NCLEX Review - YT Videos Questions And
Answers
Measuring crutches -the length is measured from 2-3 finger widths from the anterior
axillary fold to a point lateral to and slightly in front of the foot
-the hand grip should be in a position that creates a 30degree angle in the elbow
2-point gait with crutches move one crutch and the opposite leg together followed by the
other crutch and the other leg together
-used in pt with mild bilateral weakness
3-point gait with crutches move both crutches and the bad leg forward together followed
by the good leg
-used in patients with one leg that is weak
4-point gait with crutches move one crutch and then the opposite leg and then the other
crutch and then the other leg
-used in pt with severe bilateral weakness
, NCLEX Review - YT Videos Questions And
Answers
Swing through gait with crutches move both crutches forward and swing the good leg
through, the bad leg never touches the ground
-for non-weight bearing injuries
Going up and down stairs with crutches "up with the good, down with the bad"
-going up stairs: put good leg first followed by the crutches and the bad leg
-going down stairs: put bad leg and crutches first followed by the good leg
-the bad leg and the crutches always go together
Canes -always held on the strong side of the body
-move the cane and the bad leg together, provides a wide base of support
-when the cane is held on the bad side, there is no longer a base of support and the pt will rock
when walking
Walkers -pick up the walker, put it down and walk to it
-when tying objects to the walker, tie them onto the side of walker
, NCLEX Review - YT Videos Questions And
Answers
Psychotic vs Non-Psychotic (neurotic) -non-psychotic people have insight and is reality
based; they know they have a problem and that the problem is interfering with their life; they
know they think/feel/hear/see the same way others do
-psychotic people have no insight and they are not reality based; they do not know they have a
problem and they think everyone else is at fault
**psychotic people are the only ones to experience hallucinations, delusions, and illusions
Delusions a false, fixed idea or belief; there is no sensory component
-everything they think they see, feel, hear, smell, touch is in their mind -- its a thought
3 types of delusions -paranoid delusions: a false, fixed belief that people are out to harm
them
-grandiose delusions: a false, fixed belief that they are superior (ex: they are GOD, they are the
greatest person in the universe)
-somatic delusions: a false, fixed belief about a body part (ex: they have x-ray vision)
Hallucinations a false, fixed sensory experience -- there are 5 types, one for every sense
-there is absolutely nothing there
, NCLEX Review - YT Videos Questions And
Answers
Types of hallucinations 1. auditory: (most common) they hear things that aren't there, the
most common auditory hallucination is voices telling them to hurt themselves
2. visual: (2nd most common) seeing things that aren't there
3. tactile: (3rd most common) feeling things that aren't there
4. gustatory: tasting things that are not there
5. olfactory: smelling things that are not there
Illusions a misinterpretation of reality, it is a sensory experience
-they have a referent in reality-- something in which the person refers when they are talking
-there is actually something there but the person is misinterpreting what it is
When answering a psych question, what do you need to ask yourself? 1. is this patient
psychotic or non-psychotic
-if they are non-psychotic, choose the answer with the best therapeutic communication
2. if they're psychotic, then ask yourself which type of psychosis does this patient have?
Answers
Measuring crutches -the length is measured from 2-3 finger widths from the anterior
axillary fold to a point lateral to and slightly in front of the foot
-the hand grip should be in a position that creates a 30degree angle in the elbow
2-point gait with crutches move one crutch and the opposite leg together followed by the
other crutch and the other leg together
-used in pt with mild bilateral weakness
3-point gait with crutches move both crutches and the bad leg forward together followed
by the good leg
-used in patients with one leg that is weak
4-point gait with crutches move one crutch and then the opposite leg and then the other
crutch and then the other leg
-used in pt with severe bilateral weakness
, NCLEX Review - YT Videos Questions And
Answers
Swing through gait with crutches move both crutches forward and swing the good leg
through, the bad leg never touches the ground
-for non-weight bearing injuries
Going up and down stairs with crutches "up with the good, down with the bad"
-going up stairs: put good leg first followed by the crutches and the bad leg
-going down stairs: put bad leg and crutches first followed by the good leg
-the bad leg and the crutches always go together
Canes -always held on the strong side of the body
-move the cane and the bad leg together, provides a wide base of support
-when the cane is held on the bad side, there is no longer a base of support and the pt will rock
when walking
Walkers -pick up the walker, put it down and walk to it
-when tying objects to the walker, tie them onto the side of walker
, NCLEX Review - YT Videos Questions And
Answers
Psychotic vs Non-Psychotic (neurotic) -non-psychotic people have insight and is reality
based; they know they have a problem and that the problem is interfering with their life; they
know they think/feel/hear/see the same way others do
-psychotic people have no insight and they are not reality based; they do not know they have a
problem and they think everyone else is at fault
**psychotic people are the only ones to experience hallucinations, delusions, and illusions
Delusions a false, fixed idea or belief; there is no sensory component
-everything they think they see, feel, hear, smell, touch is in their mind -- its a thought
3 types of delusions -paranoid delusions: a false, fixed belief that people are out to harm
them
-grandiose delusions: a false, fixed belief that they are superior (ex: they are GOD, they are the
greatest person in the universe)
-somatic delusions: a false, fixed belief about a body part (ex: they have x-ray vision)
Hallucinations a false, fixed sensory experience -- there are 5 types, one for every sense
-there is absolutely nothing there
, NCLEX Review - YT Videos Questions And
Answers
Types of hallucinations 1. auditory: (most common) they hear things that aren't there, the
most common auditory hallucination is voices telling them to hurt themselves
2. visual: (2nd most common) seeing things that aren't there
3. tactile: (3rd most common) feeling things that aren't there
4. gustatory: tasting things that are not there
5. olfactory: smelling things that are not there
Illusions a misinterpretation of reality, it is a sensory experience
-they have a referent in reality-- something in which the person refers when they are talking
-there is actually something there but the person is misinterpreting what it is
When answering a psych question, what do you need to ask yourself? 1. is this patient
psychotic or non-psychotic
-if they are non-psychotic, choose the answer with the best therapeutic communication
2. if they're psychotic, then ask yourself which type of psychosis does this patient have?
