Download NUR 111 - Final Exam - All Modules questions with correct answers and more Exams Nursing in PDF only on Docsity!
NUR |\ 111 |- |\Final |\Exam |- |\All |\Modules |\questions |\
with |\correct |\answers
Pre-interactive |\phase |\of |\a |\nurse-patient |\relationship |- |\CORRECT |
ANSWERS |\✔✔Begins |\before |\the |\nurse's |\first |\contact |\w/the |\patient. |
The |\nurse's |\role |\is |\self-exploration |\and |\gathering |\data |\about |\the |
patient. Introductory |\or |\orientation |\phase |\of |\a |\nurse-patient |\relationship |- |
CORRECT |\ANSWERS |\✔✔When |\the |\nurse |& |\client |\first |\meet. |\The |
nurse |\seeks |\to |\find |\out |\why |\the |\client |\sought |\help. |\The |\tasks |
during |\this |\phase |\are |\to |\establish |\trust, |\understanding, |\acceptance, |\open |\communication |\and |\formulate |\a |\contract |\with |\the |\patient. The |\working |\phase |\of |\a |\nurse-patient |\relationship |- |\CORRECT |
ANSWERS |\✔✔Where |\most |\of |\the |\therapeutic |\work |\is |\carried |\out. |
The |\nurse |& |\patient |\explore |\stressors |\and |\promote |\the |
development |\of |\insight |\in |\the |\patient |\by |\linking |\perceptions, |
thoughts, |\feelings |\and |\actions. Termination |\phase |\of |\a |\nurse-patient |\relationship |- |\CORRECT |
ANSWERS |\✔✔The |\most |\difficult, |\a |\summarizing |\process, |\discuss |
termination |\and |\allow |\time |\for |\patient |\adjustment |\to |\independence. |\Also |\a |\time |\to |\exchange |\feelings |\and |\memories |\and |\to |\mutually |
evaluate |\the |\patients |\progress |\and |\goal |\attainment.
Communication |\skills |\needed |\by |\a |\nurse |\during |\the |\working |\phase |
of |\a |\nurse-patient |\relationship |- |\CORRECT |\ANSWERS |\✔✔Empathetic |
listening |\and |\responding, |\respect, |\genuineness, |\concreteness |
(holding |\the |\patient |\accountable), |\reflecting, |\paraphrasing, |\clarifying |\and |\confronting. Elements |\of |\the |\communication |\process |- |\CORRECT |\ANSWERS |
✔✔Communication |\involves |\the |\sender, |\aka |\the |\source |\encoder. |
Encoding |\involves |\the |\selection |\of |\signs |\or |\symbols |\to |\transmit |\the |
message, |\such |\as |\which |\language |\to |\use |\or |\how |\to |\arrange |\the |
words. |\The |\message |\is |\the |\second |\component |\and |\is |\conveyed |\via |
a |\channel |(i.e. |\talking |\face |\to |\face |\or |\writing |\a |\message). |\The |\third |
component |\is |\the |\receiver |\who |\must |\listen |\or |\observe. |\The |\receiver |\is |\also |\the |\decoder |\and |\must |\perceive |\what |\message |\the |\sender |
intended. |\The |\fourth |\component |\is |\the |\response |\or |\feedback |\which |\allows |\the |\sender |\to |\correct |\or |\reword |\a |\message Verbal |\communication |- |\CORRECT |\ANSWERS |\✔✔Uses |\the |\spoken |\or |
written |\word |\and |\includes |\noticing |\things |\such |\as |\pace |\of |\speech, |
intonation |(tone |\of |\voice), |\simplicity, |\clarity |(saying |\precisely |\what |\is |\meant) |\and |\brevity |(using |\the |\fewest |\words |\possible), |\timing |& |
relevance, |\adaptability, |\credibility |\and |\humor. Non-verbal |\communication |- |\CORRECT |\ANSWERS |\✔✔Uses |\other |
forms |\such |\as |\gestures, |\facial |\expression |\and |\touch |\known |\as |\body |\language |\which |\is |\less |\controlled |\than |\verbal |\behavior |\because |\it |\
