NUR 180 - Exam 2 Questions with Verified Answers
1. Fetal Alcohol Syndrome: Microcephaly
Small gestational age (body)
Fail to develop normally
2. Habituation + Adaptation =: Tolerance
3. S/S of heroin use: Dilated pupils
Drowsiness
Euphoria
Respiratory depression
4. S/S of heroin use that is main priority: Respiratory depression
5. S/S of PCP use: Increased VS (BP)
Agitated movements
Belligerence
Nonsensical talk
Violence
Bizarre behaviors
6. S/S of PCP use that is main priority: Safety
7. A patient comes into the ER staggering. When the nurses try to get VS on
him, he kicks and fights. He refuses to let anyone touch him and insists that
all he wants is to lie down.
Which blood alcohol level do you expect?: 0.20% (at least 5 drinks)
8. Dual diagnosis (or "co-occurring"): 75% of patients with mental illness abuse
substances
9. Stress reaction (effect): Results from stress of stopping the addictive behavior
- Anxiety
Affects ANS
- Increased HR
- Increased BP
- Sweating
10. Rebound symptoms (effect): Occur when adaptive changes in the brain that
encounter the effects of the addiction continue despite cessation of the addictive
substance or behavior
- Low mood
- Fatigue
- Opposite effect of abused drug
11. S/S of alcohol withdrawal: Occurs within 6 - 9 hrs
Tremors
HBP
Change in mental status
Prone to seizures
, NUR 180 - Exam 2 Questions with Verified Answers
12. What assessment question should you ask someone who has struggled
with alcohol abuse and is being seen for withdrawal symptoms?: When was
the last time you had a drink?
13. Symptoms/behaviors of addiction: Insomnia
Fatigue
Changes in mood
Weight loss
Anorexia
Overabundant use of mouthwash or toiletries
Unkempt appearance
DUIs
Financial problems
Poverty
Absenteeism from work
14. Wernicke's encephalopathy: Acute
Controls language reception
Left temporal lobe
Reversible brain damage
- Tx with thiamine
15. Korsakoff's syndrome: Chronic alcohol abuse
Results from severe thiamine deficiency
Not reversible
Brain damage
16. S/S of anxiety: Muscle rigidity
Sweating
Dry mouth
- Explore stressors
17. Denial: Refusal to acknowledge conflict and thus escapes reality of situation
- A child covered with chocolate refuses to admit eating candy
18. Displacement: Redirecting of energies to another person or object
- A husband shouts at his wife, the wife then berates her child, who then scolds the
dog
19. Projection: Putting off one's own unacceptable thoughts, wishes, and emotions
onto others
- A woman is afraid to leave her house because she knows people will ridicule her
20. Rationalization: Use of a "good" (but not real) reason to explain behavior to
make unacceptable motivation more acceptable
- A student justifies failing an exam by saying there was too much material to cover
, NUR 180 - Exam 2 Questions with Verified Answers
21. Regression: Coping with present conflict, stress by returning to earlier, more
secure stage of life
- A 4 year old's parents are going through a divorce so she begins to suck her thumb
and wet the bed
22. Suppression: Removal of conflict by removing anxiety from consciousness
- A woman with a family history of breast cancer "forgets" her mammogram appoint-
ment
23. Stages of grief by Kubler-Ross: DABDA
Denial
Anger
Bargaining
Depression
Acceptance
24. Types of Loss: Situational - Divorce, Death
Maturational - Child leaves home, Elder to NH
Unexpected
Anticipatory - Impending
25. Children with a terminal illness are more concerned with what?: Illness
interfering with their play time
26. Generalized anxiety disorder (GAD): People with this illness always worry
- Tell them that they are safe, and you are there to help
27. Tx of generalized anxiety disorder: CBT
SSRIs or SNRIs
Anti-anxiety meds
28. May be experienced by a catastrophe survivor such as a victim of rape
or someone who witnessed death or having a close family member/friend
experience such an event: Traumatic stress response
29. Tx of OCD: Desensitization (slow process)
Set limits
Exposure therapy with response prevention: patient is prevented from performing
the obsessive ritual
30. Repeated exposure to phobias and is a quick process (1 week or more): -
Flooding
31. Phobia: irrational fear that causes people to go to extreme lengths to avoid
something they are afraid of
32. Agoraphobia: Fear or avoidance of situations, such as crowds or wide open
places, where one has felt loss of control and panic
33. Hospice care: Dying with dignity
Make patient comfortable
1. Fetal Alcohol Syndrome: Microcephaly
Small gestational age (body)
Fail to develop normally
2. Habituation + Adaptation =: Tolerance
3. S/S of heroin use: Dilated pupils
Drowsiness
Euphoria
Respiratory depression
4. S/S of heroin use that is main priority: Respiratory depression
5. S/S of PCP use: Increased VS (BP)
Agitated movements
Belligerence
Nonsensical talk
Violence
Bizarre behaviors
6. S/S of PCP use that is main priority: Safety
7. A patient comes into the ER staggering. When the nurses try to get VS on
him, he kicks and fights. He refuses to let anyone touch him and insists that
all he wants is to lie down.
