NUR 3330 (NUR3330)

Roger McClucky Room Roger McClucky, 70-year-old male recently diagnosed with Alzheimer’s Disease dementia following evaluation of forgetfulness, difficulty processing new information, and increased confusion. With his declining memory and hearing impairment Roger’s daughter, Lisa, is concerned about his ability to care for himself and is interested in care options to assist him in staying in his home. Medications: NKDA, memantine (Namenda) one tablet daily. Social history: Roger lives alone...

Charles Wheeler Room Charles Wheeler, Charles Wheeler is an 18-year-old male who is a senior in high school. Charles is struggling socially and academically at school. On numerous occasions Charles has been asked to leave the classroom for acting out and saying offensive things to his classmates and teachers. Charles was recently hospitalized and diagnosed Attention-Deficit/Hyperactivity Disorder (ADHD). Medications: NKDA. Adderall 20 mg daily; Zoloft 50 mg daily. Surgical history: Tonsille...

Mary Jane , Mary Jane is a 21-year-old female who was recently discharged from the behavioral health unit. Mary Jane was engaging in cutting, sleeping excessively, was unable to complete tasks, and had feelings of worthlessness. While in the behavioral health unit, Mary Jane exhibited signs of severe anxiety. Mary Jane was diagnosed with major depressive disorder and prescribed Tofranil. Discharge plans included continuation of imipramine and outpatient therapy. Medications: imipramine (Tofranil...

Edward Martin Room Edward Martin , 44-year-old male recently discharged from an outpatient partial hospitalization for paranoid schizophrenia. He was experiencing delusions and causing a public disturbance. Edward was diagnosed with paranoid schizophrenia at age 28 and had one suicide attempt via overdose at age 32. Edward has had episodic hospitalizations for hallucinations and delusions resulting from non-adherence to his medication regimen. Edward’s comorbidities include generalized anxiet...

Hayden Clark Room 302 Hayden Clark, 6-year-old male, weighing 44 lbs., comes to school looking disheveled, and not wearing a coat with the outside temperature in the low 40’s. You responded correctly to 6 out of 6 evaluations: Category Your response Explana Pain Normal acuity Status assessment reports no indication of increased Pain acuity Psych Normal acuity Status assessment reports does not give clear indication to incre Safety Increased acuity Status assessment reports not wearing ...

Elijah Williams Room 301 Elijah Williams, came to the clinic for a well-child visit the child is 4 years old and has not been seen for a well-child visit for a couple of years. He is entering pre-K and is needing an updated immunization record for school. The patient is playing with the toys in the waiting area. He is accompanied by his mother. You responded correctly to 2 out of 6 evaluations: Category Your response Explanation Educational Increased acuity Children should have annual we...

Mark Quinn Room 302 Mark Quinn, 9-year-old male comes to the school nurse with complaints of abdominal pain and nausea. Vital signs: Temperature 98.2, HR 87, BP 104/ 67, RR 22, PaO2 97%. The nursing assessment reveals diffuse lower abdominal pain, tenderness, and normoactive bowel sounds. After consultation with the child and the parents, the child is sent home with a possible viral intestinal infection. You responded correctly to 4 out of 6 evaluations: Category Your response Explanation...

Janeya Stone, nine-month-old infant brought to the children’s hospital by her parents as a direct admit from the pediatrician’s office. About two-weeks ago, Janeya started having periods when she was very “fussy” and inconsolable, long periods of irritability and vomiting not in response to feedings. At first Janeya’s father thought it was the “flu.” Last week the childcare provider noted an increase in irritability and vomiting, especially after being moved. The parents and childc...

NUR 3330 - Exam 1 Review Questions and Answers/NUR 3330 - Exam 1 Review Questions and Answers. 1. What are the types of stressors that influence our self-concept Self-concept stressor is any real or perceived change that threatens identity, body image, or role performance. An individuals perception of the stressor is the most important factor to determine his or her response. The ability to re-establish balance following a stressor is related to numerous factors, including the number of str...

Renee Wilson, 26 y/o G1P0 admitted four hours ago to the Birthing Center. She has had an uncomplicated pregnancy, but her obstetrician has expressed the concern about needing a c-section because of the anticipation of a large baby. Her last ultrasound estimated fetal weight at 9 lbs. 6 oz. She and her husband have attended Lamaze Prepared Childbirth Classes and their Birth Plan includes the desire to have an unmedicated labor and vaginal birth. She also desires skin to skin contact with her ...