Lecture 17: Freud and the Freudian Unconscious

CONSCIOUS AWARENESS AND UNCONSCIOUS PROCESSING: ch 5

Chapter 5 – States of Consciousness 1. Consciousness is the awareness of internal and external events being experienced at a given moment. 2. Waking consciousness: Normal awareness of yourself and your surroundings. Altered states: Changes in awareness, such as dreaming, meditation, hypnosis, or drug effects. 3. Altered states occur through: Sleep and dreaming Meditation and hypnosis Psychoactive drugs Sensory deprivation Fatigue 4. Stages of sleep: NREM 1: Light sleep; easily awakened. NREM 2: Deeper sleep; heart rate and body temperature decrease. NREM 3: Deep sleep; body restoration. REM: Vivid dreams, active brain, temporary muscle paralysis. 5. About how long does a complete cycle of sleep take? 90 minutes 6. Sleep deprivation results in permanent negative effects. False. Many effects improve with adequate sleep, although prolonged sleep deprivation can cause serious problems. 7. Forgetting is an important human function. True. It helps prevent information overload. 8. Night terrors happen during deep sleep and are often not remembered; nightmares are frightening dreams that are usually remembered. 9. Staying up all night studying is a good idea. False. Sleep helps memory and learning. 10. Why do humans sleep? To restore the body, conserve energy, support brain function, and strengthen memories. 11. Three main theories of dreaming: Wish-fulfillment theory Information-processing theory Physiological-function theory 12. Latent content; manifest content. 13. Insomnia 14. Sleep apnea 15. Circadian rhythms 16. Meditation is a learned technique for relaxation and focused attention that brings about an altered state of consciousness. Long-term practice can improve health. 17. Drug categories: Psychoactive drugs: Drugs that affect consciousness, mood, perception, or behavior. Addictive drugs: Drugs that can lead to compulsive use. Stimulants: Drugs that increase nervous system activity. Depressants: Drugs that slow nervous system activity. Narcotics: Drugs, especially opioids, that relieve pain. Hallucinogens: Drugs that alter perception and sensory experiences. 18. Alcohol is safer than other drugs. False 19. Drug dependence is best explained by personality and willpower. False 20. Psychedelic drugs. Chapter 6 – Learning 1. Learning is a relatively permanent change in behavior brought about by experience. 2. Two types of conditioning: Classical conditioning — Ivan Pavlov: Learning by associating two stimuli. Operant conditioning — B. F. Skinner: Learning through consequences. 3. Matching: D — A once-neutral stimulus paired with an unconditioned stimulus. B — Naturally brings about a response. A — A stimulus that initially does not bring about the response. E — A response that follows a previously neutral stimulus after conditioning. C — A reflexive response that needs no training. 4. Conditioned = learned Unconditioned = unlearned or natural 5. Previously neutral stimulus becomes the conditioned stimulus. 6. Pavlov’s experiment: Pavlov rang a bell before giving dogs food. After repeated pairings, the dogs salivated at the sound of the bell alone. 7. Variables: Before conditioning Neutral stimulus: Bell → Neutral response: No salivation Unconditioned stimulus: Food → Unconditioned response: Salivation During conditioning - Neutral stimulus: Bell + Unconditioned stimulus: Food → Unconditioned response: Salivation After conditioning - Conditioned stimulus: Bell → Conditioned response: Salivation 8. Extinction 9. Spontaneous recovery 10. Generalization vs. discrimination: Generalization: Responding similarly to similar stimuli; example: salivating to similar tones. Discrimination: Responding differently to distinct stimuli; example: salivating only to the specific tone associated with food. 11. Dopamine 12. Classical or operant: Voluntary behaviors: Operant Involuntary behaviors: Classical Ivan Pavlov: Classical B. F. Skinner: Operant Dogs salivating at a bell: Classical Rats pressing a lever for food: Operant 13. In operant conditioning, learning happens when a voluntary response is reinforced or punished by its consequences. 14. An organism’s behavior and its environment. 15. True or False: True — Responses leading to satisfying consequences are more likely to be repeated. False — Environment has little influence on behavior. False — Conditioning cannot be applied to humans. False — Positive and negative mean good and bad. 16. Thorndike’s law of effect. 17. Matching: Positive: Addition of a stimulus Negative: Removal of a stimulus Reinforcement: Leads to an increase in behavior Punishment: Leads to a decrease in behavior 18. Definitions and examples: Positive reinforcement: Adding something desirable to increase behavior; getting paid for working. Negative reinforcement: Removing something unpleasant to increase behavior; buckling a seat belt to stop a warning beep. Positive punishment: Adding something unpleasant to decrease behavior; receiving extra chores for breaking a rule. Negative punishment: Removing something desirable to decrease behavior; losing video game privileges. 19. Reinforcement schedules: D — Reinforcer delivered every 5 minutes. B — Reinforcer after every 5 responses. E — Reinforcer after an unknown or changing amount of time. C — Reinforcer after an unknown or changing number of responses. A — Reinforcer every time the behavior occurs. 20. Ratio schedules depend on: Number of responses 21. Interval schedules depend on: Amount of time 22. Fixed vs. variable: Fixed schedules are predictable; variable schedules change. 23. Shaping Example: Teaching a dog to roll over by rewarding each step toward the behavior. 24. Cognitive learning theory. 25. Latent learning; a new behavior is not demonstrated until there is a reason or motivation to use what was learned. 26. Cognitive map 27. A mental map of my school, home, and familiar roads. 28. Observing; observational learning; Bobo doll experiment. 29. Mirror neurons Chapter 7 – Memory 1. Memory is the process by which we encode, store, and retrieve information. 2. Three basic memory processes: Encoding: Taking in information. Storage: Keeping information over time. Retrieval: Accessing stored information. 3. Sensory memory → Short-term memory → Long-term memory. 4. Matching: C — Holds information while actively manipulating or rehearsing it. A — Briefly holds incoming sensory information. B — Holds information for around 15–25 seconds. D — Stores information relatively permanently. 5. Rehearsal keeps information active and helps it enter long-term memory. Elaborative rehearsal connects information to meaning and prior knowledge, while simple rehearsal repeats it. 6. Types of long-term memory: Lafayette is in Louisiana: Semantic First week of college: Episodic Riding a bicycle: Procedural 7. Explicit (declarative) memory. 8. Retrieval failure 9. Recall vs. recognition: Recall: Remembering an answer without choices, such as a fill-in-the-blank question. Recognition: Identifying an answer among choices, such as a multiple-choice question. Chapter 8 – Cognition and Language 1. Cognition 2. Concepts; a prototype is the most typical example of a concept. 3. Category: Furniture. Prototype: Chair Less typical member: Beanbag chair 4. Deductive reasoning moves from general principles to specific conclusions. Inductive reasoning moves from specific observations to general conclusions. Examples: Deductive: All humans need sleep. I am human, so I need sleep. Inductive: Several students who study regularly earn good grades, so studying may help students earn good grades. 5. Matching: A — A strategy that guarantees a solution. B — A mental shortcut that can lead to errors. C — Judging likelihood by how easily examples come to mind. D — Preferring an option because it is familiar. E — Giving more weight to outcomes closer to the present. 6. Confirmation bias 7. Problem-solving steps: Identify and define the problem. Develop and evaluate possible solutions. Implement a solution and evaluate the results. 8. Well-defined vs. ill-defined: Well-defined: Clear goal and rules; example: solving a math equation. Ill-defined: Unclear goal or multiple solutions; example: choosing a career. 9. Subgoaling 10. Functional fixedness 11. Convergent thinking narrows ideas to one correct answer. Divergent thinking generates many possible ideas. 12. Example of insight: Realizing you can stand on a chair to reach a high shelf. It depends on reorganizing your understanding of a problem. 13. Language is communication through symbols arranged according to systematic rules. 14. Nativist approach; language acquisition device (LAD). 15. Interactionist approach; biological predispositions and environmental circumstances. Final reflection These last answers are personal, so change them if they don't describe you. How prepared do you feel? 3 Three concepts most confident in: Classical conditioning Types of memory Reinforcement and punishment Three concepts least confident in: Stages of sleep Reinforcement schedules Reasoning and problem solving How will you strengthen your understanding? I plan to review my study guide, practice questions, and spend more time on the concepts I don't understand.

