Test 2 Fundamentals Study Guide

Question 0

Cutaneous papillomas

Answer 0

Skin tag

Question 1

Senile Lentigo

Answer 1

Hyperpigmentation or age spots

Question 2

Soborrheic keratosis

Answer 2

Skin growth benign not cancerous middle aged and elderly

Question 3

Lawrence Kohlberg

Answer 3

Developed a theory of moral development three levels preconventional reasoning conventional reasoning and postconventional reasoning

Question 4

Jean Piaget

Answer 4

a psychologist you developed a theory about how children learn. Piaget stressed two principles that allow this to happen one organization we try to make sense of the world and two adaptation we discover new information and just were thinking patterns.

Question 5

Care of hearing aids

Answer 5

Store in case to prevent damage and avoid accumulation of dust and dirt when not in use. Clean daily with soap and water to prevent buildup of wax and debris. Do not submerge the hearing aid and water.

Question 6

Heat prostration

Answer 6

Heat exhaustion

Question 7

Chronic obstructive pulmonary disease

Answer 7

Not a single disease but a group of three commonly occurring respiratory disorders asthma emphysema and chronic bronchitis although they may appear independently these disorders usually occur in a combination COPD is a common in people who have had a history of smoking and have had high-level of exposure to environmental pollutants.

Question 8

Reminence interviews

Answer 8

It helps resolve conflicts and enables older adults to cope with the present and future and to go on with their life and living.

Question 9

Nursing process

Answer 9

Assessment diagnosis planning implementation and evaluation

Question 10

Interdependent nursing action

Answer 10

An action that comes from collaborative care planning

Question 11

Implementation NFLPN nursing standards

Answer 11

Goals include 1) observing, Recording and reporting significant changes which for choir intervention or different goals 2) applying nursing knowledge and skills to promote and maintain help prevent disease and disability and to optimize functional compatibilities of individual patient. 3) assisting the patient and family with activities of daily living in encouraging self-care is appropriate. 4) caring out there. Regimens and protocols prescribed by personnel pursuant to authorize state law

Question 12

Evaluation NFLPN nursing standards

Answer 12

1) relevance of current goals in relation to the progress of the individual patient. 2) The involvement of the recipients of care in the evaluation process. 3) The quality of the nursing action in the implementation of the plan. 4) A reordering of priorities or new goalsetting in the care plan

Question 13

Standard steps for all nursing procedures (beginning of procedure)

Answer 13

Step 1) perform the task according to protocol 2) check the orders collect the equipment and supplies and perform hand hygiene
3) identifying prepare the patient 4) provide privacy and Institute safety precautions arrange the supplies and equipment

Question 14

Standard steps for all nursing procedures (during the procedure)

Answer 14

1) Use standard precautions and aseptic technique is appropriate.

Question 15

Standard steps for all nursing procedures (end of procedure)

Answer 15

1) Remove gloves and other protective equipment 2) restore the unit collecting use equipment dispose of clean and store items in the proper places 3) Recording report the procedure

Question 16

Babinski reflex

Answer 16

Occurs in infants when the soul the foot is caressed

Question 17

Eriksons developmental therapy for educating children to read and write

Answer 17

Industry versus inferiority 6-11 important for kids to be able to read and write and impress peers that you not feel inferior.

Question 18

What hormone and what part effects the girls puberty

Answer 18

The pituitary hormone follicle-stimulating hormone FSH stimulates ovaries to produce estrogen hormones.

Question 19

What hormone and what parts are affected and the boys puberty

Answer 19

A little later than girls the pituitary hormone interstitial self stimulating hormone ICSH activate the testes to produce testosterone FSH also from the pituitary stimulates the testes to begin producing sperm

Question 20

Pernicious anemia

Answer 20

Pernicious anemia (per-NISH-us uh-NEE-me-uh) is a condition in which the body can’t make enough healthy red blood cells because it doesn’t have enough vitamin B12.

Question 21

Myopia

Answer 21

Nearsightedness can see close but far is blurry

Question 22

Discharge

Answer 22

Process that begins at the time of admission. Plan requires looking ahead to meet the patients ongoing needs at home. Patient must be taught how to care for himself at home.

Question 23

Autonomy

Answer 23

In Erickson second stage of development interdependence develops as children learn to be themselves and do other things without help. 18 months to 3yrs

Question 24

Bonding in infants

Answer 24

Sense of attachment between two people love grows during the first three months physical contact caring and familiarity are the important aspects and bonding by five or six months the babies ready to include other people and relationships.

Question 25

Associative play

Answer 25

Children play together sharing toys and activities and communicating ages two and on.

Question 26

Solitary play

Answer 26

Children play alone ages one year and on.

Question 27

Parallel play

Answer 27

Children play next to each other but with little interaction 18 months to three years

Question 28

Nursing diagnosis with highest priority

Answer 28

Physiologic needs for basic survival take presidence. The first rules concerning priorities of care is the airway always comes first without adequate airway the patient will die very quickly circulation usually the next priority failure of the heart and loss of too much blood will also quickly cause death therefore the nurse consult with them involve the patient determine the priority of needs.

Question 29

Physical assessment inspection

Answer 29

To look

Question 30

Physical assessment auscultation

Answer 30

To listen

Question 31

Physical assessment palpation

Answer 31

To feel touch

Question 32

Physical assessment percussion

Answer 32

Thumping

Question 33

Nursing diagnosis

Answer 33

Statement indicates the patient’s actual health status or the risk of the problem developing the causative or related factors and specific defining characteristics sign and symptoms.

Question 34

What factors increase the possibility of an adequate oxygenation and the rest respiratory tract infections and older adults?

Answer 34

The cilia movement inside the lungs decreases the airway and alveoli are less elastic and there is a decrease in the number of capillaries surrounding the alveoli which interferes with gas exchange. The lung tissue itself has decreased physical mobility And elasticity which can lead to increased pulling of secretions especially in the lower lobes

Question 35

Signs and symptoms of CHF congestive heart failure

Answer 35

1. dyspnea (shortness of breath)
2. Orthopnea (dyspnea at rest)
3. Coughing or wheezing with exertion or at rest
4. Fatigue weakness or generalized muscle weakness with minimal exertion.
5. Edema
6. Weight gain

Question 36

Nursing violations of criminal law

Answer 36

These can result if nurse was involved in Drug diversion and patient abuse intentional death or mercy killing.

Question 37

Purpose of documentation

Answer 37

Documentation provides a written record of the history treatment care and response of the patient while under medical and nursing care. It justifies claims for reimbursement maybe uses evidence of care in the court of law and shows the use of nursing process and provides data for quality assurance studies

Question 38

ISBAR-R stands for?

Answer 38

Introduction situation background assessment recommendation Read back

Question 39

A major task a 2 to 3 year old boy accomplishes is to learn to?

Answer 39

Use the toilet for bladder and bowel functions

Question 40

A nine-year-old admitted during the night to the pediatric unit from the operating room after having appendix removed has an intervening a solution running into a vein and dressings covering his operated spot his parents went home after he was asleep when he wakes up he’s upset and crying the nurse should?

Answer 40

Help the child recall the events of the previous day explained that his mother will be back later this morning and assess his need for pain medication.

Question 41

Egocentrism is a personality trait that is demonstrated by which of the following children?

Answer 41

A two-year-old who hits and take all the toys

Question 42

And that is crying frequently the nurse conforts the infant by providing a pacifier according to Sigmund Freud psychosexual stages of development the input is in what stage?

Answer 42

Oral

Question 43

A patient states that he requires the use of reading glasses the patient is experiencing?

Answer 43

Presbyopia- hard to focus on close objects

Myopia- is nearsightedness

Cataracts- clouding of eye

Question 44

During a clinic visit of a 30-year-old woman the nurse would teach the importance of?

Answer 44

Annual examinations by her physician mammograms as indicated from the physical examination.

Question 45

Which of the following statement is true about old people?

Answer 45

The optimistic happy person generally lives longer

Question 46

Nursing students in their first visit to a nursing home are assigned to an older resident with him they Reminence in an interview regarding the residence life story the value of this activity is that?

Answer 46

It can affirm the positives of the residence life and lead to ego integrity for the resident.

Question 47

A client with a history of heart failure has pitting edema which of the best ways to assess pitted Medina?

Answer 47

Press fingers into the tissue over the tibia about the ankle.

Question 48

The nurse is assigned to care for client with a history of congestive heart failure and hypertension before starting the physical assessment he first?

Answer 48

Washes his hands

Question 49

A client was admitted with possible head trauma after motor vehicle accident the nursing implementation with the highest priority is to?

Answer 49

Check for verbal and motor response

Question 50

The nurse can provide continuity for the demented patient in a general hospital setting by?

Answer 50

Assigning the same personnel everyday for care

Question 51

The nurse approaching a patient who has profound hearing loss should?

Answer 51

That’s the patient on the hand to gain attention

Question 52

The nurse explained that emphysema is a chronic obstructive pulmonary disease characterized by the pathophysiology of?

Answer 52

Over inflation of the alveoli making them ineffective for gas exchange

Question 53

The nurse assesses the stage one pressure ulcer on adult Coccyx by the appearance of a?

Answer 53

Non blanch able area of erythema

Question 54

Capillary refill

Answer 54

Pressing on the nailbeds used to monitor dehydration and amount of blood flow to tissues

Question 55

Heat injuries in the elderly

Answer 55

Their body is less able to adapt to temperature changes

Question 56

Clinical pathway or care maps

Answer 56

Contain the actions to be carried out by all healthcare professionals involved in the patient’s care anything managed-care tool and is used to speed a patient’s recovery as quickly and cost-effectively as possible.

Question 57

Construction of the nursing care plan

Answer 57

Involves assessing the patient analyzing the data identify nursing problems prioritizing the problems deciding on goals writing expected outcomes and choosing interventions. after the plan is implemented the outcomes of interventions are evaluated and the plan is revised as needed