nurs 406 test 2 questions with complete solutions

nurs 406 test 2 questions with complete
solutions
personality |disorder |cluster |pneumonic |- |VERIFIED |ANSWER✔✔-cluster |A: |*eccentric* |people |still |
suck

(paranoid |schizoid |schizotypal)



cluster |B: |*erratic* |boy |needs |his |apple

(borderline |narcissistic |histrionic |antisocial)



cluster |C: |*anxious* |amy |depends |on |company

(anxious |dependent |obsessive-compulsive)



abuse |- |VERIFIED |ANSWER✔✔-• |Sexual |assault |is |a |common |and |often |underreported |crime |of |
violence.



• |Females |are |far |more |likely |to |be |victims |of |sexual |assault |and |tend |to |know |their |perpetrators. |
Sexual |assault |of |males |tends |to |be |underreported |due |to |the |humiliation |and |stigma |attached |to |
such |victimization.



• |Psychoactive |substances |play |a |major |role |in |sexual |assault, |and |alcohol |is |the |most |commonly |used
|date-rape |drug. |Other |disinhibiting |and |amnestic |substances |play |a |role |in |forcible |sex |acts.




• |A |rape |survivor |experiences |a |wide |range |of |feelings, |which |may |or |may |not |be |exhibited |to |others.



• |Sexual |assault |is |often |followed |by |feelings |of |fear, |degradation, |anger, |and |rage. |Helplessness, |
anxiety, |sleep |disturbances, |disturbed |relationships, |flashbacks, |depression, |and |somatic |complaints |
are |also |common.

,• |The |initial |medical |evaluation |may |be |frightening |and |stressful. |A |police |interview, |repeated |
questioning |by |health |professionals, |and |the |physical |examination |itself |all |have |the |potential |to |add |
to |the |trauma |and |revictimization |of |the |sexual |assault.



• |Nurses |can |minimize |repetition |of |questions |and |support |the |patient |as |she |goes |through |the |
medical |and |legal |evaluation.

• |Survivors |require |long-term |healthcare |that |can |include |counseling |to |minimize |long-term |effects |of
|the |rape |and |assisting |in |an |early |return |to |a |normal |living |pattern.




• |Telephone |and |online |resources |are |available |to |assist |sexual |assault |and |rape |survivors.



disorders |: |personality |- |VERIFIED |ANSWER✔✔-• |All |personality |disorders |share |characteristics |of |
inflexibility |and |difficulties |in |interpersonal |relationships |that |impair |social |or |occupational |
functioning.



• |Personality |disorders |are |most |likely |caused |by |a |combination |of |biological |and |psychosocial |factors.



• |Patients |with |personality |disorders |often |enter |psychiatric |treatment |because |of |distress |from |a |
comorbid |mental |illness.



• |Nurses |may |experience |intense |emotional |reactions |to |patients |with |personality |disorders |and |need
|to |make |use |of |clinical |supervision |to |maintain |objectivity.




• |Despite |the |relatively |fixed |patterns |of |maladaptive |behavior, |some |patients |with |personality |
disorders |are |able |to |change |their |behavior |over |time |as |a |result |of |treatment.



eating |disorders |- |VERIFIED |ANSWER✔✔-A |number |of |theoretical |models |help |explain |the |origins |of |
eating |disorders.



• |Neurobiological |theories |focus |on |neurotransmitters |in |the |brain |that |regulate |mood |and |hunger.



• |Psychological |theories |explore |issues |of |control |in |anorexia |and |affective |instability |and |poor |
impulse |control |in |bulimia.

,• |Genetic |theories |postulate |the |existence |of |vulnerabilities |that |may |predispose |people |toward |
eating |disorders.



• |Sociocultural |models |look |at |our |present |societal |ideal |of |being |thin.



• |Anorexia |nervosa |is |a |potentially |life-threatening |eating |disorder |that |includes |severe |underweight; |
low |blood |pressure, |pulse, |and |temperature; |dehydration; |and |dysrhythmias.



• |Anorexia |may |be |treated |in |an |inpatient |treatment |setting |in |which |milieu |therapy, |psychotherapy |
(cognitive), |development |of |self-care |skills, |and |psychobiological |interventions |can |be |implemented.



• |Long-term |treatment |is |provided |on |an |outpatient |basis |and |aims |to |help |patients |maintain |healthy
|weight. |It |includes |treatment |modalities |such |as |individual |therapy, |family |therapy, |group |therapy, |

psychopharmacology, |and |nutrition |counseling.



• |Patients |with |bulimia |nervosa |are |typically |within |the |normal |weight |range, |but |some |may |be |
slightly |below |or |above |ideal |body |weight.



• |Assessment |of |the |patient |with |bulimia |nervosa |may |show |enlargement |of |the |parotid |glands, |
dental |erosion, |and |caries |if |the |patient |has |induced |vomiting.



• |Acute |care |may |be |necessary |when |life-threatening |complications |such |as |gastric |rupture |(rare), |
electrolyte |imbalance, |and |cardiac |dysrhythmias |are |present.



• |The |goal |of |interventions |is |to |interrupt |the |binge-purge |cycle. |Psychotherapy |and |self-care |skill |
training |are |included |in |the |treatment |plan.



• |Therapy |is |the |long-term |treatment |focus |to |address |coexisting |depression, |substance |abuse,
|and/or |personality |disorders |that

, sexual |disorders |- |VERIFIED |ANSWER✔✔-Sexual |dysfunction |is |an |extremely |common |problem |that |
involves |a |disturbance |in |the |desire, |excitement, |or |orgasm |phases |of |the |sexual |response |cycle |or |
pain |during |sexual |intercourse.



• |There |are |seven |different |disorders |of |sexual |dysfunction.



• |Sexual |problems |have |the |potential |to |disrupt |meaningful |relationships.



• |Healthcare |workers |are |often |uncomfortable |asking |questions |related |to |sexuality. |Providing |
professional |and |holistic |care |requires |that |nurses |include |this |vital |area |of |assessment.



• |Certain |medical |and |surgical |conditions |and |some |drugs |result |in |a |variety |of |sexual |dysfunctions, |
including |low |libido, |impotence, |erectile |dysfunction, |anorgasmia, |and |priapism.



• |There |are |distinctions |between |biological |sex |and |gender |identity. |Gender |dysphoria |is |a |strong |and
|persistent |cross-gender |identification |accompanied |by |anxiety, |discomfort, |and |unhappiness.




• |Paraphilia |is |a |term |used |to |identify |repetitive |or |preferred |sexual |fantasies |or |behaviors |that |
involve |preference |for |use |of |a |nonhuman |object, |repetitive |sexual |activity |with |humans |involving |
real |or |simulated |suffering |or |humiliation, |and |repetitive |sexual |activity |with |nonconsenting |partners.



• |Paraphilic |disorders |include |exhibitionistic |disorder, |fetishistic |disorder, |frotteuristic |disorder, |
pedophilic |disorder, |sexual |masochism |disorder, |sexual |sadism |disorder, |transvestic |disorder, |
voyeuristic |disorder, |and |paraphilic |disorders |not |otherwise |specified.



• |In |addition |to |conducting |a |sexual |assessment, |nurses |are |involved |in |milieu |and |behavioral |
therapy, |counseling, |education, |and |medication |management.



• |Nursing |interventions |for |paraphilic |disorders |involve |administration |of |medications |(e.g., |
medroxyprogesterone |[Depo-Provera] |and |SSRIs) |and |therapy.



• |Advanced |practice |nurses |may |specialize |in |the |area |of |sexual |counseling, |treatm