care of the unconscious child and reyes syndrome

Role of the Unconscious

Med. Emergencies Week 2 - Unconsciousness

conscious vs unconscious sedation

modulo 1b: tipologie di famiglie e unioni

modulo 1b: le tipogie di unioni/i rapporti di parentela la famiglia

Psychoanalysis and Freud's Theory of the Unconscious

Chapter 16 - The Unconscious

Art of interviewing In an interview, what factor do we need to consider? Social Economic Cultural How does the provider pick up on subtle ques? Shifts in body language in addition to spoken word Patients will tell you what is wrong with them if you ask the right questions Questions Open Ended OLDCARTS Don't use medical jargon Confrontation Watch for subtle ques "You look upset discussing _____, lets talk about it" Points out something striking about the patient's behavior or statement ○ Directs the patient's attention to something of which they may or may not be aware of ○ You look upset, you sound uncomfortable about that, Is there a reason you look away from me as you speak What does good communication improve? Health outcomes by resolving symptoms and reducing patient's psychogical distress and anxiety 85% of all malpractice lawsuits are based on poor communication skills What should we implement during an interview? ACTIVE LISTENING Watch their body language, tone, eye contact, speech and spoken word Understanding of what is being said, body language and other non verbal ques Symptom SUBJECTIVE ~What the patient feels ~Described by the patient Can be influenced by culture, intelligence and socioeconomic background Constitutional Symptom Fevers, Chills, Weight Gain, Weight Loss Effect all symptoms Sign OBJECTIVE What the observer finds on the assessment Crackles, dry skin, bruising What are the basic interviewing techniques? Questions Silence Facilitation Confrontation Interpretation Reflection Support Transitions Silence Silence is ok, but limit to 2 minutes or less If a patient is silent, you are silent Can restart the conversation with, "What are you thinking about?" Should never be used with the overtalkative patients ○ Can indicate interest and support ○ Don't allow more than 2 minutes of silence ○ Ok to ask: What are you thinking about? You were saying? These things are hard to think about Facilitation Keeps the conversation going "Tell me more about..." Encourages a patient to continue talking without controlling the direction of the conversation ○ Verbal and nonverbal communication that encourages the patient to keep talking ○ Go on, Tell me more, uh huh, And then Interpretation Based on inference "It sounds as if you are afraid...." Based on inference rather than observation ○ The provider interprets the patient's behavior, encouraging the patient to observe their own role in the problem. ○ You seem happy about that, Are you afraid you've done something wrong?, I wonder if your ____ is related to _____ Reflection Repeat part of the statement made by the patient Pt: "I haven't worked since 2016" APRN: "You haven't worked since 2016? Lets talk about that" A response that mirrors what the patient has just expressed ○ Patient: I am nervous about starting a new medication ■ Provider: Nervous about starting a new medication? Support Build a trusting relationship with the patient by using reassurance and empathy Shows an interest in or understanding of a patient ○ I understand ■ Reassurance ● A response that conveys to the patient that the interviewer understands what has been talked about ● That's great you were able to stop smoking, I am glad you came in today - we are going to help you ■ Empathy ● Response that recognizes a patient's feelings and does not criticize ● It's an understand, not an emotional state of sympathy ● I know it is not easy ______, I'm sure ______ has caused you a large amount of anxiety Transitions "Now I am going to ask you questions about..." Used as guides to allow the patient to better understand the logic of the interviewers questions in order to have a good flow to change the topic ○ I am now going to ask you questions about ______, Now let's talk about______ What does a past medical hx all include? General state of overall health Past Illnesses Hospitalizations Surgeries Prior injuries and accidents Allergies Current Medications Diet Sleep Patterns Immunizations Substance Abuse Complementary / Alternative Therapies What is sensitivity? How good a test is at identifying people who truly have the disease True Positive - Positive results are convincing RULE OUT = SnNout Sensitive test + Negative = disease OUT What is specificity How well a test does at correctly identifying people who are well True Negative - negative result is convincing RULE IN = SpPin Specific test + Positive = disease IN What is a functional capacity assessment? Asses geriatric patients abilities to perform activities of daily living (ADLs) -Self Care -Instrumental -Mobility -Timed Get Up and Go test Self Care ADLs Dressing Bathing Transferring from bed to chair Toileting Grooming Feeding oneself Instrumental ADLs Meal Preparation Managing Finances Use the phone Taking Meds Doing Housework Shopping Managing Transport Mobility ADLs Walking from room to room Climbing stairs Walking outdoors What is the timed get up and go test? Rise from chair, walk 10 feet, turn around, walk back to chair, turn and sit down Should be completed in 10 seconds or less If greater than 20 seconds, patient will need further evaluation What is the strongest predictor of future disability and death? Gait What should we be assessing in the elderly in relation to ADLs? # of falls in the last year Gender Identity One's internal sense of gender at a given time How a person feels and identifies themselves in terms of gender such as being a boy, girl or another gender Sexual Orientation The presence and/or object of a person's romantic, sexual, physical or spiritual attractions Who someone is attracted to or has romantic feeing towards ■ Same gender, different gender, more than one gender Alternative Medicine Systems Complete systems of health care that developed separately from Western/conventional medicine i. Traditional Chinese Medicine ii. Traditional Indigenous Healing Practices iii. Homeopathic Medicine Ayurvedic - translates to knowledge of life, origin = India Mind-Body Interventions Techniques that use the mind to help improve physical health and well-being Biofeedback Yoga / Meditation / Deep Breathing Prayer Tai Chi Biologically Based Therapies Natural substances or products from nature to improve health or treat illness Vitamins Herbal Products Probiotics Dietary Supplements Specialty Diets Manipulative and Body Physical movement, pressure, or hands-on techniques to help the body feel better or function better Chiropractic Osteopathy Reflexology / Massage Therapy Energy Therapies Energy fields in or around the body can be influenced to improve health or well-being Biofield therapy ~Intended to affect a patient's energy field for the purpose of healing by having a healer place their hands in or through them; the therapist's healing force restores the patient -Reiki -Therapeutic Touch Bioelectromagnetic based therapies ~Involve the unconventional use of electromagnetic fields. -Positioning external magnetic fields near or around the person, usually by placing magnets on the body, into clothing, or in mattresses Acupuncture -Traditional Chinese medicine in which thin needles are placed into the body to allow qi (energy) to flow unimpeded What is Yin & Yang? 2 opposite yet connected forces that exist in nature and the body They work together to maintain balance and harmony Yin Cooler Darker Quieter Slower Passive Associated with Rest Earth Moon Night Water Femininity Cold Yang Warmer Brighter Active Faster Masculinity Associated with Activity ■ Day, Heat, Light, Movement What is the goal of Yin & Yang? To Remain Healthy: ○ Maintaining a proper balance between yin and yang ○ Neither is considered completely good or bad ○ Both are necessary and work together What is the goal of Chinese Medicine? Not only cure disease, but keep people well Disease means failure in prevention of health care Health is a shared responsibility between the patient and provider Chinese medicine treats the patient as a whole rather than separate systems Preserving health, curing disease of mind, body and spirit The mind can help direct your body's energy toward healing and recovery Disharmony ■ Provides framework to help aid in healing ■ Ex: Patient doesn't catch the flu, develops disharmony. Abx, acupuncture or herbs can help to redevelop harmony What 2 techniques do the Chinese look at to diagnose? Tongue Pulse Assessment Tongue Assessment Believed to be a clear indicator of disharmony Color, Shape, Moisture, Coating, Thickness, Cracks & Texture of the tongue Pulse Assessment Disharmonies of the body have effects on the pulse ● Divided into 3 sections ○ Cun ■ Closest to the wrist ○ Guan ■ Second position ○ Chi ■ 3rd position, furthest from the wrist Left wrist (yin) ■ Heart, liver and kidney Right Wrist (yang) ■ Lungs, spleen and kidney Special Considerations for Peds: Head Palpable Anterior and Posterior Fontanelles Special Considerations for Peds: Eyes Inspecting for red reflex Special Considerations for Peds: Mouth Inspect for oral thrush and geographic tongue Special Considerations for Peds: Genitalia Inspect for hypospadias (males), diaper dermatitis, vaginal yeast Special Considerations for Peds: Hip Dystocia Perform Barlow and Ortolani Maneuvers Assess for normal newborn primitive reflexes Special Considerations for teens Assess Tanner Stages for breast tissue and genitals Can ask parents to step out of the room for the exam to allow you to ask further personal questions. The parents can refuse, although most are happy to step out If the parent does agree, do not continue with further examination until another medical witness is in the room with you Additional questions for teens include social history, illegal drug use, sexuality, suicide/depression screening and safety at home Billing and Coding Current Procedure Terminology (CPT) International Classification of Disease (ICD) Current Procedure Terminology (CPT) -Codes used to document many of the medical procedures performed in a medical office -Services and procedures provided 1. Evaluation and Management 2. Performance and Measurement 3.Emerging Medical Terminology International Classification of Disease (ICD) Explains the reason for the services ○ Classifies diseases and injuries and is used to track mortality and morbidity statistics ○ Assigned to identify the diagnosis, system, condition, problem, complaint or other reason for the encounter Bias An unfair or one sided opinion that can influence how someone thinks or acts Implicit Bias Unconscious attitudes or beliefs about people that can affect how we treat or judge them without realizing it Explicit Bias Conscious and intentional opinions to beliefs about a person or group that can lead to unfair treatment Race Groups of people based on physical traits, national origin and ancestry ■ Skin color, different features Ancestery ○ People, families and backgrounds one comes from ○ Genealogic history, understanding of one's genetic heritage Racial Bias An unfair or one sided opinion/judgement about someone based on their race Racism Treating someone unfairly, badly, negatively because of their race Scientific Racism The false idea that science proves some races are better, smarter or more capable than others Belief of biological evidence of racial inferiority/superiority Example: Black people are biologically different and inferior to white people Dominant Narrative The main or most widely accepted story or viewpoint about a topic, interests or ideas in a dominant social group Spirituality A person's sense of connection to something bigger than themselves, such as nature, a higher power, or their own inner beliefs and values. A person's search for meaning and purpose in life, including how they connect with themselves, others, nature, the present moment, and what they consider meaningful or sacred Religion A set of beliefs, practices, and traditions that help people understand life, spirituality, and their connection to a higher power or something sacred Gender Expression How a person shows or expresses their gender through things like clothing, hairstyle, behavior, voice or appearance What is included with Telehealth? Telemedicine Remote Patient Monitoring Videoconferencing mHealth eConsults Patient education / Coaching Continuing Education for the provider Telemedicine Patient care / Consultation Patient Monitoring Mentoring Digital Imaging What is included in Telehealth Etiquite? Environment Performance Privacy Telehealth - Environment Visual- Provider appearance Room appearance Lighting Picture quality Auditory - Provider noises, background noise, audio quality Telehealth - Performance Provider appearance and communication Use of equipment Provider Preparation Telehealth - Privacy Privacy of sites Equipment privacy settings Consents Mastered (1) You've been getting these terms right! Select this one What is the main purpose of an interview? Gather pertinent information -Patient's illness and how well they are adapting to said illness Goal is to gather important information regarding patient's illness/condition and how they are coping with it Not studied (2) You haven't studied these terms yet! Select these 2 What is included in Chinese medicine? What happens if there is a disharmony between Yin & Yang?

