Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nur 422 > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

addiction causes (5)

A

-pain management
-stress management
-self medication
-exposure
-use at early age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

addiction risk factors (5)

A

-mental illness
-stress
-genetics
-peer pressure
-abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

protective factors (5)

A

-positive family support
-caregiver involvement
-positive relationships
-employment
-community resources

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

addiction comorbidities (6)

A

-heart disease
-stroke
-dental issues
-hepatitis
-cirrhosis
-mental illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

sx of use (3)

A

-mood and behvior changes
-poor movement coordination
-slurring words

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

concerns re: alcohol use (3)

A

-safety
-accidents (esp. auto)
-risk for bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CIWA protocol

A

-detox protocol every 2 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

alcohol withdrawal (3)

A

-can be deadly
-has degrees of severity
-CIWA assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

detox sx (10)

A

-agitation
-anxiety
-sweating
-insomnia
-delerium
-tremors
-vomiting
-hallucinations
-confusion
-hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CIWA assessment

A

-numerical scale for each sx
-determines how much medication the pt. should receive
-gives the nurse control over the detox
-highly subjective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

CIWA criteria

A

-n/v
-tremors
-paroxysmal sweating
-anxiety
-agitation
-tactile disturbances
-auditory disturbances
-visual disturbances
-headache
-orientation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

additional considerations in detox

A

-blood pressure elevation
-patient behaviors
-drug-seeking behaviors
-inconsistency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

CIWA protocol d/c when

A

pt. doesn’t score for 24 hrs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Delerium Tremens (6)

A

-most severe stage of withdrawal
-seizures
-hallucinations
-global confusion
-hyperactivity
-can be deadly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

alcohol withdrawal timeline

A

1) anxiety, insomnia, nausea, abdominal pain
2) high blood pressure, increased body temp
3) hallucinations, fever, seizures, agitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

short term alcohol tx

A

1) benzos
2) antiepileptics
3) thiamine (a B vitamin)
4) introduction of resources

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

long term alcohol tx

A

-naltrexone (prevent relapses)
-acomprosate (reduces desire to drink alcohol
-disulfiram - antabuse - creates physical reaction to alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

benzodiazepine withdrawals

A

-very similar to alcohol
-depends on drug half life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

when to assess detox

A

when substance is out of person’s system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

typical opioids abused (5)

A

-fentanyl
-heroin
-prescribed narcotics
-oxycodone/oxycontin
-percocet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

dangerous signs of opioid use

A

-CNS depression
-respiratory failure
-overdose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

opioid detox sx (7)

A

-restlessness
-muscle aches
-insomnia
-diarrhea
-vomiting
-cold flashes
-flu-like sx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

detox tx (5)

A

-comfort meds
-controlled narcotics
-methadone
-suboxone
-subutex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

healthcare worker impairment

A

-drug diversion
-burnout
-staffing shortages
-poor ratios
-pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what happens if drug diversion suspected

A

-board receives complaint
-nurse can self-report
-investigation is launched
-hearing for practice violation
-nurse is placed in assistance program
-risk for losing license

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

mood d/o categories

A

-depression
-mania
-bipolar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

depression general characteristics (3)

A

-both a sx and a dx
-biochemical component
-“everything is down”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Mania

A

-“everything is up”
-hyperactivity
-can have a psychotic component

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

bipolar disorder

A

-fluctuating between mania and depression
-Type I or Type II

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Bypolar Type I

A

fluctuate between mania and depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Bipolar Type II

A

fluctuate between hypomania and depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

mania v. hypomania

A

-mania is more severe
-mania includes a psychotic component

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

nursing priority for mood d/o (3)

A

-risk for suicide
-frequent assessment
-evaluating safety measures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

risk factors for suicide- individual (9)

A

-having made a previous attempt at self-harm
-mental illness
-lacking social support
-legal problems
-financial problems
-risky impulsive behaviors
-loss of job
-serious medical illness
-use of substances

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

suicide risk factors- relationships

A

-hx of having been abused or neglected as a child
-having been bullied
-family history of suicide
-personal relationship problems
-sexual violence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

suicide risk factors: community (7)

A

-barriers to access to healthcare
-cultural/religious beliefs such as a belief that suicide is a noble resolution
-personal problem
-community cluster of suicides
-stigma associated with mental illness or help-seeking
-access to lethal weapons, meds
-media portrayals of suicide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

warning signs (5)

A

-stating they want to die or kill themselves
-stating they feel helpless or empty, with no reason to live
-stating they feel trapped, without solutions to problems
-stating that they feel like a burden to others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

more warning signs (6)

