NR 326 Exam 1 Preparation Newest
Exam
Individual risk factors for violence - <<<<CORRECT ANSWERS>>>Impaired physical
and/or mental health
Use or misuse of substances or alcohol abuse
Migration, acculturation
Unemployment
Economic stress
Common Co-Morbid Conditions
and Injuries for violence - <<<<CORRECT ANSWERS>>>Traumatic brain injury in
children <1 year old
Shaken baby syndrome
Learning disabilities, blindness, seizure, paralysis
Abdominal injuries may include internal bleeding
Burns from scalding water
Burns with stocking or circular pattern
Primary Prevention for violence - <<<<CORRECT ANSWERS>>>Education is designed
to reduce the rates of violence:
- Lifespan
- Various forms of violence
Focus on individual, community, and societal changes
Screening for violence - <<<<CORRECT ANSWERS>>>- Intimate Partner Violence
- Sexual Violence Victimization Assessment Instruments for Use in Healthcare Settings
Passive behavior - <<<<CORRECT ANSWERS>>>Subordinates own rights to his or
her perception of the rights of others
Assertive behavior - <<<<CORRECT ANSWERS>>>Conveys a sense of self-
assurance and communicates respect for others
Aggressive behavior - <<<<CORRECT ANSWERS>>>Ignores the rights of others-
results in verbal or physical attack
Understanding Violence - <<<<CORRECT ANSWERS>>>- Result of extreme anger or
fear.
- Anger occurs as response to perceived threat.
,- Non-fatal assaults more common in service industries.
Biopsychosocial theories of violence - <<<<CORRECT ANSWERS>>>Biologic theories
- Imbalances of hormones
- Neurotransmitters
Genetic abnormalities
Neurophysiologic injuries
- Trauma
- Anoxia
- Metabolic imbalance
- Encephalitis
- Organic brain injury
Psychosocial theories
- Psychological
- Sociocultural
Behavioral theory
- Learned behavior
Aggression and the Brain: Hypothalamus - <<<<CORRECT ANSWERS>>>Alarm
system, controls pituitary function
A patient has been prescribed a selective serotonin reuptake inhibitor (SSRI)
antidepressant. After taking the new medication, the patient states, "This medication
isn't working. I don't feel any different." What is the best response by the nurse? -
<<<<CORRECT ANSWERS>>>"It usually takes a few weeks for you to notice
improvement from this medication."
- Seeing a response to antidepressants takes 3 to 6 weeks
A patient coming to the health clinic for a blood pressure check reports to the nurse that
she just does not have the energy to go out much in winter but looks forward to
gardening in summer. The nurse realizes that this patient is describing a major
symptom of what condition? - <<<<CORRECT ANSWERS>>>Seasonal affective
disorder
seasonal affective disorder - <<<<CORRECT ANSWERS>>>Decreased exposure to
sunlight in winter months can reduce the production of serotonin in the brain, leading to
a type of depression
- tends to resolve with the longer days and increased exposure to sun of spring and
summer
A patient who is at a health clinic with complaints of a sore throat is exhibiting signs of
depression. The nurse administers a basic screening for depression. What level of
prevention is the nurse performing? - <<<<CORRECT ANSWERS>>>Secondary
prevention
,Secondary prevention - <<<<CORRECT ANSWERS>>>aimed at early detection of
problems, I.e. identification of depression for early intervention
Primary prevention for mood disorders - <<<<CORRECT ANSWERS>>>focuses on
stress reduction and societal issues such as reducing poverty and racism
Tertiary prevention - <<<<CORRECT ANSWERS>>>aims to reduce disability from a
diagnosed condition; for mood disorders, this includes prevention of relapse and
protection from harm
A family member of a patient diagnosed with bipolar disorder asks what behaviors
would indicate the beginnings of a manic phase. What is the best response by the
nurse? - <<<<CORRECT ANSWERS>>>"The person may have excess energy, talk a
lot, feel restless, and spend too much money."
Signs that a person is cycling into a manic phase include - <<<<CORRECT
ANSWERS>>>sleeping and eating less and having increased energy and racing
thoughts, increased impulsivity, and increased spending behaviors
A patient has been admitted with major depressive disorder. What typical signs and
symptoms would the nurse expect to assess? - <<<<CORRECT ANSWERS>>>Poor
eye contact
Appetite changes
Slowed speech
Typical signs of depression include - <<<<CORRECT ANSWERS>>>sleep disturbance;
poor eye contact; loss of interest in events; guilt; decreased energy, speech, and
concentration; appetite changes; and slowed motor movements
Denial stage - <<<<CORRECT ANSWERS>>>In this stage, grieving people are unable
or unwilling to accept that the loss has taken (or will shortly take) place
- It can feel as though they are experiencing a bad dream, that the loss is unreal, and
they are waiting to "wake up" as though from a dream, expecting that things will be
normal
Anger stage - <<<<CORRECT ANSWERS>>>at the loss and the unfairness of it
They may become angry at the person who has been lost (or is dying). Feelings of
abandonment may also occur.
