Author: Anonymous

BJ is a college student concerned about her finals. Last semester, she tried crushing her roommate’s ADHD medication and snorting it because she had heard that it helps you stay awake and maintain focus for long periods of time. It definitely helped her focus on her school work. This semester, her grades have really dropped because of her extracurricular activities and she needs to perform well on the exams. Her boyfriend gave her some pills to help her study. She decided to use them all week before exams by crushing and snorting them like she did last semester.  Her roommate noticed that she didn’t seem to be sleeping and confronted BD. BJ responded: “I’m fine. I’m just studying a lot.” One the night before her big exam, BJ woke up her roommate stating: “My heart feels like it jumping out of my chest. I feel a lot of pressure and sharp pain here (points to her chest). Her roommate reaches out to comfort BJ and noticed she was hot to the touch and seemed to be sweating profusely. BJ hen grabbed her chest and collapsed on the floor. Her roommate called 911 and public safety. She (BJ) was taken to the emergency room. Care in the ED will focus on: Select all that apply.   

PL is admitted to the chemical dependency unit for polysubstance use disorder.  During the skin assessment, you find a baggy of a sticky black substance in the shape of a small rock sewn into the lining of his jacket. You immediately call security.  You believe this substance is: 

The provision of optimal care for patients withdrawing from substances of abuse (illicit substances) is facilitated by the nurse’s understanding that severe morbidity and mortality are often associated with withdrawal from:      

BY is a 44-year-old male admitted to the emergency room after a motor vehicle accident involving three cars. He has a broken arm, bruises to his chest, a superficial head wound, and a BAL (blood alcohol level) of 0.187 mg%. He has no previous history of alcohol use/abuse but recently learned that his wife was having an affair with a neighbor. The nurse might expect all of the following symptoms except: 

Thiamine deficiency is a major problem for patients diagnosed with alcohol dependence. Supplementation with high doses of thiamine is best practice. What is the rationale for the use of this vitamin supplement? Select all that apply.

As a nurse on a psychiatric inpatient unit, you are in the process of developing a therapeutic relationship with your newly admitted patient RG who is diagnosed with Generalized Anxiety Disorder and Borderline Personality Disorder.  Which statement demonstrates that you understand the patient’s fears of intimacy and abandonment? 

As the RN on an inpatient unit, you are caring for an individual diagnosed with avoidant personality disorder. It is time for group therapy. Which of the following statements might be expected from a person with this diagnosis?

Bath salts are considered a cheap substitute for Molly. The physical effects of bath salts include:  

A patient recently admitted to your unit with Generalized Anxiety Disorder and Borderline Personality Disorder states that unit staff members have been avoiding her since she cut herself two days ago. As a psychiatric-mental health nurse your most appropriate response would be to:     

NV is a 32-year-old male who works for a janitorial service at night in a large medical office building. He spends his free time playing video games but doesn’t seem to take pleasure in them.  He lives alone in a small apartment complex and rarely interacts with his neighbors.  When he does encounter one of his neighbors at the communal mailbox,  he comes across as cold and uninterested. These behaviors are consistent with: