Nursing 107 Final Exam Questions With All Complete And Verified Answers.

Nursing Process - Correct Answersa variation of scientific reasoning Five steps of nursing process - Correct AnswersA- assessment D-diagnosis P- planning I- intervention E- evaluation Assessment - Correct Answersis the deliberate and systematic collection of information about a patient Nursing assessment has two steps: - Correct AnswersCollection and verification of data Analysis of all data The purpose of the assessment is to: - Correct Answersestablish a database of patient information. What are the 2 Comprehensive assessment approaches? - Correct Answersa structured database format, problem-focused approach A structured database format is: - Correct Answersbased on an accepted theoretical framework or practice standard A problem-focused approach begins with: - Correct Answersproblematic areas, and then you follow up with questions to clarify and expand on the patient's condition. A cue is: - Correct Answersinformation that you obtain through use of the senses. An inference is: - Correct Answersyour judgment or interpretation of those cues Types of data: - Correct AnswersSubjective, objective Subjective data are your patients': - Correct Answersverbal descriptions of their health problems Objective data are: - Correct Answersobservations or measurements of a patient's health status Sources of data: - Correct Answerspatient (interview, observation, physical examination)—the best source of information family and significant others (obtain patient's agreement first) Health care team Medical records Other records and the literature The interview with the patient is a: - Correct Answerspartnership Always prepare for an interview with two steps: - Correct Answerscollect patient information, prepare the setting An interview has three phases: - Correct Answersorientation phase, working phase, termination phase Validation of assessment data consists of: - Correct Answerscomparison of data with another source to determine accuracy of the data the last component of a complete assessment includes: - Correct AnswersData documentation and communication Observation, reporting, and recording of a patient's status is a: - Correct Answerslegal and professional responsibility A nursing diagnosis is a: - Correct Answersclinical judgment about individual, family, or community responses to actual and potential health problems or life processes that the nurse is licensed and competent to treat A medical diagnosis is the: - Correct Answersidentification of a disease condition based on an evaluation of physical signs, symptoms, history, and diagnostic tests and procedures. What makes a nursing diagnostic process unique is having patients involved, when possible, in the process A collaborative problem is an: - Correct Answersactual or potential physiological complication that nurses monitor to detect the onset of changes in a patient's status. When collaborative problems develop, nurses intervene in collaboration with personnel from other health care disciplines, such as social workers and dietitians NANDA International (NANDA-I) has developed a: - Correct Answersmodel for organizing nursing diagnoses for documentation, auditing, and communication purposes A concept map promotes: - Correct Answerscritical thinking because you identify, graphically display, and link key concepts by organizing and analyzing information The Quality and Safety Education for Nurses (QSEN) project was developed to meet the challenge of: - Correct Answerspreparing future nurses to have the knowledge, skills, and attitudes needed to continuously improve the quality and safety of the health care systems where they work The QSEN safety competency requires you to: - Correct Answersminimize risk of harm to patients and providers through both system effectiveness and individual performance Evaluation of a patients plans has what criteria? - Correct Answersreview and summary of goals met/unmet Orientation phase when meeting a patient is: - Correct Answers"getting to know you" phase The American Nurses Association's (ANA's) Nursing: Scope and Standards of Practice (2010) includes the concept of: - Correct Answerssafety, stating that nurses will implement nursing interventions competently in a safe and appropriate manner The ANA Code of Ethics includes: - Correct Answerssafety issues, describing a nurse's responsibility to promote, advocate for, and strive to protect the health, safety, and rights of patients Regulatory agencies such as TJC and the Occupational Safety and Health Administration (OSHA) define: - Correct Answersstandards and guidelines related to safety in health care settings Legislation to protect patient privacy for health information, the Health Insurance Portability and Accountability Act (HIPAA): - Correct Answersgoverns all areas of health information management, including reimbursement, medical record coding, security, and patient record management St. John's wort (Hypericum perforatum) - Correct AnswersOver the counter herbal remedy sold for the treatment of mild to moderate depression People taking MAOI's must follow