A

-withdrawing socially from family and friends
-giving away loved possessions
-bidding goodbye to friends and family
-arranging affairs, planning to die
-engaging in risky behavior, such as fast driving
-obsessively thinking and talking about death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

SADPERSONS

A

S sex=male
A age <19 or >45
D depression
P previous attempt
E ethanol
R rational thinking loss
S social supports lacking
O organized plan
N no partner
S sickness (major or chronic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Assessing for suicide

A

-ways and means
-plan
-intent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

tx for suicide

A

-safety considerations
-imminent risk=inpatient
-otherwise outpatient psychotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

psychopharm for suicide

A

-antidepressants (SSRI/SNRI, tricyclics, MAOIs)
-PRNs (sleep, anxiety)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Non-pharm tx

A

-ECT
-CBT
-DBT
-ACT
-TMS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

mania and depression cycles in bipolar are usually

A

slow to change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

mania s/s (8)

A

-pressured speech
-hyperactivity
-insomnia
-risky behavior
-poor inhibition
-implulse control
-disorderly conduct
-hypersexuality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

nursing considerations for bipolar

A

-safety
-milieu management
-compliance
-social interactions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

other considerations for bipolar

A

-sleep
-nutrition
-skin integrity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

inpatient psychopharm mood stabilizers (5)

A

-lithuim
-depakote
-tegretol
-abilify
-latuda

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

depakote/valproic acid forms

A

-pill
-liquid
-beads in caps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

depakote / valproic acid class

A

anticonvulsant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

depakote / valproic acid pt. concerns

A

-weight gain
-sexual dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

valproic acid normal levels

A

50-100 mcg/mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

lithium (4)

A

-effective mood stabilizer
-can cause kidney damage
-narrow therapeutic index
-risk for toxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

s/s lithium toxicity

A

-fine tremor
-n/v
-abd pain
-bloating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

s/s lithium toxicity s/s moderate - severe

A

-coarse tremors
-twitching / jerking movements
-altered mental status
-ataxia
-seizures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

key considerations

A

-mild toxicity sx while pt tapering up
-do not d/c if lab range is low
-if pt. stops taking, restart regiment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

lithium range

A

0.6 - 1.2 mEq/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

ideal lithium level is

A

1.0 mEq/L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

3 classes of antidepressant

A

-SSRI/SNRI
-tricyclics
-MAOIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

SSRIs/SNRIs

A

-ex. escitalopram, Prozac
-Serotonin syndrome
-4-6 weeks to see effects
-suicide risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

Tricyclics

A

risk for orthostatic hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

MAOIs

A

-avoid foods with tyramine (smoked, fermented, aged foods or drinks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

benzodiazepines (4)

A

-risk for addiction
-anxiolytic effect
-CNS depression
-detox if stopped

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

Mood disorders (3)

A

-Bipolar (I or II)
-Depression
-Mania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

-Bipolar I

A

-mania and depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

Bipolar II

A

-hypomania with more pronounced depression than bipolar I

67
Q

Depression first priority

A

safety risk

68
Q

Mania (3)

A

-psychotic component
-way too much energy
-poor sleep

69
Q

Meds for alcohol detox

A

-benzos
-comfort meds

70
Q

Meds for after alcohol detox

A

-antabuse
-naltrexone
-acomprosate

71
Q

opioid detox

A

-not deadly
-if using, pupils dilated, hypotension, bradycardia
-detox = comfort meds
-can use methadone, suboxone, subutex

72
Q

eating disorders

A

-bulimia
-anorexia

73
Q

bulimia s/s

A

-vomiting
-tooth decay
-Russell’s sign
-assess F+E
-assess safety
-may not have weight change

74
Q

anorexia s/s

A

-minimal intake
-assess F+E
-low weight

75
Q

Personality disorders: Cluster A

A

-antisocial (no remorse)
-schizotypal (positive symptoms)
-schizoid (negative symptoms)

76
Q

Personality disorders: Cluster B

A

-borderline (risk for self-harm, assess for suicidal ideation/safety)

77
Q

Personality Disorders Cluster C

A

-avoidant
-dependent

78
Q

Personality disorder tx

A

-CBT
-DBT
-Behavioral therapies
-Meds don’t work

79
Q

neurodevelopmental

A

-assess in childhood
-performance in school
-ADHD (treat w/ uppers)
-Autism spectrum (levels of severity)
-dyslexia (poor academic performance)
-tourette’s (tics, verbal tics (shouting, swearing)

