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Nursing 223: Exam 2 questions with
answers
CHAPTER 10: - CORRECT ANSWERS ✔✔
What is a medical record? - CORRECT ANSWERS ✔✔a confidential, permanent legal document of information relevant to that patients health care What does the health care information system do? - CORRECT ANSWERS ✔✔support and enhance health care Define informatics. - CORRECT ANSWERS ✔✔use of information and computer technology to support all aspects of nursing practice What does the EMR/EHR do? - CORRECT ANSWERS ✔✔increases patient safety What are the five steps of expected documentation? - CORRECT ANSWERS ✔✔nursing assessment, care plan, interventions, patient's outcomes or response to care, assessment of patient's ability to manage.
Military time: what is 11:42 a.m. and p.m.? - CORRECT ANSWERS ✔✔a.m. - 1142 p.m. - 2342 What does SOAP stand for? - CORRECT ANSWERS ✔✔subjective- objective-assessement-plan What does PIE stand for? - CORRECT ANSWERS ✔✔problem- intervention-evaluation What does DAR stand for? - CORRECT ANSWERS ✔✔data-action- response What is charting by exception? - CORRECT ANSWERS ✔✔document when something out of the ordinary is observed What are the advantage of using charting by exeption? - CORRECT ANSWERS ✔✔easy to track unexpected changes, eliminated repetition and subjective data, decreases time spect on charting Define case managment. - CORRECT ANSWERS ✔✔a model of delivering care that includes a multidisciplinary approach
Define intersectionality. - CORRECT ANSWERS ✔✔is a research and policy model used to study the complexities of peoples lives and experiences Define marginalization. - CORRECT ANSWERS ✔✔places or keeps someone in a powerless or an unimportant position within a society or group ex: gay, bisexual, transgender, people of color Define oppression. - CORRECT ANSWERS ✔✔is a formal and informal system of advantages and disadvantages tied to membership in social groups Define world-view. - CORRECT ANSWERS ✔✔assumptions that develop during childhood and guide how one sees, think about, experiences, and interprets the world What is Campinha-Bacote's model of cultural competency (5). - CORRECT ANSWERS ✔✔awareness, knowledge, skill, encounter, desire Cultural awareness requires a ___________________ of ones own biases. - CORRECT ANSWERS ✔✔self-examination
What is cultural imposition? - CORRECT ANSWERS ✔✔to make unfair use of own values when caring for people for people of culture, use own customs and values as a guide in dealing with patients The ___________ ____________ is a tool that helps visulize the visible and invisible aspects of your own world view. - CORRECT ANSWERS ✔✔Iceberg Analogy What is the term for when an individual gives uphill or her ethnic identity in favor of the dominant culture. - CORRECT ANSWERS ✔✔assimilation What is the linguistic competence? - CORRECT ANSWERS ✔✔the ability of an organization and its staff to communication effectively and convey information in a manner that is easily understood by diverse audiences What is the term for the degree to which individuals have the capacity to obtain, process, and undertsand basic health information. - CORRECT ANSWERS ✔✔health literacy What is the definition of a diet? - CORRECT ANSWERS ✔✔understanding a patients food patterns is critical to providing culturally congruent dietary counseling
Define transgendered. - CORRECT ANSWERS ✔✔refers to having a gender idenity or gender perception different from one's phenotypic gender Define transvestite. - CORRECT ANSWERS ✔✔is a person who has the desire to dress in the clothes of and be accepted as a member of the opposite sex Define transexual. - CORRECT ANSWERS ✔✔self-identifies as a member of the opposite sex; the sexual anatomy is not consistence with gender identity Define identity. - CORRECT ANSWERS ✔✔internal sense of individuality, wholeness, and consistency of self - formed in childhood Define body image. - CORRECT ANSWERS ✔✔involves attitudes related to physical appearance, structure, or function Define role performance. - CORRECT ANSWERS ✔✔how individuals carry out their significant roles ex: mother, daughter, father Define self-esteem. - CORRECT ANSWERS ✔✔an individual's sense of personal worth or value
