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NUR 452 Exam 3 Questions With Complete Solutions
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NUR 452 Exam 3 Questions With Complete Solutions
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NUR 452 Exam 3 Questions With Complete Solutions4 Types of Child Maltreatment/Abuse Correct Answers -
Neglect (physical and emotional neglect)
-Physical abuse
-Emotional abuse
-Sexual abuse
A biological event occurred at a sporting event last weekend,
and now large numbers of patients are coming into your clinic.
What type of decontamination is needed? Correct Answers No
decontamination necessary - since the event most likely
occurred several days ago.
A large number of patients are complaining of progressive
descending symmetric weakness or paralysis. What biological
agent would you suspect?
a) Pneumonic plague
b) Smallpox
c) Ebola
d) Botulinum toxin Correct Answers d) Botulinum toxin
A mother brings her child to you complaining of a rash that
started on the face and spread to the extremities, palms, and
soles of her feet. You notice that the lesions are deeply
embedded in the dermis and are all at the same stage of
development. What do you suspect is going on? Correct
Answers -Smallpox
A radiological event has occurred in your community, and your
facility is not set up for large scale decontamination. You tell
,patients to take off their clothing outside of the facility. Which
of the following statements would be the best rationale for this
practice? Correct Answers -Removing outer clothing and
shoes can reduce contamination by as much as 90%, thus
reducing the risk of contaminating your facility and those inside
ABCDE of Addiction Correct Answers -Abstaining: inability
to consistently abstain
-Behavioral control impaired
-Craving like you need it to survive
-Diminished consequence recognition
-Emotional dysfunctional response: when you use regularly, you
are not experiencing emotions, stress goes to 0 when you use,
when you stop using, emotions come back, no longer good at
managing emotions
Abortion Facts Correct Answers -Abortion costs from 500$-
750$, there is financial support through private funds
-Abortion has the SMALLEST risk for post-partum depression
and psychological problems (miscarriage and carrying
pregnancy to term have greater risks)
-Over 90% of women do not regret the abortion
-Studies have shown that women who commit to ADOPTION
plans have more long-term psychological disorders
Access to Reproductive Healthcare Correct Answers -Pediatric
Care
-Primary Care/Family Practice (used to be special place to get
pills, now primary care prescribes)
-Outpatient Clinics: federally qualified health centers, Planned
Parenthood, Family Planning Clinics, College Health Centers
,-Hospitals: Infertility Centers, Breast Care Centers, Cancer
Treatment Centers
Addiction Correct Answers -The brain is modified by the drug
in such a way that absence of the drug makes a signal to their
brain that is equivalent to the signal of when you
are starving
-It is as if the individual was in a state of deprivation, where
taking the drug is indispensable for survival
-Example: oxygen deprivation = signal = got to have it, push/kill
people to get to oxygen on other side of the door
*Drive to abuse heroin is like drive to breathe*
*Developmental Disease → Begins in Adolescence*
*DSM 5 Substance Use Disorder = Diagnosis for Addiction*
Addiction and Developmental Age Correct Answers
*Prefrontal cortex helps decide whether to use or not*
-Prefrontal cortex is not developed until the age of 25 years
-Emotional center is more developed (15-25 years, do well at
taking risks and making quick decisions)
-Process of pruning: make connections in brain efficient to help
with quick decisions, circuits are coated with myelin to increase
speed of impulses
-STILL PRUNING AND MYELINATING UNTIL 15-25
YEARS
-ADDICTION IS A BRAIN CIRCUIT DYSFUNCTION
-If start using drugs while you are developing circuits, high risk
for addiction, if you are going to use, wait until age 25 ideally
because circuits are created
, Addiction and Mental Illness Correct Answers *Self
Medication*
-Substance abuse begins as means to alleviate symptoms of
mental illness
-Self using a chemical to manage stress in your life
*Causal Effects*
-Substance abuse may increase vulnerability to mental illness
-One brain illness —> higher chances of another brain illness
-Decreased dopamine receptors increases chance for substance
abuse, ADHD, OCD, etc.
*Correlated Causes *
-The risk factors that give rise to mental illness and substance
abuse may be related/overlap
*SUBSTANCE ABUSE AND MENTAL ILLNESS ARE CO-
MORBIDITIES*
*Substance abuse can result from self-medication for a mental
illness or substance abuse can cause mental illness*
Addiction as a Chronic Disease Correct Answers *Addiction =
Chronic Disease*
-Brain circuit dysfunction that affects reward, motivation,
memory, control
-Disrupted emotional response
-Impaired development of insight
-Biopsychosocialspiritual features
-Relapses and remits
-Preventable, Treatable, Progressive
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