Exam Review Chapters 1, 2, & 3. Chapter 1 The Science of Psychology Behavior: Everything, we do that can be directly observed. Behavioral approach: an approach to psychology emphasizing the scientific study of observable behavioral responses and their environmental determinants. Biological approach: an approach to psychology focusing on the body, especially the brain and nervous system. Case study or case history: an in-depth look at a single individual. Cognitive approach: an approach to psychology emphasizing the mental processes involved in knowing: how we direct our attention, perceive, remember, think, and solve problems. Control group: The participants in an experiment who are as much like the experimental group as possible and who are treated in every way like the experimental group except for a manipulated factor, the independent variable. Correlational research: research that examines the relationships between variables, whose purpose is to examine whether and how two variables change together. Critical thinking: The process of thinking deeply and actively, asking questions, and evaluating the evidence. Dependent variable: The outcome; the factor that can change in an experiment in response to changes in the independent variable. Double-blind experiment: An experimental design in which neither the experimenter nor the participants are aware of which participants are in the experimental group and which are in the control group until the results are calculated. Evolutionary approach: An approach to psychology centered on evolutionary ideas such as adaptation, reproduction, and natural selection as the basis for explaining specific human behaviors. Experiment: A carefully regulated procedure in which the researcher manipulates one or more variables that are believed to influence some other variable. Experimental group: The participants in an experiment who receive the drug or other treatment under study—that is, those who are exposed to the change that the independent variable represents. Functionalism: James’s approach to mental processes, emphasizing the functions and purposes of the mind and behavior in the individual’s adaptation to the environment. Humanistic approach: An approach to psychology emphasizing a person’s positive qualities, the capacity for positive growth, and the freedom to choose any destiny. Hypothesis: A testable prediction that derives logically from a theory. Independent variable: A manipulated experimental factor; the variable that the experimenter changes to see what its effects are. Longitudinal design: A special kind of systematic observation, used by correlational researchers, that involves obtaining measures of the variables of interest in multiple waves over time. Mental processes: The thoughts, feelings, and motives that people experience privately but that cannot be observed directly. Natural selection: Darwin’s principle of an evolutionary process in which organisms that are best adapted to their environment will survive and produce offspring. Naturalistic observation: The observation of behavior in a real-world setting. Placebo: In a drug study, a harmless substance that has no physiological effect, given to participants in a control group so that they are treated identically to the experimental group except for the active agent. Placebo effect: The situation where participants’ expectations, rather than the experimental treatment, produce an experimental outcome. Population: The entire group about which the researcher wants to draw conclusions. Psychoanalysis: techniques involves an analyst unlocking a person's unconscious conflicts by talking with the individual about his or her childhood memories, dreams, thoughts, and feelings. Psychodynamic approach: an approach to psychology emphasizing unconscious thought, the conflict between biological drives (such as the drive for sex) and society’s demands, and early childhood family experiences. Psychology: The scientific study of behavior and mental processes. Sample: The subset of the population chosen by the investigator for study. Sociocultural approach: an approach to psychology that examines the ways in which social and cultural environments influence behavior. Structuralism: Wundt’s approach to discovering the basic elements, or structures, of mental processes. Theory: A broad idea or set of closely related ideas that attempts to explain observations and to make predictions about future observations. Validity: The soundness of the conclusions that a researcher draws from an experiment. In the realm of testing, the extent to which a test measures what it is intended to measure. Variable: Anything that can change. Wilhelm Wundt is most often regarded the "founding father" of modern psychology. He was also the founder of structuralism. William James was the founder of functionalism. J. B. Watson and B. F. Skinner believed that psychology should focus on an organism's visible interactions with the environment—that is, behaviors. Ethical Guidelines developed by the American Psychological Association include: • informed consent. • confidentiality. • deception. • debriefing. Chapter 2 The Brain and Behavior Action potential: The brief wave of positive electrical charge that sweeps down the axon. Adrenal glands: glands at the top of each kidney that are responsible for regulating moods, energy level, and the ability to cope with stress. Amygdala: An almond-shaped structure within the base of the temporal lobe that is involved in the discrimination of objects that are necessary for the organism’s survival, such as appropriate food, mates, and social rivals. Association cortex: Sometimes called association areas, the region of the cerebral cortex that is the site of the highest intellectual functions, such as thinking and problem solving. Autonomic nervous system: The body system that takes messages to and from the body’s internal organs, monitoring such processes as breathing, heart rate, and digestion. Axon The part of the neuron that carries information away from the cell body toward other cells. Basal ganglia Large neuron clusters located above the thalamus and under the cerebral cortex that work with the cerebellum and the cerebral cortex to control and coordinate voluntary movements. Brain stem The stem like brain area that includes much of the hindbrain (excluding the cerebellum) and the midbrain; connects with the spinal cord at its lower end and then extends upward to encase the reticular formation in the midbrain. Cell body The part of the neuron that contains the nucleus, which directs the manufacture of substances that the neuron needs for growth and maintenance. Central nervous system (CNS): The brain and spinal cord. Cerebral cortex: Part of the forebrain, the outer layer of the brain, responsible for the most complex mental functions, such as thinking and planning. Chromosomes: In the human cell, threadlike structures that come in 23 pairs, one member of each pair originating from each parent, and that contain DNA. Corpus callosum: The large bundle of axons that connects the brain’s two hemispheres, responsible for relaying information between the two sides. Dendrites: Treelike fibers projecting from a neuron, which receive information and orient it toward the neuron’s cell body. Deoxyribonucleic acid (DNA): A complex molecule in the cell’s chromosomes that carries genetic information. Dominant-recessive genes principle: The principle that if one gene of a pair is dominant and one is recessive, the dominant gene overrides the recessive gene. A recessive gene exerts its influence only if both genes of a pair are recessive. Endocrine system: The body system consisting of a set of glands that regulate the activities of certain organs by releasing their chemical products into the bloodstream. Forebrain: The brain’s largest division and its most forward part. Frontal lobes: The portion of the cerebral cortex behind the forehead, involved in personality, intelligence, and the control of voluntary muscles. Genes: The units of hereditary information, consisting of short segments of chromosomes composed of DNA. Genotype: An individual’s genetic heritage; his or her actual genetic material. Glands: Organs or tissues in the body that create chemicals that control many bodily functions. Glial cells: The second of two types of cells in the nervous system; glial cells (also called glia) provide support, nutritional benefits, and other functions and keep neurons running smoothly. Hindbrain: Located at the skull’s rear, the lowest portion of the brain, consisting of the medulla, cerebellum, and pons. Hippocampus: The structure in the limbic system that has a special role in the storage of memories. Hormones: Chemical messengers that are produced by the endocrine glands and carried by the bloodstream to all parts of the body. Hypothalamus: A small forebrain structure, located just below the thalamus, that monitors three pleasurable activities—eating, drinking, and sex—as well as emotion, stress, and reward. Limbic system: A set of subcortical brain structures central to emotion, memory, and reward processing. Midbrain: Located between the hindbrain and forebrain, an area in which many nerve-fiber systems ascend and descend to connect the higher and lower portions of the brain; in particular, the midbrain relays information between the brain and the eyes and ears. Motor cortex: A region in the cerebral cortex, located just behind the frontal lobes, that processes information about voluntary movement. Myelin sheath: A layer of fat cells that encases and insulates most axons. Neocortex: The outermost part