Exam (elaborations)
NUR 155 Final Exam
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Exam of 13 pages for the course NUR 155 at NUR 155 (NUR 155 Final Exam)
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NUR 155 Final Exam Critical Thinking for thePractical Nurse |
-extent to which an individual's behavior occurs at the same time with medical or
health advice (taking medications, following diets, making lifestyle changes) -
ANSWER Health care adherence
Personal state in which the person's physical, emotional, intellectual, social,
developmental, or spiritual functioning is thought to be diminished - ANSWER
Illness
(ABC) Airway, Breathing, Circulation--air, food, water, shelter, rest, sleep, activity,
and temperature maintenance are crucial for survival - ANSWER Physiologic: 1st
Maslow level
safety both physical and physiological - ANSWER Safety and Security: Maslow's
2nd level
giving and receiving affection, attaining a place in a group and maintaining the
feeling of belonging. - ANSWER Love and Belonging
both self-esteem and esteem from others (recognition, respect, and appreciation) -
ANSWER Self-esteem need: Maslow's 3rd level
reaching potential, independence, creativity, and self-expression - ANSWER Self-
Actualization
the action taken to prevent the incident (seatbelts, safe sex, vaccinations) -
ANSWER Primary Prevention (before anything happens):
the action taken to identify signs of a problem (breast exam/testicular screening,
blood pressure screening, cholesterol testing) - ANSWER Secondary Prevention
(early detection of disease):
action taken after illness present to prevent complications or restore function
(medication, therapy) - ANSWER Tertiary Prevention (Begins after an illness):
educate parents, immunizations, breast feeding, sleep patterns, safety, playful
activity to stimulate development (education for parents and safety-main priority) -
ANSWER Infant health education
nutrition, rest/exercise, immunizations, safety/injury, dental check ups, role models -
ANSWER Children Health education
, communicating with the teen, self-concept and body image, hormonal changes,
nutrition, exercise/rest, peer influence, sexuality, safety/accident (car accidents and
suicide) - ANSWER Adolescents health education
substance abuse - ANSWER Younger adult health education
heart disease, cancer, MVA - ANSWER Mid-adult health education
injury prevention/risk for hypothermia due to low metabolic rate, drug management,
sleep, exercise, foot health, immunizations, hearing screening, mental health,
physical fitness, weight control, smoking cessation, preventive health services -
ANSWER Older adult health education
-fever, chills/sweats, redness/soreness/swelling in any area, diarrhea, new onset
pain, vomiting - ANSWER S/S of infection
1: wash hands with warm water & soap
2: PPE-Gown, Gloves
3: use bleach to clean objects! - ANSWER C-diff precautions
GLOVES
-applies to blood, body fluids, secretions, excretions (not sweat)
-mucous membranes
-non-intact skin - ANSWER Standard Precaution (for ALL clients)
-skin lesions
-circulation
Checking pulses, cap refill, skin turgor
-respiratory
-musculoskeletal
-gait - ANSWER Normal & Abnormal assessment findings
120/80 - ANSWER normal values BP:
60-100 - ANSWER normal values HR
12-20 - ANSWER normal values RR
95-100% - ANSWER normal values 02:
96.8-99.5 - ANSWER Normal value temp
-NEVER put the incident report into the patient's chart!!
-goes in risk management file - ANSWER Documentation of an incident
-using silence (accepting pauses or silences that allows the patient able to put
thoughts and feelings into words) "general leads
-be specific and tentative
-open ended questions (no asking why ex: tell me more)
-touch (putting arms on shoulder)
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