Final Exam:NR572/ NR 572 (2023/ 2024 Latest Update) Advanced Acute Care Management Exam Review |Week 5-8| Questions and Verified Answers| 100% Correct- Chamberlain

Final Exam:NR572/ NR 572 (2023/ 2024

Latest Update) Advanced Acute Care

Management Exam Review |Week 5-8|

Questions and Verified Answers| 100%

Correct- Chamberlain

Q: What non-benzodiazepine anxiolytic is used in the treatment of general- ized anxiety

disorder?

Answer:

Buspirone (Wellbutrin)

-nonsedating

-not tolerance or dependence

-does not react with benzo receptors or alcohol

-no abuse or disinhibition potential

- requires several weeks to take effect.

Q: Diagnostic criteria for GAD

Answer:

-Anxiety/worry for most days for at least 6 months

-3 or more of the following:

-Restlessness

-Fatigue

-Difficulty concentrating

-Irritability

-Muscle tension

-Sleep disturbance

-cause sig distress or impairment in social, occupational and other important areas of

functioning.

Q: adverse effects of benzos?

Answer:

headache, drowsiness, dizziness, cognitive im- pairment, vertigo, lethargy, fall hazard, hangover

effect, sedation

Q: precautions when prescribing benzos?

Answer:

high abuse potential tolerance

risk for dependency interacts with alcohol

Q: contraindications of Wellbutrin?

Answer:

- Co-administration with MAOI may cause serotonin syndrome

Q: dx of delirium requires (3)

Answer:

-diminished attention and awareness, evolving over a short period of time

-waxing and waning in severity

-associated with other distrubances in cognition (memomry and disorientation)

Q: what medication class should be avoid in acute delirium?

Answer:

benzos

unless the patient was already taking them prior to admission.

Q: Psychosis

Answer:

is a mental state in which the client perceives a significantly distort- ed sense of reality

Q: Psychosis symptoms

Answer:

-Hallucinations: Perceptual experiences in the absence of external stimuli. May be auditory or

visual. Examples include hearing voices or seeing people that are not there.

-Delusions: Fixed irrational beliefs.

-Thought Disorder: Impairment in the process of thinking.

-Disorganized Behavior: Behavior or communication that lacks organization, cohe- siveness, and

purpose in one's external behavior. Reflecting the internal chaos of the mind.

Q: diagnosing psychosis

Answer:

Clients presenting with psychotic symptoms should have a full workup to rule out an organic

medical cause before a psychiatric diagnosis is made.

Diagnostic testing may include:

-radiologic imaging

-electroencephalography (EEG) to rule out an intracranial process or seizure disor- ders.

-Serum and urine lab tests should also be performed to rule out underlying metabolic disorders or

substance use.

Q: What is schizophrenia?

Answer:

involves changes in behavior and other symptoms such as delusions, hallucinations, and

disorganized speech that lasts longer than 6 months.

Q: most commonly use antipsychotic medication for psychosis

Answer:

halodol first-generation antipsychotic (FGA)