hesi psych 2013

2
Psych Study Guide 1. Know how to take care of DTs post-op 2. Know about benzodiazepines - Benzodiazepines cause decreased anxiety and drowsiness 3. Know about Mental Health Admission orders - CAGE questionnaire, B-DAST (Brief Drug Abuse Screening Test) 4. Know about Bipolar Mania – stimulation 5. How to decrease stimuli 6. Communication - pt not sleeping know what to look for and what to say to the pt 7. Bipolar - If a physician withholds information, the nurse needs to clarify the reason with the physician. Clients have a right to know about their health status and what is happening in their environment. Information of a distressing nature needs to be communicated with sensitivity, at a pace appropriate to what the client can absorb 8. Know extra pyramidal symptoms(acute dystonia, tardive dyskinesia, akathisia) 9. Know in Bulimia to assess teeth 10. Know what nonmaleficence means - do no harm 11. Sundowning - nursing actions, know that sundowners may result in injury 12. Heroin Detox - know what to expect during detox, manifestations 13. Employee Threat Safety - A nurse who is aware of a patient's intention to cause harm to self or others must communicate this information to other professionals and take steps to protect the potential recipient of harm 14. Know about Opiate Dependency 15. Rape - know how to use therapeutic communication after rape has occurred 16. Sublimation - Sublimation is an unconscious process of substituting constructive and socially acceptable activity for strong impulses that are not acceptable in their

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Page 1: Hesi Psych 2013

Psych Study Guide

1. Know how to take care of DTs post-op2. Know about benzodiazepines - Benzodiazepines cause decreased anxiety and drowsiness3. Know about Mental Health Admission orders - CAGE questionnaire, B-DAST (Brief

Drug Abuse Screening Test)4. Know about Bipolar Mania – stimulation5. How to decrease stimuli6. Communication - pt not sleeping know what to look for and what to say to the pt7. Bipolar - If a physician withholds information, the nurse needs to clarify the reason with

the physician. Clients have a right to know about their health status and what is happening in their environment. Information of a distressing nature needs to be communicated with sensitivity, at a pace appropriate to what the client can absorb

8. Know extra pyramidal symptoms(acute dystonia, tardive dyskinesia, akathisia)9. Know in Bulimia to assess teeth10. Know what nonmaleficence means - do no harm11. Sundowning - nursing actions, know that sundowners may result in injury12. Heroin Detox - know what to expect during detox, manifestations 13. Employee Threat Safety - A nurse who is aware of a patient's intention to cause harm to

self or others must communicate this information to other professionals and take steps to protect the potential recipient of harm

14. Know about Opiate Dependency15. Rape - know how to use therapeutic communication after rape has occurred16. Sublimation - Sublimation is an unconscious process of substituting constructive and

socially acceptable activity for strong impulses that are not acceptable in their original form. Often, these impulses are sexual or aggressive.

17. Suicide - give Narcan (Narcotics –Narcan)18. Cymbalta – SSNRI19. Schizophrenia - reality testing20. Dystonia - Dystonias are abnormal postures that are caused by involuntary muscle

spasms, tend to appear early in treatment (within 3 days or so), respond to anticholinergic21. Know how to use distractions to reduce anxiety22. Mental Assessment- circumstantialities23. Depression- always establish rapport24. .Elder abuse - know signs25. Persecutory delusion26. Conversion disorder27. Crisis intervention 28. Group treatment - if pt interrupts know how to handle situation29. Escalating client - know how to de-escalate the pt30. When in doubt, if you absolutely do not know the answer pick B!

Page 2: Hesi Psych 2013

Psych Study Guide

Always follow abcs (airway, breathing, circulation)

Follow Maslow’s, focus on safety and prevention

Read the question and try to answer it before you look at the multiple choices

Good luck, you will find this to be helpful!