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NSG 221 Exam 2 SG - Notes
Nursing Care of Older Adult (NUR 2214)
Rasmussen University
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Mental HealthPreview text
35 questions
Question Node/Compet ency
Notes
- Mourning rituals NSG221.04.01 Q. You’re interviewing a patient whose spouse is in hospice. His wife tells you. “I have the funeral all planned. And I'll hold a wake. So his friends and family can say goodbye”. We recognize that this spouse is prepared for which of the following?
Mourning Rituals 2. Areas of loss after death of loved one
NSG221.04.01 Q. So you are caring for the family of a client who expired. You should plan for the family members to experience what type of loss?
Loss of Self-Esteem 3. Stages of Grief Kubler Ross
NSG221.04.02 Q. You are assisting in transferring a patient to a wheelchair. He had an amputation a day ago. He says “Soon I will be starting my rehabilitation program so that I can get around my house better.” What stage of grief is he experiencing?
Acceptance 4. Engel stages of loss NSG221.04.02 Q. So you are following up with a spouse of a client who expired A year ago. So what will indicate to you the nurse that the client is participating in grief work referred to as reinvesting?
They're in another relationship. 5. Cultural considerations after death
NSG221.04.02 Q. Which cultures do not cremate the deceased?
Muslim 6. Responses to grief NSG221.04.02 Q. You’re evaluating the client's physiologic response to grief after losing an adult child. What would indicate the client is responding appropriately?
They no longer have sleep disturbances. 7. Complicated grieving- risks
NSG221.04.02 Q. You’re assessing a client for the increased risk of complicated grieving complicated grief, Both the client's siblings expired one week ago, when information should indicate to you that this client is at risk for complicated grief?
If somebody else expires in a shorter time period -for ex: you have back to back deaths
- Assessment of coping after death & therapeutic response
NSG221.04.02 Q. You’re assessing the client’s coping skills after their spouse expires. Which of the following responses will provide the most information for the nurse. Would it be physiologic, behavioral, cognitive or spiritual?
Behavioral
- Strategies for helping clients with anger management/cont rol
NSG221.05.01 Q. You care for a client who's receiving hospice care and expires. A few minutes later the family begins crying uncontrollably. What action by you would be most appropriate by the nurse?
offer silence, active listening, or therapeutic touch 10. Diagnoses associated with anger SATA
NSG221.05.01 Q. What do you do for a client who is expressing anger inappropriately?
assertive communication, distraction, interventions on treating any underlying disorders 11. Workplace bullying and regulations
NSG221.05.01 Q. You're talking with this client who has anger attacks. The person tells you that he has these attacks that help to relieve tension. But then after the day of the attack, they get embarrassed and calm down. So, what is this client experiencing? What is a name for the blow up?
Intermittent Explosive Disorder 12. Deescalation techniques
NSG221.05.01 Q. You're a manager in a workplace, and you're doing some things to prevent workplace hostility b/c of JCAHO?
You’ve got to educate all staff on expected professional behavior 13. Nursing process working with patients with anger problems
NSG221.05.01 Q. What can you do as a nurse that's effective in preventing an aggressive client from escalating to physical aggression?
You'd like to talk calmly and you're going to try to get them to tell you what's bothering them 14. Nursing process- working with patients with anger problems- outcome.
- Stages of escalation
NSG221.05.01 Q. So you are planning care for this client on this psych unit with a History of aggressive behavior. The client tells you “If I feel like yelling at you, and anybody else. I will, whenever I want.” So what are your goals or expected outcomes? What should you recommend for that client's plan of care?
Nobody will incur any injury>>>Safety on the unit
Q. What would you do for a client who has reached the escalation phase of anger?
- Management of withdrawal syndromes- alcohol and opiate (CIWA scale)
Q. Look for the CIWA-AR score. Know what the highest score is.
The maximum score is 67 ; Mild alcohol withdrawal is defined with a score less than or equal to 10, moderate with scores 11 to 15, and severe with any score equal to or greater than 16.
- Relapse prevention strategies
NSG221.06.01 Q. You have a patient that has completed detox from alcohol. What kind of statement from the patient would indicate that he is at higher risk of relapse?
A statement indicating he is going to be around people that are drinking 24. Nursing implications when caring for persons with addiction
- Mental status exam
NSG221.06. NSG221.06.01 Q. What is the most effective action you the nurse can take when caring for clients and families of persons with substance abuse?
Check your self-awareness. This is the most effective thing you can do to treat the patient and their families.
Q. Your client is in the recovery period after detox for alcohol. And you see this person crying and remorseful. You would document those findings under what type of assessment?
Mood and affect 26-30. Treatment for withdrawal syndromes – alcohol, disulfiram 4 items
NSG221.06.02 Q. Principles of med mgmt of alcohol withdrawal -prevent death and relapse
Q. A pt is prescribed Lorazepam for DT’s. What is a side effect? -Decreased LOC
Q. What is antabuse used for? -Alcohol abuse
Q. You have a patient with opioid addiction and are treating them for withdrawal and detox. What is your first action by the nurse? Administer Suboxone as prescribed.
opioid detox= suboxone
31-35. Math 5 items
NSG221.06.02 2 pictures 1-IV 1-pill
NSG 221 Exam 2 SG - Notes
Course: Nursing Care of Older Adult (NUR 2214)
University: Rasmussen University
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