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Exam (elaborations)

NURS 550 Final Exam Questions And Accurate Answers Graded A+

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NURS 550 Final Exam Questions And Accurate Answers Graded A+...

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  • September 21, 2024
  • 39
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 550
  • NURS 550
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Easton
NURS 550 Final Exam Questions And Accurate
Answers Graded A+

Attention definitions: Alert, lethargic, obtunded, Stuporous, coma - Response Alert - pt
is awake and aware

Lethargic - you have to speak to pt in a loud and forceful manner to get a response

Obtunded - you must shake pt to get a response

Stuporous - arousable except by painful stimuli (sternal rub)

Coma - pt is completely unarousabe



Memory Answer Short term memory - covers events or memories that happened
minutes to days before

Long term memory - covers event or memories that happened months to years before



Orientation - Answer Aware of person, place and time



Perceptions - Answer Awareness of the objects in the environment with regards the five
senses and their interrelationships



Thought processes - Answer The logic, coherence, and relevance of the patient's
thoughts and goals; how ppl think



Insight - Answer Awareness that thought, symptoms, or behaviors are normal or
abnormal; e.g. distinguishing that a daydream or hallucination is not real



Judgment - Answer process of comparing and evaluating different possible courses of
action

,Affect - Answer The observable mood of a person expressed through facial expression,
body movements, and voice



Mood - Response The sustained emotion of the patient euthymic, dysthymic, manic



Language - Response The complex symbolic system for expressing written and verbal
thoughts, emotion, attention, and memory



Higher cognitive functions - Response level of intelligence assessed by vocabulary,
knowledge base, calculations, and abstract thinking



Speech and Language: Quantity, Rate, Loud, Articulation of words - Response Quantity:
is patient talkative or silent

Rate: is the speech fast or slow

Loufulness: Is speech loud or soft

Articulation of words: does the patient speak clearly and distinctly



Fluency: involves the rate, flow, melody of speech

Define: hesitencies in speech

Mono-tone infections

Circumlocutions

Paraphasias - Answer Hesitencies in speech - as found in patients with aphasia from
strokes

Mono-tone inflections - schizophrenia or severe depression

Circumlocutions-words or phrases are substituted for the word a person can't
remember; e.g., "the thing you block out your writing with" for an eraser

Paraphasias: words are misshapened ("I write with a den"), incorrect ("I write write with
a branch"), or invented ("I write with a dar")



Abnormal thought processes:

,Circumstantiality

Derailment

Flight of Ideas

Neologisms

Incoherence

Blocking

Confabulation

Perseveration

Echolalia

Clanging - Response Circumstantiality- speech that is indirect and circuitous because
the patients used many details irrelevant to the point

Derailment- speech where an individual changes topics without any logical relationship
between the tropics

Flight of ideas- rapid changing of topics within a very short time and usually logica

Neologisms - words invented or distorted

Incoherence - speech unintelligible because it is illogical

Blocking - sudden stop of speaking before an idea is finished in normal ppl as well

Confabulation - distortion of facts to fill in for amnestic gaps

Perseveration - Insistent repetition of words or phrases

Echolalia- repetition of other persons words or phrases

Clanging - selection of a word based upon sound rather than meaning



Abnormal Thought content

Compulsions

Obsessions

Phobias

Anxiety - Answer Compulsions - repetitive behaviors that a person feels driven to
perform to avoid or create some future state of affairs

, Obsessions - recurrent, uncontrollable thoughts, images, or impulses that a patient
considers unacceptable

Phobias - persistent fear of a stimuli the patient feels is irrational

Anxiety - apprehension or fear that may be focused (phobia) or free floating (general
sense of dread)



Abnormal Thought Content: delusions - Answer False, fixed beliefs that are not shared
by other members of the person's culture

Somatic delusions: believing that one has a disease or defect that he does not

Systematized delusion: a single delusion with many elaborations around a single theme
all systematized into a complex network

Delusions of persecution, grandeur, jealousy, controlled by outside forces

Delusion of reference: person believes An external event or object has some kind of
special personal relevance to them; i.e. a remark about the weather means the patient
must go out and purchase an automobile



perceptual disturbances:

Illusions

Hallucinations - Key Illusions - internal stimuli, misinterpretation of real stimuli; ex.
postman delivers mail, thus there is a conspiracy to poison the patient

Hallucinations - a subjective external stimuli the patient hears or sees that others do not
hear or see and that the patient may not recognize as false; these can be auditory,
visual, olfactory, gustatory, or tactile



How to assess insight and judgment on a clinic or hospital visit? - Answer Patient with
psychological disorders often lack insight into their disease

Judgement by observing the patients responses to stressors on their relationships,
jobs, finances



3 methods of testing attention- Answer Digital span: ask the patient to repeat a string of
numbers back to you

Serial 7s: ask the patient to subtract serial 7s from 100

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