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NUR 355 Quiz 1 Study Guide

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This is a comprehensive and detailed study guide on quiz 1 for Nur 355. *Essential Study Material!!

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Quiz #1 on (9/20/21)– Study Guide
NUR 355

1. Know when can a Nurse override a patient’s refusal of
treatment?
When they are a danger to self, others or gravely disabled
(with the help of a legal team)
2. Know the criteria and the difference between
involuntary admission, voluntary and gravely disabled?
Voluntary admission- they sign a consent form that they want
to be there and consent for treatment to be given to them.
Involuntary admission: involves emergency commitments,
can be a mentally ill individual that needs treatment, can be
an outpatient commitment, and anyone that is a DTO, DTS,
and GD
Gravely Disabled: unable to care for self
3. Know when is it appropriate for a nurse to share
information shared by the patient with other healthcare
workers?
a. A duty to warn
b. Suspected child or elder abuse

4. Know when a patient is restrained, how can a nurse
maintain communication and keep the patient calm?
A patient is restrained when they are being a danger to
themselves or others and all other least invasive procedures
did not work. Communicate that you are going to put

,restraints on and why. Explain why their behavior was not
acceptable and needed to be controlled.
5. Know the difference between assault, negligence,
malpractice, and beneficence?
Assault: verbal intimidation, no action
Negligence:The failure to exercise the standard of care that
a reasonably prudent person would have exercised in a
similar situation.
Malpractice: An act of continuing conduct of a professional
that does not meet the standard of professional competence
and results in provable damages to his/her client or patient.
Beneficence: One's duty to benefit or promote the good of
others
6. Know the difference between adaptive and
maladaptive.
Adaptive: behavior that maintains the integrity of the
individual. Viewed as positive and correlated with a healthy
response
Maladaptive: When behavior disrupts the integrity of the
individual, considered to be negative and unhealthy.
7. Know and define the physiological of “flight-or-flight”
response.
HANS SELYE defined this!
“The state manifested by a specific syndrome that consists
of all the nonspecifically induced changes within the
biological system”
Alarm reaction stage:

, ● Fight or flight syndrome
Stage of resistance:
● Uses physiological responses of first stage as a defense
attempt to adapt to the stressor
Stage of exhaustion
● The body responds to prolonged exposure to a stressor.
Energy is depleted. Diseases of adaptation may occur.

SYMPTOMS OF FIGHT OR FLIGHT
Symptoms occur in response to psychological or emotional stimuli
just as they do to physical stimuli. They are often not resolved as
rapidly as physical stressors.
8. Know the difference between mild, moderate, severe
and panic anxiety?
Mild: individuals employ any of a number of copying
behaviors that satisfy their needs for comfort. (Sigmunf
Freud)
Moderate to severe anxiety: anxiety at this level that remains
unresolved over an extended period of time can contribute to
a number of physiological disorders. (measurable
pathophysiology can be demonstrated)
Severe anxiety: extended periods of severed repressed
anxiety can result in psychoneurotic behaviors- severe
anxiety is a form of neurosis.
Psychiatric disturbances characterized by excessive anxiety
that is expressed directly or altered through defense
mechanisms, appears as a symptom like - obsession -

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