Foundation_FinalQuestion_Elisa_GBC_1_Week_9-14

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Elisa_GBC_1
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270433
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Foundation_FinalQuestion_Elisa_GBC_1_Week_9-14
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2014-04-13 16:24:21
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Foundation FinalQuestion Elisa GBC Week 14
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Foundation_FinalQuestion_Elisa_GBC_1_Week_9-14
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  1. Fancy recently lost her dog that she had since she was 10 yrs old.  She is suffering from disturbed sleep and loss of appetite

    What mood would she be going through that would relate to her recent loss?

    A. Loss
    B. Grief
    C. Depression
    C. Depression  - you got it!

    Depression: a commonmental disorder that presents with depressed mood, loss of interest or pleasure,feelings of guilt or low self-worth, disturbed sleep or appetite, low energy, and poor concentration
    (this multiple choice question has been scrambled)
  2. What are the five types of losses?

    Remember
    P
    A
    A

    S
    D
    • 1. Perceived
    • 2. Actual
    • 3. Anticipatory
    • 4. Situational
    • 5. Developmental
  3. what is actual loss
    When loss is recognized by others
  4. what is perceived loss
    Experienced by one person but cannot be verified by others.

    (ex. loosing a pet but others cant relate)
  5. What is Anticipatory loss
    Experienced before loss occurs–Can be actual or perceived
  6. what is Situational loss
    Things or events that remind person of loss

    (Ex. A widow's husband birthday reminds her of husbands passing.)

    Husband is not passing AT THAT MOMENT (he's already gone) but event makes it a situational loss 
  7. What is Developmental loss?
    Losses that happen over a specific stage of life

    (ex. Chanse leaves Elisa for his NBA scholarship [empty nest symdome], Retirement at old-age)
  8. What are the (5) Kubler-Ross(1969) Stages of Grieving?

    D
    A
    B
    D
    A
    • Denial
    • Anger
    • Bargaining
    • Depression
    • Acceptance
  9. What does DABDA stand for? And what theroist does it belong to?
    Kubler-Ross(1969) Stages of Grieving

    • Denial
    • Anger
    • Bargaining
    • Depression
    • Acceptance
  10. What are a few Factors Affecting Grief
    • 1. Age
    • 2. culture
    • 3. Gender
    • 4. Cause of death
  11. What are the 3 Clinical Signs of Death
    • Cessation of:
    • 1. Apical Pulse
    • 2. Repsiration
    • 3. Blood pressure
  12. Is a DNR a living will or a proxy directive?
    Living will
  13. List the 2 advanced directives
    • 1: Living will
    • 2: Proxy directive
  14. What is the difference between a living will and a proxy directive?
    A living will is a written list of do's and don'ts/ instructions for when a person is no longer able to speak for themselves

    A proxy directive is a person assigned to make your decisions when you are unable to speak for yourself and a living will does not exist
  15. What are the 5 C'S of Good Nursing Notes?
    • —Clear—
    • Concise—
    • Comprehensive—
    • Consistent—
    • Complete
  16. Why Document
    —used to monitor a client’s progress and communicate with other care providers. It also reflects the nursing care that is provided to a client.
  17. Purpose of Documentation?
    • Communication
    • Accountability
    • Legislative Requirements
    • Quality Improvement
    • Research
    • Funding and Resource Manageme
  18. What are the 4 Types of Documentation Forms?
    • —1:Worksheets and Kardexes
    • 2:—Care Plans
    • 3:—Flow sheets and Checklists
    • 4:—Monitoring Strips
  19. What kind of documentation is Worksheet and Kardex's
    The information kardexes and worksheets contain may be erasable as long as the permanent health record reflects the nursing assessment
  20. What is the proper GBC Signature and Designation?

    A.  Dennis S, GBC S121
    B.  S. Dennis GBC SPN1
    C. S. Dennis, GBC, SPN1 
    D.  GBC SPN1 S, Dennis
    B.  S. Dennis GBC SPN1
    (this multiple choice question has been scrambled)
  21. What causes DEPRESSION?
    decreased SEROTONIN
  22. Depression is not worse in the morning.
    True or False?
    FALSE!!

    com on son'  you know you are sad in the morning
  23. How would a nurse screen for depression?
    The p/t would experience five symptons daily lasting 2-3 weeks.

    (ex. sleep disturbance, lose of appetite, loss of interest)
  24. what are THREE nursing interventions for DEPRESSION?
    • 1. identify cause? (ex. death)
    • 2. Monitor for suicide
    • 3. Non-pharmacological approaches first (ex. counselling, SW. etc)

    esort to meds)
  25. What are pharmacological treatments available to treat depression?
    •SSRIs (serotonin re-uptake inhibitors)–

    Examples- celexa, effexor, paxil–increase the amount of serotonin available in brain to improve mood

    Side effects- constipation, dry mouth, stomach upset
  26. What is DELIRIUM?
    Acute disturbance of consciousness accompanied by a change in cognition
  27. what are key characteristics of DELIRIUM?
    • woresning of confuision
    • drowsiness
    • quickly
    • halutionation
    • fear,anger,terror
  28. is DELIRIUM reversable?
    • yes. 
    • when underlying physiological issues are treated
  29. What is a NURSING DIAGNOSIS for Delerium?
    Acute confusion RELATED TO delerium AS EVIDENCE BY adverse medication effects

    Acute confusion RELATED TO delerium AS EVIDENCE BY dehydration
  30. What are NUSING INTERVENTIONS for Delerium?
    • 1: Ongoing mental status assessment
    • 2: Asess and manage pain
    • 3: Create a quiet, calm, and safe enviornment
  31. This disorder is a chronic, progressive and degenerative brain disorder. It effects cognitive function declines & leads to inability to perform ADLs.

