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NRSG 126 – Douglas College – Midterm Study Guide with Verified Questions and Answers (Comprehensive Pain, Assessment, and Nursing Process Review)

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This extensive document is a verified question-and-answer guide designed to support preparation for the NRSG 126 Midterm at Douglas College. It covers core nursing concepts including pain pathways and management (nociceptive, neuropathic, modulation, opioids, NSAIDs), infection control, ADPIE nursing process, psychosocial assessment, sensory and cognitive changes in aging, and mobility frameworks. It integrates clinical reasoning, theoretical models, and physiological responses for a complete midterm review.

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Institution
RN - Registered Nurse
Course
RN - Registered Nurse

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NRSG 126 MIDTERM questions with verified
answers
_____ fibres are lightly myelinated nerve fibres that transmit sensation
of a ______ pain Ans✓✓✓ a delta, sharp


______ fibres are unmyelinated and transmit a _____ pain Ans✓✓✓ c
fibres, dull


______ prevents falls Ans✓✓✓ muscle power- ability to generate force
in a short period of time


1. The nurse records the client's breakfast intake as "tea 240 mls, milk
125 mls, 1 egg, 2 slices of toast." The nurse knows that the
documentation is part of which phase of the nursing process?
Ans✓✓✓ assessment


2. A nurse care plan includes the desired health outcome of "quality of
life" for a client with a chronic degenerative illness who is likely to live
for many more years. Which of the following is one example that would
indicate the outcome has been met? Ans✓✓✓ The client verbalizes
satisfaction with current relationships with others


3) Which of the following behaviors would indicate that the nurse was
using the assessment phase of the nursing process to provide nursing
care? Ans✓✓✓ reviewing lab results

,4) The use of a conceptual or theoretical framework for collecting and
organizing assessment data ensure which of the following? Ans✓✓✓
Collection of all necessary information for a thorough appraisal


as people age some changes to the body can actually decrease an
individuals threshold for pain Ans✓✓✓ false


choice of non pharmacological intervention is determined by Ans✓✓✓
1.what works for a specific patient
2. nature of case
3. skills of clinician


codeine causes Ans✓✓✓ constipation


cognitive psychologists are now looking at Ans✓✓✓ wisdom


communication requires a Ans✓✓✓ sender, message, receiver,
response/feedback


culture defines Ans✓✓✓ child rearing practices, development of
values, morals, impact of ones self concept

,definition of extension Ans✓✓✓ movement that brings members of a
limb towards a straight position - opposite of flexion


definition of flexion Ans✓✓✓ act of bending, decreasing angle of joint


defintion of rotating Ans✓✓✓ turning on an axis


development of cognitive processes is dependent on Ans✓✓✓ innate
capacity


emotional dimension is Ans✓✓✓ subjective


factors impacting sensory stimulation Ans✓✓✓ age, culture, level of
stress, medications and illness, lifestyle, personality, environment


for planning - make goals in the form of Ans✓✓✓ rationale


how do NSAIDS work? Ans✓✓✓ disrupt transduction


how does acetaminophen work? Ans✓✓✓ works on hypothalamus-
sweating and vasodilation to decrease temp

, how does modulation work? Ans✓✓✓ endogenous opioids and
neurotransmitters block neuronal activity (stimulus) by bonding to
opiate receptor sites


how many canadians die from HAIs every year? Ans✓✓✓ 8000


how many people over 65 are living with dementia? Ans✓✓✓ 564,000


how much more potent is fentanyl than morphine? Ans✓✓✓ 100x


how to communicate with a patient with dementia Ans✓✓✓ know
their care plan: triggers, do they need prompts etc, use loud and slow
words and over exaggerate what your saying, use hand gestures, come
to eye level, do not stand directly infront of client


how to prevent sensory deprivation Ans✓✓✓ use of glasses and
eyewear, touch client if culturally appropriate, communicate
frequently, provide tv/radio/clock/calender, provide familiar photos
and other personal objects, pet therapy, tactile stimuli, social
interaction, singing


how to prevent sensory overload Ans✓✓✓ control pain, provide
orienting cues, provide a private care, limit visitors, provide interrupted
rest, regular schedule for care, speak in low tones, provide new info
gradually, describe tests and procedures, decrease odours

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Institution
RN - Registered Nurse
Course
RN - Registered Nurse

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Uploaded on
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Number of pages
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Written in
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Type
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