NUR 245 Exam 2 Study Questions and Correct Answers
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Course
NUR 245
Institution
NUR 245
What additional subjective data would you seek from the mother? Location which ear, and duration
What is the purpose of a pneumatic bulb? The purpose of the pneumatic bulb is to assess the vibratility or mobility of the tympanic membrane.
Which is the most appropriate pain scale to use to use whe...
NUR 245 Exam 2 Study Questions and
Correct Answers
What additional subjective data would you seek from the mother? ✅Location which
ear, and duration
What is the purpose of a pneumatic bulb? ✅The purpose of the pneumatic bulb is to
assess the vibratility or mobility of the tympanic membrane.
Which is the most appropriate pain scale to use to use when assessing the child's pain?
✅FACES is the most appropriate pain scale for this child. They are too young for the
numeric scale, CRIES scale is for an infant, there is no hurt scale. This patient is a child.
Which anatomical structures are present in the middle ear? ✅Middle ear anatomical
structures include Eustachian tube, stapes, incus, malleus
Which of the following physical assessment findings associated with otitis media?
✅Assessment findings in otitis media include absent or distorted light reflex, bright red
appearance to tympanic membrane and bulging tympanic membrane.
Which of the following is the priority nursing diagnosis for this client? ✅Pain is the
highest priority of the problems listed-second level. The infection is possible but what is
needed to take an action now is the acute pain.
Based on developmental considerations, how would you approach the physical
assessment of this child? ✅Protect the ear drum from harm. The child may move
during the exam so you need to gently secure the child's arms during the otoscopic
exam. Allowing the child to handle the otoscope and see that it is like a flashlight helps
to alleviate their fear.
The child is diagnosed with acute otitis media. what risk factors predispose infants and
children to otitis media? ✅Risk factors of otitis media for an infant or child include
pacifier use, daycare attendance, exposure to second hand smoke and bottle feeding
What are the common assessment findings associated with otitis externa?
✅Assessment findings in otitis external include pain with palpation of pinna and tragus
and swelling of the ear canal.
Which direction should you pull the child's pinna during the otoscopic exam? ✅Pulling
the pinna down and back during otoscopic exam of a young child's ear help to open the
canal for better visualization.
, Intimate Partner Violence Defined (IPV) ✅Intimate Partner Violence Defined
(IPV)•Intimate partner violence defined by the Center for Disease Control and
Prevention (CDC)•Physical or sexual violence, use of physical force, or threat of such
violence•Psychological or emotional abuse or coercive tactics after prior physical
violence between persons who are spouses or nonmarital partners or former spouses
IPV Four main categories ✅Physical violence: force resulting in injury or death•Sexual
violence: attempted or completed acts without permission•Stalking: repeated unwanted
attention through various methods•Psychological aggression: emotional abuse of an
aggressive nature
What is Domestic Violence? ✅An intimate relationship between two adults in which
one partner uses a pattern of assault and intimidating acts to assert power and control
over the other partner•Not limited to physical acts of violence; includes psychological,
economic, and sexual abuse as well as attempts to isolate the partner.•More same-sex
partners and male victims of violence perpetrated by women are reporting their
victimization.
cycle of violence 3 stages ✅tension building stage; tension in the relationship gradually
increases over time
Acute battering stage; tension erupts, resulting in threats or use of violence and abuse
Honeymoon stage; batterer may be apologetic and remorseful and promise not to be
abusive again
IPV TREATMENT BARRIERS ✅Societal stressors:Poverty level leading to increased
difficulties in daily struggles and conflict in relationships. Past experience with
discrimination based on lack of understanding of cultural diversity. •Legal status
Immigration status may prevent individual from seeking care based on fear of
deportation.•Violence Against Women Act (AWA) provides legal support. •Many not
aware of their rights
•Lack of access to culturally appropriate care: Traditional roles foster dependence.
Need for bilingual cultural interpreters in clinical practice settings
Screening for Partner Violence ✅- How to screen
- Assessment
- History
- Physical examination
- Documentation
How to Assess for Intimate Partner Violence ✅Gathering of SUBJECTIVE
DATA:•Open-ended questions to start •Interview the individual separately from the
perpetrator. •Listen for cues which may indicate a pattern or responses that don't match
the "physical" injury that is present.•Be aware of state laws and requirement to report.
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