of the cerebral cortex, making up 80 percent of the human brain’s cortex. Nervous system: The body’s electrochemical communication circuitry. Neural networks: Networks of nerve cells that integrate sensory input and motor output. Neurons: One of two types of cells in the nervous system; neurons are the nerve cells that handle the information-processing function. Neurotransmitters: Chemical substances that are stored in very tiny sacs within the neuron’s terminal buttons and involved in transmitting information across a synaptic gap to the next neuron. Occipital lobes: Structures located at the back of the head that respond to visual stimuli. Ovaries: Sex-related endocrine glands that produce hormones involved in women’s sexual development and reproduction. Pancreas: A dual-purpose gland under the stomach that performs both digestive and endocrine functions. Parasympathetic nervous system: The part of the autonomic nervous system that calms the body. Parietal lobes: Structures at the top and toward the rear of the head that are involved in registering spatial location, attention, and motor control. Peripheral nervous system (PNS): The network of nerves that connects the brain and spinal cord to other parts of the body. Phenotype: An individual’s observable characteristics. Pituitary gland: A pea-sized gland just beneath the hypothalamus that controls growth and regulates other glands. Plasticity: The brain’s special capacity for change. Prefrontal cortex: an important part of the frontal lobes that is involved in higher cognitive functions such as planning, reasoning, and self-control. Resting potential, The stable, negative charge of an inactive neuron. Reticular formation: A system in the midbrain comprising a diffuse collection of neurons involved in stereotyped patterns of behavior such as walking, sleeping, and turning to attend to a sudden noise. Somatic nervous system: The body system consisting of the sensory nerves, whose function is to convey information from the skin and muscles to the central nervous system about conditions such as pain and temperature, and the motor nerves, whose function is to tell muscles what to do. Somatosensory cortex: A region in the cerebral cortex that processes information about body sensations, located at the front of the parietal lobes. Stem cells: Unique primitive cells that have the capacity to develop into most types of human cells. Stress: The responses of individuals to environmental stressors. Stressors: Circumstances and events that threaten individuals and tax their coping abilities and that cause physiological changes to ready the body to handle the assault of stress. Sympathetic nervous system: The part of the autonomic nervous system that arouses the body to mobilize it for action and thus is involved in the experience of stress. Synapses: Tiny spaces between neurons; the gaps between neurons are referred to as synaptic gaps. Temporal lobes: Structures in the cerebral cortex that are located just above the ears and are involved in hearing, language processing, and memory. Testes: Sex-related endocrine glands in the scrotum that produce hormones involved in men’s sexual development and reproduction. Thalamus: The forebrain structure that sits at the top of the brain stem in the brain’s central core and serves as an important relay station. Left Hemisphere • verbal processing, speech, grammar Right Hemisphere • spatial perception • visual recognition • emotion Chapter 3 Sensation and Perception Absolute threshold: The minimum amount of stimulus energy that a person can detect. Apparent movement: The perception that a stationary object is moving. Auditory nerve: The nerve structure that receives information about sound from the hair cells of the inner ear and carries these neural impulses to the brain’s auditory areas. Binding: In the sense of vision, the bringing together and integration of what is processed by different neural pathways or cells. Binocular cues: Depth cues that depend on the combination of the images in the left and right eyes and on the way the two eyes work together. Bottom-up processing: The operation in sensation and perception in which sensory receptors register information about the external environment and send it up to the brain for interpretation. Cones: The receptor cells in the retina that allow for color perception. Convergence: A binocular cue to depth and distance in which the muscle movements in an individual’s two eyes provide information about how deep and/or far away something is. Depth perception: The ability to perceive objects three-dimensionally. Difference threshold: The degree of difference that must exist between two stimuli before the difference is detected. Feature detectors: Neurons in the brain’s visual system that respond to particular features of a stimulus. Figure-ground relationship: The principle by which we organize the perceptual field into stimuli that stand out (figure) and those that are left over (ground). Frequency theory: Theory on how the inner ear registers the frequency of sound, stating that the perception of a sound’s frequency depends on how often the auditory nerve fires. Gestalt psychology A school of thought interested in how people naturally organize their perceptions according to certain patterns. Inner ear: The part of the ear that includes the oval window, cochlea, and basilar membrane and whose function is to convert sound waves into neural impulses and send them to the brain. Kinesthetic senses: Senses that provide information about movement, posture, and orientation. Middle ear: The part of the ear that channels and amplifies sound through the eardrum, hammer, anvil, and stirrup to the inner ear. Monocular cues: Powerful depth cues available from the image in one eye, either the right or the left. Noise: Irrelevant and competing stimuli—not only sounds but also any distracting stimuli for the senses. Olfactory epithelium: The lining of the roof of the nasal cavity, containing a sheet of receptor cells for smell. Opponent-process theory: Theory stating that cells in the visual system respond to complementary pairs of red-green and blue-yellow colors; a given cell might be excited by red and inhibited by green, whereas another cell might be excited by yellow and inhibited by blue. Optic nerve: The structure at the back of the eye, made up of axons of the ganglion cells, that carries visual information to the brain for further processing. Outer ear: The outermost part of the ear, consisting of the pinna and the external auditory canal. Pain: The sensation that warns an individual of damage to the body. Papillae: Rounded bumps above the tongue’s surface that contain the taste buds, the receptors for taste. parallel processing: The simultaneous distribution of information across different neural pathways. Perception: The process of organizing and interpreting sensory information so that it makes sense. perceptual constancy: The recognition that objects are constant and unchanging even though sensory input about them is changing. perceptual set A predisposition or readiness to perceive something in a particular way. place theory: Theory on how the inner ear registers the frequency of sound, stating that each frequency produces vibrations at a particular spot on the basilar membrane. retina The multilayered light-sensitive surface in the eye that records electromagnetic energy and converts it to neural impulses for processing in the brain. Rods: The receptor cells in the retina that are sensitive to light but not very useful for color vision. selective attention: The act of focusing on a specific aspect of experience while ignoring others. semicircular canals: Three fluid-filled circular tubes in the inner ear containing the sensory receptors that detect head motion caused when an individual tilts or moves the head and/or the body. Sensation: The process of receiving stimulus energies from the external environment and transforming those energies into neural energy. sensory adaptation: A change in the responsiveness of the sensory system based on the average level of surrounding stimulation. sensory receptors: Specialized cells that detect stimulus information and transmit it to sensory (afferent) nerves and the brain. signal detection theory: An approach to perception that focuses on decision making about stimuli in the presence of uncertainty. subliminal perception The detection of information below the level of conscious awareness. Thermoreceptors: Sensory nerve endings under the skin that respond to changes in temperature at or near the skin and provide input to keep the body’s temperature at 98.6 degrees Fahrenheit. top-down processing The operation in sensation and perception, launched by cognitive processing at the brain’s higher levels, that allows the organism to sense what is happening and to apply that framework to information from the world. trichromatic theory: Theory stating that color perception is produced by three types of cone receptors in the retina that are particularly sensitive to different, but overlapping, ranges of wavelengths. vestibular sense: Sense that provides information about balance and movement. visual cortex: Located in the occipital lobe, the part of the cerebral cortex involved in vision. volley principle: Principle addressing limitations of the frequency theory of hearing, stating that a cluster of nerve cells can fire neural impulses in rapid succession, producing a volley of impulses. Weber’s law: The principle that two stimuli must differ by a constant minimum percentage (rather than a constant amount) to be perceived as different.

