Exam (elaborations)
PMH-BC STUDY KA.
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Exam of 14 pages for the course A level Biology at A level Biology (PMH-BC STUDY KA.)
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PMH-BC STUDY KAPeplau four stage of nurse pt relationship 1) orientation - begin a strangers - correct
answer-A) client- seeks or is brought in for help
B) nurse- response to client, explains parameter of relationship, gather data, listen to areas
of concern, lays groundwork for termination
2) Identification - correct answer-A) client - response to help offered by nurse, identify with
the nurse and maybe dependent, active complaint
B)nurse - structures relationship to focus on client.
3)Exploitation - working - correct answer-A) client - more independent and accessing
services and working in partnership to interpret behavior; begins to try out the new
behaviors.
B) nurse- support client and explores feelings and problems at clients pace, deals with
resistance, encourage risk-taking and facilitate achievement of goals.
SIGCAPS (diagnose depression) - correct answer-sleeping, interest, guilt, concentration,
appetite, psychomotor, suicide
4) Resolution - termination - correct answer-A) client - engages the new problem-solving
skills and coping behaviors, will self positively and plans for the future may decompensate
when anticipate separation
B) nurse - reviews goals and accomplishments; share own feelings and assist client to
express feelings about relationship and separation.
Therapeutic use of self - correct answer-Use of self application of nurses own personality
characteristics within the inter-action to facilitate healing
Countertransference - correct answer-Nurse response to client with feelings from own earlier
conflicts. nurse must increase self-awareness and access to assist in dealing with client
more effectively
Transference - correct answer-Client experiences emotional reaction toward nurse based on
unconscious feelings that originated in past relationships. Nursing response is to confront
distortion of reality gently in order to facilitate client self awareness.
Pharmacokinetics - correct answer-What the body does to drug includes absorption,
distribution, metabolism, and elimination
Pharmacodynamics - correct answer-What the drug does to the body (desired effect an
adverse side effects.)-Site of action (target organ/systems) including receptors, ion channels,
enzymes, and carrier proteins.
Tarasoff - correct answer-If therapist is reasonably certain that a client is going to harm
someone, must breach confidentiality and inform potential victim.
, Denver development screen - correct answer-A test for screening cognitive and behavioral
problems in preschoolers
Seleye' stress theory - correct answer-1)Alarm-fight or flight, sympathetic nervous system is
activated 2)resistance-parasympathetic nervous system returns many body systems to
normal, body remains on red alert.
3) exhaustion- if stressor continues beyond body's capacity, organism exhaust resources
and becomes susceptible to disease and death
Heroin - correct answer-CNS suppressant
GABA ( gamma Aminobutric acid) - correct answer-Regulates anxiety, calming effect. It's
principal role is reducing neuronal excitability through the nervous system, responsible for
Asperger- problems with socialization and communication, repetitive behavior. ANXIOLTICS
(benzodiazepine) aim to increase GABA function
Midazolam - correct answer-Sedative- controlled substance
Rohypnol - correct answer-Sedative, insomnia, pre-anesthetic, not approved in the USA
Bupropion - correct answer-Antidepressant, for smoke cesation
Memantine - correct answer-Nameda, oral medication for Alzheimer's blocks glutamate in
the brain, glutamate is released in excess when brain cells are damaged by Alzheimer's
disease
Bupropion - correct answer-Wellbutrin, Zyban
oculogyric crisis - correct answer-uncontrolled rolling back of the eyes
Rivastigmine - correct answer-Exelon improves the function of nerve cells in the brain with
Alzheimer's dememtia, also for PD
Donepezil (Aricept) - correct answer-Is used to treat confusion related to Alzheimer's
disease, improve memory awareness, and the ability to function
Invega Sustenna - correct answer-long-acting paliperidone IM injection use for schizophrenia
The brain initiative - correct answer-Aimed at revolutionizing our understanding of the human
brain
The future of nurse publication - correct answer-Addresses educational level
recommendations for registered nurses
Hildagard Peplau - correct answer-Interpersonal relationship theory. All behavior is
purposeful and goal seeking. therapeutic use of self. The nurse patient relationship move
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