Georgette's LMR 2 questions with correct answers, Exams of Nursing

Download Georgette's LMR 2 questions with correct answers and more Exams Nursing in PDF only on Docsity! Georgette's LMR 2 questions with correct answers Group therapy scenario: Patient is resistant to sharing. What do we do? Correct Answer-encourage them to keep coming because we encourage interpersonal learning and we also do individual sessions What is the goal of Cognitive Therapy? Correct Answer-replace automatic negative thoughts with positive thoughts What is the goal of behavioral therapy? Correct Answer-teach patient behavioral techniques What are some of the techniques used in behavioral therapy? Correct Answer- Problem solving Role Playing Skills Training Relaxation Exposure What are the key components of Humanistic Therapy? Correct Answer-1. Person centered 2. Assumes people strive to achieve self actualization and self directed growth 3. Assumes people are naturally good What are key components of Interpersonal therapy? Correct Answer-Focuses on interpersonal issues that are creating distress. What is one of the primary therapies used on marital conflicts? Correct Answer- Interpersonal therapy Who does multisystematic family therapy target? Correct Answer-Youths age 12- 17 y/o with serious antisocial, problematic behavior and with serious criminal offenses by emposwering parents with resources and skills and reducing barriers to resources needed for effective management of their youth. MST typically uses a home-based model of service delivery. Why? Correct Answer-To reduce barriers that keep families from accessing services. What is the technique of Strategic therapy that has to be used with caution? Correct Answer-Paradoxical directive/intervention What is paradoxical directive --used in strategic therapy? Correct Answer-A negative task that is assigned when family members are resistant to change and the member is expected to be non-compliant In solution focused therapy, what is the miracle question? Correct Answer-It asks the client to imagine and discuss a possible world where problems are removed and issues addressed What is the goal of Solution-focused therapy ? Correct Answer-To rework for the present situation solutions that have worked previously What other types of questions are asked in solution-focused therapy besides the miracle question? Correct Answer-Exception-finding questions. What is the plantar reflex and how long does it last? Correct Answer-The Babinski reflex and it lasts until 2 years old. Length of time to absorb a Phosphodiesterase type 5 (PDE5) medication? Correct Answer-Absorbs very quickly after oral consumption Normocytic Macrocytic Anemia is a deficiency in what and what should we check? Correct Answer-Folic Acid Vitamin B12 and Iron Checking folic acid and B12 is more important than checking iron. Scenario: Read an article that said there is a relationship with adolescents who have ADHD and substance use disorder. How to we handle care for adolescents now? Correct Answer-screening all adolescents with ADHD for SUD Screen all adolescents with SUD for ADHD What is acupuncture used for? Correct Answer-depression or pain What is the purpose of Habeas Corpus? Correct Answer-protects patients with mental illness from unlawful hospitalization DISSEMINATED ENCEPHALOMYELITIS--what may it cause in children and what should we do when we see those sympotoms ? Correct Answer-paresthesia, asymmetrical movements of extremities, Fatigue, weakness, confusion, ataxia. We need to do a neuro exam. If we are replacing an old treatment method with a new mothod, what must the change and new method be based on? Correct Answer-based on evidenced from Access to current journal articles--evidenced based care!!! In research, what does PICOT stand for? Correct Answer-Population/Problem/Patient intervention comparison Outcome time Research: What is level 1 evidence? Correct Answer-a systematic review or meta- analysis of all relevant RCTs Research: What is level 2 evidence? Correct Answer-Well designed RCT For Diagnosis: How do you question a patient when a patient cannot independently review a timeline of symptoms? Correct Answer-You ask them questions that are specific to anchor their memory or ask questions of memorable events. Education is an intervention—before psychoeducation, what do you assess? Correct Answer-Assess what does the patient know or believe about the medication you are prescribing If patient presents with iatrogenic signs and symptoms, what do we do? Correct Answer-We must assess med hx What are iatrogenic signs and symptoms? Correct Answer-when a medication or medical treatment causes new signs or symptoms or diseases. Scenario: There is a policy that will affect NPs nationwide - how to get their input? Correct Answer-A survey or online forum How do we ensure continuous improvement of quality care in outpatient clinic? Correct Answer-Use a rating