Final Exam and HESI ReviewPOWERPOINTNU2740revised.pptx

The nurse supports the patients spirituality but does

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The nurse supports the patient’s spirituality but does not have the answers to all questions.
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GRIEF PARENTS 60. Loss of a child is among the highest-risk situations for maladaptive grieving. The parents who throw flowers on the lake on each anniversary date of the accident are openly expressing their feelings. Enrolling their other children in swimming lessons shows the parents’ love of the surviving children and interest in their safety. Purchasing life vests for other children is a way of memorializing their child who drowned. The other behaviors indicate the parents are isolating themselves and/or denying their feelings .
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PATIENTS’ RIGHTS 61. Patients’ rights should be discussed shortly after admission. Patients have rights related to receiving/refusing visitors, privacy, filing complaints about inadequate care, and accepting/refusing treatments (including medications). Patients do not have a right to a private room or selecting which nurse will provide care.
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62. Anergia refers to a lack of energy; anhedonia refers to the inability to find pleasure or meaning in life. Therefore, planning should include measures to accommodate psychomotor retardation, promote physical activity, and instill hopefulness. Anergia is lack of energy, not excessive energy, so reducing stimuli or channeling excessive activity are not likely to be needed. Anhedonia does not necessarily imply the presence of guilty ruminations
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ADOLESCENCE 63. An adolescent sees the world as safe and supportive, has a developing identity and healthy self-concept, and is able to adapt to new situations.
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WHAT IS FOLK HEALING PRACTICES – SELECT ALL THAT APPLY 64. Cultural skill allows the nurse to make culturally sensitive assessments and plan for care. Cultural desire refers to willingness to learn from the patient. Cultural knowledge alerts the nurse to areas where cultural differences may be present, helps with understanding, and reduces misinterpretations. Respect for persons is important to members of all cultures and part of cultural desire. More important are collaboration with cultural translators and extensive involvement with the family and the community when delivering education and making treatment plans.
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SIGNS OF STRESS – SELECT ALL THAT APPLY 65. The patient demonstrates and reports signs of stress, including anxiety and sleep disturbance. She is dependent on the spouse because she is unemployed, and she has no support-system access. She is new in town and not connected to peers or community resources. Few risk factors for suicide or homicide are noted; the patient is future-oriented, and her desire to be there for the children mitigates her fleeting thoughts of suicide. A safety plan is indicated because the spouse has injured her and has a pattern of violence, substance abuse, and other risk factors.
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SYMPTOMS OF PTSD – ACCORDING TO DSM IV-TR 66. These assessment findings are consistent with the symptoms of posttraumatic stress disorder according to the DSM-IV-TR . Ritualistic behaviors are expected in obsessive-compulsive disorder, and panic disorder can include episodes resembling heart attacks.
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