NSG 212 Exam 4

What is the primary concern of a crisis intervention nurse?

Safety.

What is projection in psychological terms?

Projecting feelings onto other people.

What is displacement in emotional processing?

Pushing feelings off to someone it doesn’t relate to.

What does a role change crisis affect?

Your identity.

What is a developmental crisis?

Older elementary schooler transitions to adolescence and wants more autonomy.

How can self-esteem be built?

Pick something they’re good at; make a short-term attainable goal.

How should a nurse respond to a patient who says they need their bible for luck?

What helps you through times that are hard?

What type of crisis is experienced by a patient having physical/psychological symptoms after losing a spouse?

Situational crisis.

What can regression in a patient involve during procedures?

Requesting a parent be present.

What is a short-term goal for a patient with anxiety related to an upcoming procedure?

Patient will discuss specific aspects of concern.

Which is NOT a stage of grief: compromise, anger, denial, or bargaining?

Compromise.

What is observed in the resistance stage of the General Adaptation Syndrome (GAS)?

Attempt to adapt to the stressor.

What does introjection involve?

Taking on others’ values and beliefs but keeping your own to yourself.

What is an observation related to the alarm stage of GAS?

Decreased energy.

How can families be included in the care of a dying patient?

Asking what they would like to do and allowing participation.

What does PLISSIT stand for in nursing interventions?

Permission, Limited Information, Specific Suggestions, Intensive Therapy.

What stage of grief is characterized by crying and loss of appetite?

Depression.

What age group is focused on stories and mythical beliefs?

School-aged children.

What should be documented for a trans man?

Gender dysphoria.

What condition is characterized by burning and rawness in the perineum?

Vulvodynia.

What is a recommendation for a patient over 60 complaining of pain during intercourse?

Use water-soluble lubricant.

What is considered a subjective health risk?

Anxiety.

What happens when previous coping mechanisms fail?

Crisis.

When caring for a patient from another culture, what should you do?

Validate understanding to avoid misinterpretation.

Patient states that nothing feels the same after losing her child and job. What is this a case of?

Personal identity distrubance

What is HPV characterized by?

Fleshy raised lesions on genitals.

What hospital interventions assist with sleep?

Instructing people to remain quiet in the hall, closing the door, and clustering care to avoid excessive distrubances.

What nursing diagnosis would relate to erectile dysfunction due to hypertension medications?

Sexual dysfunction related to erectile dysfunction secondary to medication effects.

How can a nurse evaluate sleep pattern disturbances?

Observing the duration and quality of the client’s sleep.

What are vital signs like during REM sleep?

Increase in RR, HR, and BP.

What does sleep deprivation do to each stage of sleep?

Alters time in each sleep stage.

Which condition is complimetary therapy most likely to be used? fractured tibia, tonsillitis, sciatic pain, or pneumonia

Sciatic pain.

The placebo effect is representative of the mind-body connection. True or False?

True.

What is the term for sleepwalking?

Somnambulism.

Which is a chronic terminal condition: renal calculi, osteoporosis, dementia, or glaucoma?

Dementia.

How can you best support a family member after a loss?

Ask if there’s anyone you can call to come and comfort them.

What is a goal of hospice care?

Aggressive management of symptoms to promote optimum comfort.

Any medical condition can lead to decreased sexual desire, performance, or function. True or False?

True.

What are the stages of grief?

Denial, Anger, Bargaining, Depression, Acceptance.

General Adaptation Syndrome: Alarm stage

Fight or flight response.

General Adaptation Syndrome: Exhaustion stage

adaptive mechanisms fail; body may fail

Normal (Uncomplicated) Grief

Experience negative emotions that will over time change to acceptance

What is dysfunctional or complicated grief?

Prolonged and may result in lowered self-esteem, intense guilt, and suicidal ideation.

What is anticipatory grief?

Grieving before the loss actually occurs.

What is disenfranchised grief?

Grief for a loss that may not be socially acceptable or can’t be shared publicly.

Compensation

Emphasizing a more desirable trait to overcome a perceived weakness.

Denial (defense mechanism)

Refusing to acknowledge a disturbing condition.

Displacement

Reacting to emotions about one person or thing but targeting another.

Projection

Attributing one’s own thoughts/feelings/beliefs/impulses to another.

What is rationalization?

Giving logical reasoning for questionable behaviors.

What is reaction formation?

Exhibiting behaviors that are opposite of what is usual for the person.

Regression

Returning to earlier or younger behaviors.

What is repression?

Choosing to remove an event that causes stress/anxiety from conscious awareness.

What is sublimation?

Turning socially unacceptable impulses or emotions into something more socially acceptable.

Undoing

Making up for previously bad acts.

Adventitious Crisis

unplanned, accidental, and not part of everyday life; traumatic experiences