strict dietary restrictions to avoid serious adverse reactions. Certain substances in aged and fermented foods are toxic when combined with and MAOI. These foods are: - Correct AnswersNo salami, soy sauce, aged cheeses, red wine, or smoked meats. These are high in tyramine Treatment for serotonin syndrome include: - Correct Answersbenzodiazepines for agitation and muscle stiffness, periactin that blocks serotonin production, fluids by IV, and withdrawal of medications that caused the syndrome Serotonin Syndrome occurs when: - Correct Answersthe body has too much serotonin usually caused by the patient taking over the counter meds with SSRI's or SSNI's Serotonin Syndrome symptoms include: - Correct Answersagitation, diarrhea, tachycardia, hallucinations, hyperthermia, loss of coordination, and changes in blood pressure Bipolar II Disorder - Correct AnswersRecurrent bouts of major depression Episodic occurrences of hypomania Has not experienced an episode that meets the full criteria for mania or mixed symptomatology Bipolar 1 Disorder - Correct AnswersIndividual is experiencing, or has experienced, a full syndrome of manic or mixed symptoms. May also have experienced episodes of depression. Anxiety : - Correct Answersincreased norepinephrine, decreased GABA Gamma -aminobutyric acid (GABA) is an - Correct Answersinhibitory neurotransmitter Neurotransmitters: - Correct Answersdopamine, serotonin, norepinephrine Depression: - Correct Answersdecreased norepinephrine and serotonin Schizophrenia : - Correct Answersexcessive dopamine and norepinephrine and change in ratio of dopamine to serotonin Neuronal signaling: - Correct Answerssignals transmitted from the presynaptic neuron to postsynaptic neuron neurotransmitters carry the signal the signal causes physiologic responses which influence behavior different receptors respond to different neurotransmitters once they get to the other side, either: a) sent back to presynapse for storage or use b) metabolized and excreted Antipsychotics are: - Correct Answersmajor tranquilizers Antipsychotics are generally used for conditions characterized by altered mental status and disturbed thought processes, like: - Correct Answersparanoid thinking, disorganized speech, delusions, hallucinations Antipsychotics with high potency: - Correct AnswersHaloperidol (Haldol), Fluphenazine (Prolixin), Pimozode (Orep) for Tourette's Antipsychotics with low potency: - Correct AnswersChlorpromazine (Thorazine), Thioridazine (Mellaril) Second generation antipsychotics (atypical) - Correct AnswersRisperidone (Risperdal), Olazepine (Zyprexa), Quetiapine (Seroquel), Aripiprazole (Abilify) Dystonia : - Correct Answersinvoluntary muscle contractions of head, neck, face, difficulty swallowing, opening mouth, moving tongue Akathisia : - Correct Answersextreme uncontrollable restlessness, "has to move", pacing Parkinsonism : - Correct Answersmuscular rigidity, tremors, pill-rolling, akinesia - difficulty in initiating movements, mask-like facies, drooling, shuffling Antipsychotics: Phenothiazines: Thorazine and Mellaril - Correct AnswersAction : block dopamine receptors likely to produce extrapyradial symptoms : (EPS) MAO : an enzyme that: - Correct Answersbreaks down dopamine, norepinephrine and serotonin Pt MUST be willing to comply with dietary restrictions (not easy!) and watch out for drugs containing amines when taking what antidepressant class? - Correct AnswersMAOI's Lithium is used for: - Correct Answerssevere fluctuation of mood-BPD Narrow safety margins for Lithium are: - Correct Answers1.0-1.2 Narrow safety margin considered toxic in Lithium levels are at: - Correct Answers1.5 When using Lithium you must: - Correct Answerscheck levels 2x/ week initially and then weekly 3 months of Lithium is considered: - Correct Answerslong term use True or False. The location of an ostomy determines stool consistency. - Correct Answerstrue True or False. An ileostomy bypasses the entire lare intestine, creating frequent liquid stools. - Correct Answerstrue True or False. A person with sigmoid colostomy has a more formed stool. - Correct Answerstrue Which were the first antidepressants used? What class? - Correct AnswersMAOI's for a patient with atypical depression, what class of antidepressants do you prescribe? - Correct AnswersMAOI's for a patient who has fatigue, which antidepressant drugs can you use? - Correct Answersa drug that cause CNS stimulation, fluoxetine (SSRI), or bupropion (atypical antidepressant) for a patient with insomnia, choose an antidepressant drug that causes substantial sedation: - Correct Answersmirtrazapine (atypical antidepressant) cause substantial sedation for a patient with sexual dysfunction, choose an antidepressant drug that enhances libido: - Correct Answersbupropion (atypical antidepressant) enhances libido for a patient with chronic pain choose an antidepressant drug that can relieve chronic pain? - Correct Answersduloxetine (SNRI) or a TCA a mood disorder is related to a person's: - Correct Answersemotional tone a depressive disorder is an illness that involves the: - Correct Answersbody, mood, thoughts major dep