    What is this disorder?
    Dementia
  32. "Loss of purposeful movement, difficulty performing familiar tasks"

    A) Agnosia
    B) Apraxia
    C) Amnesia
    D) Altered perception
    B) Apraxia
    (this multiple choice question has been scrambled)
  33. "Loss of visual acuity, judgement"

    A) Altered perception
    B) Agnosia
    C) Amnesia
    D) Apraxia
    A) Altered perception
    (this multiple choice question has been scrambled)
  34. Apathy

    A) Loss of language skills
    B) Loss of recognition
    C) Loss of initiation, mood changes
    D) No knowledge of their disease
    C) Loss of initiation, mood changes
    (this multiple choice question has been scrambled)
  35. Anosognosia

    A) No knowledge of their disease
    B) Loss of initiation, mood changes
    C) Loss of recognition
    D) Loss of language skills
    A) No knowledge of their disease
    (this multiple choice question has been scrambled)
  36. Agnosia

    A) Loss of initiation, mood changes
    B) No knowledge of their disease
    C) Loss of recognition
    D) Loss of language skills
    C) Loss of recognition
    (this multiple choice question has been scrambled)
  37. Aphasia

    A) Loss of language skills
    B) Loss of recognition
    C) Loss of initiation, mood changes
    D) No knowledge of their disease
    A) Loss of language skills
    (this multiple choice question has been scrambled)
  38. What is amesia?
    Loss of memory
  39. You must have (---) altered domains of functioning for dementia to exist.

    A) 2
    B) 1
    C) 5
    D) 3
    A) 2
    (this multiple choice question has been scrambled)
  40. What is the NURSING DIAGNOSIS of Dementia?
    TRICK QUESTION!

    There is none... It can only be diagnosed after the person has died. An autopsy determines diagnosis.
  41. What is a GOAL for dementia?
    To slow the progression and apapt the care to changing needs
  42. What is NURSING ASSESSMENT for dementia?
    Mini mental status examination (scores the severity of dementia and aseesses cognitive function)
  43. What is the cause of dementia?
    A decrease of acetylcholine in the brain (that's what causes them to lose their memory)
  44. What are NURSING INTERVENTIONS for dementia?
    • -To support cognitive function (ex. repeating yourself and providing simple explanations)
    • -Promoting physical safety (fall preventions)
    • - Reduce anxiety and agitation
    • -Meeting socialization needs
  45. What is Parkinsons?
    Slow, degenerative neurological disorder due to the loss of dopamine stores
  46. If a person has

    1: Tremors
    2: Ridgitivity
    3: Bradykinesia (abnormal slow movements)

    What disorder / disease would they have?
    Parkinsons
  47. What is a NURSING GOAL for Parkinsons?
    Goal is to control symptoms and maintain functional independence
  48. What is a NUSRING DIAGNOSIS for Parkinsons?
    Impaired physical mobility related to muscle ridgity and motor weakness

    Constipation related to medication and reduced activity


    Risk for falls related to unsteady ambulation
  49. What are NURSING INTERVENTIONS for Parkinson's?
    • –Address fears and anxiety
    • -Maintain dignity and autonomy
    • -Encourage participation in self-care activities
  50. What is MS?
    • - Auto-immune disorder
    • - Progressive demyelination of the myelin sheath surrounding neurons in the CNS
  51. What are NURSING GOALS for MS?
    • –Delay progression of disease
    • –Manage chronic symptoms
    • –Prevent and treat exacerbations
    • –Maintaining and optimizing function and self-care
  52. (---) = New symptoms and worsening of symptoms

    (---) = symptoms decrease or disappear
    • Exacerbations- New symptoms and worsening of symptoms
    • Remissions- symptoms decrease or disappear
  53. How woud you assess for MS?

    A) Mini Mental State examintion (MMSE)
    B) MRI
    C) CAT
    D) Autopsy
    B) MRI

    (REMEMBER AUTOPSY USED TO ASSES FOR DEMENTIA)
    (this multiple choice question has been scrambled)
  54. True or False

    There is a cure for MS
    False

    Unfortuetely.. no. There is no cure
  55. What is a NURSING DIAGNOSIS for MS?
    Impaired mobility related to weakness and spasticity

    Risk for injury related to sensory and visual impairment

    Ineffective coping related to uncertain course of disease
  56. What are the 3 keys meds used – ABC (and R) injections for MS?
    • – A- Interferon beta 1-a (Avonex)- 30 mcg SQ Qweekly
    • –B- Interferon beta 1-b (Betaseron) –250 mcg SQ Q2D
    • –C- Glatiramer acetate (Copaxone) – 20 mg SQ OD
    • –R- Rebif (newest)- 44 mcg SQ 3x/wk

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