Final Exam and HESI ReviewPOWERPOINTNU2740revised.pptx

Lithium 8 lithium is known to alter electrical

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LITHIUM 8. Lithium is known to alter electrical conductivity, producing cardiac dysrhythmias, tremor, convulsions, polyuria, edema, and other symptoms of fluid and electrolyte imbalance. 
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BULIMIA NERVOSA 9. One goal of health teaching is normalization of eating habits. Food restriction and skipping meals lead to rebound binging. Advise pt not to skip meals.
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SUICIDE RISK 10.The suicide risk is high. The child is experiencing feelings of hopelessness and helplessness.
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LSD 11. The patient who is high on lysergic acid diethylamide (LSD) often experiences synesthesia (visions in sound), depersonalization, and concerns about going “crazy.”
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COPING STRATEGY 12. When discussing coping strategies, the nurse might ask what the patient does when he or she becomes upset, what usually relieves stress, and to whom the patient goes to talk about problems.
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ALZHEIMER’S DISEASE 13. Wandering, impulsivity, and impaired judgment are significant issues in stage 3 Alzheimer’s disease. Unrestricted access to exits and stairways would permit elopement or present a significant fall risk, respectively, and of the assessment choices here, should be the assessment priority because they so directly affect the patient’s safety.
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SELF-CONCEPT. 14. The patient sees self as needing multiple explanations of new tasks at work and allows the parents to make decisions, even though she is 40 years old. These behaviors indicate a poorly developed self-concept.
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EXPRESSION OF GRATITUDE 15. The nurse must consider the meaning, timing, and value of the gift. Nurses should always accept patients expression of gratitude.
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MENTAL HEALTH VS COURTS JUDGEMENTS 16. Research supports the use of special mental health courts that can sentence mentally ill persons to treatment instead of jail. Jail exposes vulnerable mentally ill persons to criminals, victimization, and high levels of stimulation and stress. Incarceration can also interrupt eligibility for benefits or lead to the loss of housing and often provides lower-quality mental health treatment in a more expensive setting. Recidivism rates for both mentally ill and non–mentally ill offenders are relatively high, so it does not appear that incarceration necessarily leads people to behave more appropriately. Also, a criminal record can leave them more desperate and with fewer options after release. Research indicates that outpatient commitment is less effective at improving the mental health of mentally ill persons than was expected.
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CIRCADIAN RHYTHMS 17.Sleeping later in the morning may disturb circadian rhythms and in this case is adding, rather than reducing, the stress in his life. Going to bed earlier and arising at the usual time alleviates fatigue more effectively.
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SUICIDE CRISIS 18. Sometimes patients do have a highly detailed plan, a highly lethal method, the means to carry out suicide, lowered impulse control because of alcohol ingestion, and a low potential for rescue.
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