Define identity stressors. - CORRECT ANSWERS ✔✔especially during adolescences ex: aging, loss of a job, puberty, loss of significant other Define body image stressors. - CORRECT ANSWERS ✔✔affect appearance, structure, or function of body ex: amputation, obesity Define role performance stressors. - CORRECT ANSWERS ✔✔relationship or situational transitions and illness ex: taking care of children and parents Define self-esteem stressors. - CORRECT ANSWERS ✔✔vary by developmental stage Define sexuality stressors. - CORRECT ANSWERS ✔✔occur across the life span The nurse's influence on the patients self-concept and sexuality (3). - CORRECT ANSWERS ✔✔positive matter of fact approach, trusting relationship, facial and body expressions CHAPTER 26: - CORRECT ANSWERS ✔✔ Define physiologic stress. - CORRECT ANSWERS ✔✔the body's potentially harmful reaction to a stimulus
The GAS consists of what 3 stages? - CORRECT ANSWERS ✔✔alarm, resistance, exhaution Define distress. - CORRECT ANSWERS ✔✔negative stress ex: death of a family member Define eustress. - CORRECT ANSWERS ✔✔positive stress ex: motivation to clean your house when guests suddenly are coming over In the alarm stage, a distress signal is sent to the part of the brain called the _____________. - CORRECT ANSWERS ✔✔hypothalamus In the resistance stage, the body attempts to adapt to the stressor by reducing the amount of _____________ produced; the body begins to recover and repair, damage, and restore resources. - CORRECT ANSWERS ✔✔cortisol However, if the stress is not relieved or the resources are inadequate to meet persistent demands, the body advances to the third stage, _______________. At this point the body is no longer equipped to fight stress. - CORRECT ANSWERS ✔✔exhaustion Local Adaption syndrome (LAS) may manifest as which 3 things? - CORRECT ANSWERS ✔✔inflammation, reflexive response to pain, hypoxia
Define allostasis. - CORRECT ANSWERS ✔✔is the means by which homeostasis is reestablished Who proposed allostasis? - CORRECT ANSWERS ✔✔McEwan Define situational factors. - CORRECT ANSWERS ✔✔no control over; arise from job change, illness, caregiver stress Define maturational factors. - CORRECT ANSWERS ✔✔vary with life stages ex: adolescence - breakup, adult - family and money Define socioculrural factors. - CORRECT ANSWERS ✔✔environmental, social, and cultural stressors ex: divorce, mental illness, poverty Define compassion fatigue. - CORRECT ANSWERS ✔✔burnout and secondary traumatic stress What is the term for predominantly unconscious, protective coping methods that individuals may assume in response to a perceived threat. - CORRECT ANSWERS ✔✔defense mechanism Define anxiety. - CORRECT ANSWERS ✔✔response to stress that causes apprehension or uncertainty
What is identification? - CORRECT ANSWERS ✔✔patterning behavior after that of another person and assuming that persons qualities, characteristics, and actions What is dissociation? - CORRECT ANSWERS ✔✔experiencing a subjective sense of numbing and a reduced awareness of one's surroundings What is regression? - CORRECT ANSWERS ✔✔coping with a stressor through actions and behaviors associated with an earlier developmental period What is the term for a short term assistance provided to an individual with the goal of regaining equilibrium in a time of physical or emotional upheaval. - CORRECT ANSWERS ✔✔crisis intervention CHAPTER 33: - CORRECT ANSWERS ✔✔ What is circadian rhythms? - CORRECT ANSWERS ✔✔a 24 hour clock affected by light, temperature, social activities, and work routines Sleep-wake cycle disruption causes what 6 things? - CORRECT ANSWERS ✔✔decreased appetite, weight loss, anxiety, restlessness, irritability, impaired judgement
What is the major sleep center? - CORRECT ANSWERS ✔✔hypothalamus What is process S? - CORRECT ANSWERS ✔✔length and depth of sleep What is process C? - CORRECT ANSWERS ✔✔duration of sleep What % does NREM make up? - CORRECT ANSWERS ✔✔75% What stage is the lightest level of sleep that o only lasts a few minutes?
