Arthuralfie

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping? 1. Neglecting personal grooming 2. Looking at old snapshots of family 3. Participating in a senior citizens' program 4. Visiting their spouse's grave once a month - 1. Neglecting personal grooming Rational: Coping mechanisms are behaviors used to decrease stress and anxiety. In response to a death, ineffective coping is manifested by an extreme beha...

How does blood flow through the heart? - Deoxygenated venous blood → Sup. Vena Cava → Right Atrium →Tricuspid (AV) →Empties into R. Ventricle (& it contracts) → Blood ejected through Pulmonary Valve → Pulmonary Artery → Lungs to be Oxygenated → Pulmonary Veins → L. Atrium → Mitral (AV) → L. Ventricle (pumps with each contraction) → Aortic Valve → Aorta → Body What is systole? - Contraction of the heart which pumps blood Diastole - Relaxation of the heart What p...

Phsyiologic manifestation of anemia - Severe fatigue, pallor, weakness, dyspnea, dizziness Increased RBC distribution on labs Microcytic anemia - MCV <80fL Small RBCs i.e. iron deficiency anemia, sideroblastic, thalassemia Macrocytic anemia - MCV >100fl Large RBCs i.e. B12 deficiency, folate deficiency Normocytic anemia - MCV 80-99fl normal size RBCs i.e. hereditary spherocytosis, acute blood loss, paroxysmal nocturnal hemoglobinuria Hypochromic - decreased hemoglobin low MCHC ...

When do you consider Unipolar versus Bipolar depression - Unipolar major depression (major depressive disorder) is characterized by a history of one or more major depressive episodes (table 3) and no history of mania (table 1) or hypomania Geriatric Depression Scale (GDS) - Scoring Instructions. Score 1 point for each bolded answer. A score of 5 or more suggests depression. Self-reporting tool that may be used to diagnose and treat depression Geriatric Depression Scale - The Geriatric D...

How did Sullivan view anxiety? - Any painful feeling or emotion arising from social insecurity. A nurse is assessing behavior patterns in clients based on age-appropriate development. Which developmental model should the nurse apply? - Erik Erikson's eight stages of development. A group of nurses takes action to ensure that consumers have the authority to choose from various health care options, participate in their health care decisions, and provide education and support. Which component...

differential diagnosis - The provider's initial hypothesis -a working list of potential problems that can be associated with the initial or chief complaint -Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) • provides guidance for identifying psychiatric diagnoses Psychiatric assessment: History taking - -History of Present Illness -How long have you been feeling this way? -Did something happen in your life that may have triggered these emotions? -How is this current s...

Differential Dx - Diagnostic reasoning is the process of questioning one's thinking to determine if all possible avenues have been explored and if the conclusions that are drawn are based on evidence. This is a critical step for providers who are trying to uncover a cause, or diagnosis, for their clients' signs and symptoms. The provider's initial hypothesis is known as the differential diagnosis. The differential diagnosis, or differential, is a working list of potential problems that can be...

master's prepared nurse in research - collaborates in research projects and provides clinical expertise for research three abstract thought processes in nursing - introspection intuition reasoning reasoning - the processing of ideas in order to reach conclusions level I evidence - evidence from a systematic review or meta-analysis of all RCTs evidence based clinical practice guidelines based on systematic reviews of RCTs level II evidence - evidence obtained from at least one ...

Telepsychiatry - a provider administers psychiatric care from a distance through a technological interface -a subset of telehealth -telepsychiatric services • psychiatric interview • psychiatric evaluations • therapy • medication management • consultation • client education The American Psychiatric Association (APA, 2020) supports telemedicine as a legitimate component of a mental health delivery system when telepsychiatry services: - -benefit the client -maintain client ...

PMH-APRN - a nurse with graduate-level training who provides psychiatric-mental health care and promotes mental health across the lifespan -assess, diagnose and treat individuals and families who have psychiatric and/or substance disorders -work in a variety of health care settings and practices and are eligible for reimbursement through private insurers, HMOs, PPOs, Medicare and Medicaid ANA Code of Ethics: anticipatory guidance competency - ANA Standards and Scope: Standard 5B: Health Tea...