EXAM 1 - NUR 126 questions with verified answers
. Discuss the stages of health change behavior. Ans✓✓✓ see
powerpoint
. Identify the correct equipment needed for the assessment of the
neurological system. Ans✓✓✓ gloves, penlight, objects, reading
material
briefly describe crisis intervention: Ans✓✓✓ a specific type of brief
psychotherapy that has two specific goals. 1)patient safety 2)anxiety
reduction
compare and contrast:
GAS
PGAS
LAS Ans✓✓✓ LAS---local adaptation syndrome, specific to part of
body-------PGAS psychological adaptation----GAS general adaptation
syndrome see notes and chart in the TLO's!!!
cranial nerves, function and assessment of each. Ans✓✓✓ ...
define auscultation: Ans✓✓✓ listening to sounds the body makes to
detect variations from normal
,define inspection: Ans✓✓✓ look, listen and smell to distinguish normal
from abnormal
define palpation: Ans✓✓✓ using touch to gather info
define percussion: Ans✓✓✓ Tapping the skin with the fingertips to
vibrate underlying tissues and organs
Define physical restraint/protective device. Ans✓✓✓ A physical
restraint is any physical or mechanical device, material or equipment
that immobilizes or reduces the ability to move freely.
Temporary means to promote safety for patients who are:
Confused
Disoriented
Wander
Repeated falls
At risk of removing medical devices (IV, endotracheal tube, NG tube)
Alternatives attempted first:
Verbal reminders
Bed and chair alarms
Frequent observation
Reorientation
,Distraction
Family at bedside
A physician's order is needed to implement restraints.
Renewal orders needed to continue restraints as per policy.
Define safe environment. Ans✓✓✓ ***Freedom from psychological
and physical injury.
-A basic human need.
A safe environment:
Reduces risk for illness and injury
Helps to contain the cost of health care.
Improves and maintains a patient's functional status
Increases a sense of well-being.
define stress: Ans✓✓✓ process beginning with an event that evokes a
degree of tension or anxiety
Describe ear palpation and tests for hearing acuity. Ans✓✓✓ Inspect
and palpate the external ear structure
Inspect-Size, shape, symmetry, landmarks, position and color of the
auricle.
Palpate- auricle for texture, tenderness, and skin lesions
, Complaints of pain: external or middle ear infection. Mastoid pain-
>mastoiditis
Inspect opening of ear canal for size and presence of discharge
Hearing Acuity- A patient with hearing loss often fails to respond to
conversation
Conduction
Sensorineural
Mixed
Whisper test: Cranial nerve VIII
Ototoxicity- Injury to the auditory nerve
Hearing Assessment and Tuning Forks
describe ego-defense mechanisms and how do they offer psychological
protection from a stressful event. discuss how coping helps people to
manage stress. Ans✓✓✓ ego defense mechanisms regulate emotional
distress and thus give a person protection from anxiety and distress
Describe examination of the nose and sinus. Ans✓✓✓ Nose: Inspect
external surface, observing for shape, size, skin, color, and the presence
of deformity or inflammation
Gently palpate the ridge of soft tissue from nasal bridge to tip
Assess patency of nares.
Illuminate anterior nares; inspect mucosa for color, lesions, discharge,
swelling, and bleeding, and excoriation
. Discuss the stages of health change behavior. Ans✓✓✓ see
powerpoint
. Identify the correct equipment needed for the assessment of the
neurological system. Ans✓✓✓ gloves, penlight, objects, reading
material
briefly describe crisis intervention: Ans✓✓✓ a specific type of brief
psychotherapy that has two specific goals. 1)patient safety 2)anxiety
reduction
compare and contrast:
GAS
PGAS
LAS Ans✓✓✓ LAS---local adaptation syndrome, specific to part of
body-------PGAS psychological adaptation----GAS general adaptation
syndrome see notes and chart in the TLO's!!!
cranial nerves, function and assessment of each. Ans✓✓✓ ...
define auscultation: Ans✓✓✓ listening to sounds the body makes to
detect variations from normal
,define inspection: Ans✓✓✓ look, listen and smell to distinguish normal
from abnormal
define palpation: Ans✓✓✓ using touch to gather info
define percussion: Ans✓✓✓ Tapping the skin with the fingertips to
vibrate underlying tissues and organs
Define physical restraint/protective device. Ans✓✓✓ A physical
restraint is any physical or mechanical device, material or equipment
that immobilizes or reduces the ability to move freely.
Temporary means to promote safety for patients who are:
Confused
Disoriented
Wander
Repeated falls
At risk of removing medical devices (IV, endotracheal tube, NG tube)
Alternatives attempted first:
Verbal reminders
Bed and chair alarms
Frequent observation
Reorientation
,Distraction
Family at bedside
A physician's order is needed to implement restraints.
Renewal orders needed to continue restraints as per policy.
Define safe environment. Ans✓✓✓ ***Freedom from psychological
and physical injury.
-A basic human need.
A safe environment:
Reduces risk for illness and injury
Helps to contain the cost of health care.
Improves and maintains a patient's functional status
Increases a sense of well-being.
define stress: Ans✓✓✓ process beginning with an event that evokes a
degree of tension or anxiety
Describe ear palpation and tests for hearing acuity. Ans✓✓✓ Inspect
and palpate the external ear structure
Inspect-Size, shape, symmetry, landmarks, position and color of the
auricle.
Palpate- auricle for texture, tenderness, and skin lesions
, Complaints of pain: external or middle ear infection. Mastoid pain-
>mastoiditis
Inspect opening of ear canal for size and presence of discharge
Hearing Acuity- A patient with hearing loss often fails to respond to
conversation
Conduction
Sensorineural
Mixed
Whisper test: Cranial nerve VIII
Ototoxicity- Injury to the auditory nerve
Hearing Assessment and Tuning Forks
describe ego-defense mechanisms and how do they offer psychological
protection from a stressful event. discuss how coping helps people to
manage stress. Ans✓✓✓ ego defense mechanisms regulate emotional
distress and thus give a person protection from anxiety and distress
Describe examination of the nose and sinus. Ans✓✓✓ Nose: Inspect
external surface, observing for shape, size, skin, color, and the presence
of deformity or inflammation
Gently palpate the ridge of soft tissue from nasal bridge to tip
Assess patency of nares.
Illuminate anterior nares; inspect mucosa for color, lesions, discharge,
swelling, and bleeding, and excoriation
