ATI PN Fundamentals Study Exam Questions & Answers Scored A+

Physical signs of pain - ANSWER-Increased BP, HR, & RR Describe how to assess the strength of the sternocleidomastoid muscle - ANSWER-The nurse should check the strength of the sternocleidomastoid muscle by placing hands firmly against the client's upper jaw and creating resistance as the client turns her head laterally How should the nurse check the strength of the trapezius muscle? - ANSWER-The nurse should check the strength of the trapezius muscle by having the client shrug their shoulders while the nurse applies firm pressure over the midline of the shoulders How should the nurse check the strength of the gastrocnemius muscle? - ANSWER-The nurse should check the strength of the gastrocnemius muscle by grasping the client's shin and pushing toward the client's body as the client offers resistance by attempting to straighten her leg. How should the nurse check the strength of the deltoid muscle? - ANSWER-The correct technique for checking the deltoid muscle is for the client to hold her arms out and resist the while the nurse pushes them down. Define complicated grief - ANSWER-- unresolved or chronic grief is a type - involves difficult progression through the expected stages of grief - usually work of grief is prolonged, manifestations more severe, can result in depression or exacerbate preexisting disorder - client may develop suicidal ideation, intense feelings of guilt, and lowered self-esteem - somatic complaints persist for an extended period of time Define maturational loss - ANSWER-Maturational loss results from a developmental process, such as growth of a child into and adult