute panic attack is to reduce the anxiety to more tolerable levels Promoting effective coping from anxiety
  • OCD: let clients know that even though their thoughts are irrational, they are people worthy of respect
  • PTSD: determine the type and duration of trauma, the goal of the therapy is to desensitize clients to the past memories
  • Phobias: interventions are desensitization, reciprocal inhibition, and cognitive restructuring promoting effective communication from anxiety