Nursing Exam Notes

The instructor is against taking care of criminals and won't hire more chicken (meaning people who can't handle the job).
Prioritizes hiring the right people, even if it means having fewer employees.
Disqualifications:
- Cannot accommodate individuals who can't work with convicted sex offenders due to group home residents.
- Cannot accommodate trigger from addiction and can't with addiction recovery.
- Cannot accommodate who can't deal with drug users (with a little leeway for nurses who need to learn how to deal with that).

Patient refusal of care based on gender:
- The instructor, as the only nurse, can provide objective care or the patient can refuse care.
- Emphasizes handling the situation with empathy, relating personal experiences to build trust.

Addressing prejudice of patients to nurses.
- Tattoos: Older patients may associate tattoos with negative stereotypes (gang members, drug addicts).
- Nurses need to overcome this stigma by covering tattoos and being understanding.
- Patients' behavior is influenced by their sickness; they may not be in their right mind.
Nurse Prejudice:
- Nurses have the right to refuse care if a patient is prejudiced and belligerent.
- In such cases, nurses should report to the charge nurse or manager.

If the job does not protect nurses from mistreatment, find a new job.
If you go home feeling like a less than person then look for a new job.
Always give notice and avoid burning bridges, as healthcare networks communicate with each other.
Consequences of burning bridges:
- Negative reputation can prevent future employment.
- Never walk out, because that will leave a bad image to DON or DSD.
- Yelling, screaming, or throwing a fit when quitting guarantees future unemployability.
Always provide notice to create good terms before leaving a job.
Maintain professionalism: avoid yelling, screaming, or cursing.
The instructor shares a personal experience of meeting a former colleague in a different healthcare setting.

Brain lectures will be held on Tuesdays and Thursdays.
Begin with brain lecture due to many things that need to be memorized.
The instructor will also talk about the meninges and cerebral spinal on future lectures.

Start with remembering spheres or regions of the brain since it corresponds with skull protection.
Regions:
- Cerebrum: The largest part of the brain with outer and inner layers.
- Cerebral Cortex: The focus of today's learning.

Frontal Lobe: Protected by the frontal bone.
Parietal Lobes: Protected by the parietal bones.
Temporal Lobe: Located on the sides, near the temples, protected by temporal bones.
Occipital Lobe: Located at the back, covered by the occipital bone.

Brain is divided into two hemispheres by the longitudinal fissure (right and left).
Each lobe has a right and left hemisphere.
Damage to one side of the frontal lobe affects the opposite side of the body.
Specific areas of the brain control speech and understanding.
Instructor will not go in depth due to time constraints and other start up topics.

Part of the peripheral nervous system, originating from underneath the brain.
There are 12 cranial nerves.
For each cranial nerve, students need to know:
- Number
- Name
- Function
- Whether they are sensory, motor, or both
The instructor will focus on memorizing the number and name of each nerve.

There will be a matching question on the quiz, matching Roman numerals to names.
Knowing the number and name can earn at least six points.

Mnemonic for remembering the names of the cranial nerves (page 244 of book):
- "On occasion, our trusty truck acts funny—very good vehicle anyhow."
This mnemonic uses the first letter of each cranial nerve name.
If you can memorize the mnemonic you will know the first letter of each cranial nerve.
- O O O T T A F V G V A H

Repeat the mnemonic several times to memorize it.
- On occasion, our trusty truck acts funny, very good vehicle anyhow.
Write Roman numerals 1-12 on a blank sheet of paper, then write the first letters of each nerve name based on the mnemonic.

The first three cranial nerves start with O:
- Olfactory (smell)
- Optic (eye)
- Oculomotor (also eye)
Remember that olfactory is smell: When you walk in the room you smell the feces first. If you smelt it then you dealt it!
Trochlear: I remember that trochlear is about eyes, then I know that the first t has to do with eyes, which is right next to oculomotor.
Trigeminal: Trochlear with tri, so trigeminal.
Facial: If it's cranial nerve and it starts with f, it has to be facial.
Glossopharyngeal: Tongue and Throat.

Cranial nerve 10 starts with V as does cranial nerve eight, vestibulocochlear, and vagus.
If you know that x marks the spot for Treasure and Treasure Island is in Vegas, then you know that cranial nerve 10, which is an x, is the vagus nerve.
Spelled a little differently, though. Vegas is with a it's not $VAGUS$ . Think it's $VEGAS$ , but it's still pronounced the same.

If you know that I like to accessorize or take my accessories and wear them when I'm in Vagus, I know that the A next to Vagus is the accessory muscle.
If I know that this A is accessory because I accessorize in Vegas, then I know that the other a that has to be abducens.
Hypoglossal: Glossal by the way, is tongue. What's hypo?
- Controls a muscle under the tongue. It basically lets me do this. The lecture makes a motion with his tongue.

Nerves can be sensory, motor, or both.
Use a mnemonic to remember which nerves are sensory, motor, or both:
- "Some say marry money, but my brother says big brains matter more."
- $S$ ensory, $M$ otor, or $B$ oth
- "Some say marry money, but my brother says big brains matter more."
- Sensory sensory motor motor both motor both sensory both both motor motor (Airnet).

Write down cranial nerve numbers, names (using "On occasion…"), and sensory/motor/both mnemonic on a blank sheet of paper.
Memorizing stuff takes longer, start memorizing stuff as we go.
Don't expect this to just be done in class. Memorizing takes time.
Tuesday will be on chapters 9-11

Quiz on Tuesday will cover the nervous system (chapters 9, 10, and 11).
The quiz is 40-45 points.
Already need to memorize fight or flight.
I can't make it any easier and lose my job.
Review on Thursday to go over again.
There are allergic people to bees. Bee comes in it every year so the door won't be open and the bee fly's in.
Kahoot review on Tuesday at the end of class for the midterm.
- Gives you a good start on what you need to know for the midterm.
- I don't give you a study guide for the midterm because you have your study guide. It's your quizzes.
- If you don't do well on the Kahoot on Tuesday evening after we do all the class, then you know what you gotta study for Thursday when we do the midterm.
Blood typing will be done after the midterm.
The instructor asks one more time before leaving and repeats the mnemonic.