Final Exam NUR1212C
Effective communication with patients - correct 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: - correct 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 - correct 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 - correct answer Physical, Neglect, Sexual, Emotional
Indicators of abuse - correct 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 - correct 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? - correct 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 - correct 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 - correct answer Affects mainly memory, Is typically caused by anatomical changes in the brains, has slower onset, and is generally irreversible
Dementia Onset: - correct answer slow and gradual with an uncertain beginning point
Dementia Duration - correct answer usually permanent
Dementia Cause: - correct answer Usually a chronic brain disorder
Dementia Course - correct answer slowly progressive
Dementia LOC - correct answer Unimpaired until dementia is severe
Dementia Patients with cognitive impairment should perform - correct 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, - correct 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 - correct 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