at |\eye |\level |\and |\try |\to |\include |\the |\child |\in |\the |\conversation |\if |\the |
parents |\or |\caretakers |\are |\present. |\Be |\honest |\and |\offer |\a |\choice |
only |\when |\one |\exists. Communicating |\w/adolescents |- |\CORRECT |\ANSWERS |\✔✔Allow |\time |
to |\build |\rapport. |\Be |\honest |\and |\offer |\a |\choice |\only |\when |\one |
exists. |\Use |\active |\listening |\skills |\and |\be |\non-judgmental |\or |\non- reactive |\if |\the |\adolescent |\makes |\disturbing |\comments. Communicating |\w/elderly |\patients |- |\CORRECT |\ANSWERS |\✔✔Ensure |
the |\client |\is |\using |\assistive |\devices |\like |\glasses |\or |\hearing |\aids |\and |
that |\they |\are |\in |\working |\order. |\Use |\communication |\aids |\such |\as |
communication |\boards, |\or |\pictures, |\when |\possible. |\Speak |\in |\short, |
simple |\sentences |\and |\focus |\on |\one |\subject |\at |\a |\time. |\Always |\face |
the |\client |\because |\coming |\up |\behind |\someone |\can |\be |\frightening. |
Include |\family |& |\friends |\in |\conversation. |\Reminisce |\with |\the |\client |
to |\maintain |\memory |\connections, |\enhance |\self-identity |& |\self- esteem. |\When |\verbal |& |\non-verbal |\communication |\is |\incongruent, |
believe |\the |\non-verbal. |\Find |\out |\what |\is |\important |\and |\has |\meaning |\to |\the |\client |\and |\try |\to |\maintain |\these |\things |\as |\much |\as |\possible. Primary |\group |- |\CORRECT |\ANSWERS |\✔✔Small |& |\intimate. |\Personal, |
spontaneous, |\sentimental, |\cooperative |\and |\inclusive. |\Communicate |
primarily |\face |\to |\face. |\Support |\each |\other |\in |\times |\of |\stress.
Secondary |\groups |- |\CORRECT |\ANSWERS |\✔✔Larger |\and |\less |
personal, |\less |\sentimental. |\Once |\group |\goal |\has |\been |\achieved |\the |
group |\usually |\disbands. |\Members |\don't |\have |\to |\know |\each |\other. |
Communication |\is |\not |\always |\face |\to |\face. |\Member |\expectations |
administered |\through |\impersonal |\controls |& |\external |\restraints |(i.e. |
NUR |\ 111 |\class) Formal |\groups |- |\CORRECT |\ANSWERS |\✔✔Rigidity |\of |\purpose, |\rules |& |\authority |\comes |\from |\above, |\managers |\are |\symbol |\of |\authority, |
power |(i.e. |\corporations) Semi-formal |\groups |- |\CORRECT |\ANSWERS |\✔✔Prestige, |\status |\often |
accrued |\from |\membership |(i.e. |\country |\clubs) Informal |\groups |- |\CORRECT |\ANSWERS |\✔✔Not |\bound |\by |\rules |& |
regulations, |\ideal |\testing |\ground |\for |\leadership |\techniques Functions |\of |\groups |- |\CORRECT |\ANSWERS |\✔✔• |\Socialization
- |\Support
- |\Task |\completion
- |\Camaraderie
- |\Information
- |\Normative |\function |- |\Boy |\Scouts, |\Church |\groups
- |\Empowerment |- |\support |\group |\or |\education |\group, |\AA |\or |\NA
- |\Member |\behavior |& |\their |\different |\roles, |\information |\givers/seekers, |\opinion |\givers, |\coordinator, |\initiator-contributor, |
energizer |\and |\evaluator - |\Cohesiveness |- |\the |\attachment |\that |\members |\feel |\for |\each |\other |
& |\the |\group - |\Power |- |\to |\encourage |\cooperation |& |\collaboration |\in |
accomplishing |\a |\task Roles |\of |\group |\members |- |\CORRECT |\ANSWERS |\✔✔• |\Information |
givers/seekers
- |\Opinion |\givers
- |\Coordinators
- |\Initiator |- |\contributor
- |\Energizer
- |\Evaluator Can |\also |\be |\maladaptive |\roles |\such |\as |\monopolize, |\recognition |
