NURS 3320 FINAL PAPER 2025 QUESTIONS WITH
SOLUTIONS RATED A+
✔✔Objective examination: hygiene - ✔✔AF:
1. poor hygiene: dep, drug use, poor, dementia, no person to care for pt
✔✔Objective examination: facial expressions - ✔✔AF:
1. depression, apathy: decreased eye contact
2. parkinsons: mask like,
3.. metabolic disorders/anx: watchful staring
4. neuro disorder: droop
✔✔Objective examination: speech (note clarity, pace, tone) - ✔✔*affected by education,
culture, experience
*Pt with difficulty: ask them to name objects, read from a printed material, write a
sentence
-AF:
1. slow: dep, park,
2.loud/rapid: manic/bipolar
✔✔what are some types of speech problems - ✔✔1. dysphonia: voice volume disorder
2. cerebellar dysarthia: irrefular, uncoordinated speech casued by multiple sclerosis
3. dysarthia: defect with musc control of speech= park, cerebellar dz, lesions in nervous
system
4. aphasia: difficulty producing/understanding language
*lesions in cerebellar hemisphere
5. wernicke aphasia: rapid speech that lacks meaning, lesions in the posterior
superior temporal lobe
6. Broca aphasia: slowed speech with difficulty articulation, clear meaning, lesion in the
posterior inferior frontal lobe
✔✔Objective examination: mood, feelings, expressions - ✔✔af
1. alt mood expressions: extreme happiness or sadness, mood changes,
2. manic: increased energy, increased risky activity
3. anx, OCD: worry
,4. schitzo: eccentric moods
✔✔What is the PHQ 2 tool used for? phq9? - ✔✔- assess for depression
-PHQ2= higher than 2 more depressed clients being id correctly
-PHQ9= scores of 10 or more
✔✔What is the quick inventory of depression symptomology tool used for - ✔✔-Screen
for depression
-0-5= no risk
-6-10 mild
-11-15 mod
-16-20 severe
-21-27 very severe
✔✔Objective examination: thought process/ perception - ✔✔- schitzo: repeats ideas,
invents workds
-manic: rymes punning, rapid ideas
-confabulation: make up answers: KORSAKOFF SYNDROM
-depression early in life can lead to an increased risk of dementia later in liife
✔✔Objective examination: Cognitive abilities - ✔✔
✔✔CHAPTER 9: assessing Pain (THE FIFTH VITAL SIGN) - ✔✔
✔✔Define pain - ✔✔1. an unpleasant sensory and emotional experience, which we
primarily associate with tissue damage or describe in terms of such damage
2.Pain is whatever the experiencing person says it is, existing whenever he says it
does" (Pasero, 2018, front piece). It is important to remember this definition when
assessing and treating pain.
3. combination of physiologic phenomena but with psychosocial aspects that influence
its perception
✔✔What are nociceptors? what fibers are they attached too? - ✔✔1. sensory receptors
that detect signals from dmg tissue/chems released by dmg tissue
-found in: skin, sq tissue, joints, skeleton, peritoneal surfaces, pleural, dura mater, bv
walls
*none in parenchyma of visceral organs
, fibers:
1. type a fibers: sensitive to mechanical and thermal stimulation, fast pain
2. Type c fibers: polymodal, sensitive to temp, chem, mech stimuli, slow pain,
✔✔What is the process of nociception? - ✔✔1. transduction:
-stimuli results in tissue inj, released neuro trans (
-start of inflamm process: cytokines and neuropeptides
-substance p: increase pain perceptions which stims vasodilation, increased blood flow,
edemea with release of brady kinin, serotoninm, histamin
2. Transmission:
-initiated by inflam process,
-px>sc>brainstem>cortex
-
3. Perception:
-hypothalamus and limbic system are responsible for emotional aspect of pain, frontal
cortex is responsible for rational interpretation and response to pain
4. modulation: changes or inhibits pain message relay in sp cord
-
✔✔Name some physiological responses to pain - ✔✔-sleeplessness,decrease cognitive
function, dialated pupils, confusion, increased bp, increased, decreased urine
production, hypergly
✔✔Define different classifications of pain - ✔✔
✔✔Chapter 21 Assessing heart and neck vessels - ✔✔
✔✔Name the great vessels and where they pump blood to - ✔✔1. superior/inferior vena
cava: bring blood into the right atrium
2. pulmonary artery: carry blood to the lungs
3. pul veins: carry o2 to left artrium
4. Aorta: transports blood to the rest of the body (systemic)
✔✔Where are the valves in the heart? - ✔✔1. right av valve: b/w right atrium and right
vent (tricuspid)
2. left av valve: b/w left atrium and left vent (Mitral) (Bicuspid)
3. pulmonic valve: b/w right vent and pul arts