📚 LITERARY CRITICAL APPROACHES — REVIEWER 1. FORMALIST APPROACH Focus: The literary work itself. Characters – people in the story Setting – time and place Plot – events of the story Theme – main message or idea Symbols – objects that represent an idea Language/Style – how the author uses words 👉 Keyword: TEXT 2. BIOGRAPHICAL APPROACH Focus: The author's life and experiences. Author's background Life experiences Beliefs Personal experiences that may influence the work 👉 Keyword: AUTHOR 3. SOCIOLOGICAL / HISTORICAL APPROACH Focus: How society and history influence a literary work. Social – relationships, social groups, and society Historical – events and conditions during the time Political – government, leadership, and power Cultural – traditions, beliefs, customs, and values 👉 Keyword: SOCIETY 4. MARXIST APPROACH Focus: Social class, power, and inequality. Rich vs. poor Upper class vs. lower class Economic inequality Power and wealth Class conflict 👉 Keyword: CLASS 5. FEMINIST APPROACH Focus: Gender and equality, especially how women are represented. Gender stereotypes – beliefs about how men/women "should" act Gender biases – unfair treatment based on gender Men vs. women – differences in power, opportunities, or treatment Women's roles and representation Gender equality 👉 Keyword: GENDER 6. PSYCHOANALYTIC APPROACH Focus: The mind, emotions, and unconscious desires of characters. 🧠 Three parts of personality: ID Wants immediate pleasure "I want it NOW!" EGO Realistic and logical Balances the ID and SUPEREGO SUPEREGO Represents morals and rules Knows what is right and wrong Conscience Inner sense of right and wrong 👉 Keyword: MIND 📝 QUICK MEMORY GUIDE Approach Focus Keyword Formalist Text itself 📖 TEXT Biographical Author's life 👤 AUTHOR Sociological/Historical Society & history 🌍 SOCIETY Marxist Social class 💰 CLASS Feminist Gender & equality ⚖️ GENDER Psychoanalytic Mind & behavior 🧠 MIND ⭐ Easy way to remember: F-B-S-M-F-P Formalist → Biographical → Sociological → Marxist → Feminist → Psychoanalytic FIGURES OF SPEECH — FINAL REVIEWER 1. Personification ➡️ Giving human characteristics to non-human things. Example: “The flowers danced in the wind.” 🧠 Keyword: HUMAN CHARACTERISTICS 2. Hyperbole ➡️ An exaggeration used to emphasize an idea. Example: “I've told you a million times.” 🧠 Keyword: EXAGGERATION 3. Synecdoche ➡️ Using a part to represent the whole, or the whole to represent a part. Example: “We need more hands to help.” → Hands = people 🧠 Keyword: PART ↔ WHOLE 4. Metonymy ➡️ Replacing something with a word that is closely associated with it. Example: “The crown made a decision.” → Crown = king/queen 🧠 Keyword: ASSOCIATION 5. Oxymoron ➡️ Combines two contradictory/opposite words. Examples: Deafening silence Bittersweet Living dead 🧠 Keyword: OPPOSITE WORDS 6. Paradox ✅ ➡️ A statement or idea that seems contradictory but contains a deeper meaning or truth. Examples: “Less is more.” “The beginning of the end.” 🧠 Keyword: CONTRADICTORY IDEA + DEEPER MEANING ⭐ DON'T MIX THESE UP! Figure Meaning Easy Keyword Personification Non-human → human traits 👤 Human Hyperbole Exaggeration 📈 Exaggerate Synecdoche Part ↔ whole 🧩 Part/Whole Metonymy Related/associated term 🔗 Association Oxymoron Opposite words together ⚡ Opposite words Paradox Opposite/contradictory idea with deeper meaning 💡 Deeper meaning 🧠 Pinakamadaling tandaan: OXymoron = WORDS ➡️ “deafening silence” PARadox = IDEA ➡️ “Less is more.” Synecdoche = PART ➡️ “hands” = people Metonymy = RELATED ➡️ “crown” = royalty Hyperbole = EXAGGERATE ➡️ “a million times” Personification = HUMAN ➡️ “flowers danced” 📚 ENGLISH REVIEWER POETRY, CONFLICT, & CHARACTER --- I. POETRY Poetry Poetry is a creative form of art that uses language in a condensed and evocative way. It aims to: Stir emotions Spark the imagination Express ideas and feelings through carefully chosen words 🧠 Keyword: EMOTIONS + IMAGINATION --- II. ELEMENTS OF POETRY According to your notes, there are 3 main elements: 1. Diction ➡️ The choice and use of words by the poet. There are two types of meaning: Denotative Literal or dictionary meaning. Example: Dove = a bird Connotative Associated, emotional, or symbolic meaning. Example: Dove = peace 🧠 Remember: Denotative = Dictionary Connotative = Connection/feeling --- 2. Images and Sense Impressions ➡️ Words used to create mental pictures and appeal to our senses. The five senses: 👁️ Sight – what you see 👂 Hearing – what you hear 👃 Smell – what you smell 👅 Taste – what you taste ✋ Touch – what you feel Example: “The warm bread smelled sweet and tasted delicious.” This appeals to touch, smell, and taste. 🧠 Keyword: SENSES --- 3. Figures of Speech ➡️ Special ways of using words to make writing more meaningful or expressive. Your figures of speech: Personification → Gives human characteristics to non-human things. “The flowers danced.” Hyperbole → Exaggeration. “I told you a million times.” Synecdoche → A part represents the whole. “We need more hands.” → hands = people Metonymy → Uses something closely associated with another thing. “The crown decided.” → crown = royalty Oxymoron → Two contradictory words together. “Deafening silence.” Paradox → A seemingly contradictory idea that has a deeper meaning. “Less is more.” --- III. CONFLICT What is Conflict? Conflict is the problem or struggle in a story. It is: The problem in the drama A force that makes the narrative move forward A struggle or tension between opposing forces Something that can reveal a deeper meaning in a narrative 🧠 Keyword: STRUGGLE / PROBLEM --- IV. GENERAL TYPES OF CONFLICT There are 2 general types: A. INTERNAL CONFLICT 🧠 ➡️ A conflict that happens within the character. It can be caused by: Morality Desires Fears Beliefs Character vs. Self The character struggles with their own thoughts, feelings, decisions, or beliefs. Example: A student wants to cheat but knows that cheating is wrong. 🧠 Internal = INSIDE THE CHARACTER --- B. EXTERNAL CONFLICT 🌎 ➡️ A struggle between a character and an outside force. Types: Character vs. Character → One character struggles against another character. Character vs. Society → A character struggles against society, rules, or social expectations. Character vs. Nature → A character struggles against nature or natural forces. 🧠 External = OUTSIDE THE CHARACTER --- V. CHARACTER Character A character is a person, animal, or being that takes part in a story. Characters help move the plot and experience conflicts. --- VI. TYPES OF MAJOR CHARACTERS 1. Protagonist ➡️ The main character of the story. The story usually focuses on their goals, struggles, and experiences. 🧠 Protagonist = MAIN CHARACTER --- 2. Antagonist ➡️ The character or force that opposes the protagonist. The antagonist creates obstacles or conflict for the protagonist. 🧠 Antagonist = OPPOSING FORCE Easy to remember: PROtagonist → PRO = main character you're following ANTagonist → ANTI = against the protagonist --- VII. CHARACTERIZATION Characterization ➡️ The way an author reveals or develops a character's personality, traits, and qualities. There are 2 ways: --- 1. DIRECT CHARACTERIZATION ➡️ The author directly tells the reader what the character is like. Example: > “Maria was kind and generous.” The author directly says that Maria is kind and generous. 🧠 Direct = AUTHOR TELLS YOU --- 2. INDIRECT CHARACTERIZATION ➡️ The author shows the character's personality through their: Speech – what they say Thoughts – what they think Actions – what they do Appearance – how they look Interactions – how they treat others Example: > Maria gave her lunch to a hungry classmate. We can infer that Maria is kind even though the author didn't directly say it. 🧠 Indirect = AUTHOR SHOWS YOU --- ⭐ DIRECT VS. INDIRECT Direct Indirect Author tells Author shows Personality is stated Personality is inferred “John is honest.” John returns a lost wallet. 🧠 Super easy: DIRECT = TELL 🗣️ INDIRECT = SHOW 👀 --- 🔥 QUICK REVIEW BEFORE EXAM Poetry ➡️ Creative use of language to stir emotions and spark imagination. Elements of Poetry Diction → choice of words Images & Sense Impressions → five senses Figures of Speech → special/expressive use of language Conflict ➡️ Problem or struggle in a story. Internal → Character vs. Self External → Character vs. Character / Society / Nature Major Characters Protagonist → main character Antagonist → opposes the protagonist Characterization Direct → author TELLS Indirect → author SHOWS 🧠 ONE-LINE MEMORY GUIDE POETRY: Emotion + Imagination DICTION: Words IMAGERY: Senses CONFLICT: Struggle INTERNAL: Self EXTERNAL: Outside PROTAGONIST: Main ANTAGONIST: Against DIRECT: Tell INDIRECT: Show