Bargaining stage - <<<<CORRECT ANSWERS>>>In this stage, people beg their
"higher power" to undo the loss, saying things along the lines of, "I'll change if you bring
her (or him) back to me".
, This phase usually involves promises of better behavior or significant life changes which
will be made in exchange for the reversal of the loss
Grief - <<<<CORRECT ANSWERS>>>subjective feeling and affect that follows a loss
- Powerful emotional state
- Universal reaction
- Involves stress, pain and suffering
Mourning - <<<<CORRECT ANSWERS>>>the process by which grief is resolved
Types of Grief - <<<<CORRECT ANSWERS>>>- Uncomplicated grief
- Complicated (dysfunctional) grief
- Anticipatory
- Disenfranchised
Depression stage - <<<<CORRECT ANSWERS>>>stage where they confront the
inevitability and reality of the loss and their own helplessness to change it
- During this period, grieving people may may cry, experience sleep or eating habit
changes, or withdraw from other relationships and activities while they process the loss
they have sustained
- People may also blame themselves for having caused or in some way contributed to
their loss, whether or not this is justified
Acceptance stage - <<<<CORRECT ANSWERS>>>where they have processed their
initial grief emotions, are able to accept that the loss has occurred and cannot be
undone, and are once again able to plan for their futures and re-engage in daily life
Situations That Precipitate Grieving - <<<<CORRECT ANSWERS>>>- Loss of body
parts, function
- Loss of status/groups
- Failures
- Changes
- Loss of home
- Loss of job, profession
- Loss of pets
Usual Pattern of Response to grief - <<<<CORRECT ANSWERS>>>- Shock and
disbelief
- Somatic distress
- Preoccupation
- Guilt
- Anger
- Change in behavior
- Reorganization
Exam
Individual risk factors for violence - <<<<CORRECT ANSWERS>>>Impaired physical
and/or mental health
Use or misuse of substances or alcohol abuse
Migration, acculturation
Unemployment
Economic stress
Common Co-Morbid Conditions
and Injuries for violence - <<<<CORRECT ANSWERS>>>Traumatic brain injury in
children <1 year old
Shaken baby syndrome
Learning disabilities, blindness, seizure, paralysis
Abdominal injuries may include internal bleeding
Burns from scalding water
Burns with stocking or circular pattern
Primary Prevention for violence - <<<<CORRECT ANSWERS>>>Education is designed
to reduce the rates of violence:
- Lifespan
- Various forms of violence
Focus on individual, community, and societal changes
Screening for violence - <<<<CORRECT ANSWERS>>>- Intimate Partner Violence
- Sexual Violence Victimization Assessment Instruments for Use in Healthcare Settings
Passive behavior - <<<<CORRECT ANSWERS>>>Subordinates own rights to his or
her perception of the rights of others
Assertive behavior - <<<<CORRECT ANSWERS>>>Conveys a sense of self-
assurance and communicates respect for others
Aggressive behavior - <<<<CORRECT ANSWERS>>>Ignores the rights of others-
results in verbal or physical attack
Understanding Violence - <<<<CORRECT ANSWERS>>>- Result of extreme anger or
fear.
- Anger occurs as response to perceived threat.
,- Non-fatal assaults more common in service industries.
Biopsychosocial theories of violence - <<<<CORRECT ANSWERS>>>Biologic theories
- Imbalances of hormones
- Neurotransmitters
Genetic abnormalities
Neurophysiologic injuries
- Trauma
- Anoxia
- Metabolic imbalance
- Encephalitis
- Organic brain injury
Psychosocial theories
- Psychological
- Sociocultural
Behavioral theory
- Learned behavior
Aggression and the Brain: Hypothalamus - <<<<CORRECT ANSWERS>>>Alarm
system, controls pituitary function
A patient has been prescribed a selective serotonin reuptake inhibitor (SSRI)
antidepressant. After taking the new medication, the patient states, "This medication
isn't working. I don't feel any different." What is the best response by the nurse? -
<<<<CORRECT ANSWERS>>>"It usually takes a few weeks for you to notice
improvement from this medication."
