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PN 259 FINAL EXAM QUESTIONS AND CORRECT ANSWERS

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PN 259 FINAL EXAM QUESTIONS AND CORRECT ANSWERS....

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PN 259
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PN 259

Voorbeeld van de inhoud

Anxiety - ANSWER can be caused by financial problems related to housing
and medical expenses. Fear of the unknown. Show as confusion, behaviour
changes or withdrawal.

Types of anxiety - ANSWER generalized anxiety disorder, phobic disorders,
OCD, PTSD

Possible symptoms of anxiety - ANSWER fatigue, headache, Increased HR
and BP, difficulty breathing

Nursing interventions (anxiety) - ANSWER build trust, restore comfort,
modify communication, adjust teaching, help problem solve, ensure safety.

Mood disorder Types, symptoms, interventions - ANSWER Secondary
Depression, Major Depression, Seasonal Affective Disorder, Suicidology,
Bipolar Symptoms (mood disorders): Sad mood, Appetite changes, Disturbed
sleep, Apathy, Energy changes, Suicidal thoughts Nurse interventions: Client
teaching, Implementing suicide precautions (if necessary), Completing
Assessments, Family Teaching

Eating Disorders types, symptoms, interventions - ANSWER Anorexia
nervosa, bulimia nervosa, binge eating disorder, compulsive eating. Symptoms:
Underweight, lanugo, feeling cold, oral health changes, overweight,
hyperlipidemia, sleep apnea, difficulty regulating emotion. Nurse interventions:
implement weight management plans, client and family teaching

Chemical dependence types, symptoms, interventions - ANSWER alcohol,
nicotine, cocaine, methamphetamine, opioid dependence. Symptoms: social
changes, enlarged liver, pancreatitis, dental deterioration, facial lesions/scars.
Nurse interventions: counseling/discussion, providing information, completing
detox protocol, monitor vitas throughout detox.

,Discuss gerontological and client diversity considerations when planning care
for mental health challenges - ANSWER Economically disadvantaged,
immigrants and refugees, indigenous community, LGBTQ community.

Cognitive - ANSWER Remembering: the ability to learn new information and
reprieve knowledge from long-term memory Understanding: the ability to
construct the meaning of learned material Applying: the use of abstract, newly
learned ideas in a practical situation Analyzing: the breaking down of
information into organized parts and determining how the parts relate to one
another Evaluating: making judgements based on criteria and standards
Creating: combining elements to form a coherent and functional whole

Affective - ANSWER Receiving: the willingness to attend to another person's
words Responding: active participation through listening and reacting verbally
and nonverbally Valuing: attachment of worth to an object, concept, or
behaviour, demonstrated by the learners actions Organizing: development of a
value system by identifying and organizing values and resolving conflicts
Characterizing: action and response with a consistent value system

Psychomotor - ANSWER Perception: awareness of objects or qualities
through the use of sense organs Set: a readiness (mental, physical, or emotional)
to take a particular action Guided response: the performance of an act under the
guidance of an instructor, involving imitation of a demonstrated act Mechanism:
a higher level of behaviour by which a person gains confidence and skill in
performing a behaviour that is more complex or involves several more steps
than does a guided response Complex overt response: the smooth and accurate
performance of a motor skill that requires a complex movement pattern
Adaptation: the ability to change motor response when unexpected problems
occur Origination : use of existing psychomotor skills and abilities to perform a
highly complex motor act that involves creating new movement pattern

CARE PLAN TEACHING - ANSWER Assess: Learning needs, Ability to
learn, Motivation to learn, Teaching environment, Resources for learning
Nursing Diagnosis: Interpret assessment data to form an accurate health focus
Plan (lesson plan): Develop learning objectives, Set priorities, Timing,
Organization, Maintain attention & promote participation, Build on existing
knowledge, Select teaching method & resources, Write teaching plan

, Common musculoskeletal system health challenges - ANSWER Bone
weakness (osteoporosis, fractures), posture (compression of vertebrae), muscle
atrophy, increase in collagen (fibrosis), tendons are less elastic, loss of strength,
decrease reaction time, decreased muscle tone, more prone to falls, stiffness,
reduced flexibility. Deformity of muscle, weak joints, connective tissue
disorders, osteoporosis, etc.

Explain the risk factors contributing to musculoskeletal system health
challenges - ANSWER Hormonal levels, injury, decreased intake of certain
proteins (calcium especially), gerontological considerations, mineral levels,
vitamin deficiency, decreased mobility, diabetes.

Osteoarthritis - ANSWER comes with stiffness and pain, decreased ROM,
caused by wear and tear, cartilage breaks off and this, bones of the joint rub
together causing destruction, pain, swelling and loss of motion.

Temporomandibular disorder - ANSWER caused by degenerative arthritis,
bruxism, dislocation of the jaw, findings of headaches, spasms and tinnitus,
managed with ice water, surgery, bite guard.

Gout - ANSWER painful metabolic disorder involving an inflammatory
reaction in the joints, can happen secondary to decreased renal excretion of uric
acid, uric acid crystallizes in the joints.

Bursitis - ANSWER inflammation of the bursa, caused by trauma, overuse,
infection, stress. Findings of pain, lump, edema, warmth, tenderness, found
using x-ray and aspiration of the synovial fluid.

Ankylosing Spondylitis - ANSWER chronic connective tissue disorder,
characterized by spondylosis and fusion of the vertebrae. Highly hereditary.
Findings of low back pain, aortic regurgitation, decreased lung sounds, weight
loss, anorexia. Diagnosed using x-ray and CT.

Osteomyelitis - ANSWER infection of the bone, resulting in limited blood
supply, inflammation of and pressure on the tissue cause bone necrosis and
formation of new bone around devitalized bone tissue. Caused by bacteria in the
bloodstream. Diagnosed by blood studies, x-rays and CT. Often amputation is
required.

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