FINAL NUR
1212C Exam 3
Q & As 2024
FULLY SOLVED
Effective communication with patients - ANSWER>>>Introduce yourself to the patient, Assess hearing,
Knowledge base, Speak clearly, Do not shout or exaggerate, Minimize noise in the room, Replace
sentences and repeat information and understanding, Have patient repeat important points, DO NOT
begin a sentence with why!!!!
Coping is defined as: - ANSWER>>>Is the cognitive means followed by behaviors to manage an internal
or situation, which a perceived as difficult, It is the situation that is beyond an individual's current
perceived resources, Coping mechanisms ineffective followed by increased anxiety
Abuse is defined as - ANSWER>>>Is the intentional use of physical or psychological force or power,
threatened or actual, against oneself, another person, or a group or community that either results in or
has a high like hood of disability.
Four types of abuse - ANSWER>>>Physical, Neglect, Sexual, Emotional
Indicators of abuse - ANSWER>>>Recurrent ED visits for injuries attributed to being accident prone,
Reoccurring problems signs of high anxiety or chronic stress:, Hyperventilation, Panic Attacks,
gastrointestinal, HTN, physical injuries, depression
, Implementation of abuse - ANSWER>>>It is critical to asses the risk of harm to the pt or to others,
Injuries, burns, facial injuries, bite marks, bruises in various stages of healings, Each state has specific
regulations for reporting child abuse that must be observed. The nurse is a mandatory reporter, The
Nurse specifically assess the risk of harm to the patient or to others, Concerns of suicide or harm to
others
Suicide Stats? - ANSWER>>>Greatest number occur in young and middle-aged adults, 11th leading cause
of death in the US in all age groups, 90% of those who attempt suicide have a dx psychiatric condition,
Alcohol and substance abuse are often in the mix, Risk of suicide in those with MDD is appx 20x greater
than general population,
Suicide Warning Signs - ANSWER>>>Be aware of odd behaviors, Suddenly goes from sad/depressed to
happy and peaceful, Often the decision to commit suicide gives a feeling of relief and calm, Patient gives
away treasured possessions
Dementia - ANSWER>>>Affects mainly memory, Is typically caused by anatomical changes in the brains,
has slower onset, and is generally irreversible
Dementia Onset: - ANSWER>>>slow and gradual with an uncertain beginning point
Dementia Duration - ANSWER>>>usually permanent
Dementia Cause: - ANSWER>>>Usually a chronic brain disorder
Dementia Course - ANSWER>>>slowly progressive
Dementia LOC - ANSWER>>>Unimpaired until dementia is severe
Dementia Patients with cognitive impairment should perform - ANSWER>>>all tasks of which they are
capable, Step by step direction, When simple directions are given in a systematic fashion, the pt is better
able to process information and perform simple tasks, Help the patient maintain and perform self-care
activities to promote independence
Older patients with progressive RI, - ANSWER>>>pneumonia may present with manifestations of
increased confusion. This is not Dementia - it is Delirium. Hypoxia/Electrolyte Imbalance, Higher risk of
delirium following anesthesia
Schizophrenia is - ANSWER>>>A long-term mental disorder of a type involving a breakdown in the
relation between thought, emotion, and behavior, leading to faulty perception, inappropriate actions
and feelings, withdrawal from reality and personal relationships into fantasy and delusion, and a mental
fragmentation. Psychosis
Positive Symptoms of Schizophrenia: - ANSWER>>>Hallucinations, delusions, alternation in speech,
bizarre behaviors, laugh out loud, mumble to self, in response to inner stimuli, command hallucination
can be a safety concern
Negative Symptoms of Schizophrenia - ANSWER>>>Clinical manifestations more difficult to treat than
positive, affect, blunted narrow range of normal expression, flat, little change in facial expression
Thought insertion is - ANSWER>>>a belief that others are placing thought in one's mind
