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What are two stages of sleep-wake cycle 
1. Rapid eye movement (REM) sleep 
2. Non-rapid eye movement (NREM) 
 
 
 
Initial/sleep-onset Insomnia 
Difficulty initiating sleep 
 
 
 
Middle/sleep maintenance insomnia 
Frequent nocturnal awakenings 
 
 
 
Late/sleep offset insomnia 
Early morning awakenings 
 
 
 
nonrestorative sleep 
Waking up feeling fatigue and unrefreshed 
 
 
 
What is insomnia 
difficulty falling or remaining asleep 
 
 
 
What is acute insomnia? 
Less than 3 months 
 
 
 
W...
Differentiation 
(maturation) process in which cells become specialized in structure and function 
 
 
The eight specialized cellular functions are 
movement, conductivity, metabolic absorption, secretion, excretion, respiration, reproduction, communication 
 
 
Eukaryotic cells 
Contain a nucleus and other organelles that are bound by membranes. 
 
 
The eukaryotic cell consists of three general components 
plasma membrane, cytoplasm, and intracellular organelles 
 
 
Nucleus 
A part of the cel...
what characteristics of unitary organisms and example 
ourselves-have determinate growth which is predictable 
 
 
 
what characteristics of modular organisms and example 
plants/leaves(strawberry plant)-add molecules 
can produce new individuals by budding off 
 
 
 
what is the difference between an open and closed population 
*open-organisms can leave or enter 
*closed-organisms cannot leave nor enter 
 
 
 
know bolded terms ch. 12 
 
 
 
what is the difference between a ramet and a genet 
*...
diagnostic reasoning 
a scientific process in which the practitioner suspects the cause of a patient's symptoms and signs based on previous knowledge 
 
 
 
Character-how does it look/feel/smell/sound 
Onset-when did it start 
Location 
Duration-how long does it last, recurrent 
Severity- scale 0-10 
Pattern- what makes it worse/better 
Associated factors-other symptoms, interfere w/ ADLs 
What is symptom analysis using COLDSPA 
 
 
 
clinical reasoning 
situation, practice-based form of reason...
A patient has an order for Chloromycetin, 500 mg every 6 hours. The drug comes in 250 mg capsules. What would the nurse administer? 
2 tabs 
 
 
 
A nurse is to administer 150 mg of a drug intramuscularly. The label on the multidose vials reads 100 mg/mL. How much would the nurse give? 
1.5 mL 
 
 
 
A nurse is to administer 30 mg of furosemide (Lasix) to a client with congestive heart failure (CHF). The vial contains 40 mg/mL. Which is the correct dose to administer? 
0.75 mL 
 
 
 
The nurse i...
What are the 5 steps of the nursing process 
Assessment, Diagnosis, Planning, Implementation, Evaluation 
 
 
 
What are the parts of the medication profile (assessment) 
1. Any and all drug use 
2. Prescriptions 
3. Over the counter medications 
4. Vitamins, herbs, and supplements 
5. Compliance and Adherence 
 
 
 
What are the parts of the Nursing Diagnosis 
1. Deficient knowledge (patient's) 
2. Risk for injury 
3. Noncompliance 
 
 
 
What are the parts of the planning process 
1. Identifi...
Reward pathway 
Genetic, 
environmental, 
cultural factors interact 
 
Primary NT is dopamine Key areas: dopamine 
mesocorticolimbic system, 
ventral tegmental area (VTA), 
nucleus accumbens (NA), 
the amygdala, 
olfactory tubercle. 
, 
 
 
 
Cocaine and stimulants, such as amphetamines 
activate the reward system by blocking dopamine reuptake transporter. 
 
 
 
Opioids 
activate the same circuitry as the stimulants (initially they activate opioid receptors in the VTA, which ultimately results ...
New model for primary care 
collaborative health care, NPs, Pas, patient coordination. 
 
 
 
Policy to reduce adverse events associated with care transitions 
-Hospital Readmissions Reduction Program (HRRP) 
- provides hospitals with an incentive to improve their communication and care coordination and work more successfully with patients and caregivers on post-discharge planning 
IDEAL 
-I- include the patient and family as full partners in the discharge planning proces 
-D- discuss with the p...
Chapter 19 
... 
 
 
 
genes control "genetic clocks 
Genetic 
 
 
 
focuses on the functions of the immune system 
Immunity 
 
 
 
chemical reaction damaging the DNA and causing cell death 
Cross-linkage 
 
 
 
formed during cellular metabolism that have adverse effects on adjacent molecules. 
Free radical 
 
 
 
What age group is considered middle adult? 
40 - 65 
 
 
 
What is the physiologic part for middle adults 
gradual internal and external physiologic changes occur 
 
 
 
What is the c...
Chapter 19 
... 
 
 
 
genes control "genetic clocks 
Genetic 
 
 
 
focuses on the functions of the immune system 
Immunity 
 
 
 
chemical reaction damaging the DNA and causing cell death 
Cross-linkage 
 
 
 
formed during cellular metabolism that have adverse effects on adjacent molecules. 
Free radical 
 
 
 
What age group is considered middle adult? 
40 - 65 
 
 
 
What is the physiologic part for middle adults 
gradual internal and external physiologic changes occur 
 
 
 
What is the c...