PSYCH hesi FINAL.doc
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School
CUNY Lehman College *
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Course
377
Subject
Medicine
Date
Jan 9, 2024
Type
Pages
6
Uploaded by JusticeOxide28766
additions
1.
CAGE- alcoholism
2.
Haldol & then in seclusion, what to look for-
Extrapyramidal side effects
3.
Pt who takes off clothes during admission assessment-
set limit
4.
Pt. taking benzo long term therapy-
Don’t come off med abruptly/
5.
Pt. complaining of antidepressant Amytrytaline-
dry mouth, constipation
6.
Atypical side effect of Atypical Antipsychtic-
weight gain of 75 lbs.
7.
Assessment for admission for not telling family-
confidentiality
From my memory the answer was worded differently but not sure
(confidentiality until pt self harms or others.. something like that)
8.
What to do when pt. is about to throw chair-
de-escalate w/ other staff
9.
person in corner & guarded-
attempt to talk in simple questions
10. Person with alcohol percentage 0.22, what med to give?- thiamine/ Folic Acid/ Benzo/
Glucose???
Answer is Thiamine B1
11. manic patient
12. pt. over dosed, and ask family- why?
13. Pt. comes in saying he wants to kills his co worker with a gun-
do you have a gun
it was worded something like, check if they have a gun on them
available for use
14. pt says he’s son of god-
15. pt. was brushing ants off, alcohol dependency
-
pretty sure this was the “give Librium” answer
16. pt. says he wants to kill himself with knife
he wanted to go to the kitchen and get a knife
- 1:1
with the UAP
17. postpartum depression pt, what to observe-
poor concentration, poor eating habits, sadness
18. Female high school student goes in collapses ( 5’3 & 105 lbs)-
24 hrs diary/ when did you vomit
19. kid with dad that takes 1 beer and then 6 beers-
increase tolerance
20. heroine withdrawal-
weazing and apnea/ I&O/ send to support group
21. pt is in major depression and whenever answering takes her time-
sit w/ p.t quietly
22. Pt. with PTSD, what is best intervention- away from recreation/ put w/ t. with similar
stories
quiet bedroom
23. Pt. with schizophrenia, what to put in plan of care-
bring back to reality
24. pt. is upset because he didn’t get a day pass & begins to yell-
lower the tv sound
REALLY ? LOL
I soooo didn’t put that lmao
25. Borderline depression –
borderline personality pt informs staff that he feels unsafe and has thoughts of self
harm
26. Pt. with agoraphobia & nurse desensitizing-
progressively bring into crowds
27. conversion disorder-
pt. becomes blind w/o organic problem
28. Pt. diagnosed w/ breast cancer, & makes family do stuff- Acceptance & part of grief/
Unacceptable
29. Anorexia of young person, what requires immediate intervention- Tachy/ Hypotension/
hypothermia/
someone told me the answer is glucose of 50
30. Pt. with
moderate anxiety
- SOB & dizziness & lightheadedness-
that’s the answer
moderate anxiety
31. Pt interviewing w/ nurse and ask for husband to stay-
ask husband
32. Pt. in long term care and hiding in closet, what to do when they agitated-
remove from
33.
Substance Abuse/ Schizo/Depression
34.
Pt smears feces on wall what do you do –
answer is escort them out of the room
35.
Tangential disorder –
answer tell patient to repeat what they said (or repeat what you said)
36.
Woman getting stalked. What do you tell her – ?
37.
Teenage pt OD. What is the most important question you would ask – ?
one answer was “what drug” and the other was “how long ago did you consume”
(not sure which one is correct but I put what drug.
38.
Man who got fired from his job, his girlfriend broke up with him and something
else.. what is he experiencing –
answer is has sense of loss
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39.
Woman with domestic violence.. what would you ask her –
I put if she has a plan to leave if her life is in danger ? not sure
40.
Woman comes out to the dayroom dressed in short skirt not panties, dressed
inappropriately, what do you do? –
bring to room and help them change
41.
Woman states “I cant take it anymore” what would you say - ?
I put are you thinking about committing suicide but not sure.
42.
Pt OD on vicodin and you give narcan. In 15 minutes they get better.. what do you
observe for - ??
narcotic OD/give fluids
43. Pt secluding themselves in room and opening door frequently:
delusion of persecution
44. Pt doing pushups, running through the halls, tosses a chair- priority diagnosis
:
delusion of grandeur
45. Pt sleeping all weekend and nurse comes back to find them still sleeping, what is the
nurses priority:
get pt out of bed and into activities
46. Elderly pt is suspected of being abused what is nursing priority:
document photographs
47. Bipolar pt comes to nurses’ station and beings to yell at the nurse, what should the nurse
do:
ignore the patient
48. Changing the dressing on self-inflicted wounds a pt with borderline personality:
change dressing in nonjudgmental manner (I’m pretty sure this was it)
49. Nurse goes to clinic see’s bathroom covered with poop, sputum, urine:
risk for infection
50. Homeless man comes to the clinic not sleeping for 3-4 days what should you do:
allow time for rest
51. Homeless man comes in disorganized and confused:
acute confusion
52. Female pt has fear of open spaces:
fear of perceived threat to physical integrity in the environment
53. Pt who is convinced his brother is sleeping with his wife:
something about not being able to cope in the environment
54. Pt is no longer receiving antipsychotic med what other med should be discontinued:
benztropine (anticholinergic)
55. Before giving a female pt screening for abuse how do you tell her that your screening her
for abuse:
abuse screening will be done because abuse is common
56. High school guy (6’1 weighing 130lbs) with normal vitals what do you check:
body mass index
57. When would giving clonidine be contraindicated:
pts blood pressure is 90 systolic to 92 systolic (don’t remember diastolic but this is a
bp med; these bps are too low)
58. Female pt with mental and physical delay is pregnant and says how sad she is her child
will never be fully developed:
question if she has intentions of hurting herself or the baby (I think that’s the
answer)
59. Pt taking phenelzine what cant they eat:
pepperoni pizza
60. Pt complains of diarrhea, muscle ache, malaise; her vitals are normal she mentions her
sister thinks she a hypochondriac:
what beside your sisters comment is bothering you
61. Woman comes to ED saying she’s been raped:
instruct her to remove her clothing carefully
62. Pt who is schizophrenic has developed echolalia and its annoying other pts, what should
nurse do:
move to a quiet room
63. 3 year old child signs that need to be further assessed:
child does repetitive movements
64. How do you prepare a pt for ECT:
NPO at midnight before procedure
65. Pt withdrawing from alcohol:
give Ativan (worded different but give benzo to pt
withdrawing from alcohol)
66. Pt taking Disulfiram what should you teach them:
do not drink alcohol 12 hrs prior to
first dose
67. Pt taking Disulfiram what should you teach them:
check drugs consumed for alcohol
content
68. Pt addict gets a MI what could they be addicted to:
alcohol (not sure between that or
amphetamine)
69. Pt is bulimic what is priority intervention:
check electrolytes and report to physician
70. Pt is questioned why he behaved inappropriate – he blames the police officer:
projection
(not exactly worded but same concept)
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