seeker, |\playboy/girl, |\help |\seeker, |\aggressor, |\groupthink, |\scapegoat, |
or |\blocker. The |\ 5 |\stages |\of |\Tuckman's |\group |\development |- |\CORRECT |\ANSWERS |\✔✔1) |\Forming
- |\Storming
- |\Norming
- |\Performing
- |\Adjourning If |\you |\lose |\a |\member |\of |\a |\group, |\you |\regress |\to |\a |\lesser |\stage Forming |\stage |\of |\Tuckman's |\group |\development |- |\CORRECT |
ANSWERS |\✔✔Infant |- |\task/purpose |\defined Storming |\stage |\of |\Tuckman's |\group |\development |- |\CORRECT |
ANSWERS |\✔✔Teenager |- |\important |\issues |\addressed |- |\conflict |
surfaces Norming |\stage |\of |\Tuckman's |\group |\development |- |\CORRECT |
ANSWERS |\✔✔Young |\adult |- |\group |\norms |\are |\evident, |\leadership |\is |
shared, |\starting |\to |\be |\productive Performing |\stage |\of |\Tuckman's |\group |\development |- |\CORRECT |
ANSWERS |\✔✔Middle |\adulthood |- |\high |\productivity, |\flexibility, |
interdependence, |\loyalty |\to |\group |(like |\a |\sports |\team) Adjourning |\stage |\of |\Tuckman's |\group |\development |- |\CORRECT |
ANSWERS |\✔✔Elderly |- |\task |\ended, |\accomplishments |\recognized, |
reminisce |\about |\past, |\group |\breaks |\up
|(even |\when |\it |\isn't |\what |\they |\want |\to |\hear), |\empathy |(putting |
yourself |\in |\someone |\else's |\shoes), |\being |\aware |\of |\cultural |
differences |\that |\may |\affect |\meaning |\and |\understanding |\and |\finally, |
know |\your |\role |& |\your |\limitations. Various |\types |\of |\documentation |\reports |- |\CORRECT |\ANSWERS |
✔✔Source |\oriented |\reporting, |\problem |\oriented |\medical |\record |
(POMR) |- |\using |\SOAP |\or |\SOAPIER |(subjective, |\objective, |\assessment, |
plan, |\implement, |\evaluate, |\reassess) |\format, |\Problems, |
interventions, |\evaluation |(PIE), |\focus |\charting, |\charting |\by |\exception |
(CBE) |- |\what |\we |\use |\in |\EPIC, |\electronic |\documentation, |\flow |\charts Reporting |\methods |\used |\in |\nursing |- |\CORRECT |\ANSWERS |
✔✔Telephone |\communication, |\incident |\of |\occurrence |\reports, |
hands-off |\communication, |\change |\of |\shift |\report |\and |\the |\SBAR |
(situation, |\background, |\assessment |& |\recommendation) |\reporting. ISBARR |\reporting |- |\CORRECT |\ANSWERS |\✔✔• |\I |- |\Introduction |& |
stating |\your |\role |\in |\the |\patient's |\care
- |\S |- |\Situation |\describes |\what |\is |\happening |\at |\the |\present |\time |
which |\is |\prompting |\you |\to |\contact |\doctor - |\B |- |\Background |\includes |\relevant |\background |\info
- |\A |- |\Assessment |\to |\provide |\as |\much |\information |& |\content |\about |
the |\patient |\as |\possible. - |\R |- |\Recommendation |\
- |\R |- |\Repeat |\the |\order |\given |\by |\the |\doctor. Characteristics |\of |\quality |\documentation |- |\CORRECT |\ANSWERS |
✔✔(FACTO) |\Factual, |\Accurate, |\Complete, |\Timely |(or |\Current) |\and |
Organized. Evidence-based |\practice |- |\CORRECT |\ANSWERS |\✔✔Made |\up |\of |\clinical |\expertise, |\research |\evidence |\and |\patient |\values |& |\circumstances. |\A |
problem-solving |\approach |\to |\clinical |\practice |\that |\integrates |\the |
conscientious |\use |\of |\best |\evidence |\in |\combination |\with |\a |\clinician's |
expertise |\and |\patient |\preference |\and |\values |\in |\making |\decisions |