- CORRECT ANSWERS ✔✔N What stage is the stage of sleep during which relaxation progresses? - CORRECT ANSWERS ✔✔N What stage is called slow wave sleep and is the deepest stage of sleep?
- CORRECT ANSWERS ✔✔N What % does REM make up? - CORRECT ANSWERS ✔✔25%
What is insufficient or disrupted sleep? - CORRECT ANSWERS ✔✔sleep deprivation What is parasomnia? - CORRECT ANSWERS ✔✔unusual and undesirable physical events or experiences that disrupt sleep ex: sleep walking, nightmares, bed wetting CHAPTER 39: - CORRECT ANSWERS ✔✔ What is reception? - CORRECT ANSWERS ✔✔process of receiving information ex: light, touch, sound What is perception? - CORRECT ANSWERS ✔✔become aware of something, organizing data into meaningful information What is reaction? - CORRECT ANSWERS ✔✔response What is sensory deficits? - CORRECT ANSWERS ✔✔can't receive information What is sensory deprevation? - CORRECT ANSWERS ✔✔decrease in meaningful stimuli ex: confusion, bed rest, boredom, restlessness
What is sensory overload? - CORRECT ANSWERS ✔✔excess information ex: patients in ICU experience this What is presbyopia? - CORRECT ANSWERS ✔✔farsightedness caused by loss of elasticity of the lens What are cataracts? - CORRECT ANSWERS ✔✔clouding of the lens What is glaucoma? - CORRECT ANSWERS ✔✔pressure in the eyeball, causes blindness What is diabetic retinopathy? - CORRECT ANSWERS ✔✔damage to blood vessels in the eyes, dark areas in vision What is macular degeneration? - CORRECT ANSWERS ✔✔loss of central vision What is presbycusis? - CORRECT ANSWERS ✔✔age related hearing loss because of wax build up What is Meniere's disease? - CORRECT ANSWERS ✔✔inner ear problem, afraid of falling, balance
Spirituality offers a sense of __________________. - CORRECT ANSWERS ✔✔connectedness What is intrapersonally? - CORRECT ANSWERS ✔✔connected with oneself What is interpersonally? - CORRECT ANSWERS ✔✔connected with others and the enviornment What is transpersonally? - CORRECT ANSWERS ✔✔connected with God, the unseen, or a higher power Those who do not believe in the existence of God. - CORRECT ANSWERS ✔✔atheists Those who believe that any ultimate reality is unknown or unknowable.
- CORRECT ANSWERS ✔✔agnostic ___________ __________ has a positive effect on health and leads to spiritual health. - CORRECT ANSWERS ✔✔spiritual well-being What is personal dimension? - CORRECT ANSWERS ✔✔how you relate with yourself in finding meaning and purpose in life
What is communal dimension? - CORRECT ANSWERS ✔✔the quality of your interpersonal relationships What is environmental dimension? - CORRECT ANSWERS ✔✔how you interact in the world, including your sense of awe with the environment What is transcendental dimension? - CORRECT ANSWERS ✔✔the relationship between you and some higher power Define faith. - CORRECT ANSWERS ✔✔cultural or institutional religion such as Buddhism, Christianity, or Islam (no physical evidence of it) __________ is associated with the "state of doing" or a specific system of practices associated with a particular denomination, sect, or form of worship. - CORRECT ANSWERS ✔✔religion _______ is when a person has the attitude of living for and looking forward to something. - CORRECT ANSWERS ✔✔hope What is the term for "state of suffering related to the impaired ability to experience and integrate meaning and purpose in life through connectedness with self, others, art, music, literature, nature, and/or a greater power than oneself." - CORRECT ANSWERS ✔✔spirital distress