Absolutely. Your list is very broad, so the best way to study it is not to memorize every disease. We can turn it into a high-yield nursing reviewer based on: What is it? → What will I see? → What should I assess? → What should I do? → What medications/treatments matter? → What is the priority/emergency? → What should I teach? Below is a condensed master reviewer. I’ll keep it nursing-focused and use simple language. ⸻ 🩺 MEDICAL-SURGICAL NURSING REVIEWER 1. ENDOCRINE SYSTEM Diabetes Mellitus Type 1 Type 2 Main problem Little/no insulin Insulin resistance + progressive insulin deficiency Usually Younger onset, but can occur any age More common in adults Treatment Insulin required Lifestyle + oral/injectable meds ± insulin Major acute problems DKA HHS Signs of hyperglycemia “3 Ps” * Polyuria – urinating frequently * Polydipsia – excessive thirst * Polyphagia – excessive hunger Other: * Fatigue * Blurred vision * Slow wound healing * Recurrent infections Hypoglycemia Think FAST: * F – Feeling shaky * A – Altered behaviour/confusion * S – Sweating * T – Tachycardia Treatment if conscious: 15 g fast carbohydrate → recheck glucose in 15 min → repeat if necessary. Examples: * Glucose tablets * Juice * Regular pop If unconscious/severe: * Glucagon if appropriate * IV dextrose in a healthcare setting DKA Usually associated with Type 1. Think: Hyperglycemia + ketones + metabolic acidosis Signs: * Dehydration * Abdominal pain * Nausea/vomiting * Fruity/acetone breath * Kussmaul respirations * Altered LOC Priority treatment: 1. IV fluids 2. Insulin 3. Monitor/correct electrolytes, especially potassium 4. Monitor glucose and acid-base status HHS Usually Type 2. * Extremely high glucose * Severe dehydration * Altered LOC * Little/no significant ketoacidosis Major nursing priority: fluid replacement and monitoring. Diabetes teaching Remember: * Foot care * Inspect feet daily * Proper footwear * Don’t walk barefoot * Don’t cut corns/calluses yourself * Monitor blood glucose * Know signs of hypo/hyperglycemia * Medication adherence * Sick-day management * Regular eye/kidney/foot assessments ⸻ ❤️ 2. CARDIOVASCULAR SYSTEM Stroke Two major types: * Ischemic → blocked blood vessel * Hemorrhagic → bleeding Recognize stroke: BE FAST B – Balance loss E – Eye/vision changes F – Face drooping A – Arm weakness S – Speech difficulty T – Time to call emergency services Nursing priorities * ABCs * Determine last known well * Neurological assessment * Blood glucose * Prepare for CT/imaging * Swallow assessment before oral food/fluids/medications * Prevent aspiration * Maintain safety Do not give food or water until swallowing is assessed. ⸻ Myocardial Infarction (MI) Think: “Time = muscle.” Common symptoms: * Chest pressure/pain * Radiation to arm/jaw/back * Dyspnea * Diaphoresis * Nausea * Anxiety Some patients, especially older adults and people with diabetes, may have atypical or minimal pain. Nursing priorities * ABCs * ECG * Vital signs * Cardiac monitoring * IV access * Blood work including cardiac biomarkers * Oxygen if hypoxemic/clinically indicated * Administer prescribed medications promptly Common medications: * Aspirin * Nitroglycerin * Antiplatelet drugs * Anticoagulants * Beta blockers * Statins Nitroglycerin Can cause: * Hypotension * Headache * Dizziness Never combine nitrates with PDE-5 inhibitors because of potentially severe hypotension. ⸻ Heart Failure Left-sided Think Lungs * Dyspnea * Crackles * Orthopnea * Pulmonary edema * Pink/frothy sputum in severe pulmonary edema Right-sided Think Body * Peripheral edema * Weight gain * JVD * Hepatomegaly * Ascites Nursing priorities * Daily weight * I&O * Respiratory assessment * Edema assessment * Fluid/sodium management as ordered * Medication adherence Sudden weight gain can indicate fluid retention. Common drugs: * Diuretics * ACE inhibitors/ARBs/ARNI * Beta blockers * Mineralocorticoid antagonists * SGLT2 inhibitors * Digoxin in selected patients Digoxin Watch for: * Bradycardia * Nausea/vomiting * Visual disturbances * Dysrhythmias Low potassium increases risk of digoxin toxicity. ⸻ Peripheral Vascular Disease Arterial Think: “Pain + Pale + Pulseless + Cold” * Cool extremity * Weak pulses * Pale colour * Pain with activity * Poor wound healing Venous Think: “Swollen + Warm + Edema” * Edema * Warm skin * Aching * Venous ulcers often near ankles ⸻ 🩸 3. HEMATOLOGY Anemia Reduced oxygen-carrying capacity. Signs: * Fatigue * Pallor * Weakness * Dyspnea * Tachycardia * Dizziness Iron-deficiency anemia May see: * Low hemoglobin * Low ferritin * Microcytic/hypochromic RBCs Iron teaching: * Take as directed * Vitamin C can improve absorption * Dark stools are common * Constipation can occur * Liquid iron may stain teeth ⸻ Leukemia Cancer of blood-forming tissues. Possible findings: * Infection → abnormal WBC function * Anemia → fatigue/pallor * Bleeding → low platelets * Bone/joint pain Think: Leukemia = infection + anemia + bleeding Nursing priorities: * Infection prevention * Bleeding precautions when indicated * Monitor CBC * Oral care * Avoid unnecessary invasive procedures * Monitor treatment adverse effects ⸻ 🍽️ 4. GASTROINTESTINAL SYSTEM Crohn’s vs Colitis Crohn’s Ulcerative Colitis Can affect anywhere mouth → anus Colon/rectum “Skip lesions” Continuous inflammation Transmural Mainly mucosal Fistulas common Bloody diarrhea common Strictures possible Toxic megacolon risk Crohn’s Watch for: * Diarrhea * Abdominal pain * Weight loss * Malnutrition * Fistulas Ulcerative colitis Watch for: * Bloody diarrhea * Abdominal cramps * Urgency * Risk of toxic megacolon ⸻ Diverticulitis Inflammation/infection of diverticula. Signs: * Usually LLQ abdominal pain * Fever * Change in bowel habits During acute inflammation: * Follow prescribed bowel-rest/diet plan * Monitor pain, fever and abdominal status * Watch for perforation/peritonitis ⸻ Colorectal Cancer Red flags: * Change in bowel habits * Blood in stool * Unexplained weight loss * Iron-deficiency anemia * Abdominal discomfort Important: Screening is important even before symptoms occur. ⸻ Constipation Risk factors: * Opioids * Immobility * Low fluid intake * Low fibre * Some medications Management: * Fluids if not contraindicated * Fibre * Activity * Bowel routine * Appropriate laxatives/stool softeners ⸻ Diarrhea Priority concerns: Fluid + electrolytes + cause Assess: * Frequency * Stool characteristics * Blood * Fever * Abdominal pain * Hydration * Recent antibiotics/travel/exposure ⸻ Peptic Ulcer Disease Major complications: * Bleeding * Perforation * Gastric outlet obstruction Warning signs: * Hematemesis * Melena * Sudden severe abdominal pain * Rigid abdomen Common causes: * H. pylori * NSAIDs ⸻ Appendicitis Classic: * Pain may begin around umbilicus and migrate to RLQ * Fever * Nausea/vomiting * Rebound/guarding may occur Priority Prevent rupture. Avoid: * Laxatives * Enemas * Applying heat to abdomen ⸻ 🚰 5. RENAL SYSTEM UTI Symptoms: * Dysuria * Frequency * Urgency * Suprapubic discomfort If infection reaches kidneys: * Fever * Flank pain * Chills * Nausea/vomiting Nursing * Obtain urine specimen correctly * Culture before antibiotics when ordered/appropriate * Encourage fluids if not contraindicated * Complete antibiotics ⸻ Renal Failure Major problems: Think: * Fluid overload * Electrolyte imbalance * Acid-base imbalance * Uremia * Anemia Possible findings: * Edema * Hypertension * Fatigue * Decreased urine output * Nausea * Confusion Particularly important: Hyperkalemia can cause life-threatening dysrhythmias. ⸻ Dialysis Hemodialysis Blood is filtered through a machine. Assess: * Weight * BP * Fluid status * Access site AV fistula Remember: “Feel + Hear” * Thrill → feel it * Bruit → hear it Protect the access: * No BP on that arm * No blood draws on that arm when avoidable * Don’t compress unnecessarily ⸻ Incontinence Types: Stress → coughing/sneezing Urge → sudden strong urge Overflow → bladder doesn’t empty Functional → can’t get to toilet Mixed → combination Management depends on cause. ⸻ 🫁 6. RESPIRATORY SYSTEM COPD Includes chronic bronchitis and emphysema. Common: * Dyspnea * Chronic cough * Sputum * Wheezing * Reduced exercise tolerance Nursing: * Position upright * Pursed-lip breathing * Energy conservation * Smoking cessation * Oxygen as prescribed * Inhaler technique Don’t automatically assume oxygen should be withheld from COPD patients. Oxygen is prescribed/titrated according to the patient’s clinical status and target saturation. ⸻ Asthma Usually reversible airway obstruction/inflammation. Symptoms: * Wheezing * Cough * Dyspnea * Chest tightness Rescue medication Short-acting bronchodilator, e.g. salbutamol. Controller Often: Inhaled corticosteroid Severe attack Red flags: * Difficulty speaking * Severe respiratory distress * Exhaustion * Altered LOC * Silent chest Silent chest = very serious. ⸻ Pneumonia Signs: * Fever * Cough * Sputum * Dyspnea * Crackles * Pleuritic chest pain Nursing: * Oxygen if needed * Antibiotics if bacterial/ordered * Hydration if appropriate * Mobilization * Cough/deep breathing * Monitor respiratory status ⸻ Lung Cancer Risk factors: * Smoking * Environmental/occupational exposures Symptoms: * Persistent cough * Hemoptysis * Weight loss * Dyspnea * Chest pain ⸻ Tuberculosis Classic: * Persistent cough * Fever * Night sweats * Weight loss * Possible hemoptysis Nursing priority Airborne precautions for suspected/confirmed infectious pulmonary TB according to institutional policy. ⸻ Atelectasis Collapsed alveoli, often after surgery. Prevention: * Deep breathing * Coughing * Incentive spirometry * Early mobilization * Adequate pain control ⸻ Pneumothorax Air in pleural space → lung collapse. Possible: * Sudden dyspnea * Chest pain * Decreased/absent breath sounds Tension pneumothorax Emergency. May cause: * Severe respiratory distress * Hypotension * Distended neck veins * Tracheal deviation * Cardiovascular collapse Requires immediate emergency treatment. ⸻ Hemothorax Blood in pleural space. Think: Respiratory compromise + blood loss. Chest tube may be required. ⸻ 🦴 7. MUSCULOSKELETAL Osteoporosis Loss of bone density. Risk: * Fractures * Vertebral compression * Hip fracture Prevention: * Weight-bearing activity * Calcium/vitamin D as appropriate * Fall prevention * Avoid smoking * Limit excessive alcohol ⸻ Fractures Priority: ABCs → bleeding → neurovascular status Assess the 6 Ps: * Pain * Pallor * Pulselessness * Paresthesia * Paralysis * Poikilothermia/coolness Neurovascular assessment is critical. ⸻ Arthritis Osteoarthritis Think: Wear and tear * Pain with activity * Stiffness * Often affects weight-bearing joints Rheumatoid arthritis Think: Autoimmune * Symmetrical joint involvement * Morning stiffness * Systemic effects ⸻ Scoliosis Abnormal lateral curvature of spine. Assess: * Posture * Shoulder/hip asymmetry * Spinal curvature * Respiratory effects if severe ⸻ Multiple Sclerosis Autoimmune demyelinating disease affecting CNS. Possible: * Weakness * Fatigue * Visual disturbances * Sensory changes * Balance problems * Bladder dysfunction Important nursing concept: Fatigue and heat can worsen symptoms. ⸻ 🦠 8. INFECTION/IMMUNE SYSTEM MRSA Methicillin-resistant Staphylococcus aureus. Key: * Resistant to several antibiotics * Contact precautions may be required * Strict hand hygiene ⸻ VRE Vancomycin-resistant enterococci. Key: * Resistant organism * Contact precautions according to facility policy * Hand hygiene * Environmental cleaning ⸻ C. difficile Often associated with antibiotic exposure. Symptoms: * Frequent watery diarrhea * Abdominal cramping * Fever VERY IMPORTANT Soap and water handwashing is preferred because alcohol-based hand sanitizer does not reliably kill C. difficile spores. Use appropriate contact/spore precautions according to facility policy. ⸻ Influenza * Fever * Cough * Myalgias * Fatigue * Headache Prevention: Annual vaccination + respiratory hygiene. ⸻ Sepsis Think: Infection + organ dysfunction Potential signs: * Fever or hypothermia * Tachycardia * Tachypnea * Altered mental status * Hypotension * Reduced urine output * Elevated lactate Nursing priority Recognize early and escalate rapidly. Expect: * Cultures * Lactate * IV fluids when indicated * Prompt antimicrobials when sepsis is suspected * Source control * Frequent reassessment ⸻ 🔬 9. DIAGNOSTIC TESTS Don’t memorize only the test. For every test ask: 1. Why is it being done? 2. What does it tell me? 3. What does the nurse do before? 4. What does the nurse do after? 5. What complications should I watch for? ⸻ CT Uses X-rays to create detailed cross-sectional images. Contrast may be used. Nursing: * Check allergies/previous contrast reactions * Assess kidney function when appropriate * Follow contrast-specific instructions ⸻ MRI Uses magnetic field. NO metal/unsafe metallic objects. Assess: * Implanted devices * Metal fragments * Claustrophobia ⸻ X-ray Useful for: * Fractures * Chest conditions * Some abdominal problems ⸻ Ultrasound Uses sound waves. Common: * Pregnancy * Abdomen * Pelvis * Blood vessels No ionizing radiation. ⸻ Mammogram Breast imaging for screening/assessment. ⸻ Endoscopy Allows direct visualization of GI tract. Nursing: * Usually NPO beforehand * Sedation may be used * Monitor airway and vital signs afterward * Ensure gag/swallow reflex has returned before oral intake when applicable ⸻ Bronchoscopy Visualizes airways. Post-procedure: * Monitor respiratory status * Watch for bleeding * Keep NPO until protective reflexes return if sedated/topical anesthetic used ⸻ Pulmonary Function Tests Measure lung function. Important for: * Asthma * COPD * Other pulmonary disorders ⸻ 🧪 10. LABORATORY VALUES For exams, know what the lab means, not just the number. CBC Hemoglobin/Hematocrit Think: oxygen-carrying capacity Low → anemia/bleeding/etc. WBC Think: infection/inflammation/immune response Platelets Think: clotting Low → bleeding risk. ⸻ INR Measures effect of warfarin therapy. Higher INR generally = increased anticoagulation and bleeding risk. Monitor for: * Bleeding * Bruising * Hematuria * Melena ⸻ Glucose Think: current blood glucose ⸻ HbA1c Think: “3-month-ish glucose picture.” Used for longer-term diabetes management. ⸻ BUN + Creatinine Think: Kidney function. Creatinine is particularly useful when evaluating renal function. ⸻ GFR Estimates kidney filtration. Lower GFR generally = worse kidney function. ⸻ Electrolytes Sodium Think: water balance + neurological function Potassium Think: heart rhythm Abnormal potassium can cause dangerous dysrhythmias. Calcium Think: bones + muscles + nerves ⸻ Cholesterol LDL “Lousy” cholesterol Higher LDL → increased cardiovascular risk. HDL “Healthy” cholesterol Generally protective. ⸻ Urinalysis Can help identify: * UTI * Protein * Blood * Glucose * Ketones * Kidney problems ⸻ Culture & Sensitivity Culture = What organism? Sensitivity = Which antibiotic is effective? ⸻ 💊 11. PHARMACOLOGY For every medication, memorize: Class → Why given → Major adverse effects → Contraindications/precautions → Nursing assessments → Patient teaching ⸻ Acetaminophen (Tylenol) Used for: * Pain * Fever Major concern: Liver toxicity with excessive dosing. ⸻ NSAIDs Examples: * Ibuprofen * Naproxen Watch for: * GI bleeding * Kidney injury * Fluid retention * Cardiovascular risks ⸻ Morphine Opioid. Watch: * Respiratory depression * Sedation * Hypotension * Constipation * Nausea Antidote for opioid-induced respiratory depression: Naloxone ⸻ Antibiotics Key nursing principle: Complete the prescribed course unless directed otherwise. Watch: * Allergic reactions * Diarrhea * Superinfection * C. difficile ⸻ Warfarin (Coumadin) Anticoagulant. Monitor: INR Major complication: Bleeding Teaching: * Consistent vitamin K intake rather than suddenly changing intake * Drug interactions matter * Report unusual bleeding ⸻ Heparin Anticoagulant. Monitor: * Bleeding * Platelets * aPTT for unfractionated heparin, depending on protocol Major complication: Bleeding Important adverse reaction: HIT – heparin-induced thrombocytopenia ⸻ Insulin Major adverse effect: HYPOGLYCEMIA Know: * Onset * Peak * Duration * Administration technique * Glucose monitoring ⸻ Nitroglycerin Used for angina. Can cause: * Headache * Hypotension * Dizziness Avoid with PDE-5 inhibitors. ⸻ Digoxin Remember: “Slow heart + low potassium = danger.” Monitor: * Apical pulse * Potassium * Signs of toxicity ⸻ Diuretics Example: Furosemide (Lasix) Causes: * Increased urine output * Decreased fluid volume Watch: * BP * Electrolytes * Dehydration * Potassium ⸻ Corticosteroids Example: Prednisone Long-term effects: * Infection risk * Hyperglycemia * Osteoporosis * Fluid retention * Skin changes * Adrenal suppression Do not abruptly stop long-term corticosteroids without medical direction. ⸻ Bronchodilators Example: Salbutamol Can cause: * Tremor * Tachycardia * Nervousness ⸻ Inhaled corticosteroids Important: Rinse mouth after use. Helps prevent oral candidiasis. ⸻ Statins Example: Atorvastatin Used to lower cholesterol. Watch: * Muscle pain/weakness * Liver-related adverse effects ⸻ Stool medications Psyllium Bulk-forming. Requires adequate fluid intake unless contraindicated. Docusate Stool softener. Stimulant laxatives Increase intestinal motility. ⸻ 🧠 12. NEUROLOGICAL Seizure During seizure: Protect, don’t restrain. * Protect from injury * Turn to side if possible * Protect airway * Remove nearby hazards * Don’t put anything in mouth * Time the seizure After: * Assess airway * Vital signs * Neurological status * Document characteristics Status epilepticus Emergency. ⸻ Increased Intracranial Pressure Think: Headache + vomiting + decreased LOC + pupil changes Late sign: Cushing’s triad * Increased BP/widened pulse pressure * Bradycardia * Irregular respirations Nursing: * Elevate head as ordered * Maintain neutral neck alignment * Avoid unnecessary stimulation * Monitor neurological status * Prevent hypoxia/hypercapnia ⸻ Parkinson’s Disease Classic: TRAP T – Tremor R – Rigidity A – Akinesia/bradykinesia P – Postural instability Nursing: * Fall prevention * Mobility support * Medication timing * Swallowing assessment * Nutrition ⸻ Spinal Cord Injury Priority: Airway + breathing + immobilization + neurological assessment Possible complications: * Neurogenic shock * Autonomic dysreflexia * Respiratory compromise * Loss of bowel/bladder control * Pressure injuries Autonomic dysreflexia Usually associated with injuries at/above T6. Signs: * Sudden severe hypertension * Headache * Flushing/sweating above injury * Bradycardia Priority: Sit patient upright and identify/remove the trigger. ⸻ 👁️ 13. SENSORY Cataracts Clouding of lens. Symptoms: * Blurred vision * Glare * Reduced visual acuity Treatment: Surgical removal when significantly affecting vision. ⸻ Glaucoma Optic nerve damage often associated with increased intraocular pressure. Key distinction: Glaucoma → pressure/optic nerve Cataract → cloudy lens Acute angle-closure glaucoma: * Severe eye pain * Headache * Halos * Nausea/vomiting * Red eye Emergency. ⸻ Hearing Loss Conductive Problem with sound transmission through outer/middle ear. Sensorineural Problem involving inner ear/auditory nerve. Communication: * Face patient * Speak clearly * Don’t shout * Reduce background noise * Verify understanding ⸻ 🔥 14. BURNS Think: Airway → Breathing → Circulation Inhalation injury Red flags: * Facial burns * Soot * Singed nasal hairs * Hoarseness * Stridor * Carbonaceous sputum Airway edema can worsen rapidly. ⸻ Burn priorities * Airway * Breathing * Circulation * Fluid resuscitation for significant burns * Pain management * Infection prevention * Temperature control * Nutrition * Wound care ⸻ 15. WOMEN’S & MEN’S HEALTH Menopause Decrease in estrogen. Common: * Hot flashes * Night sweats * Sleep problems * Vaginal dryness * Mood changes Long-term: * Bone loss * Cardiovascular considerations ⸻ Birth Control Know: * Effectiveness * How it is used * Contraindications * STI protection Most hormonal birth control does NOT protect against STIs. Condoms help reduce STI transmission. ⸻ STIs Examples: * Chlamydia * Gonorrhea * Syphilis * HPV * Herpes * HIV Nursing: * Testing * Treatment adherence * Partner notification/treatment when appropriate * Safer sex education * Prevention ⸻ Breast Cancer Warning signs: * New breast lump * Skin changes * Nipple changes/discharge * Axillary lymph node changes Know current screening recommendations and individual risk factors. ⸻ Prostate Cancer Possible: * Urinary hesitancy * Weak stream * Frequency * Hematuria Important: Early prostate cancer may have no symptoms. ⸻ 🚨 16. EMERGENCY NURSING Shock Basic concept: Tissues aren’t receiving enough oxygen/perfusion. Signs: * Tachycardia * Hypotension * Altered LOC * Cool/clammy skin in many shock states * Decreased urine output * Tachypnea Major types