RNSG 2539 FINAL EXAM WITH
100% GUARAANTEED PASS
Cystic fibrosis client education - Answer- ● Ensure that the family has information
regarding access to medical equipment and medications.
● Provide teaching about equipment and medications prior to discharge.
● Instruct the family about ways to provide CPT and breathing exercises.
● Promote regular provider visits.
● Emphasize the need for up-to-date immunizations and a yearly influenza vaccine.
● Teach about diet and ways to increase calorie intake.
● Teach indications of infection and when to call the provider.
● Teach parents about ways to manage chronic illness in children.
● Promote regular physical activity.
● Encourage the family to participate in a support group and use community resources.
Provide information on respite care.
● Identify specific needs based on the client's developmental level. For example, older
adolescents are at a higher risk for depression due to the emotional and physical effects
of cystic fibrosis.
● Provide home palliative care for the child or adolescent in the terminal stages of CF.
Cystic fibrosis complications - Answer- RESPIRATORY: Respiratory infections,
respiratory colonizations, bronchial cysts, emphysema, pneumothorax, nasal polyps
GASTROINTESTINAL: Meconium ileus, prolapse of the rectum, intestinal obstruction,
GERD ENDOCRINE: Diabetes mellitus
Betamethasone - Answer- administer with milk or food to prevent gastric irritation
SchizophreniaManifestation of things that are not normally present. These are the most
easily identified manifestations. ● Hallucinations ● Delusions ● Alterations in speech ●
Bizarre behavior, such as walking backward constantl - Answer- The client has
psychotic thinking or behavior present for at least 6 months. Areas of functioning,
including school or work, self-care, and interpersonal relationships, are significantly
impaired
Schizophrenia positive symptoms - Answer- Manifestation of things that are not
normally present. These are the most easily identified manifestations.
● Hallucinations
● Delusions
● Alterations in speech
,● Bizarre behavior, such as walking backward constantly
Schizophrenia negative symptoms - Answer- Absence of things that are normally
present. These manifestations are more difficult to treat successfully than positive
symptoms.
● Affect:Usually blunted (narrow range of expression) or flat (facial expression never
changes)
● Alogia: Poverty of thought or speech. The client might sit with a visitor but only
mumble or respond vaguely to questions.
● Anergia: Lack of energy
● Anhedonia: Lack of pleasure or joy. The client is indifferent to things that often make
others happy, such as looking at beautiful scenery.
● Avolition: Lack of motivation in activities and hygiene. For example, the client
completes an assigned task, such as making his bed, but is unable to start the next
common chore without prompting
Schizophrenia cognitive symptoms - Answer- Problems with thinking make it very
difficult for the client to live independently.
● Disordered thinking
● Inability to make decisions
● Poor problem-solving ability
● Difficulty concentrating to perform tasks
● Memory deficits
● Long-term memory
● Working memory, such as inability to follow directions to find an address
Schizophrenia affective symptoms - Answer- Manifestations involving emotions
● Hopelessness
● Suicidal ideation
Schizophrenia alterations in thought (delusions) - Answer- Alterations in thought are
false fixed beliefs that cannot be corrected by reasoning and are usually bizarre. These
include the following.
● Ideas of reference: Misconstrues trivial events and attaches personal significance to
them, such as believing that others, who are discussing the next meal, are talking about
him
● Persecution: Feels singled out for harm by others (e.g., being hunted down by the
FBI)
● Grandeur: Believes that she is all powerful and important, like a god
● Somatic delusions: Believes that his body is changing in an unusual way, such as
growing a third arm
● Jealousy: Believes that her partner is sexually involved with another individual even
though there is not any factual basis for this belief.
● Being controlled: Believes that a force outside his body is controlling him
● Thought broadcasting: Believes that her thoughts are heard by others
● Thought insertion: Believes that others' thoughts are being inserted into his mind
, ● Thought withdrawal: Believes that her thoughts have been removed from her mind by
an outside agency
● Religiosity: Is obsessed with religious beliefs
● Magical thinking: Believes his actions or thoughts are able to control a situation or
affect others, such as wearing a certain hat makes him invisible to others
Schizophrenia alterations in speech - Answer- ● Flight of ideas: Associative looseness.
