NURS 610 Exam 1 questions with correct answers
a nursing instructor is teaching about specific phobias. which student
statement indicates to the instructor that learning has ocurred? Correct
Answer-clients have a panic level of fear that is overwhelming and
unreasonable
which symptoms should the nurse recognize that differentiate a client
diagnosed with panic disorder vs GAD? Correct Answer-
hyperventilation is a common GAD symptom whereas this symptom is
absenst in panic disorders
cultural humility Correct Answer-understanding ones biases and
privileges, mananging power imbalances
cultural competence Correct Answer-the ability to interact effectively
with people of different cultures
MED/SURG RESTRAINTS Correct Answer-protection of tubes and
drains
behavioral health restraints Correct Answer-danger to self and others
T or F: orders are needed for restraints Correct Answer-true
restrains important considerations Correct Answer-safety, offer fluids,
ROM exercises and bathroom q 2 hours
,risks of restraints Correct Answer-Suffocation
Neurovascular Compromise
Skin Breakdown
Hazards of Immobility
Incontinence
Impaired Nutrition and Hydration
Increased Agitation
predisposing factors of child and adolescent disorders Correct Answer-
genetics, psychological factors, environmental factors (ACEs)
what important interventions need to be dome for the patient in BH
restraints? Correct Answer-evaluate, therapeutic communication, de-
escalation, least invasive to most invasive
NC for BH restraints Correct Answer-q15 min check in BH, pulses, pain
potty position, dignity to be maintained, CMS
goal with restraints Correct Answer-safety
seclusion Correct Answer-someone needs to watching them constantly if
they are secluded
, Autistic Spectrum Characteristics Correct Answer-´Difficulty with eye
contact - looks at floor or wall
´Decreased physical affection - dislikes touch or hugs
´Lack of 'theory of mind'- has little idea about what others are thinking
or feeling
´Inability to empathize - walking past someone who is injured
´Can't 'read' people - does not understand non-verbal
´Inappropriate social behaviors - taking turns
´Inappropriate affect - laughing when others are serious
´Lack of imaginative play
appropriate treatment for various disorders Correct Answer-education,
treatment,´Early intervention programs at home and school
Monitor family for signs of stress that will interfere with obtaining and
using resources
ADHD treatment Correct Answer-behavior therapy + methylphenidate
or amphetamines (both phenethylamines), or atomoxetine (NeRI)
´Educational adaptations - small classes, support services
´Therapy - Social skills groups
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