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NURS 3554 EXAM 2 WITH 100% CORRECT ANSWERS
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NURS 3554 EXAM 2 WITH 100% CORRECT ANSWERS
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Name: Score:118 Multiple choice questions
Definition
Assessment: subjective and objective (interactions, mental status exam, patient behaviors,
observations)
Diagnosis
Planning
Intervention
Evaluation
Application To Nursing Practice: Stress Management
Nursing Process: ADPIE
Promoting empathy
Nurse's behaviors/attitudes1 of 118
EXAM Definition
Planning: prior to leading group
-Type of group
-Member s
-Objectiv es
-Out comes
-Setting
-How to evaluate success
Orient ation phase:
-Group is forming
-Introductions
-Group norms
-Rules (confidential ity, respect , appr opria te langua ge, k ind feedb ack)
Working phase:
-Group cohesiv eness develops
-Leader helps problem-sol ve
-Focus on group goals
-Support confl ict with r esolution
-Encour age group to keep flowing , member enga gement , developing sk ills
-STEPS: STORMING, NORMING, PERF ORMING
Termina tion phase:
-Summariz es accompl ishments
-Shares new insights
-Leader reflects on pr ogress
-Successful group adjournment
-NOT bringing up new issues
Phase s of group development
Dimension of communic ation
Stages of group forma tion
Type s of groups2 of 118
EXAM Definition
S: "I jus t wish I would never wake up"
O: Client expresses desp air and vague suicidal thoughts. Client isolates in room. Affect blunted
and moo d sad. P oor appetit e, low motiv ation and poor concentr ation. Denies active SI
A: Persistent depr essed moo d with vague, non-specific thoughts of wishing to be dead
P: Maint ain client safety
I: 15 minut e safety checks
E: goal met, patient remained sa fe
Working phase
Problem orient ed charting e xampl e
Mediators of the s tress response
Phase s of group development3 of 118
Definition
Group therapy offers the member s opportunities to provide assistance and insight to one
another .
As individual s recogniz e that they have something of value to give their fellow group member s,
their self-esteem rises as change and sel f-efficacy are support ed.
Altruism
Instillation Of Hope
Autonomy
Catharsis4 of 118
EXAM Definition
Walter Cannon ( 1871-1945)
Symp athetic ner vous system:
-Pituit ary gland r eleases andrenocorticotr opic hormone ( ACTH) , and adrenal cortex secr ets
cortisol
Hormones secr eted:
-Adrenal medul la secr etes stress hormones (e.g. epinephrine )
-Stress hormones travel via bloodstream to organs (e.g. heart , intestines)
Stress response:
-Smooth muscl es or glands activate (e.g. pul se dilate)
-Fight or flight
-Acute response
-Incr ease BP , HR, CO
Criticiz ed for limitation to just fight or flight response, bel ieved there is a freezing r esponse too
Import ant theor y in beginning in vestigation of the s tress response, phenomena , identifying bo dy
responses to dealing with s tress
Stress response
Hypertr ophy of the thymu s gland
Fight or flight response
Working phase5 of 118
EXAM
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