NU309 Exam 3 Questions with Correct Answers

NU309 Exam 3 Questions with Correct Answers What is the physiological rationale for sleeping at night and being awake during the day? Review box 19-2 and be aware of good sleep hygiene - Answer-We sleep at night and are awake during the day because of light. With circadian rhthyms, the strongest external cue for wakefulness is light and darkness cues for sleep Good Sleep Hygiene: - Maintain a regular sleep-wake schedule - Develop a presleep routine that signsla the end of the day - Reserve the bedroom for sleep and a place for intimacy - Create an environment that is conductive to sleep - Avoid clock watching - Limit cffeinated beverages to one or two a day and non in the evening - Avoid heavy meals before bedtime - Use alcohol cautiously and avoid using for several hours before bed - Avoid daytime napping - Exercise daily, but not before bed Think of Nursing interventions related to a child that is in your care that you fear factitious disorder imposed (Munchausen syndrome by proxy) - Answer-You want to be in the room frequently, document when the mother (or whoever is suspected) arrives and leaves, want to visit in groups (just don't want the child to be alone with the caretaker), can hotline CFS, voice concerns to the provider. Therapeutic response to use when counseling patients with addiction disorders. - Answer-what happened the last time? Know the definition for resilience, dissociative fugue, denial, displacement, projection, secondary gain, encopresis, enuresis, and think of examples of each. - Answer-- Resilience: the ability and capacity for people to secure the resources they need to support their well-being - Dissociative Fugue: a subtype of dissociative amnesia; characterized by sudden unexpected travel and an inability to recall one's identity and information about some or all of the past - Denial: involves escaping unpleasent, anxiety-causing thoughts, feelings, wishes, or needs by ignoring their existance - Displacement: the transference of emotions associated with a particular person, object, or situation to another nonthreatening person, object, or situation - Projection: the unconscious rejection of emotionally unacceptable features and attributing them to others - Secondary Gain: those benefits derived from the symptoms alone (ex. in the sick role, the patient is not able to perform the usual family, work, and social functions and receives extra attention from loved ones). - Encopresis: accidents with stool - Enuresis: accidents with urine