80
Q

neurocognitive: delerium

A

-goes away
-treat underlying cuse

81
Q

neurocognitive: dementia

A

-degenerative
-does not go away
-optimize functioning
-monitor for safety

82
Q

neurocognitive considerations

A

-ADLs
-caregiver strain
-paradoxical effects of benzos/sleep meds

83
Q

personality disorders are on what DSM axis

A

2: not usually primary disorders; usually with something else

84
Q

how personality develop (4)

A

-hitting developmental milestones (trust vs. mistrust to get needs met)
-environment
-family dynamics or lack thereof
-socialization

85
Q

risk factors for personality disorders (5)

A

-missing milestones
-bad environment
-family disruption
-abuse
-poor socialization

86
Q

Personality disorders: Cluster A are generally ________

A

odd/eccentric

87
Q

Personality disorders: Cluster A disorders listed (3)

A

-paranoid personality disorder
-schizoid personality disorder
-schizotypal personality d/o

88
Q

-paranoid personality disorder characteristics

A

-distrust
-poor relationship forming
-suspicious
-doubting loyalty

89
Q

*schizoid personality disorder characteristics

A

-negative sx of schizophrenia
-detachment
-poor relationships
-social avoidance

90
Q

schizotypal personality disorder characteristics

A

-positive sx of schizophrenia
-flight of ideas
-odd beliefs
-eccentric behaviors

91
Q

Personality disorders: Cluster B are generally _________

A

dramatic, emotional, erratic

92
Q

Personality disorders: Cluster B listed (4)

A

-antisocial personality d/o
-borderline personality d/o
-histrionic personality d/o
narcistic personality d/o

93
Q

*antisocial personality d/o

A

-serial killers
-no remorse for actions
-rebellious to authority
-deceitfulness

94
Q

*borderline personality d/o

A

-instability, impulsivity, poor relationships
-self harm, suicidal ideation
-identity disturbance
-fear of abandonment

95
Q

*histrionic personality d/o

A

-overly emotional responses
-attention seeking
-poor relationship boundaries

96
Q

*narcissistic personality d/o

A

-grandiosity
-need for admiration
-entitlement
-lack of empathy

97
Q

Personality disorders: Cluster C general characteristics

A

anxious, fearful

98
Q

Personality disorders: Cluster C listed (3)

A

-avoidant personality d/o
-dependent personality d/o
-obsessive compulsive d/o

99
Q

Avoidant personality d/o

A

-social inhibition
-fear of criticism, rejection
-feelings of inadequacy in social settings

100
Q

*dependent personality d/o

A

-need to be taken care of
-fear of separation
-seeks nurturing from others

101
Q

obsessive compulsive d/o

A

-perfectionism
-compulsive/obsessive thoughts
-hoarding

102
Q

Personality d/o tx (5)

A

-not meds
-cbt
-dbt
-behavioral therapies
-supportive therapies (maybe prn med)

103
Q

nursing approach for cluster A (trouble relating to others)

A

empathetic; help clients process feelings and emotions they cannot share with others

104
Q

cluster B personality d/o (others may shun their dramatic behaviors)

A

empathetic; help client process their needs while setting boundaries

105
Q

cluster C personality d/o (trouble taking on responsibilities that lead to success due to fear)

A

empathetic; decrease anxiety by suggesting coping skills; empower clients

106
Q

personality disorder nursing priorities

A

-safety
-monitoring for self-harm
-suicide assessment
-social safety
-dangerous (antisocial) behavior
-provocation of violence
-poor boundaries

107
Q

disruptive behavior disorders

A

-group of conditions
-poor impulse control
-poor self-control of emotions
-aggression
-disruption
-endanger self or others

108
Q

disruptive behavior disorder list (6)

A

-impulse control d/o
-oppositional defiant d/o
-intermittent explosive d/o
-conduct d/o
-kleptomania
-pyromania

109
Q

trends in disruptive behavioral d/o

A

-typically seen in children
-often classified as temperament
-require behavioral tx

110
Q

neurodevelopmental disorders

A

-motor and tic disorders
-intellectual disabilities
-adhd
-autism spectrum disorder
-language communication disorders

111
Q

adhd characteristics

A

-inattention
-hyperactivity
-impulsivity

112
Q

adhd: inattention

A

-unable to concentrate, easily distracted, short attention span
-unable to follow instructions
-difficulty organizing

113
Q

adhd: hyperactivity

A

-unable to sit still
-fidgeting
excessive physical movement, talking, or interrupting

114
Q

adhd: impulsivity

A

-acting w/out thinking
-lack of regard for consequences
-no sense of danger, frequently getting injured

115
Q

adhd etiology

A

-genetics
-environment (low birth weight, prenatal exposure to alcohol or tobacco)

