This guide is not inclusive but should help to focus important areas in preparing for the examread your

chapters and do study questions as stipulated in your text. Chapters 17, 18, 23,24,25,26 1. 2. 3. 4. 5. What situations comprise conditions of becoming a crisis? What are the immediate goals of crisis interventions? Which questions does the Aguilera Model of crisis intervention depict? What techniques or methods are utilized in crisis interventions? What therapeutic communication techniques are unitized or are appropriate in crisis situations? 6. Know examples of specific types of crisis. 7. What is the main goal of crisis intervention? 8. How do you assess someone who is experiencing or is in a crisis state? 9. What must alcoholics or substance abusers recognize prior to the initiation of TX. 10. Why is thiamine and folate given for chronic alcoholics? 11. What is Wernickes encephalopathy? 12. What symptoms are evident with clients withdrawing from alcohol? What is the normal or minimal blood alcohol level for intoxication? 13. Identify the stages of dementia? What medication might the physician prescribe? What is vascular dementia? Be familiar with drugs such as /Cognex and Aricept etc. and their purpose What nursing interventions are useful in dealing with clients who are elderly and depressed 14. What are delirium Tremors? 15. What is Antabuse? Why is Librium used with alcoholics? What is Alcoholic hallucinosis what TX plans are needed when dealing with withdrawal from alcohol? 16. Why is it necessary to control the alcoholic person by family members 17. What are the psychological characteristics of an alcoholic 18. What is enabling associated with substance abuse? 19. What are specific behaviors of the co-dependent person 20. What is amnestic syndrome and confabulation? What are the signs and symptoms of substance abuse? 21. What signs are indicative of opoid and other types of withdrawal 22. What defense mechanism are used by individuals who have a drinking problem 23. What are the outcomes for alcoholics experiencing detoxication? 24. What nursing interventions are needed for clients going through alcohol and narcotic withdrawal? 25. What nursing approaches are needed when working with substance abused clients?

Delirium/Dementia Application 1. Stages/Types of Dementia/symptomatology

2. Nursing diagnosis associated with Dementia/ Delirium 3. Differences between Delirium and Dementia 4. Nursing Interventions associated with delirium and dementia 5. Assessment delirium/dementia 6. Medications necessary for treatment 7. Therapeutic interactions Substance Abuse Application 1. Priority of care/priority diagnosis 2. Description of substance abuse 3. Nursing Interventions 4. Nutrition Recommendations/use of vitamins in treatment 5. Causes for substance dependence 6. Detoxication requirements/Interventions 7. Defense mechanisms used 8. Dual diagnosis 9. Drugs for withdrawal 10. DSM IV Diagnostic categories 11. Assessment tools for diagnosis 12. Therapeutic interactions 13. Symptoms/signs of withdrawal/time frames associated with 14. Fatal complications associated with withdrawal 15. Values clarification for working with 16. Dynamics associated with substance abusers 17. assess for drug/alcohol related dependence/withdrawal 18. drugs for aversion 19. behaviors of family members/codependency 20. supportive modalities family members and abuser 21. Safety/role of the nurse and interventions 22. fetal alcohol syndrome Suicidality review safety methods/intervention assess need for initiation of suicide precautions and maintenance priority care/diagnosis seclusion and restraints lethality assessment -How do you plan care for a patient who is suicidal? Whats primary diagnosis are essential- prioritize. -How so you assess of suicide risks? What types of questions are needed? Why is a though assessmentso important? What support might me needed for families when suicide is attempted or successfully carried out? When is a suicide attempt most likely tobe carried out? Why? Why is assessment so important in individuals experiencing depression?

Victims of Abuse and Neglect Application 1. Understanding dynamics associated with domestic violence 2. Therapeutic interactions associated with victims of abuse including rape 3. Phases in abusive relationships 4. nursing interventions 5. resources available 6. framework for understanding 7. types of abuse 8. reporting of 9. assess for risk of neglect and abuse

Crisis Assist with coping Social supports Goals for treatment Communication principles Phase of Angry, Aggression and Violence How do you deal with angry and liability in the mileu How do you keep others and the client safe in the milieu? What are signs of impending angry outbursts? What is seclusion and restraints know parameters and time frames