about |\the |\patient's |\care. |\It |\utilizes |\knowledge |\that |\is |\already |\known |\along |\w/studies |\completed |\by |\others |\to |\make |\a |\practical |\decision |
policy. |\It |\requires |\that |\the |\nurse |\base |\nursing |\practice |\on |\the |\best |
and |\most |\applicable |\evidence |\from |\clinical |\research |\studies. |\The |
nurse |\should |\also |\be |\alert |\to |\clinical |\issues |\that |\warrant |
investigation |\and |\develop |\a |\research |\problem |\about |\the |\issue. Nursing |\research |- |\CORRECT |\ANSWERS |\✔✔A |\systematic |\and |\strict |
scientific |\process |\that |\test |\a |\hypothesis |\about |\health-related |
conditions |\and |\the |\processes |\of |\nursing |\care. |\It |\is |\a |\way |\to |\identify |\new |\knowledge, |\improve |\professional |\education |\and practice, |\and |\use |\resources |\effectively. Nursing |\clinical |\research |- |\CORRECT |\ANSWERS |\✔✔Seeks |\answers |\to |
questions |\that |\will |\ultimately |\improve |\client |\care
|\institution |\that |\published |\the |\page |& |\provides |\a |\way |\of |\contacting |
them
- |\Authority |- |\if |\your |\page |\lists |\the |\author |\credentials |\and |\it |\has |\a |
preferred |\domain |(.edu, |.gov, |.org |\or |.net) |\ - |\Objectivity |- |\accurate |\info |\is |\provided |\with |\limited |\advertising |& |
the |\info |\presented |\is |\objective - |\Currency |- |\timely, |\updated |\regularly, |\links |\are |\also |\up-to-date
- |\Coverage |- |\if |\you |\can |\view |\the |\info |\properly, |\not |\limited |\to |\fees, |
technology |\or |\software |\requirements Barriers |\to |\evidence-based |\practice |- |\CORRECT |\ANSWERS |\✔✔• |\Work |
schedule |\or |\demands
- |\Lack |\of |\access |\to |\technology
- |\Limited |\knowledge |\and |\skills |\in |\evaluating |\evidence
- |\Lack |\of |\experience |\or |\confidence |\in |\promoting |\EBP
- |\Lack |\of |\support |\from |\supervisors
- |\Attitudes |\from |\staff
- |\Resistance |\to |\change The |\PICOT |\criteria |\of |\developing |\EBP |- |\CORRECT |\ANSWERS |\✔✔P |- |
Population |(patients) I |- |\Intervention |(for |\intervention |\studies |\only) C |- |\Comparison |\group
O |- |\Outcome |\of |\interest T |- |\Time Pain |- |\CORRECT |\ANSWERS |\✔✔The |\most |\common |\reason |\people |
seek |\emergency |\care. |\It |\is |\an |\unpleasant |\sensory |\and |\emotional |
experience |\associated |\with |\actual |\or |\potential |\tissue |\damage. |\It |\is |
perceptual |\and |\emotional; |\a |\patient |\can |\only |\provide |\a |\subjective |
description |\of |\pain. |\It |\is |\a |\warning |\of |\injury, |\illness |\or |\disease. |\It |\is |
described |\in |\terms |\of |\location, |\duration, |\intensity, |\quality, |\and |
etiology. Sleep |\deprivation |- |\CORRECT |\ANSWERS |\✔✔Hinders |\daily |\functioning |\and |\adversely |\affects |\health, |\contributing |\to |\diseases |\such |\as |
diabetes, |\cardiovascular |\disease |\and |\depression. Mechanisms |\that |\regulate |\sleep |- |\CORRECT |\ANSWERS |\✔✔● |
Biological |\Rhythms: |\Daily |\cycles ● |\Circadian |\rhythms |- |\begin |\to |\develop |\at |\about |\ 6 |\weeks, |\by |\3-6 |
months |\the |\baby |\has |\a |\regular |\sleep |\cycle. Non-REM |\sleep |- |\CORRECT |\ANSWERS |\✔✔Body |\tissue |\restoration |\via · |\slowed |\biological |\functions |(decreased |\HR, |\RR, |\BP |\etc.) · |\Release |\of |\human |\growth |\hormone |\for |\tissue |\repair |& |\renewal |
Divided |\into |\four |\stages.
