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NURS 250 Final Exam Review: Key Topics and Interventions

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What happens to the thymus size and T cell production as a person ages? - correct answer Aging leads to decreased thymus size, which results in decreased T cell production and immune surveillance. What types of pathogens do T cells fight? - correct answer T cells fight intracellular viruses, fungi, and tumor cells. How does aging affect cancer risk? - correct answer Increased age is associated with an increased risk of cancer. What is a common concern regarding organ transplantation? - correct answer Rejection of the transplanted organ is a common concern. What are the clinical assessment findings for acute rejection of a transplanted organ? - correct answer Acute rejection occurs within 6 months and is treated with increased immunosuppressants and corticosteroids. Findings include oliguria, increased temperature, increased blood pressure, enlarged/tender organ, fluid retention, elevated serum creatinine, BUN, potassium, and severely decreased hemoglobin.

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COMS 2320 – Final Exam Study Guide (Moore) – Complete Q&A with
Correct Answers
what is the health belief model? - correct answer This model focuses on the patient's
perspective on health communication. Helps in creating messages that encourage people to
make healthy choices in their lives. People will likely change unhealthy behaviors based on the
perceived threat from the disease
What is Orlando's theory of the Deliberative Nursing Process? - correct answer focuses on a
nurse's reactions to a patient's behavior as generating a perception, thought and feelings in the
nurse, resulting in a certain action by the nurse, when the patient isn't communicating with you
and the nurse has to figure out what is wrong
What is the Rogerian Model? - correct answer patient-centered model. it describes the role of
the relationship between the healthcare provider and the client/patient, makes the patient
empowered
What is the model of Social Information Processing? - correct answer using social media and
the internet as a resource. a circular depiction of the emotional and cognitive processes
involved in responding to social cues


Social information processing theory explains interpersonal communication without nonverbal
cues and developing and managing relationships in a computer mediated environment, using
social media and past experiences.
medical mistakes are... - correct answer 3rd leading cause of death


-Acceptance: recognizing the mistake
-Stepping in: take responsibility
-Integrated: health professional acknowledge what they learned from the mistake and admit
that they are capable of making mistakes
-New narrative: healthcare providers become more humble and cautious
-Wisdom: knowledge, mixed with compassion and understanding
what are never events? - correct answer a clear or preventable event that results in serious
consequences
what is the voice of lifeworld? - correct answer patients are concerned about how the illness
will affect their everyday lives. Will it affect their ability to see, hear, or do routine activities?

, what is the voice of medicine? - correct answer medical professionals are concerned with
symptoms in order to make a diagnosis
what are the 6 steps in peplau's roles? - correct answer -stranger
-resource
-teaching
-counseling
-surrogate
-active leadership
what is the stranger role? - correct answer the nurse receives the patient as a stranger, but the
nurse provides a climate of trust
what is the resource role? - correct answer the nurse gives information, answers questions and
interprets clinical information
what is the teaching role? - correct answer the nurse serves as a teacher to the patient
(learner), giving instruction and training
what is the counseling role? - correct answer the nurse provides guidance and encouragement
to help the patient
what is the surrogate role? - correct answer the nurse works on the patient's behalf and
becomes a patient advocate
what is the active leadership role? - correct answer the nurse assists the patient in achieving
responsibility for treatment goals in a mutually satisfying way
what are the relationship phases identified by peplau? - correct answer -orientation phase
-working phase
-resolution/termination phase
what is the orientation phase? - correct answer Where the nurse and patient meet each other
as strangers and develop a working partnership to address the health concerns of the patient
what is the working phase? - correct answer -Identification - the nurse and the patient clarify
ideas and expectations for the relationship
-Exploitation - the nurse helps the patient identify healthcare services and personal resources
and develops strategies to resolve the health issue

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