SOLUTIONS RATED A+
✔✔Objective examination: hygiene - ✔✔AF:
1. poor hygiene: dep, drug use, poor, dementia, no person to care for pt
✔✔Objective examination: facial expressions - ✔✔AF:
1. depression, apathy: decreased eye contact
2. parkinsons: mask like,
3.. metabolic disorders/anx: watchful staring
4. neuro disorder: droop
✔✔Objective examination: speech (note clarity, pace, tone) - ✔✔*affected by education,
culture, experience
*Pt with difficulty: ask them to name objects, read from a printed material, write a
sentence
-AF:
1. slow: dep, park,
2.loud/rapid: manic/bipolar
✔✔what are some types of speech problems - ✔✔1. dysphonia: voice volume disorder
2. cerebellar dysarthia: irrefular, uncoordinated speech casued by multiple sclerosis
3. dysarthia: defect with musc control of speech= park, cerebellar dz, lesions in nervous
system
4. aphasia: difficulty producing/understanding language
*lesions in cerebellar hemisphere
5. wernicke aphasia: rapid speech that lacks meaning, lesions in the posterior
superior temporal lobe
6. Broca aphasia: slowed speech with difficulty articulation, clear meaning, lesion in the
posterior inferior frontal lobe
✔✔Objective examination: mood, feelings, expressions - ✔✔af
1. alt mood expressions: extreme happiness or sadness, mood changes,
2. manic: increased energy, increased risky activity
3. anx, OCD: worry
,4. schitzo: eccentric moods
✔✔What is the PHQ 2 tool used for? phq9? - ✔✔- assess for depression
-PHQ2= higher than 2 more depressed clients being id correctly
-PHQ9= scores of 10 or more
✔✔What is the quick inventory of depression symptomology tool used for - ✔✔-Screen
for depression
-0-5= no risk
-6-10 mild
-11-15 mod
-16-20 severe
-21-27 very severe
✔✔Objective examination: thought process/ perception - ✔✔- schitzo: repeats ideas,
invents workds
-manic: rymes punning, rapid ideas
-confabulation: make up answers: KORSAKOFF SYNDROM
-depression early in life can lead to an increased risk of dementia later in liife
✔✔Objective examination: Cognitive abilities - ✔✔
✔✔CHAPTER 9: assessing Pain (THE FIFTH VITAL SIGN) - ✔✔
✔✔Define pain - ✔✔1. an unpleasant sensory and emotional experience, which we
primarily associate with tissue damage or describe in terms of such damage
2.Pain is whatever the experiencing person says it is, existing whenever he says it
does" (Pasero, 2018, front piece). It is important to remember this definition when
assessing and treating pain.
3. combination of physiologic phenomena but with psychosocial aspects that influence
its perception
✔✔What are nociceptors? what fibers are they attached too? - ✔✔1. sensory receptors
that detect signals from dmg tissue/chems released by dmg tissue
-found in: skin, sq tissue, joints, skeleton, peritoneal surfaces, pleural, dura mater, bv
walls
*none in parenchyma of visceral organs
, fibers:
1. type a fibers: sensitive to mechanical and thermal stimulation, fast pain
2. Type c fibers: polymodal, sensitive to temp, chem, mech stimuli, slow pain,
✔✔What is the process of nociception? - ✔✔1. transduction:
-stimuli results in tissue inj, released neuro trans (
-start of inflamm process: cytokines and neuropeptides
-substance p: increase pain perceptions which stims vasodilation, increased blood flow,
edemea with release of brady kinin, serotoninm, histamin
2. Transmission:
-initiated by inflam process,
-px>sc>brainstem>cortex
-
3. Perception:
-hypothalamus and limbic system are responsible for emotional aspect of pain, frontal
cortex is responsible for rational interpretation and response to pain
4. modulation: changes or inhibits pain message relay in sp cord
-
✔✔Name some physiological responses to pain - ✔✔-sleeplessness,decrease cognitive
function, dialated pupils, confusion, increased bp, increased, decreased urine
production, hypergly
✔✔Define different classifications of pain - ✔✔
✔✔Chapter 21 Assessing heart and neck vessels - ✔✔
✔✔Name the great vessels and where they pump blood to - ✔✔1. superior/inferior vena
cava: bring blood into the right atrium
2. pulmonary artery: carry blood to the lungs
3. pul veins: carry o2 to left artrium
4. Aorta: transports blood to the rest of the body (systemic)
✔✔Where are the valves in the heart? - ✔✔1. right av valve: b/w right atrium and right
vent (tricuspid)
2. left av valve: b/w left atrium and left vent (Mitral) (Bicuspid)
3. pulmonic valve: b/w right vent and pul arts