· |\Accidents, |\lost |\productivity Co-analgesic |\drugs |- |\CORRECT |\ANSWERS |\✔✔Drugs |\that |\are |\used |
primarily |\for |\another |\purpose |\but |\also |\have |\some |\analgesic |
properties; |\used |\to |\treat |\pain |\alone |\or |\in |\combination |\with |\other |
analgesic |\drugs |-antidepressants, |\anticonvulsants, |\corticosteroids Nociceptive |\pain |- |\CORRECT |\ANSWERS |\✔✔Pain |\resulting |\from |
external |\stimuli |\on |\an |\uninjured, |\fully |\functioning |\nervous |\system |
(i.e. |\sunburn |\or |\papercut). |\It |\is |\usually |\temporary. Somatic: · |\Results |\from |\stimuli |\in |\the |\skin, |\bone, |\muscle, |\connective |\tissue · |\Localized · |\Descriptors: |\Aching; |\throbbing, |\Sharp, |\stabbing, |\soreness Visceral: · |\Due |\to |\stretch, |\distention, |\or |\inflammation · |\Solid |\or |\hollow |\organs |\such |\as |\GI |\tract · |\Poorly |\localized; |\referred · |\Descriptors: |\Deep, |\crampy, |\pressure, |\dull, |\gnawing, |\squeezing, |
spasm
Neuropathic |\pain |- |\CORRECT |\ANSWERS |\✔✔Caused |\by |\nerve |
malfunction |\or |\injury |\resulting |\in |\trauma, |\disease, |\chemicals, |
infections, |\and |\tumors. · |\Abnormal |\processing |\of |\sensory |\input · |\Can |\be |\acute |\or |\chronic · |\Opioids |\are |\NOT |\first |\line |\of |\treatment · |\Central |& |\peripheral · |\Burning, |\shooting, |\pins |\and |\needles, |\electricity, |\numbness, |\hot, |
shooting, |\sensitivity, |\tingling · |\Pain |\with |\normal |\touch Acute |\pain |- |\CORRECT |\ANSWERS |\✔✔Protective, |\has |\an |\identifiable |
cause, |\has |\a |\short |\duration |(usually |\ 30 |\days |\to |\ 6 |\months). |\It |\has |
limited |\tissue |\damage |\and |\emotional |\response. |\It |\usually |\resolves |
with |\or |\without |\treatment |\after |\the |\injury |\heals. |\Unrelieved |\acute |
pain |\can |\lead |\to |\chronic |\pain. |\Related |\to |"Fight |\or |\Flight". Chronic |\pain |- |\CORRECT |\ANSWERS |\✔✔Lasts |\longer |\than |\ 6 |\months |
and |\persists |\beyond |\expected |\periods |\of |\healing. |\It |\is |\constant |\or |
recurring |\with |\a |\mild-to-severe |\intensity |\with |\a |\gradual |\onset. |\It |
does |\NOT |\always |\have |\an |\identifiable |\cause. |\It |\is |\usually |\not |\life- threatening. |\Associated |\symptoms |\include |\fatigue, |\insomnia, |
anorexia, |\weight |\loss, |\apathy, |\hopelessness, |\and |\anger. |\There |\is |\no |
objective |\evidence |\to |\confirm |\the |\existence |\of |\chronic |\pain. |\Most |
CP |\has |\a |\very |\strong |\neuropathic |\component |\because |\it |\represents |
an |\error |\in |\CNS |\processing |\of |\pain |\signals.
