Nur 102 Final Exam Oct 8, 2024 Correct
Answers Latest Update
Define grief ANS✔✔ an intense but normal response to a real or threatened
loss
Five stages of grief ANS✔✔ 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
Denial- nursing responsibilities ANS✔✔ Assess patient and family's need for
information, use open ended questions, social work and psychiatrist support
Anger- nursing responsibilities ANS✔✔ Allow family and client to express
and get though stage, spend time with client, counselors, social work and
psychiatrist support
Bargaining- nursing responsibilities ANS✔✔ Allow client to express wishes
Depression- nursing responsibilities ANS✔✔ Allow time to go through stage,
encourage expression, clinical depression should be treated
, Solution 2024/2025
Pepper
Acceptance- nursing responsibilities ANS✔✔ Explain behavior to family,
continue to be present but respect wishes, allow expression of feelings
Bereavement ANS✔✔ The period of time a person mourns
During mourning- nursing response ANS✔✔ "The pain will never go away
but with time, it will get a little less painful"
Most common fear of the dying... ANS✔✔ Pain
Effective listening includes ANS✔✔ 1. Empty space
2. Avoid distractions
3. Allow time to answer questions
4. Avoid advice
5. Assess understanding
Cachexia ANS✔✔ Severe muscle wasting and weight loss
Myoclonus ANS✔✔ Involuntary jerking caused by use of certain opioids
Palliative Care ANS✔✔ Any care or treatment that reduces the severity of
the disease symptoms (days/months/years)
Hospice Care ANS✔✔ A concept of care for the patient in the last phases of
an incurable disease (at home, impatient of extended care facility)
, Solution 2024/2025
Pepper
The last sense to go before death.. ANS✔✔ Hearing
Honeymoon phase ANS✔✔ Occurs after abuse, perpetrator expresses
kindness and loving and victim doesn't want to leave
Tension-building phase ANS✔✔ Minor pushing, verbal abuse, victim ignores
or accepts the behavior of the perpetrator
Battering Incident ANS✔✔ Abuser releases built up tension by way of brutal
beatings
The greatest risk for violence is a when a women ANS✔✔ Threatens to leave
the relationship
Warning signs of child abuse ANS✔✔ 1. Bruises on extremities
2. Burns
3. Fractures
4. Lacerations
Risk factors for child abuse ANS✔✔ 1. Parental characteristics
2. Environmental factors
3. Characteristics of the child
The first nursing intervention after a victim shares their desire to leave an
abusive situation ANS✔✔ Develop a safety plan
, Solution 2024/2025
Pepper
Primary prevention of abuse ANS✔✔ Prevent the occurrence of abuse
Secondary prevention of abuse ANS✔✔ Early intervention in abusive
situations to minimize their disabling or long term effects
Tertiary prevention of abuse ANS✔✔ Rehabilitation process, providing
support, safety, health and well-being
Primary goal of intervention after rape ANS✔✔ Empowerment
Assessment guidelines of rape examination ANS✔✔ 1. Obtain consent
2. Head to toe
3. Focused assessment of genital area
4. Document physical findings
5. Treatment, discharge plan and follow up
Sexual assault victims are considered to be recovered if, ANS✔✔ They are
relatively free of any s/s of acute stress disorder and PTSD
Pathological depression occurs when ANS✔✔ A person doesn't have coping
mechanisms
Congruent ANS✔✔ Appropriate to the situation
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