NR 326 Final Exam | Complete Questions and
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1. Frontal Lobe - ANSWER executive thinking
2. Parietal Lobe - ANSWER sensory information
3. Occipital Lobe - ANSWER processes visual input
4. Temporal Lobe - ANSWER auditory and visual processing
5. Cholinergics - ANSWER - acetylcholine
- modulation and communication of movement and memory
6. Norepinenephrine - ANSWER - mood, cognition, arousal
- increased levels cause mania and anxiety states
7. Dopamine - ANSWER - movement and coordination
- increased levels cause schizophrenia
8. Serotonin - ANSWER - mood, sleep, arousal, appetite, libido
- decreased levels, depression
9. Gamma-Aminobutyric Acid (GABA) - ANSWER - slow down of body
activity
- decreased levels cause anxiety disorders
10.Antipsychotics - ANSWER - extrapyramidal symptoms (spasms)
- tardive dyskinesia (involuntary movements of face and trunk)
- Neuroleptic Malignant Syndrome (fatal)
11.extrapyramidal symptoms - ANSWER - drug induced spasms
- imbalance in acetylcholine and dopamine
- give anticholinertics and antihistamines
12.Tardive Dyskinesia - ANSWER - chronic, irreversible, involuntary
movements
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- facial movements
- prevention, early detection and change medication for treatment
13.Neuroleptic malignant Syndrome - ANSWER - life threatening, neurological
disorder
- mental status change, fever, muscle rigidity, unstable vitals
- treat symptoms
14.Benzodiazepines: End of Treatment - ANSWER - do not abruptly stop,
because of risk of seizures and other serious side effects
- highly addictive
15.Benzodiazepines: In Combination with other meds - ANSWER do not
combine with other central nervous system depressants, including alcohol.
causes respiratory distress
16.Lithium: Mood Stabilizers - ANSWER - maintain normal salt intake
- low or high levels of sodium can alter amount of lithium in blood
17.Psychotropic Meds: How they work - ANSWER - speed up or slow down
receptors
- increase amount of neurotransmitter
- stop the reuptake of neurotransmitter
18.Anger can be identified by a cluster of characteristics. - ANSWER
Frowning, clenched fists, low pitched words forced through clenched teeth,
yelling and shouting, intense or no eye contact, hypersensitivity or easily
offended, defensive, passive aggressive behavior, intense discomfort, angry
facial expression, flushed face
19.Monamine Oxidase Inhibitors and Tricyclic Antidepressants (MAOIs) -
ANSWER Concurrent use with substances such as amphetamines,
antidepressants, dopamine, vasoconstrictors, nasal decongestants, and
tyramine-containing foods can cause hypertensive crisis
20.Lithium - ANSWER -Exchanges lithium for catecholamine
21.Active listening - ANSWER Sit squarely facing the client
Observe an open posture
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Lean toward the client
Establish eye contact
22.What are the four phases of therapeutic nurse- patient relationship? -
ANSWER Prenteraction, Orientation, working and termination phase
23.preinteraction phase - ANSWER The phase of the interview in which you
collect data from various sources, including the medical record.
24.orientation phase - ANSWER Introduce, Discuss confidentiality, Set goals,
establish trust.
25.working phase - ANSWER The phase of the nurse-patient relationship
during which the nurse and patient identify and explore areas that are
causing problems in the patient's life.
26.termination phase - ANSWER Therapeutic conclusion of relationship occurs
when:
Progress has been made toward attainment of the goals.
A plan of action for more adaptive coping with future stressful situations has
been established.
Feelings about termination of the relationship are recognized and explored.
27.Ethics - ANSWER the principles of right and wrong that guide an individual
in making decisions
28.Bioethics - ANSWER The study of ethics related to issues that arise in
health care.
29.A "right" is defined as - ANSWER a valid, legally recognized
claim or entitlement, encompassing both freedom
from government interference or discriminatory
treatment and an entitlement to a benefit or service
30.Utilitarianism - ANSWER ethical theory that promotes action
based on the end result that produces the most good
(happiness) for the most people.
31.Kantianism - ANSWER suggests that decisions and actions are bound
by a sense of duty. (directly opposed to utilitarianism)
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32.Christian ethics - ANSWER Do unto others as you would have them do unto
you
33.Natural law theories - ANSWER do good and avoid evil. Human knowledge
of the difference between good and evil directs decision making.
34.Ethical egoism - ANSWER Decisions are based on what is best for the
individual making the decision
35.Ethical dilemmas - ANSWER situations in which none of the available
alternatives seems ethically acceptable
36.Taking no action is considered - ANSWER an action taken.
37.Autonomy emphasizes - ANSWER status of persons as
autonomous moral agents whose rights to
determine their destinies should always be respected
38.Beneficence refers to - ANSWER one's duty to benefit or
promote the good of others.
39.The term "advocacy" means - ANSWER acting on another behalf as a
supporter or defender.
40.Nonmaleficence - ANSWER Abstaining from negative acts toward another
Includes acting carefully to avoid harm
41.Justice - ANSWER Principle based on the notion of a hypothetical social
contract between free, equal, and rational persons.
The concept of justice reflects a duty to treat all
individuals equally and fairly.
42.Veracity - ANSWER principle of truth telling
43.Model for ethical decision making - ANSWER 1) Assessment:
subjective/objective data, values
2) Problem identification
3) Planning: explore benefits/consequences, consider ethical theories, select
alternatives