The client might say sentence after sentence, but each sentence can relate to a
different topic, and the listener is unable to follow the client's thoughts.
● Neologisms: Made-up words that have meaning only to the client, such as, "I tranged
and flittled." ● Echolalia: The client repeats the words spoken to him.
● Clang association: Meaningless rhyming of words, often forceful, such as, "Oh fox,
box, and lox."
● Word salad: Words jumbled together with little meaning or significance to the listener,
such as, "Hip hooray, the flip is cast and wide-sprinting in the forest."
Schizophrenia alterations in perception - Answer- Hallucinations are sensory
perceptions that do not have any apparent external stimulus. Examples include:
● Auditory: Hearing voices or sounds
◯ Command: The voice instructs the client to perform an action, such as to hurt self or
others.
● Visual: Seeing persons or things
● Olfactory: Smelling odors
● Gustatory: Experiencing tastes
● Tactile: Feeling bodily sensations
Schizophrenia personal boundary difficulties - Answer- Disenfranchisement with one's
own body, identity, and perceptions. This includes the following.
● Depersonalization: Nonspecific feeling that a person has lost her identity. Self is
different or unreal.
● Derealization: Perception that the environment has changed (e.g., the client believes
that objects in her environment are shrinking).
Schizophrenia alterations in behavior - Answer- ● Extreme agitation, including pacing
and rocking ● Stereotyped behaviors: Motor patterns that had meaning to client
(sweeping the floor) but now are mechanical and lack purpose
● Automatic obedience: Responding in a robot-like manner
● Waxyflexibility: Maintaining a specific position for an extended period of time
● Stupor: Motionless for long periods of time, coma-like
● Negativism: Doing the opposite of what is requested
● Echopraxia: Purposeful imitation of movements made by others
Schizophrenia standardized screening tools - Answer- Abnormal Involuntary Movement
Scale(AIMS): This tool is used to monitor involuntary movements and tardive dyskinesia
in clients who take antipsychotic medication. World Health Organization Disability
100% GUARAANTEED PASS
Cystic fibrosis client education - Answer- ● Ensure that the family has information
regarding access to medical equipment and medications.
● Provide teaching about equipment and medications prior to discharge.
● Instruct the family about ways to provide CPT and breathing exercises.
● Promote regular provider visits.
● Emphasize the need for up-to-date immunizations and a yearly influenza vaccine.
● Teach about diet and ways to increase calorie intake.
● Teach indications of infection and when to call the provider.
● Teach parents about ways to manage chronic illness in children.
● Promote regular physical activity.
● Encourage the family to participate in a support group and use community resources.
Provide information on respite care.
● Identify specific needs based on the client's developmental level. For example, older
adolescents are at a higher risk for depression due to the emotional and physical effects
of cystic fibrosis.
● Provide home palliative care for the child or adolescent in the terminal stages of CF.
Cystic fibrosis complications - Answer- RESPIRATORY: Respiratory infections,
respiratory colonizations, bronchial cysts, emphysema, pneumothorax, nasal polyps
GASTROINTESTINAL: Meconium ileus, prolapse of the rectum, intestinal obstruction,
GERD ENDOCRINE: Diabetes mellitus
Betamethasone - Answer- administer with milk or food to prevent gastric irritation
SchizophreniaManifestation of things that are not normally present. These are the most
easily identified manifestations. ● Hallucinations ● Delusions ● Alterations in speech ●
Bizarre behavior, such as walking backward constantl - Answer- The client has
psychotic thinking or behavior present for at least 6 months. Areas of functioning,
including school or work, self-care, and interpersonal relationships, are significantly
impaired
Schizophrenia positive symptoms - Answer- Manifestation of things that are not
normally present. These are the most easily identified manifestations.
● Hallucinations
● Delusions
● Alterations in speech
,● Bizarre behavior, such as walking backward constantly
Schizophrenia negative symptoms - Answer- Absence of things that are normally
present. These manifestations are more difficult to treat successfully than positive
symptoms.
