Ch. 42
When a nurse asks a client to describe their personal characteristics and traits, the nurse is most likely assessing the patient for what self-concept factors?
Personal identity. (Study guide)
Anything that is perceived as challenging, threating, or demanding that triggers a stress reaction.
Stressor. (Taylor, Et. al., pg. 1764).
Name 4 signs of impending death.
Difficulty talking/swallowing, nausea, abdominal distension, loss of movement/sensation/reflexes, Cheyne-Stokes respirations, cooling, mottling and cyanosis of extremities. (Taylor, Et. al., pg. 1796).(more listed on page 1796)
Dysomia is known as _______
altered smell perception. (Taylor, Et. al., pg. 1839).
Coopersmiths 4 bases of self-esteem.
Significance, competence, virtue and power.
Response of the central nervous system to pain
Reflex pain response. (Taylor, Et. al., pg. 1767).
The family members of a patient currently on hospice care are beginning to display loss and grief behaviors such as crying, fatigue, and feelings of detachment. What is the term to describe this type of loss?
Anticipatory loss. (Taylor, Et. al., pg. 1793).
Difficultly in the way the brain takes in, organizes, and uses sensory information causing a person to have issues interacting in day-to-day activities.
Sensory processing disorder. (Taylor, Et. al., pg. 1834).
The need that people have to feel good about themselves.
Self-esteem. (Taylor Et. al., pg. 1737)
Physical effects of the sympathetic nervous system.
Increase HR, dilates blood vessels, and stimulates release of glycogen stores. (Taylor, Et. al., pg. 1768).
A health care provider giving a patient medications that will cause death is considered __________ euthanasia.
Active. (Taylor, Et. al., pg. 1803).
Name the two unconscious states where the patient cannot be aroused.
Coma and vegetative state. (Taylor, Et. al., pg. 1831).
A child in the hospital lists his favorite sports figures and tell the nurse he is going to be just like them. What human need is this patient demonstrating?
Self-expectations. (Study guide)
Quavering voice, tremors, increased muscle tension, and slight increases in respirations and pulse are all characteristics of ________.
Moderate anxiety. (Taylor, Et. al., pg. 1770).
An older adult who recently moved into long term care facility tells the nurse their only son died 20 years ago and they haven't enjoyed life since. The resident seems to be suffering from what kind of grief?
Unresolved (A subset of dysfunctional grief). (Taylor, Et. al., pg. 1822).
A nurse observes that a patient with a history of cataracts is sitting closer to the television than usual. When assessing the patient, which additional findings will the nurse anticipate?
Clouding of the lens in one or both eyes. (Taylor, Et. al., pg. 1856).
The nurse asks the client to describe themselves in facts, traits, and qualities. The patient quickly lists 25 traits of a successful person, stating, "My father is like this; I wish I were like him." How does the nurse best interpret this description of themselves as they are and how they would like to be seen?
Likely has low self-esteem (When we have a greater discrepancy between ideal self and false self the more likely we are to have low self-esteem.) (Taylor, Et. al., pg. 1759).
A patient who is mad at the physician for kicks a chair. This is an example of which defense mechanism?
Displacement. (Taylor, Et. al., pg. 1773).
The gradual withdrawal of mechanical ventilation from a patient with a terminal illness or an irreversible with a poor prognosis.
Terminal weaning. (Taylor, Et. al., pg. 1803).
Name the 4 conditions that must be met in each sensory experience.
1. A stimulus. 2. Receptor/Sense organ. 3. Nervous pathway. 4. Functioning brain to receive and translate impulse into a sensation.