116
Q

adhd comorbidities

A

-learning disabilities
-epilepsy
-children (ODD, conduct disorder)
-Adolescents and adults (substance use d/o, sleep d/o, anxiety d/o, somatic conditions)

117
Q

adhd problems across the lifespan

A

-problems w/ school/learning
-problems w/relationships
-problems at work
-may manifest as anxiety or depression

118
Q

cognitive signs of learning disability

A

-spelling same word differently in same assignment
-trouble with open-ended ? on test
-poor reading and language comprehension
-weak memory skills
-difficulty adapting skills from one setting to another
-slow work pace
-difficulty grasping concepts
-inattention to details
-excessive focus on details
-frequent misreading / misinterpretation of info
-trouble filling out applications or forms
-easily confused by instructions
-poor organizational skills
mental health problems like depression or anxiety

119
Q

behavioral signs of learning disability

A

-not wanting to go to school
-complaining about the teacher
-reluctance to engage in reading/writing activities
-saying work is to hard
-not wanting to show you schoolwork
-avoiding assignments/ homework
-saying negative things about academic work, own intellect
-disobeying teacher’s directions
-frequent misreading/ misinterpretation of info
-cutting class, skipping school (teens)
-bullying

120
Q

dyslexia related difficulties in preschoolers (6)

A

-recognizing letters and sounds
-word pronunciation
-learning new vocabulary
-learning the alphabet
-learning the days of the week
-rhyming

121
Q

dyslexia related difficulties in school aged (6)

A

-spelling rules and letter placement
-remembering facts or numbers
-handwriting
-learning new skills
-reading
-following sequences

122
Q

dyslexia related difficulties in adolescence and adulthood (6)

A

-reading at grade level
-understanding jokes, idioms, expressions
-organizing and time management
-learning a foreign language
-memorization
-summarizing a story

123
Q

ASD characterisitics

A

-marked by significant social, communication, and behavioral deficits
-ASD are a group of developmental disabilities ranging from very mild to very severe
-hallmark signs include rocking, flapping hands, spinning

124
Q

ASD level 1

A

-needs some support
-sometimes just awkward or asocial
-change is difficult, thrives on routine
-fidgets can be seen as quirky or annoying to others
-sometimes perceived as lazy or insecure

125
Q

ASD level 2

A

-needs more support
-most people can tell they have a disability
-don’t engage socially
-doesn’t handle change well
has repetitive behaviors that are noticeable
-is developmentally delayed

126
Q

ASD level 3

A

-everyone can tell there is a disability
-doesn’t communicate, except when necessary
-any change to routine is nearly impossible
-repetitive behavior helps client stay calm
-major developmental delays/ missed milestones

127
Q

ASD etiology

A

-genetics (linked to specific inherited genes or de novo mutations)
-environment
-advanced parental age
-no evidence it is related to immunizations

128
Q

ASD across the lifespan

A

-behavioral issues may worsen with age
-limited social life
-unemployment / underemployment

129
Q

ID DSM definition

A

disorder with onset during the developmental period that includes both intellectual and adaptive functioning deficits in conceptual, social, and practical domains; may be mild, moderate, severe, or profound

130
Q

mild ID

A

-85% of identified cases
-can learn to read, write, and perform math skills at a 3rd to 6th grade level; usually able to work and live independently

131
Q

moderate ID

A

-10% of identified cases
-usually able to learn to read and write at a basic level, perform basic life skills; often requires assistance working or living independently

132
Q

severe ID

A

-5% of identified cases
-likely not able to read or write, but able to perform some basic living skills; requires supervision in daily activities

133
Q

Profound ID

A

-1% of identified cases
-usually able to communicate verbally or non-verbally to some degree; needs extensive support and usually has coexisting medical conditions that

134
Q

ID etiology

A

-genetic disorders (Down’s Syndrome, Fragile X, other genetic mutations)
-environmental factors (pre/post natal infections, exposures to toxins, nutritional deficiencies

135
Q

3 types of communications d/o

A

-receptive
-social
-expressive

136
Q

Communication d/o etiology

A

-most have no known etiology
-possible genetic links
-boys 2-3x more likely to stutter (can be an anxiety component)

137
Q

motor movement d/o listed (3)

A

-developmental coordination disorder
-stereotypic movement disorder
-tic disorder

138
Q

developmental coordination disorder

A

lack of appropriate motor skills

139
Q

stereotypic movement d/o

A

repetitive Non purposeful movements

140
Q

tic d/o described

A

-characterized by fast, unanticipated, nonrhythmic movement or vocalizations
-motor tics (shaking, copyig others’ movements, obscene gestures, blinking
-vocal tics (throat clearing, echolalia (repeating others’ words/phrases), pallia (repeating self constantly), copropraxia (cursing)

