Exam (elaborations)
NURS 661 MARYVILLE UNIVERSITY EXAM 1 – QUESTIONS AND ANSWERS
NURS 661 MARYVILLE UNIVERSITY EXAM 1 – QUESTIONS AND ANSWERS
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NURS 661 MARYVILLE UNIVERSITY EXAM 1 –QUESTIONS AND ANSWERS
Define and identify symptoms of dystonia ✔️Ans - 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 ✔️Ans - " 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 ✔️Ans - " 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 ✔️Ans - 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 ✔️Ans - 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? ✔️Ans - may assume persecutory, grandiose,
religious, or somatic forms. Fixed beliefs that do not change.
Identify standards for determining competency ✔️Ans - 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) ✔️Ans - 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 ✔️Ans - " 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 ✔️Ans - (Approximately 12-14
years of age)
Movement Toward Independence - early adolescence ✔️Ans - " Struggle
with sense of identity;
" Moodiness;
" Improved abilities to use speech to express oneself;
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