Hypovolemic → blood/fluid loss Cardiogenic → pump failure Distributive → vasodilation (e.g., septic/anaphylactic) Obstructive → obstruction to circulation Priority: ABCs + identify/treat cause + restore perfusion. ⸻ Hemorrhage Look for: * Tachycardia * Hypotension * Pallor * Weakness * Decreased LOC * Decreased urine output Priority: Control bleeding + support circulation + escalate. ⸻ Anaphylaxis Severe allergic reaction. Signs: * Airway swelling * Wheezing * Dyspnea * Hypotension * Hives * GI symptoms FIRST-LINE MEDICATION: IM epinephrine Do not delay epinephrine while waiting for other treatments. ⸻ 💧 17. FLUID & ELECTROLYTES Dehydration Signs: * Thirst * Dry mucous membranes * Tachycardia * Hypotension * Poor skin turgor * Decreased urine output * Weight loss ⸻ Fluid overload Signs: * Edema * Crackles * Dyspnea * Weight gain * JVD * Hypertension ⸻ Potassium Hypokalemia Think: Weak + irregular heart Causes: * Diuretics * GI losses Hyperkalemia Think: Dangerous heart rhythm Causes: * Renal failure * Tissue breakdown * Certain medications ⸻ Acid-Base Use: ROME Respiratory = Opposite Metabolic = Equal Examples: Respiratory acidosis CO₂ ↑ → pH ↓ Respiratory alkalosis CO₂ ↓ → pH ↑ Metabolic acidosis HCO₃ ↓ → pH ↓ Metabolic alkalosis HCO₃ ↑ → pH ↑ ⸻ 👶 MATERNAL-CHILD NURSING Prenatal Care Monitor: * Maternal vital signs * Weight * Blood pressure * Urine * Fetal growth * Fetal heart rate * Laboratory screening * Risk factors Important warning signs: * Vaginal bleeding * Severe headache * Visual changes * Severe abdominal pain * Fluid leakage * Decreased fetal movement * Sudden swelling/other signs of hypertensive disorders ⸻ Fetal Development High-yield concept: First trimester → organ formation Second trimester → growth and development Third trimester → maturation and preparation for birth ⸻ Labour Stage 1 Onset of true labour → complete cervical dilation. Stage 2 Complete dilation → birth of baby. Stage 3 Birth of baby → delivery of placenta. Stage 4 Immediate postpartum recovery. ⸻ Apgar At approximately 1 and 5 minutes. A P G A R A – Appearance P – Pulse G – Grimace A – Activity R – Respiration Each scored 0–2. Apgar helps assess newborn adaptation; it does not by itself diagnose asphyxia or determine long-term prognosis. ⸻ Newborn Assessment Assess: * Respiratory effort * Heart rate * Temperature * Colour * Tone * Feeding * Reflexes * Weight * Head circumference * Urine/stool ⸻ Breastfeeding Benefits: * Nutrition * Immune protection * Bonding Signs of effective feeding: * Good latch * Audible swallowing * Appropriate wet/dirty diapers * Expected weight pattern ⸻ 👶 PEDIATRIC NURSING Development General progression: Head → toe Simple → complex Large muscles → fine motor Always consider developmental stage when communicating with children. ⸻ Pediatric Safety Big priorities: * Falls * Choking * Burns * Poisoning * Drowning * Car-seat safety * Medication dosing * Safe sleep Medication principle Pediatric medications are often based on: weight (kg) Always verify calculations and concentrations. ⸻ Pediatric Asthma Same basic principles as adults: * Bronchodilator for acute symptoms * Controller medications for long-term control * Trigger avoidance * Asthma action plan ⸻ RSV Common in infants/young children. Signs: * Rhinorrhea * Cough * Wheezing * Increased work of breathing * Poor feeding Priority: Respiratory assessment and hydration. ⸻ Croup Classic: Barking cough + stridor Often worse at night. Severe respiratory distress requires urgent intervention. ⸻ Cystic Fibrosis Thick secretions affect lungs and GI system. Think: “Thick mucus + lung infections + malabsorption.” Nursing: * Airway clearance * Nutrition * Pancreatic enzymes when prescribed * High-calorie/high-protein nutrition * Infection prevention ⸻ Gastroenteritis Major concern: Dehydration. Assess: * Wet diapers/urine * Mucous membranes * Tears * Capillary refill * Weight * Activity/LOC ⸻ Pyloric Stenosis Classic: Projectile, non-bilious vomiting Often occurs in young infants. Possible: * Hunger after vomiting * Dehydration * Weight loss ⸻ ASD vs VSD ASD Hole between atria. VSD Hole between ventricles. VSD can produce: A significant murmur and increased pulmonary blood flow. ⸻ Sickle Cell Disease Problem: Abnormal hemoglobin → sickled RBCs → vaso-occlusion and hemolysis. Crisis triggers: * Dehydration * Infection * Hypoxia * Stress Management: * Hydration * Oxygen if hypoxemic * Pain management * Treat infection * Rest * Disease-specific therapies ⸻ Meningitis Think: Fever + headache + stiff neck + altered mental status May also have: * Photophobia * Vomiting * Seizures Emergency. Use appropriate isolation precautions according to suspected organism and institutional policy. ⸻ Hydrocephalus Excess CSF. Infants may have: * Increasing head circumference * Bulging fontanelle * Irritability * Poor feeding * “Sunsetting” eyes Older children: * Headache * Vomiting * Visual changes * Altered LOC ⸻ 🧠 MENTAL HEALTH NURSING Therapeutic Communication DO: * Use open-ended questions * Listen * Reflect * Clarify * Validate feelings * Maintain appropriate boundaries DON’T: * Give false reassurance * Judge * Argue * Give excessive advice * Say “everything will be fine” ⸻ Depression Symptoms: * Persistent sadness * Anhedonia * Sleep changes * Appetite changes * Fatigue * Poor concentration * Feelings of worthlessness * Suicidal thoughts Nursing priority: Assess suicide risk directly. ⸻ Bipolar Disorder Mania * Elevated/irritable mood * Increased energy * Decreased need for sleep * Rapid speech * Impulsivity * Grandiosity Nursing: * Reduce stimulation * Maintain safety * Set clear limits * Encourage nutrition/hydration * Administer medications as prescribed ⸻ Schizophrenia Positive symptoms: * Hallucinations * Delusions * Disorganized speech/behaviour Negative symptoms: * Flat affect * Social withdrawal * Reduced motivation Communication Don’t argue with delusions. Instead: Acknowledge the patient’s feelings while presenting reality. ⸻ OCD Obsessions: Intrusive thoughts Compulsions: Repetitive behaviours/mental acts ⸻ Eating Disorders Watch: * Electrolytes * Cardiac rhythm * Nutrition * Weight * Refeeding complications * Psychological safety ⸻ Substance Use Priorities: * Airway/breathing/circulation * Overdose recognition * Withdrawal * Safety * Nonjudgmental communication ⸻ 🧪 HIGH-YIELD DIAGNOSTIC TEST THINKING When you see a test question, ask: “Why are they ordering this?” Examples: CT head after sudden neurological deficit → looking for bleeding/structural abnormalities. MRI → detailed soft tissue/neurological/musculoskeletal imaging. ECG → electrical activity/ischemia/dysrhythmia. Troponin → myocardial injury. HbA1c → long-term glucose control. Creatinine/GFR → kidney function. INR → warfarin effect. Culture and sensitivity → organism + effective antimicrobial. Pulmonary function test → lung function/obstruction/restriction. ⸻ 💊 PHARMACOLOGY MASTER MEMORY MAP Instead of memorizing 100 medications individually, memorize the danger associated with each class: Drug/Class Think Insulin Hypoglycemia Opioids Respiratory depression Warfarin Bleeding + INR Heparin Bleeding + HIT Furosemide Fluid/electrolyte loss Digoxin Bradycardia/toxicity ACE inhibitors Hyperkalemia + cough/angioedema Beta blockers Bradycardia/hypotension Steroids Hyperglycemia + infection NSAIDs GI bleeding + kidney injury Statins Muscle/liver effects Bronchodilators Tachycardia/tremor Inhaled steroids Oral candidiasis Antibiotics Allergy + C. diff ⸻ 🚨 THE “PRIORITY QUESTION” METHOD When you’re stuck on an exam question, ask: 1. Is the airway threatened? If yes → AIRWAY 2. Is breathing compromised? If yes → BREATHING 3. Is circulation/perfusion compromised? If yes → CIRCULATION 4. Is there an acute neurological deterioration? Think neurological emergency. 5. Is there a safety risk? Falls, suicide, aspiration, seizures, etc. 6. Which patient is deteriorating? Unstable beats stable. ⸻ ⭐ TOP THINGS I WOULD MEMORIZE FIRST If you have limited study time, prioritize these: 🚨 Emergencies * Anaphylaxis → IM epinephrine * Stroke → BE FAST + last known well * MI → ECG + rapid intervention * Sepsis → early recognition + rapid treatment * Tension pneumothorax → emergency * Severe hypoglycemia → rapid glucose treatment * Status epilepticus → emergency * Increased ICP → neurological deterioration * Hemorrhage → control bleeding + perfusion * Severe burns → ABCs 💊 Medications * Insulin → hypoglycemia * Morphine → respiratory depression * Warfarin → INR/bleeding * Heparin → bleeding/HIT * Digoxin → pulse/potassium/toxicity * Furosemide → fluid/electrolytes * Nitroglycerin → hypotension + PDE-5 interaction * Steroids → infection/hyperglycemia * Antibiotics → allergy/C. diff * Inhaled steroids → rinse mouth 🧪 Labs * Hb → oxygen carrying * WBC → infection/immune response * Platelets → bleeding/clotting * INR → warfarin * Glucose → current sugar * HbA1c → long-term glucose * Creatinine/GFR → kidney * K⁺ → heart rhythm * Na⁺ → neurological/fluid balance * Culture → organism * Sensitivity → antibiotic choice 🩺 Nursing skills * Infection control * Medication administration * IVs * Oxygen * Suction * Tracheostomy * Chest tubes * Urinary catheter * Wound care * Ostomy care * Vital signs * Neurovascular assessment * Respiratory assessment ⸻ 📚 How I’d recommend studying this huge syllabus Don’t try to study all of these diseases in one sitting. Use system blocks: Day 1: Diabetes + cardiovascular Day 2: Respiratory + renal Day 3: GI + liver Day 4: Hematology + immune/infection Day 5: Neuro + musculoskeletal Day 6: Maternal/newborn Day 7: Pediatrics Day 8: Mental health Day 9: Pharmacology Day 10: Labs + diagnostics + clinical skills Day 11: Emergency/priority questions Day 12: Full mixed practice exam + review weak areas For each condition, make yourself answer only 5 questions: 1. What is happening? 2. What will I assess? 3. What is the biggest complication? 4. What will I do first? 5. What do I teach the patient? That approach will help you think like a nurse rather than memorize isolated facts, which matches the study framework you were given.

Unconditioned vs. Conditioned

Module 3- Essential Coaching Skill Summary: Unconditional Presence

#37 oral care unconscious pt.

Points: loving, protective, representative of stability and unconditional support AND strong connection to family and culture

Ch. 15: Conscious Thought, Unconscious Thought