Exam (elaborations)
NURS 550 Final Exam with complete solutions 2024_2025
- Course
- Institution
NURS 550 Final Exam with complete solutions 2024_2025
[Show more]
Content preview
NURS 550 Final Exam with completesolutions 2024/2025
Attention definitions: Alert, lethargic, obtunded, Stuporous, coma - ANSWER-
Alert - pt is awake and aware
Lethargic - you have to speak to pt in a loud and forceful manner to get a
response
Obtunded - you must shake pt to get a response
Stuporous - arousable except by painful stimuli (sternal rub)
Coma - pt is completely unarousabe
Memory - ANSWER-Short term memory - covers events or memories that
occurred minutes to days before
Long term memory - covers event or memories that occurred months to years
before
Orientation - ANSWER-Aware of person, place, and time
Perceptions - ANSWER-Awareness of the objects in the environment to the five
senses and their interrelationships
Thought processes - ANSWER-The logic, coherence, and relevance of the
patient's thoughts and goals; how ppl think
Insight - ANSWER-Awareness that thought, symptoms, or behaviors are normal
or abnormal; e.g. distinguishing that a daydream or hallucination is not real
Judgment - ANSWER-process of comparing and evaluating different possible
courses of action
,Affect - ANSWER-The observable mood of a person expressed through facial
expression, body movements, and voice
Mood - ANSWER-The sustained emotion of the patient (euthymic, dysthymic,
manic)
Language - ANSWER-The complex symbolic system for expressing written and
verbal thoughts, emotion, attention, and memory
Higher cognitive functions - ANSWER-level of intelligence assessed by
vocabulary, knowledge base, calculations, and abstract thinking
Speech and Language: Quantity, Rate, Loud, Articulation of words - ANSWER-
Quantity: is patient talkative or silent
Rate: is the speech fast or slow
Loud: Is speech loud or soft
Articulation of words: does the patient speak clearly and distinctly
Fluency: involves the rate, flow, melody of speech
Define: hesitancies in speech
Monotone infections
Circumlocutions
Paraphasias - ANSWER-Hesitancies in speech - as seen in patients with aphasia
from strokes
Monotone inflections - schizophrenia or severe depression
Circumlocutions - words or phrases are substituted for the word a person cannot
remember; e.g. "the thing you block out your writing with" for an eraser
Paraphasias: words are malformed ("I write with a den"), wrong ("I write write with
a branch"), or invented ("I write with a dar")
Abnormal thought processes:
Circumstantiality
Derailment
Flight of Ideas
Neologisms
Incoherence
Blocking
Confabulation
Perseveration
Echolalia
, Clanging - ANSWER-Circumstantiality - speech characterized by indirection and
delay due to the patients excessive use of details that have no connection to the
point
Derailment - speech in which a person shifts topics with no apparent relations
between the tropics
Flight of ideas - accelerated change of topics in a very fast but generally coherent
manner
Neologisms - invented or distorted words
Incoherence - speech that is incomprehensible because it is illogical
Blocking - Sudden interruption of speech, before the completion of an idea,
occurs in normal ppl
Confabulation - fabrication of facts to hide memory impairment
Perseveration - persistent repetition of words or ideas
Echolalia - repetition of the words or phrases of others
Clanging - choosing a word on the basis of sound rather than meaning
Abnormal Thought content
Compulsions
Obsessions
Phobias
Anxiety - ANSWER-Compulsions - repetitive behaviors that a person feels driven
to perform to prevent or produce some future state of affairs
Obsessions - recurrent, uncontrollable thoughts, images, or impulses that a
patient considers unacceptable
Phobias - persistent fear of a stimuli the patient feels is irrational
Anxiety - apprehension or fear that may be focused (phobia) or free floating
(general sense of dread)
Abnormal Thought Content: delusions - ANSWER-False, fixed beliefs that are not
shared by other members of the person's culture
Somatic delusions: believing that one has a disease or defect that he does not
Systematized delusion: a single delusion with many elaborations around a single
theme all systematized into a complex network
Delusions of persecution, grandeur, jealousy, controlled by outside forces
Delusion of reference: a person believes. An outside event or object has an
unusual personal reference to them; i.e. a comment passing earth means the
patient should buy a car
abnormalities of perception:
Illusions
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller tuition. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now