scale to determine baseline scores and at regular intervals during treatment Example screen q 6 weeks What is a possible symptom of Autoimmune diseases--an increase in... Correct Answer-cytokines levels Which medication can be used for enuresis (night time bed wetting) and why? Correct Answer-Desmopressin because it decreases urine production Is it acceptable to look up patient information on social media? Correct Answer- No. It violates their privacy and trust what are the Depression scales? Correct Answer-HAM D PHQ 9 Beck Anxiety Scales Correct Answer-HAM A GAD 7 Methadone and the test Correct Answer-do not choose methadone because it can cause heart problems; use bupe or suboxone What do we prescribe for patients with anxiety when they are going through alcohol withdrawal? Correct Answer-Hydroxyzine or Benadryl and refer them so they can get detox with benzos. Alcohol or substance use disorder--patient is prego; what do we do? Correct Answer-refer to residential Signs and Symptoms of Opiod withdrawal Correct Answer-yawning irritability/ anxiety Pupillary dilation Pilorection muscle aches lacrimation rhinorrhea Signs and symptoms of alcohol withdrawal Correct Answer-Tremors Paroxysmal sweats Tactile disturbances Auditory disturbances Visual disturbances Headaches Treatment for ETOH use disorder (not for withdrawal--for the disorder) Correct Answer-Acamprosate (not metabolized by the liver) Disulfiram Naltrexone Scope of Practice determined by... Correct Answer-Determined by State Legislative Statutes Standard of Practice determined by... Correct Answer-Determined by ANA Exceptions to Confidentiality? Correct Answer-If a client reveals intent to harm self or others Answering court orders, subpoenas, or summonses What is informed consent? Correct Answer-Communication process between provider and client that results in client's acceptance or rejection of proposed treatment Nonmaleficence definition with an example Correct Answer-Doing no harm. An example: Stopping a medication that is causing a harmful side effect or discontinuing a treatment strategy that is not effective and may be harmful. Protecting patient from imminent danger Fidelity definition Correct Answer-Concerned with promise keeping, integrity and honesty Meeting a patient's reasonable expectations such as being respectful, competent, and professional Autonomy definition Correct Answer-Right to self determination Allows health care teams to respect and support a patient's decision to accept or refuse life-sustaining treatments. Is it a patient's right to be in the least restrictive environment? Correct Answer- Yes. So we call crisis stabilization before sending to hospitalization. A new female patient has recently been diagnosed with bipolar disorder. The PMHNP and the patient agree to start Lithium. The PMHNP reviews the benefits and risks of taking Lithium with the patient and the PMHNP sends the order to the pharmacy. Which of the following patient rights was violated? A. Beneficence B. Informed concent C. Non-Maleficence D. Confidentiality Correct Answer-D. Confidentiality Who brainstorm with stakeholders To assess barriers and facilitators to evidence-based practice, what tool should PMHNPs use to assess baseline knowledge, beliefs, and practices among health- care providers? Correct Answer-They should use a survey In the case management type of care delivery, nurses are members of a multidisciplinary health care team. What are nurses empowered to do for their clients when working on a case management model team? Correct Answer- Optimize client self-care, reduce fragmentation of care, provide quality care across the continuum, improve clients' quality of life, patient care and outcomes, reduce length of hospitalization, and increase client and staff satisfaction What is SBIRT and what is it used for? Correct Answer-Used to Screen for substance use disorders and refer patients for help S--screening B--brief I--intervention R--referral T--to Treatment Tarassoff v Regents -- the Tarasoff Principle Correct Answer-Duty to warn potential victim of imminent danger of homicidal clients Rennie vs Klein Correct Answer-Qualified right to refuse pscyhotropic medication Donaldson vs O'Connor Correct Answer-It is unconstitutional to commit a person involuntarily who is not imminently dangerous to self or others. Which of the following patients is at a higher risk of suicide? A. A 30-year-old married African-American female with previous suicide attempt B. A 35-year old single Asian male with previous suicide attempt. C. A 38-year-old Single African male who is a manager of a bank. D. A 68-year-old single Causcasian male with depression Correct Answer-D. A 68-year-old single Causcasian male with depression A 72-year-old female is brought in by her husband with increasing forgetfulness, decreased activity, and decreased appetite for 2 months. She has a history of hypertension and is being treated