Which blood alcohol level do you expect?: 0.20% (at least 5 drinks)
8. Dual diagnosis (or "co-occurring"): 75% of patients with mental illness abuse
substances
9. Stress reaction (effect): Results from stress of stopping the addictive behavior
- Anxiety
Affects ANS
- Increased HR
- Increased BP
- Sweating
10. Rebound symptoms (effect): Occur when adaptive changes in the brain that
encounter the effects of the addiction continue despite cessation of the addictive
substance or behavior
- Low mood
- Fatigue
- Opposite effect of abused drug
11. S/S of alcohol withdrawal: Occurs within 6 - 9 hrs
Tremors
HBP
Change in mental status
Prone to seizures
, NUR 180 - Exam 2 Questions with Verified Answers
12. What assessment question should you ask someone who has struggled
with alcohol abuse and is being seen for withdrawal symptoms?: When was
the last time you had a drink?
13. Symptoms/behaviors of addiction: Insomnia
Fatigue
Changes in mood
Weight loss
Anorexia
Overabundant use of mouthwash or toiletries
Unkempt appearance
DUIs
Financial problems
Poverty
Absenteeism from work
14. Wernicke's encephalopathy: Acute
Controls language reception
Left temporal lobe
Reversible brain damage
- Tx with thiamine
15. Korsakoff's syndrome: Chronic alcohol abuse
Results from severe thiamine deficiency
Not reversible
Brain damage
16. S/S of anxiety: Muscle rigidity
Sweating
Dry mouth
- Explore stressors
17. Denial: Refusal to acknowledge conflict and thus escapes reality of situation
- A child covered with chocolate refuses to admit eating candy
18. Displacement: Redirecting of energies to another person or object
- A husband shouts at his wife, the wife then berates her child, who then scolds the
dog
19. Projection: Putting off one's own unacceptable thoughts, wishes, and emotions
onto others
- A woman is afraid to leave her house because she knows people will ridicule her
20. Rationalization: Use of a "good" (but not real) reason to explain behavior to
make unacceptable motivation more acceptable
- A student justifies failing an exam by saying there was too much material to cover
, NUR 180 - Exam 2 Questions with Verified Answers
21. Regression: Coping with present conflict, stress by returning to earlier, more
secure stage of life
- A 4 year old's parents are going through a divorce so she begins to suck her thumb
and wet the bed
22. Suppression: Removal of conflict by removing anxiety from consciousness
- A woman with a family history of breast cancer "forgets" her mammogram appoint-
ment
23. Stages of grief by Kubler-Ross: DABDA
Denial
Anger
Bargaining
Depression
Acceptance
24. Types of Loss: Situational - Divorce, Death
Maturational - Child leaves home, Elder to NH
Unexpected
Anticipatory - Impending
25. Children with a terminal illness are more concerned with what?: Illness
interfering with their play time
26. Generalized anxiety disorder (GAD): People with this illness always worry
- Tell them that they are safe, and you are there to help
27. Tx of generalized anxiety disorder: CBT
SSRIs or SNRIs
Anti-anxiety meds
28. May be experienced by a catastrophe survivor such as a victim of rape
or someone who witnessed death or having a close family member/friend
experience such an event: Traumatic stress response
29. Tx of OCD: Desensitization (slow process)
Set limits
Exposure therapy with response prevention: patient is prevented from performing
the obsessive ritual
30. Repeated exposure to phobias and is a quick process (1 week or more): -
Flooding
31. Phobia: irrational fear that causes people to go to extreme lengths to avoid
something they are afraid of
32. Agoraphobia: Fear or avoidance of situations, such as crowds or wide open
places, where one has felt loss of control and panic
33. Hospice care: Dying with dignity
Make patient comfortable