Factors |\relating |\to |\elderly's |\experience |\of |\pain |& |\rest |- |\CORRECT |
ANSWERS |\✔✔· |\Over |\80% |\of |\older |\adults |\have |\at |\least |\one |\chronic |
condition |\associated |\with |\pain. · |\Have |\a |\greater |\likelihood |\for |\developing |\pathological |\conditions, |
which |\are |\accompanied |\by |\pain. · |\Potentially |\reduces |\mobility, |\ADLs, |\social |\activities, |\and |\activity |
tolerance. · |\Interpreting |\pain |\is |\complicated |\due |\to |\multiple |\diseases |\and |
vague |\systems. · |\With |\aging, |\muscle |\mass |\decreases, |\body |\fat |\increases, |\H2O |
decreases. |\This |\increases |\concentration |\of |\water-soluble |\drugs: |
volume |\of |\fat-soluble |\drugs |\increases · |\Poor |\nutrition |\resulting |\low |\albumin |\levels. |(Protein |\Bound) · |\Lower |\renal |\and |\liver |\function, |\decreases |\metabolism |\and |
excretion |\of |\drugs. Factors |\relating |\to |\different |\culture's |\experience |\of |\pain |& |\rest |- |
CORRECT |\ANSWERS |\✔✔· |\Clients |\from |\stoic |\cultures |\rarely |\vocalize |
pain |\through |\groans |\or |\crying |\and |\may |\avoid |\showing |\a |\reaction |\to |\pain. |\They |\may |\tolerate |\a |\high |\level |\of |\pain |\without |\asking |\for |
relief. · |\Client's |\with |\expressive |\cultures |\routinely |\moan |\and |\scream |\when |
faced |\with |\pain. |\They |\expect |\others |\to |\care |\for |\them |\and |\relieve |
the |\pain.
· |\Culture |\may |\affect |\how |\a |\client |\describes |\pain. · |\Culture |\can |\affect |\the |\methods |\of |\treatment |\the |\client |\is |\willing |\to |\undergo. |\Some |\believe |\that |\pain |\is |\punishment |\or |\builds |\character |\may |\refuse |\treatment. · |\Some |\cultures |\prefer |\to |\treat |\pain |\with |\herbal |\supplements |\and |
alternative |\medications. Different |\pain |\scales |- |\CORRECT |\ANSWERS |\✔✔1) |\NPASS |(Neonatal |
Pain |\Assessment |& |\Sedation |\Scale) |- |\infants |\less |\than |\ 2 |\months |\old
- |\FLACC |(Face, |\Legs, |\Activity, |\Cry, |\Consolability) |- |\non-verbal |
children |\over |\ 2 |\months |\of |\age - |\Wong-Baker |\Faces |\Scale |- |\patients |\older |\than |\ 6
- |\Numeric |\Rating |\Scale |- |\patients |\who |\are |\awake, |\alert, |\able |\to |
verbalize |\or |\point |\to |\a |\number, |\understands |\number |\concept - |\OLDCARTS |(onset, |\location, |\duration, |\characteristics, |\aggravating, |
relieving, |\treatment, |\severity) Potential |\consequences |\of |\sleep |\deprivation |- |\CORRECT |\ANSWERS |
✔✔Associated |\with |\significant |\cognitive |\and |\health |\problems. |\It |
hinders |\daily |\functioning |\and |\adversely |\affects |\health, |\contributing |
to |\difficulty |\with |\concentration |\and |\memory |\and |\contributes |\to |
diseases |\such |\as |\diabetes, |\cardiovascular |\disease, |\and |\depression. |
Sleep |\deprivation |\decreases |\the |\ability |\to |\perform |\tasks |\requiring |
speed |\and |\accuracy |\and |\is |\also |\linked |\to |\an |\increased |\risk |\for |
motor |\vehicle |\crashes. |\Sleep |\is |\also |\necessary |\for |\immune |\system |
repair |\functioning.
