2024 Complete Test Bank - Pediatric Physical Examination: An Illustrated Handbook ,3rd Edition (Duderstadt,2017) | Chapters 1-20
TEST BANK FOR PEDIATRIC PHYSICAL EXAMINATION AN ILLUSTRATED HANDBOOK 3RD EDITION DUDERSTADT LATEST UPDATE
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NURS 651 EXAM 1 MARYVILLE UNIVERSITY LATEST
ACTUAL EXAM 75 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES |ALREADY GRADED A+
Define and identify symptoms of dystonia - ANSWER: Involuntary muscle
contractions that cause repetitive twisting movements.
The condition can affect one part of the body- focal dystonia; two or more adjacent
parts- segmental; or all parts- general dystonia.
Cervical dystonia- cause head to twist and turn to one side.
Eyelids- rapid blinking or involuntary spasms
Jaw/tongue- slurred speech, drooling, difficulty chewing
hand/forearm- repetitive activity (writers or musicians dystonia)
Define and identify symptoms of aprosodia - ANSWER: " Neurological condition
characterized by the inability of a person to properly convey or interpret emotional
prasody (ranges of rhythm, pitch, stress, intonation).
Differentiate between short term and long-term memory - ANSWER: " Short term-
30 seconds to several days
" Long term- weeks, months, years
" Vascular dementia and alzheimer's affect short term memory first.
WHAT IS AN ILLUSION - ANSWER: are distortions of real images or sensations.
Illusions can occur in schizophrenia patients during active phases but can also occur
during the prodromal phases and during periods of remissions.
WHAT IS A HALLUCINATION - ANSWER: any of the five senses may be affected. The
most common are auditory with voices that are often threatening, obscene,
accusatory, or insulting. Two or more voices may converse among themselves or a
voice may comment on the patient's life or behavior. Visual hallucinations are
common but tactile olfactory and gustatory hallucinations are unusual (their
presence should prompt clinician to consider underlying medical or neurological
disorder).
WHAT IS A DELUSION? - ANSWER: may assume persecutory, grandiose, religious, or
somatic forms. Fixed beliefs that do not change.
Identify standards for determining competency - ANSWER: Decisional Capacity;
ability to communicate a choice/ability to understand information necessary for the
specific decision at hand/ ability to appreciate the implications and significance of
the provided information or the choice of being made/ ability to reason by weighting
the comparing options as well as consequences of the potential decision.
Know basic principles of why an MRI would be an appropriate study for a dementia
diagnosis (kaplan 715) - ANSWER: differentiate between dementia of Alzheimer's
Type and vascular dementia more straightforward. Area of research is the single
, photon emission computed tomography (SPECT) to detect patterns of brain
metabolism in dementia types. The use of these images may soon help in clinical
differential diagnosis of dementing illness.
What are the core symptoms needed to meet the criteria for DSM 5 premenstrual
dysphoric disorder - ANSWER: " One or more of the following must be present"
" Marked affective lability (mood swings, suddenly sad or tearful, increased
sensitivity to rejection)
" Marked irritability or anger or increased interpersonal conflicts
" Marked depressed mood, feelings of hopelessness, or self deprecating thoughts,
" Marked anxiety, tension, and or feelings of being keyed up or on edge
" ONE OR MORE OF THE FOLLOWING MUST ADDITIONALLY BE PRESENT TO REACH A
TOTAL OF 5 SYMPTOMS when combined with above criteria.
" Decreased interest in usual activities
" Subjective difficulty in concentration
" Lethargy, easily fatigability, marked lack of energy
" Marked change in appetite, overeating or specific food cravings
" Hypersomnia or insomnia
" Sense of being overwhelmed or out of control
" Physical symptoms such as breast tenderness or swelling, joint or muscle pain, a
sense of bloating or weight gain.
WHAT ARE THE AGES OF Early Adolescence - ANSWER: (Approximately 12-14 years
of age)
Movement Toward Independence - early adolescence - ANSWER: " Struggle with
sense of identity;
" Moodiness;
" Improved abilities to use speech to express oneself;
" More likely to express feelings by action than by words;
" Close friendships gain importance;
" Less attention shown to parents, with occasional rudeness;
" Realization that parents are not perfect; identification of their faults;
" Search for new people to love in addition to parents;
" Tendency to return to childish behavior;
" Peer group influences interests and clothing styles.
Future interests and Cognitive Development - early adolescence - ANSWER: "
Increasing career interests;
" Mostly interested in present and near future;
" Greater ability to work
Sexuality - early adolescence - ANSWER: " Girls ahead of boys;
" Shyness, blushing, and modesty;
" More showing off; Greater interest in privacy;
" Experimentation with body (masturbation);
" Worries about being normal
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