100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 222 – Final exam with answers 2024 $13.49   Add to cart

Exam (elaborations)

NURS 222 – Final exam with answers 2024

 5 views  0 purchase
  • Course
  • NURS 222
  • Institution
  • NURS 222

NURS 222 – Final exam with answers 2024

Preview 4 out of 51  pages

  • August 13, 2024
  • 51
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 222
  • NURS 222
avatar-seller
Fordenken
NURS 222 – Final exam with answers 2024

Resilience - ANSWER: ➡ - ability to cope/deal/behave effectively w/ life challenges &
m m mm m m m m m m m m m




stressors
m




- ability & capacity to secure resources needed to support well-being
m m m m m m m m m m




- ability to w/stand & recover quickly from difficult situations
m m m m m m m m m




- essential for recovery from illness
m m m m m




- closely connected to/characterized by: optimism, sense of mastery, competence
m m m m m m m m m




- attribute of a good psych nurse
m m m m m m




Diathesis-stress model - ANSWER: ➡ - diathesis: biological predisposition/sensibility
m m m mm m m m m




- stress: environmental stress/trauma
m m m




*nature vs nurture m m




Erikson's ego theory - ANSWER: ➡ - (1) trust vs mistrust, ages 0-1.5
m m m m mm m m m m m m m




- (2) autonomy vs shame/doubt, ages 1.5-3
m m m m m m




- (3) initiative vs guilt, ages 3-6
m m m m m m




- (4) industry vs inferiority, ages 6-12
m m m m m m




- (5) identity vs role confusion, ages 12-20
m m m m m m m




- (6) intimacy vs isolation, ages 20-35
m m m m m m




- (7) generatively vs self-absorption, ages 35-65
m m m m m m




- (8) integrity vs despair, ages 65+
m m m m m m




Peplau's model of nurse-patient relationship - ANSWER: ➡ pre-orientation: prepare to meet
m m m m m m mm m m m m




w/ pt
m m




m - obtain info about pt from chart, significant others, other healthcare team members
m m m m m m m m m m m m




m - examine own feelings, fears, anxieties about working w/ pt
m m m m m m m m m

,m - gather assessment data
m m m




orientation: DISCUSS CONFIDENTIALITY, establish boundaries & trust
m m m m m m




m - create an environment for trust & rapport
m m m m m m m




m - pt's problem is discussed & mutually agreed upon
m m m m m m m m




m - start planning pt's discharge the moment they are admitted
m m m m m m m m m




m - goals are established
m m m




working: PRACTICE PROBLEM-SOLVING & COPING SKILLS
m m m m m




m - maintain trust & rapport
m m m m




m - promote pt's insight & perception of reality
m m m m m m m




m - practice solving problems & coping skills
m m m m m m




m - continuously evaluate progress toward goal attainment
m m m m m m




termination: summarize goals achieved during relationship m m m m m m




m - progress has been made toward attainment of goals
m m m m m m m m




m - a plan of action for more adaptive coping w/ future situations established
m m m m m m m m m m m m




m - discuss w/ pt changes that happened during relationship & evaluate outcomes
m m m m m m m m m m m




Rational-emotive behavior therapy (Ellis) - ANSWER: ➡ - aims to eradicate irrational beliefs
m m m m m mm m m m m m m




- recognize thoughts that are not accurate
m m m m m m




*targets irrational beliefs & patterns
m m m m




Cognitive-behavioral therapy (Beck) - ANSWER: ➡ - tests distorted beliefs & change way of m m m m mm m m m m m m m m




thinking; reduce symptoms
m m m




*identifies distorted thinking & develops better coping mechanisms
m m m m m m m




Maslow's hierarchy of needs - ANSWER: ➡ *safety is #1 in psych
m m m m m mm m m m m m




- psych pts stuck in safety, they lack love & belonging
m m m m m m m m m m

,5 Principles of bioethics - ANSWER: ➡ - beneficence: duty to promote good (i.e. advocating
m m m m m mm m m m m m m m m




for pt by putting them on a 1 to 1 when having suicidal thoughts)
m m m m m m m m m m m m m m




- autonomy: respecting rights of others to make their own decisions (i.e. refuse meds, pt has
m m m m m m m m m m m m m m m




the right to say no always)
m m m m m m




- justice: distribute resources/care equally
m m m m




- fidelity (nonmaleficence): maintaining loyalty & commitment; doing no wrong to a pt (i.e.
m m m m m m m m m m m m m




can't restrain pt just bc they're annoying you, etc)
m m m m m m m m m




- veracity: one's duty to always communicate truthfully
m m m m m m m




Restraints - ANSWER: ➡ - physical: hand mitts, limb restraints, belts, vests
m m mm m m m m m m m m




- chemical: benzodiazepines, antipsychotics (chemical less restrictive than physical)
m m m m m m m m




- indications: when pt poses imminent danger to themselves or others; only when least
m m m m m m m m m m m m m




restrictive methods haven't worked (verbal interventions, therapeutic communication,
m m m m m m m m




redirection, calm environment)
m m m




- only use as last resort, SELF-DESTRUCTIVE BEHAVIOR DESPITE ALTERNATIVE
m m m m m m m m m




INTERVENTIONS
m




- can place pt in restraints first then call MD for order: in an emergency situation, must obtain
m m m m m m m m m m m m m m m m m




written order w/in 15-30 mins
m m m m m




- TIME LIMITS:
m m




m - >/= 18yrs = 4hrs
m m m m




m - 9-17ys = 2hrs
m m m




m - </= 8yrs = 1hr
m m m m




- assess circulation at least every 15 mins; ensure-the receives fluids/food, VS, ROM, toileting
m m m m m m m m m m m m m




q2hrs
m




- document every 15-30 mins
m m m m




- pt on restraints = 1 to 1 observation
m m m m m m m m




Nurse/pt relationship - ANSWER: ➡ - to establish that nurse is: safe, confidential, reliable,
m m m mm m m m m m m m m m




consistent, establish trust & rapport
m m m m m




- relationship w/ clear boundaries
m m m m m




- needs of pt identified & explored
m m m m m m

, - new coping skills developed
m m m m




Therapeutic communication - ANSWER: ➡ - use active listening: SOLER (sit, open/observe,
m m m mm m m m m m m m




lean forward, eye contact, relax)
m m m m m




- always establish trust, security, & rapport (priority)
m m m m m m m




- no why questions
m m m




- open-ended (how, what, tell me, could)
m m m m m m




- restating (so are you saying that...?)
m m m m m m




- don't feed into delusions/challenges
m m m m




- always supportive, never give advice
m m m m m




- typically beginning on nurse's part (it sounds like, it appears, it looks like...)
m m m m m m m m m m m m m




Schizophrenia - ANSWER: ➡ - symptoms present for at least 6 months m m mm m m m m m m m m m




- >2 symptoms present for at least 6 months, behavior disrupts social &/or occupational
m m m m m m m m m m m m m




environment
m




- ALWAYS RULE OUT PHYSIOLOGICAL CAUSES (electrolyte imbalance, hypoglycemia,
m m m m m m m m




substance)
m




- positive & negative symptoms must be present in order to diagnose
m m m m m m m m m m m




SCHIZOPHRENIA - Phases - ANSWER: ➡ Prodromal: initial decline from normal functioning m m m m mm m m m m m m




m - may arise months or yrs before first hospitalization
m m m m m m m m




m - clear change from previous level of functioning
m m m m m m m




m - bizarre, paranoid behavior
m m m




m - withdraws from friends, hobbies, interests
m m m m m




m - neglects personal hygiene & grooming
m m m m m




Acute phase aka active: must be hospitalized during this stage
m m m m m m m m m




- commonly triggered by stressful events, & begins to have psychotic symptoms
m m m m m m m m m m m m




(hallucinations, delusions, incoherence, catatonic behavior)
m m m m m




m - overall goal is pt safety & stabilization
m m m m m m m

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Fordenken. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75323 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart