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NURS 1023 Exam 2 Questions With Complete Solutions
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NURS 1023 Exam 2 Questions With Complete Solutions
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NURS 1023 Exam 2 Questions With Complete SolutionsA 12-year-old girl suddenly refuses to change for gym,
participate in physical activities, has difficulty walking and
sitting, and will not eat her food at lunchtime. What should the
school nurse consider when assessing this child's symptoms?
A. Sexual abuse
B. Emotional neglect
C. Physical neglect
D. Emotional abuse Correct Answer A - Sexual abuse of a
child may be considered a possibility when the child has
difficulty walking or sitting; suddenly refuses to change for gym
or to participate in physical activities; reports nightmares or
bedwetting; experiences a sudden change in appetite;
demonstrates bizarre, sophisticated, or unusual sexual
knowledge; becomes pregnant or contracts a venereal disease;
runs away; or reports sexual abuse by a parent or another adult
caregiver. After assessing the data, the school nurse should
further investigate this child's unexplained symptoms, and if
warranted, report findings to authorities.
abuse Correct Answer the maltreatment of one person by
another.
C D C 2018 report
• 1 in 5 women experienced rape; 1 in 6 women were stalked;
and 1 in 4 reported some form of intimate partner violence.
• These forms of violence most often occur before the age of 25
for both men and women.
, Child abuse and related fatalities continue to be a significant
health concern.
acute stress disorder (ASD) Correct Answer Similar to P T S D
in terms of precipitating traumatic events and symptomatology
Symptoms are time limited: up to 1 month following the
trauma.
If the symptoms last longer than 1 month, the diagnosis is P T S
D.
adjustment disorders Correct Answer • Characterized by a
maladaptive reaction to an identifiable stressor or stressors that
result in the development of clinically significant emotional or
behavioral symptoms
• Symptoms occur within 3 months of the stressor and last no
longer than 6 months.
‒ Exception: The "related to bereavement" subtype
nursing diagnoses:
• Complicated grieving
• Risk-prone health behavior
• Anxiety
alcohol use disorder Correct Answer Mild
Moderate
Severe
,DUI > 80mg/dl, lower if < 21 yo
Medical Intoxication> 100 mg/dl
Withdrawal: 4 to 12 hours after cessation of heavy prolonged
alcohol use. Difficult to predict, relative small numbers, lethal if
not treated
alcohol use disorder- effects of alcohol on the body Correct
Answer Peripheral neuropathy, Muscle wasting
Erectile dysfunction, decreased libido
Thrombocytopenia, Hepatitis
Pancreatitis, Cardiomyopathy
GI Bleed, Gastritis
Encephalopathy, Thiamine deficiency induced brain impairment
Cirrhosis: Liver impairment
Alcoholics Anonymous (AA) Correct Answer • A major self-
help organization for the treatment of alcoholism and drug
addiction
• Based on the concept of:
‒ Peer support
‒ Acceptance
, ‒ Understanding from others who have experienced the same
problem
• The 12 steps that embody the philosophy of AA provide
specific guidelines on how to attain and maintain sobriety.
• Total abstinence is promoted as the only cure; the person can
never safely return to social drinking.
anticholinergic effects Correct Answer dry mouth
constipation
photophobia
blurred vision
Tachycardia
antipsychotics Correct Answer ‒ Used to decrease agitation
and psychotic symptoms of schizophrenia and other psychotic
disorders
• Action
‒ Typicals: Dopaminergic blockers with various affinity for
cholinergic, α-adrenergic, and histaminic receptors
‒ Atypicals: Weak dopamine antagonists; potent 5HT2A
antagonists; also exhibit antagonism for cholinergic, histaminic,
and adrenergic receptors
antisocial personality disorder (cluster B) Correct Answer A
pattern of behavior that is Socially irresponsible
Exploitative
Without remorse
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