● Affect:Usually blunted (narrow range of expression) or flat (facial expression never
changes)
● Alogia: Poverty of thought or speech. The client might sit with a visitor but only
mumble or respond vaguely to questions.
● Anergia: Lack of energy
● Anhedonia: Lack of pleasure or joy. The client is indifferent to things that often make
others happy, such as looking at beautiful scenery.
● Avolition: Lack of motivation in activities and hygiene. For example, the client
completes an assigned task, such as making his bed, but is unable to start the next
common chore without prompting
Schizophrenia cognitive symptoms - Answer- Problems with thinking make it very
difficult for the client to live independently.
● Disordered thinking
● Inability to make decisions
● Poor problem-solving ability
● Difficulty concentrating to perform tasks
● Memory deficits
● Long-term memory
● Working memory, such as inability to follow directions to find an address
Schizophrenia affective symptoms - Answer- Manifestations involving emotions
● Hopelessness
● Suicidal ideation
Schizophrenia alterations in thought (delusions) - Answer- Alterations in thought are
false fixed beliefs that cannot be corrected by reasoning and are usually bizarre. These
include the following.
● Ideas of reference: Misconstrues trivial events and attaches personal significance to
them, such as believing that others, who are discussing the next meal, are talking about
him
● Persecution: Feels singled out for harm by others (e.g., being hunted down by the
FBI)
● Grandeur: Believes that she is all powerful and important, like a god
● Somatic delusions: Believes that his body is changing in an unusual way, such as
growing a third arm
● Jealousy: Believes that her partner is sexually involved with another individual even
though there is not any factual basis for this belief.
● Being controlled: Believes that a force outside his body is controlling him
● Thought broadcasting: Believes that her thoughts are heard by others
● Thought insertion: Believes that others' thoughts are being inserted into his mind
, ● Thought withdrawal: Believes that her thoughts have been removed from her mind by
an outside agency
● Religiosity: Is obsessed with religious beliefs
● Magical thinking: Believes his actions or thoughts are able to control a situation or
affect others, such as wearing a certain hat makes him invisible to others
Schizophrenia alterations in speech - Answer- ● Flight of ideas: Associative looseness.
The client might say sentence after sentence, but each sentence can relate to a
different topic, and the listener is unable to follow the client's thoughts.
● Neologisms: Made-up words that have meaning only to the client, such as, "I tranged
and flittled." ● Echolalia: The client repeats the words spoken to him.
● Clang association: Meaningless rhyming of words, often forceful, such as, "Oh fox,
box, and lox."
● Word salad: Words jumbled together with little meaning or significance to the listener,
such as, "Hip hooray, the flip is cast and wide-sprinting in the forest."
Schizophrenia alterations in perception - Answer- Hallucinations are sensory
perceptions that do not have any apparent external stimulus. Examples include:
● Auditory: Hearing voices or sounds
◯ Command: The voice instructs the client to perform an action, such as to hurt self or
others.
● Visual: Seeing persons or things
● Olfactory: Smelling odors
● Gustatory: Experiencing tastes
● Tactile: Feeling bodily sensations
Schizophrenia personal boundary difficulties - Answer- Disenfranchisement with one's
own body, identity, and perceptions. This includes the following.
● Depersonalization: Nonspecific feeling that a person has lost her identity. Self is
different or unreal.
● Derealization: Perception that the environment has changed (e.g., the client believes
that objects in her environment are shrinking).
Schizophrenia alterations in behavior - Answer- ● Extreme agitation, including pacing
and rocking ● Stereotyped behaviors: Motor patterns that had meaning to client
(sweeping the floor) but now are mechanical and lack purpose
● Automatic obedience: Responding in a robot-like manner
● Waxyflexibility: Maintaining a specific position for an extended period of time
● Stupor: Motionless for long periods of time, coma-like
● Negativism: Doing the opposite of what is requested
● Echopraxia: Purposeful imitation of movements made by others
Schizophrenia standardized screening tools - Answer- Abnormal Involuntary Movement
Scale(AIMS): This tool is used to monitor involuntary movements and tardive dyskinesia
in clients who take antipsychotic medication. World Health Organization Disability
