Distinguishing characteristics between different diagnosis
Bipolar I: at least one episode of mania/hypomania alternates with major depression.
Psychosis may accompany the manic episode
G- grandiosity (bi
Gero and Cognitive Disorders
Delirium vs Dementia
Delirium: Remember that this is a medical emergency
Acute Change in a persons LOC and cognition that develops over short periods of time.
Rapid fluctuation in LOC.
Difficulty maintaining attention
Crisis and Trauma
Principles-basically a big problem that cannot be solved using familiar means
Phases of a Crisis
Phase 1: Initial Blow (Anxiety builds and person uses familiar coping to decrease)
Phase 2: Trying new things to find a resolution to probl
Diagnosis: anorexia, bulimia
Anorexia = getting to a certain weight and Bulimia = no weight for thought.
Refusal to maintain body weight at or above a minimum for age & height (below 85%).
Intense fear of gain
Test #2 N461 Review-Winter 2012
Assessment: SAD PERSONS (suicide risk factors)
Sex (male are more susceptible)
Age (25-44 and older adults)
Rational thinking loss
Social support lacking
Absolutely know NMS/SS: Overlapping and distinguishing symptoms, nursing interventions and
rationale. In the review, Leslie said we would be given a case study. We have to point out which
symptoms are overlapping (give 4), which symptoms are unique to the
Personality Disorders: At the test review, Leslie said that one of the write-out questions was to
name 3 DSM criteria for ALL personality disorders and that it was on page 434. I am not sure
what she is talking about cuz the box on that page has a lot mor
-Dysfunction with abuse- 50% of individuals with severe mental illness are also affected
by substance abuse. Some drugs of abuse can relieve some sx of mental illness
temporarily. Cocaine chemically looks like Prozac or Zol
All or Nothing Thinking
Evaluate personal qualities in extreme, black and white categories.
Conclude that one thing that happened once will occur over and over again.
Pick out negative de
Legal and Ethical Issues
civil rights still intact (mail, vote, press charges, etc.)
Right to Treatment
Humane environment, staff qualified and sufficient, and individualized plan of care (pt. included
Right to refuse treatme
Describe the pathophysiologic changes in DKA
Why do blood glucose levels increase?
There is inadequate insulin available to allow glucose to enter the cells, so
liver produces and releases glucose to compensate. However this
leads to an
What are the differences (signs and symptoms) between an upper and a lower GI Bleed?
-Starts in the upper portion, involves the esophagus, stomach, and duodenum.
-Caused by ulcers, Mallory-Weiss tears, gastritis, and esophageal varices.
For a patient with a ruptured colon, what major complications can be anticipated?
Fistulas connecting the intestine to other organs nearby
If the fistula connects the intestine to the bladder, GI contents empty into the bladder and can
What are the nursing responsibilities related to the administration of digoxin?
What are the signs and symptoms of digitalis toxicity?
Evaluate for relief of symptoms (dyspnea, orthopnea, crackles, hepatomegaly,
peripheral edema). Monitor factors that
When assessing a patient with symptoms of heart failure, how does the nurse
differentiate between right and left sided failure?
In left sided heart failure, the patient has pulmonary congestion, which includes
dyspnea, orthopnea, cough (initially dry,
Why is this Drug
Being Given to
Effects for this
What is this Test
screening test to
to the blood.
Describe the medical management of a patient in DKA.
How is fluid status monitored in the acute stage of DKA?
Monitoring vital signs (blood pressure, heart rate), input/output, and lungs
How is hypovolemia corrected?
First 2-3 hours, administer n
Why is this Drug
Being Given to
Effects for this
insulin - hormone
Mellitus Type 1;
HOME HEALTH NURSE
I have been a home health nurse for many years. Most of that time has been working with
disabled children. I have a disabled brother, and I understand the importance of families being
able to care for their children.
HOSPITAL FINANCIAL VP
.You believe everyone ought to have access to adequate health care, but not on your
dime. .Given the constrained health care resources, you feel you have to put those dollars to
use where they can do the most health care good.
EXECUTIVE DIRECTOR OF A SOCIAL SERVICE AGENCY FOR PEOPLE WITH
Role of Social Worker:
-have access to information on resources that might prove helpful to families or patients
-if a child is born with severe and disabling illness, they help th
You are a 55 year old Catholic priest who has been a volunteer chaplain at the hospital for the
past ten years. You consider yourself conservative and fair, encouraging every member of the
ethics committee to participate fully. Life is a p
HOSPITAL PUBLIC RELATIONS DIRECTOR
Role of a PR director. What do they do?.
Ideally, PR director wants to avoid a negative viewpoint from the general public. No PR director wants to
be the first one to be behind a negative precedent (first time thing). Th
Outspoken, confident, 24 yrs old
Service trip to India led her to Advocate for womens rights
She wants Camille to have a good quality of life, but questions whether this is truly the
reason her parents want her to receive the estrogen trea
You are the head of the ethics committee. You have taught philosophy at the local university for
10 years. You find ethical dilemmas intellectually challenging and like the idea of digging into
real world problems. You consider yourse
You are a 50 year old woman who always wanted to have a family but never married or had your
own children. This led you to seek a degree in elementary education. You have been an
elementary school teacher
Mock Ethics Committee Roles and Preparation:
This is an fascinating read for anyone who is interested. I found it as I was searching for if there
has actually been scenarios like this in real-life: