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NUR 1212C Final Exam

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NUR 1212C Final Exam

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NUR 1212C Final Exam / 100 QUESTIONS AND CORRECT
ANSWERS
Effective communication with patients - ANSWER: Introduce yourself to the patient,
Assess hearing, Knowledge base, Speak clearly, Do not shout or exaggerate,
Minimize noise in the room, Replace sentences and repeat information and
understanding, Have patient repeat important points, DO NOT begin a sentence with
why!!!!

Coping is defined as: - ANSWER: Is the cognitive means followed by behaviors to
manage an internal or situation, which a perceived as difficult, It is the situation that
is beyond an individual's current perceived resources, Coping mechanisms ineffective
followed by increased anxiety

Abuse is defined as - ANSWER: Is the intentional use of physical or psychological
force or power, threatened or actual, against oneself, another person, or a group or
community that either results in or has a high like hood of disability.

Four types of abuse - ANSWER: Physical, Neglect, Sexual, Emotional

Indicators of abuse - ANSWER: Recurrent ED visits for injuries attributed to being
accident prone, Reoccurring problems signs of high anxiety or chronic stress:,
Hyperventilation, Panic Attacks, gastrointestinal, HTN, physical injuries, depression

Implementation of abuse - ANSWER: It is critical to asses the risk of harm to the pt or
to others, Injuries, burns, facial injuries, bite marks, bruises in various stages of
healings, Each state has specific regulations for reporting child abuse that must be
observed. The nurse is a mandatory reporter, The Nurse specifically assess the risk of
harm to the patient or to others, Concerns of suicide or harm to others

Suicide Stats? - ANSWER: Greatest number occur in young and middle-aged adults,
11th leading cause of death in the US in all age groups, 90% of those who attempt
suicide have a dx psychiatric condition, Alcohol and substance abuse are often in the
mix, Risk of suicide in those with MDD is appx 20x greater than general population,

Suicide Warning Signs - ANSWER: Be aware of odd behaviors, Suddenly goes from
sad/depressed to happy and peaceful, Often the decision to commit suicide gives a
feeling of relief and calm, Patient gives away treasured possessions

Dementia - ANSWER: Affects mainly memory, Is typically caused by anatomical
changes in the brains, has slower onset, and is generally irreversible

Dementia Onset: - ANSWER: slow and gradual with an uncertain beginning point

Dementia Duration - ANSWER: usually permanent

, Dementia Cause: - ANSWER: Usually a chronic brain disorder

Dementia Course - ANSWER: slowly progressive

Dementia LOC - ANSWER: Unimpaired until dementia is severe

Dementia Patients with cognitive impairment should perform - ANSWER: all tasks of
which they are capable, Step by step direction, When simple directions are given in a
systematic fashion, the pt is better able to process information and perform simple
tasks, Help the patient maintain and perform self-care activities to promote
independence

Older patients with progressive RI, - ANSWER: pneumonia may present with
manifestations of increased confusion. This is not Dementia - it is Delirium.
Hypoxia/Electrolyte Imbalance, Higher risk of delirium following anesthesia

Schizophrenia is - ANSWER: A long-term mental disorder of a type involving a
breakdown in the relation between thought, emotion, and behavior, leading to
faulty perception, inappropriate actions and feelings, withdrawal from reality and
personal relationships into fantasy and delusion, and a mental fragmentation.
Psychosis

Positive Symptoms of Schizophrenia: - ANSWER: Hallucinations, delusions,
alternation in speech, bizarre behaviors, laugh out loud, mumble to self, in response
to inner stimuli, command hallucination can be a safety concern

Negative Symptoms of Schizophrenia - ANSWER: Clinical manifestations more
difficult to treat than positive, affect, blunted narrow range of normal expression,
flat, little change in facial expression

Thought insertion is - ANSWER: a belief that others are placing thought in one's mind

Thought broadcasting is - ANSWER: a belief that others can read one's thoughts

Magical Thinking is - ANSWER: a belief that's one's thoughts can make an event
happen

Ideas of reference is - ANSWER: the false belief that irrelevant occurrences or details
in the world relate directly to oneself.

MDD is - ANSWER: a common and serious medical illness that negatively affects how
you feel, the way you think, and how you act.

Depression symptoms - ANSWER: Feeling sad or having a depressed mood, Loss of
interest or pleasure, Changes in appetite - weight loss or gain unrelated to dieting,
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