141
Q

types of tic d/o

A

-provisional: one or more motor and/or vocal tics for less than 1 year prior to 18 y.o.
-persistent: chronic; single or multiple motor or vocal tics must be present for 1 year and prior to 18 y.o.
-Tourette syndrome: most severe tic disorder; multiple motor and a vocal tic, must persist for one year and must be present prior to age 18

142
Q

Cognitive disabilities defined

A

confirmation by both clinical assessment and individualized, standardized intelligence testing of deficiencies in intellectual fx

143
Q

possible aspects of cognitive disabilities

A

-reasoning
-problem solving
-planning
-abstract thinking
-judgment
-academic learning
-learning from experience

144
Q

cognitive disabilities alternate definition

A

deficiencies of adaptive functioning that do not meet developmental and sociocultural standards of daily function and social responsibility

145
Q

learning d/o def.

A

difficulties learning and using academic skills, with at least one of the following difficulties having persisted for at least 6 months despite interventions

146
Q

aspects of learning difficulties

A

-pronunciation of words
-reading comprehension
-spelling; written expression
-mastering number sense, number facts, calculation, or mathematical reasoning
-academic skills below expectations for grade or age and interfere with academic or occupational performance or ADLs
-may begin during school-age years but not be fully apparent until later years or w/ standardized testing
-no evidence of ID, uncorrected vision/hearing problems, other mental/neuro d/o, psychosocial adversity, lack of proficiency in language of instruction, or inadequate educational instruction

147
Q

ADHD DSM-5 criteria

A

-persistent pattern (at least 6 months) of inattention and/or hyperactivity-impulsivity that interferes with functioning, development, social activities, or other activities
-inattention to details
-difficulty maintaining attention span
-appears not to listen when spoken directly
-shows a lack of follow through with instructions, organizations, or other tasks
-easily loses necessary items
-easily distracted, forgetful in daily activities
-dislikes tasks that require concentration
-manifestations are present in two or more settings and are apparent before the age of 12, and interfere with, or reduce the quality of social, academic, or occupational fx
-manifestations are not better explained by another mental d/o, including psychotic d/o, such as schizophrenia

148
Q

motor d/o: stereotypic: criteria

A

-movements that are repetitive, driven, and seemingly w/out purpose
-behavior interferes w/social, academic, occupational, or other fx and possibly results in self-injury
-onset occurs in the child’s early developmental period
-no evidence of substance abuse, a neuro condition, or other d/o that may cause similar sx

149
Q

nurse’s role

A

-therapeutic relationship (Peplau’s phases: orientation, working, resolution)
-holistic, person-centered care (manage illness, promote health/well-being, prevent further illness, monitor for abuse)
-advocacy (reduce stigma, focus on strengths)
-teaching (illness, medications, plan of care)

150
Q

nurse’s role ID or learning disabilities

A

-cognitive -based communication
-focus on strengths

151
Q

nurse’s role communication d/o

A

-assess for barriers
-create alternative communication strategies

152
Q

nurse’s role autism spectrum d/o

A

-appropriate screening
-liaison to community services

153
Q

nurse’s role ADHD

A

advocacy

154
Q

Tic d/o

A

-maintain client dignity
-educate client, family, public

155
Q

Recognize Cues

A

-comprehensive assessment
-standardized developmental screenings at well child visits (milestones)
-autism screening at 18 and 24 months or when concerns raised
-observations of mental, behavioral, physical performance in play and school settings
-history of head injury, trauma, or severe emotional stress

156
Q

Erickson: Crisis and Virtue: infancy

A

C: trust vs. msitrust
V: hope

157
Q

Erickson: Crisis and Virtue: early childhood

A

C: autonomy vs shame/doubt
V: will

158
Q

Erickson: Crisis and Virtue: preschool

A

C: initiative vs. guilt
V: purpose

159
Q

Erickson: Crisis and Virtue: school age

A

C: industry vs. inferiority
V: competency

160
Q

Erickson: Crisis and Virtue: adolescence

A

C: identity vs. confusion
V: fidelity

161
Q

Erickson: Crisis and Virtue: young adult

A

C: intimacy vs. isolation
V: love

162
Q

Erickson: Crisis and Virtue: middle adult

A

C: generativity vs. stagnation
V: care

163
Q

Erickson: Crisis and Virtue: mature

A

C: integrity vs. despair
V: wisdom

164
Q
A

Nur 422 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions