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NUR 211 NUR211 Final Exam (Rasmussen Latest)
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  • Nur 211
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  • Rasmussen College

NUR 211 NUR211 Final Exam (Rasmussen Latest) NUR 211 NUR211 Final Exam (Rasmussen Latest) NUR 211 NUR211 Final Exam (Rasmussen Latest) NUR 211 NUR211 Final Exam (Rasmussen Latest) NUR 211 NUR211 Final Exam (Rasmussen Latest) NUR 211 NUR211 Final Exam (Rasmussen Latest)

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  • February 16, 2022
  • 24
  • 2022/2023
  • Exam (elaborations)
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  • nur 211 nur211 final exam rasmussen latest nur 211 nur211 final exam rasmussen latest nur 211 nur211 final exam rasmussen latest nur 211 nur211 final exam rasmussen latest nur 211 nur211 final

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NUR 211 NUR211 Final Exam (Rasmussen Latest)

Cycle of Domestic Violence

1. Build-up phase: tension

2. Stand-over phase: control/ fear

3. EXPLOSION

4. Remorse phase: justification, guilt, minimization

5. Pursuit phase: promises, helplessness, threats (making excuses)

6. Honeymoon Phase: enmeshment, denial of previous difficulties

Profile of Abuser

- Strong feelings of inadequacy.

- From violent homes where abuse was seen/ experienced.

- Abuser is threatened by victim's independence, victim is seen as property.

- HIGHEST incidence in ETOH and cocaine abuse.

Family domains assessment

- Management: hierarchy w/in family.

- Communication: members are free to express emotions.

- Emotional- Support: value affection vs. conflict/ anger.

- Socialization: fam. models and teach social skills.

- Boundaries: barriers that protect and enhance integrity of individuals.

Presentation of Abuse

,- accidental discovery of injury.
- mult. injuries at various stages.
- no Hx offered/ contradictory Hx.
- inconsistent w/ stage of dev.
- suspicious attitude btw parent/ child.

Non-accidental bruises

- Infants: face & butt.

- Children: upper arms (defense), trunk, front of thighs, sides of face, ears, neck, genitalia,
stomach & butt.

*** may be marked/ shaped.

Non-accidental burns

- Location: butt, btw legs, ankles, wrists, palms, soles.

- symmetrical vs. "splash"

- full thickness to muscle/ bone

- older, neglected, infected wounds.

- shape of an instrument.

- numerous stages of healing.

Infant abuse injuries

Subdural hematomas r/t shaken bb syndrome:
- seen in <24mo, mostly at 6mo.
- s/s: irritability, lethargy, disinclination to eat.
- inc. ICP: vomiting, seizures, stupor coma.

Retinal hemorrhage r/t shaken bb syndrome.

Internal organ injuries

injuries below the diaphragm w/o external bruising r/t abd. ability to absorb trauma.

*** 2nd most common cause of death in child abuse.

, Anorexic Assessment

- Obtain baseline wt.

- Hydration status: skin, labs= albumin, kidney fxn.), hematuria, proteinuria.

- Cardiac fxn: rapid re-feeding, hypotension, bradycardia, anemia, peripheral edema from
hypoalbuminia, exercise intolerance.

- Integumentary: hypothermia, laguna, gray cast, fragile/ dry skin.

- Reproductive: amenorrhea may lead to infertility.

- Mood: depression r/t decreased thyroid fxn. and lack of building blocks for NT.

- Musculoskeletal: hypocalcemia, osteopenia, osteoporosis r/t decreased protein intake leads to
muscle wasting.

- GI: constipation, cavities, oral lesions r/t poor nutrition.

- Socialization: w/d from family/ relationships, decreased social activities.

Bulimic Assessment

- Renal: extended hypovolemia w/ e. imbalances --> renal failure, hematuria, proteinuria.

- Cardiac: 1.) E. imbalances - hypokalemia, hypomagnesia, hyponatremia --> dysrhythmias. 2.)
Hypovolemia --> syncope. 3.) Cardiomyopathy r/t IPECAC intoxication.

- Neuro: seizures r/t electrolytes.

- GI: erosion of enamel r/t vomiting & cavities, normal wt., esophagitis, Mallory Weiss tears
(tear btw esop. & stomach), gastric dilation/ rupture, rectal prolapse, D/C.

- Sialadeuosis: swelling of salivary glands may lead to infection.

- Integumentary: Russell's sign

- Cognitive/ Behavior: distortions, ppl pleasing, extreme shame, denial of anger, rejection,
surface happy but depressed, impulsive (stealing).

***Alexithymia: difficulty naming/ expressing emotion.

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