- Seeing a response to antidepressants takes 3 to 6 weeks
A patient coming to the health clinic for a blood pressure check reports to the nurse that
she just does not have the energy to go out much in winter but looks forward to
gardening in summer. The nurse realizes that this patient is describing a major
symptom of what condition? - <<<<CORRECT ANSWERS>>>Seasonal affective
disorder
seasonal affective disorder - <<<<CORRECT ANSWERS>>>Decreased exposure to
sunlight in winter months can reduce the production of serotonin in the brain, leading to
a type of depression
- tends to resolve with the longer days and increased exposure to sun of spring and
summer
A patient who is at a health clinic with complaints of a sore throat is exhibiting signs of
depression. The nurse administers a basic screening for depression. What level of
prevention is the nurse performing? - <<<<CORRECT ANSWERS>>>Secondary
prevention
,Secondary prevention - <<<<CORRECT ANSWERS>>>aimed at early detection of
problems, I.e. identification of depression for early intervention
Primary prevention for mood disorders - <<<<CORRECT ANSWERS>>>focuses on
stress reduction and societal issues such as reducing poverty and racism
Tertiary prevention - <<<<CORRECT ANSWERS>>>aims to reduce disability from a
diagnosed condition; for mood disorders, this includes prevention of relapse and
protection from harm
A family member of a patient diagnosed with bipolar disorder asks what behaviors
would indicate the beginnings of a manic phase. What is the best response by the
nurse? - <<<<CORRECT ANSWERS>>>"The person may have excess energy, talk a
lot, feel restless, and spend too much money."
Signs that a person is cycling into a manic phase include - <<<<CORRECT
ANSWERS>>>sleeping and eating less and having increased energy and racing
thoughts, increased impulsivity, and increased spending behaviors
A patient has been admitted with major depressive disorder. What typical signs and
symptoms would the nurse expect to assess? - <<<<CORRECT ANSWERS>>>Poor
eye contact
Appetite changes
Slowed speech
Typical signs of depression include - <<<<CORRECT ANSWERS>>>sleep disturbance;
poor eye contact; loss of interest in events; guilt; decreased energy, speech, and
concentration; appetite changes; and slowed motor movements
Denial stage - <<<<CORRECT ANSWERS>>>In this stage, grieving people are unable
or unwilling to accept that the loss has taken (or will shortly take) place
- It can feel as though they are experiencing a bad dream, that the loss is unreal, and
they are waiting to "wake up" as though from a dream, expecting that things will be
normal
Anger stage - <<<<CORRECT ANSWERS>>>at the loss and the unfairness of it
They may become angry at the person who has been lost (or is dying). Feelings of
abandonment may also occur.
Bargaining stage - <<<<CORRECT ANSWERS>>>In this stage, people beg their
"higher power" to undo the loss, saying things along the lines of, "I'll change if you bring
her (or him) back to me".
, This phase usually involves promises of better behavior or significant life changes which
will be made in exchange for the reversal of the loss
Grief - <<<<CORRECT ANSWERS>>>subjective feeling and affect that follows a loss
- Powerful emotional state
- Universal reaction
- Involves stress, pain and suffering
Mourning - <<<<CORRECT ANSWERS>>>the process by which grief is resolved
Types of Grief - <<<<CORRECT ANSWERS>>>- Uncomplicated grief
- Complicated (dysfunctional) grief
- Anticipatory
- Disenfranchised
Depression stage - <<<<CORRECT ANSWERS>>>stage where they confront the
inevitability and reality of the loss and their own helplessness to change it
- During this period, grieving people may may cry, experience sleep or eating habit
changes, or withdraw from other relationships and activities while they process the loss
they have sustained
- People may also blame themselves for having caused or in some way contributed to
their loss, whether or not this is justified
Acceptance stage - <<<<CORRECT ANSWERS>>>where they have processed their
initial grief emotions, are able to accept that the loss has occurred and cannot be
undone, and are once again able to plan for their futures and re-engage in daily life
Situations That Precipitate Grieving - <<<<CORRECT ANSWERS>>>- Loss of body
parts, function
- Loss of status/groups
- Failures
- Changes
- Loss of home
- Loss of job, profession
- Loss of pets
Usual Pattern of Response to grief - <<<<CORRECT ANSWERS>>>- Shock and
disbelief
- Somatic distress
- Preoccupation
- Guilt
- Anger
- Change in behavior
- Reorganization
