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NURS 421 Final questions with correct answer1

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NURS 421 Final questions with correct answer1

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NURS 421 Final questions with correct answers
cognitive behavior therapy anxiety disorder Correct Answer-cognitive
restructuring, relaxation training, modeling, systemic desensitization,
exposure and response prevention (OCD). during a moment of anxiety
patient will begin to think in negative thoughts so we should help to
guide them to turn it around


ex: my heart is pounding, i think i'm going to die!


CBT techniques for anxiety Correct Answer-cognitive restructuring
relaxation training
modeling and systemic desensitization
exposure and response prevention for OCD


OCD Correct Answer-exposure: assist pt to deliverately confront the
situations and stimuli that he/she usually avoids, response prevention-
assist patient to avoid performing rituals


ocd-identify outcome Correct Answer-planning in collaboration with the
client should be prioritized according to what the client identifies as
most important and may include the following goals
-identify triggers for OCD
-learn to identify strengths that can be used to reorder thinking in order
to reduce OCD
-recognize that continued OBC are not an indication of treatment failure
that reductions in behaviors signify positive progress

,RSV/Bronchiolitis Correct Answer--highly contagious


RSV signs and symptoms Correct Answer--may lead to apnea and
pulmonary edema
-3-5 days after exposure
-rhinorrhea, cough, irritability,
-low-grade fever for 1-3 days
-copioius mucus secretions, usually green
-wheezing and crackles in airway
-atelectasis and hypoxemia




more serious signs and symptoms
-irritability, excessive coughing, and wheezing
-observable retractions of ribcage


Call EMS
-marked retractions, nasal flaring
-rapid RR, blue skin
-listlessness
-apneic periods

,risk factors for RSV Correct Answer-infants, toddlers not breastfeed
secondhand smoke
socioeconomicallly disadvantaged
attend daycare
live in crowded conditions
prematurity
chronic lung diseae
congenital heart disease
reduced immunity


prevention for RSV Correct Answer-good hand hygiene
infection control measures
environmental exposure
disinfect surfaces: RSV live on surface for hours
keep toys, clothes, blankets, and sheets clean
no smoking around your baby
avoid crowds and other young children during RSV season
avoid sick people


isolation precautions for RSV Correct Answer-placed in a private room
on contact and droplet precautions, avoid sick people by politely asking
who have been sick or are sick to not visit your baby

, SIDS prevention and education Correct Answer-discuss protection at
follow-up visits
supine sleeping
nonsmoking behaviors
bed quality-firm
adequate warmth but avoid overheating sleeping room
model and teach-back to sleep, crib or co-sleeper in parent's room, firm
bed, tummy for play time when awake, cuddle time for loving, upright
position on chest or lap, blankets secured lower than infants chest
-support groups
-reassure parents are not responsible


PE risk factors Correct Answer-stasis of blood flow
vessel wall damage
altered blood coagulation
history of PE/DVT
prolonged immobility
obesity
trauma
hip, femur fractures
surgery
MI, heart failure, a fib
advanced age
smoking

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