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u world questions And Answers Graded A

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u world questions And Answers Graded A Rationalization Correct Answer: using excuses to explain away threatening circumstances Displacement Correct Answer: Transfering thoughts and feelings toward one person or object onto another person or object Regression Correct Answer: returning to a previous level of development and adult has a temper tantrum introjection Correct Answer: taking on the qualities or attitudes of others without thought or examination reaction formation Correct Answer: behaving in a manner or expressing a feeling opposite of ones true feelings a paretn who is resentful of an unplanned child becomes overprotective of the child repression Correct Answer: keeping unacceptable thoughts or traumatic events buried in the unconscious a rapid victim can not recall the event sublimation Correct Answer: transforming unacceptable thoughts or needs into acceptable actions a person that may start boxing to deal with aggresion Memantine (Namenda) Correct Answer: is used to ease the symptoms of moderate to severe Alzheimer disease AD , thereby improving the quality of life for clients and caregivers improved cognition ( memory thinking language Daily functioning ( dressing, bathing, grooming, eating Behavioral problems ( agitation depression hallucination) Rib Fractures: Interventions Correct Answer: Pain management pulmonary hygiene techniques ( coughing, deep breathing) non-purulent vaginal discharge Correct Answer: leukorrhea purulent exudate Correct Answer: Drainage which contains pus, usually yellow, green or brown; indicates infection seropurulent exudate Correct Answer: Presents as cloudy or opaque, with a yellow or tan color and a thin, watery consistency. May be an early warning sign of an impending infection and is always considered an abnormal finding. Serous wound drainage Correct Answer: clear, watery plasma sanguineous drainage Correct Answer: mixture of serum and red blood cells immediate action is require when a client recovering from a vaginal hysterectomy saturates....... Correct Answer: More than one perineal pad in a hour Rhabdomyolysis Correct Answer: destruction of muscle to produce myoglobin ( protein found in the muscles) which is released into the blood, usually after an injury from overexertion, dehydration, severe vasoconstrictive ( cocaine use) heat stroke or trauma elevated creatine Kinase levels typically 15,000 U/L (250 ukat/l) is seen which can cause kidney injury creatine kinase level Correct Answer: 55-170 U/L creatine level Correct Answer: 0.7-1.40 mg/dl Glasgow Coma Scale Correct Answer: eyes, verbal, motor Max- 15 = stable below 8= coma ear irrigation steps Correct Answer: 1. assess for contraindication-fever, ear infection 2. explain procedure 3. place in side lying or sitting position with head tilted toward affected ear 4. place towel and emesis basin under ear 5. verify that irrigation solution is at body T 6. straighten ear cannal and ear up and back adults 7. irrrigate slowly directing syringe tip toward top of ear canal safe patient transfers Correct Answer: client should wear nonskid shoes make sure bed and chair is locked use transfer belt transfer client with stronger side Morning sickness interventiosn Correct Answer: - Eat several small meals during the day ( high in protein or carbs and low in fat - Drink fluids Like water and cold carbonated beverages high protein snacks cosume ginger containe products consume foods high in vitamin B6( nuts seeds legumes) Azathioprine Correct Answer: Immunosuppressant that causes bone marrow depression must report a leukopenia White bloods cell count less than 4,000 is severe and must be reported Acetaminophen Correct Answer: Tylenol nonopioid analgesic with antipyretic properties Baclofen Correct Answer: Antispastmodic drug given to MS patients to relieve uncomfortable spasms and muscular pain Colchicine Correct Answer: prescribed for clients with an acute attack of gout scope of practice Correct Answer: a set of regulations and ethical considerations that define the scope, or extent and limits, of the EMT's job myopia Correct Answer: nearsightedness Signs of Hypervolemia Correct Answer: bounding pulse shortness of breath distended neck veins Signs of Hypovolemia Correct Answer: 30 ml/hr flattened neck veins weak thready pulse subnormal temp Isotonic solutions Correct Answer: increase fluid volume Types of isotonic solution Correct Answer: Normale saline 0.5 dextrose in water lactated ringers hypotonic solution Correct Answer: A solution in which the concentration of solutes is less than that of the cell that resides in the solution rehydrates Types of Hypotonic solution Correct Answer: 0.45,0.33,0.225 sodium chloride how should you administer Hypotonic solutions Correct Answer: slowly to prevent cellular edema ( third spacing) Hypertonic solution Correct Answer: a solution that causes a cell to shrink because of osmosis what patients should you not give Hypertonic solution too Correct Answer: kidney heart

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Nursing Leadership Exam #2
QUESTIONS AND ANSWERS ALL
CORRECT
Formal organizational structure Correct Answer: The emphasis is on
*organizational positions* and formal power; Provides a framework for defining
managerial authority, responsibility, and accountability

Informal organizational structure Correct Answer: The focus is on the
*employees, their relationships*, and the informal power that is inherent within
those relationships; Has its own leaders and communication channel (grapevine)

Stages of Conflict Resolution Correct Answer: Latent conflict --> e.g. staffing
changes (recipe for conflict)

Perceived conflict --> People become aware of conflict

Helpful Tips for conflict resolution Correct Answer: -Get all the information
possible. *Differentiated between facts and opinions*
-*Listen* carefully and do not prejudge

Ombudsperson Correct Answer: Investigate grievances filed by one party against
another and to ensure that individuals involved in conflicts understand their rights

*Bottom line* in negotiation Correct Answer: The very least for which a person
will settle is

Common conflict resolution Correct Answer: Compromising

Centralized decision making Correct Answer: Staffing decisions are made by
personnel in a central office or staffing center. May or may not be staffed by RNs
(Occurring somewhere else - fairer to all employees because policies tend to be
employed more consistently and impartially)

Decentralized decision making Correct Answer: Unit manager responsible for
covering all scheduled staff absences

, (Lead to increased autonomy and flexibility)

Organizational Culture Correct Answer: The *values and behaviors* that
contribute to the unique social and psychological environment of an organization

Power Correct Answer: The *authority and ability* to get things accomplished;
The capacity or potential to get others to do something

Total Patient Care Correct Answer: The *oldest mode of organizing patient care*;
Nurses assume *total responsibility for meeting the needs of all assigned patients*
during their time on duty

Functional Method of Nursing Correct Answer: Uses relatively unskilled workers
who have been trained to complete certain tasks; *Care is assigned by task* rather
than by patient - tasks completed quickly with little confusion

Disadvantage of Functional Nursing Correct Answer: Lead to fragmented care and
possibly overlooking patient priority needs

Team Nursing Correct Answer: Ancillary personnel *collaborates in providing
care to a group of patients* under the direction of a professional nurse

Modular Nursing Correct Answer: Modification of team and primary nursing, uses
a smaller team; *Pairs professional nurses with ancillary staff* to deliver care to
groups of patients

Primary Nursing/Relationship-Based Nursing Correct Answer: *Brings the nurse
back to the bedside* to provide clinical care; Job satisfaction is high, however this
method is difficult to implement
Diverse skill mix

Case Management Nursing Correct Answer: Collaborative process that *assesses,
plans, implements, coordinates, monitors, and evaluates options and services to
meet an individual's health* needs through communication and available resources
to promote quality, cost-effective outcomes; The focus is on individual clients, not
populations of clients

Cost-effectiveness Correct Answer: Most neglected aspect of accountability in
staff development. All activities evaluated for quality control, impact on
institution, cost effectiveness

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