with lisinopril. The exam is normal and the mini- mental status exam provides a score of 24 but she declines to answer some questions and needs to be urged to participate in the assessment. What is the most likely diagnosis? A. Alzheimer disease B. Vascular Dimentia C. Depression D. Medication toxicity Correct Answer-C. Depression Define Yalom's group therapeutic factor of Instillation of Hope Correct Answer- Participants develop hope for creating a different life. Members are at different levels of growth; thus, they gain hope from others that change is possible Define Yalom's group therapeutic factor of Universality Correct Answer- Participants discover that others have similar problems, thoughts or feelings and that they are not alone. Define Yalom's group therapeutic factor of Altruism Correct Answer-Participants share oneself with another and help one another Define Yalom's group therapeutic factor of Interpersonal Learning Correct Answer-Interacting with others increases adaptive interpersonal relationships Define Yalom's group therapeutic factor of Group cohesiveness Correct Answer- Participants develop an attraction to the group and other members as well as a sense of belonging. Significant concepts of Erickson's Industry vs. Inferiority stage Correct Answer-1. Ages 6-12 2. Developmental Mastery: Ability to work; sense of competency and achievement; friends matter, if they feel proficient at play, they can have confidence; 3. Developmental failure: Sense of inferiority; difficulty with working and learning; If they feel grades and development compromised, they can end up without conficence Significant concepts of Erickson's Trust vs. Mistrust stage Correct Answer-1. Birth - 1 year 2. Indications of Developmental Mastery: Ability to form meaningful relationships, hope about the future, trust in others. Piaget cognitive development theory--Preoperational stage Correct Answer-Ages 2-7 more extensive use of language and symbolism Magical thinking Piaget cognitive development theory--Formal Operational stage Correct Answer- Ages 12-adult Ability to think abstractly; thinking operates in a formal, logical manner Therapy you should offer if a patient has an event in their life that is negative and causes feelings of pain, sadness, loss etc. Correct Answer-Offer brief, supportive therapy ? How is it that hydrochlorothiazides can increase lithium serum drug levels? Correct Answer-Thiazides can reduce renal clearance of drugs and significantly elevates lithium concentrations in serum Out of Depression, mania, and birth defects--which can be caused by Isotretinoin (Accutane)? Correct Answer-Two of them. Isotretinoin can cause depression and birth defects Language and the frontal lobe Correct Answer-Expressive speech through Broca's area Language and the temporal lobe Correct Answer-Receptive speech and language comprehension through Wernicke's area What are the functions of the frontal lobe? Correct Answer-1. Motor function 2. Premotor area 3. Association cortex 4. Seat of executive funtions--i.e. working memory, reasoning, planning, prioritizing, sequencing behavior 5. Language --i.e. expressive speech 6. Personality variables--i.e. development 7. Problems in frontal lobe can lead to personality changes, emotional and intellectual changes What aspect of motor functions is the frontal lobe responsible for? Correct Answer-Voluntary motor activity of specific muscles What does the premotor area of the frontal lobe control? Correct Answer- Coordinates movement of multiple muscles= controls the more proximal muscles and trunk muscles of the body. What does the Association cortex of the frontal lobe control? Correct Answer- Allows for multimodal sensory input to trigger memory and lead to decision making What does Broca's area of the frontal cortex control? Correct Answer-Expressive speech What is the most focal area of brain for personality development? Correct Answer- Frontal lobe What are the temporal lobe functions? Correct Answer-1. Language (Wernicke's area) 2. Primary Auditory area 3. Memory 4. Emotion 5. Integration of vision with sensory informaion 6. Problems in the temporal lobe can lead to visual or auditory hallucinations, aphasia, and amnesia What is the essential brain system for the regulation and modulation of emotions and memory? Correct Answer-The limbic system What is the amygdala--a part of the limbic system responsible for? Correct Answer-Responsible for mediating mood, fear, emotion, and aggression; also responsible for connecting sensory smell information with emotions If there is a tumor in the frontal lobe, what can be the effect on personality? Correct Answer-Frontal lobe tumor can cause personality changes, aggression, and compromised social skills What is another name for Conversion Disorder? Correct Answer-functional neurological disorder Ford vs Wainwright decided what ? Correct Answer-No death penalty for the menatally ill.