End of Life Care
True or False? The patient does not have to desire Hospice services in order to be eligible for their end of life care.
False-- admission to Hospice includes agreeing, in writing, to their services.
What is diabetes?
a disorder of glucose metabolism related to absent/insufficient insulin and/or poor utilization of insulin.
What are some stress management techniques you can teach patients?
deep breathing exercises, progressive muscle relaxation, meditation, guided imagery, biofeedback, physical exercise, cognitive reframing/restructuring, journaling, humor, and more.
True or false? Occasional stress to mild distress is considered to be in the "well-being" area of the Mental Illness Continuum.
True
True or False? Correlational studies show causation.
What is one role of a Hospice nurse?
pain control, symptom management, spiritual assessment, assessment and management of family needs.
What is one classic symptom of type 1 diabetes?
polyuria (excessive urination)
polydipsia (excessive thirst)
polyphagia (excessive hunger)
What are some nursing cares/interventions for patients with anxiety?
encourage ventilation of feelings, open-ended questions, provide outlets for excess energy (walks), remain calm, remain with the person, speak slowly and short phases, reinforce realities, provide safety and comfort, monitor and protect from self harm, client participating in decision making regarding care.
Having the client say whatever comes to mind, not feeling the need to censor their thoughts. This is so the patient can learn more about what they think in a non-judgmental atmosphere.
Why is Evidence Based Practice important?
It develops scientific knowledge that is needed to determine what works and determine best practice, therefore including outcomes across the board.
Which of the 5 senses is the last to go at the end of life?
Hearing
Blood glucose <70mg/dL, cold and clammy skin, and faintness/dizziness are all manifestations of what?
Hypoglycemia
What are 4 symptoms that may occur during a panic attack?
palpitations, SOB, choking or smothering sensation, chest pain, nausea, feelings of depersonalization, fear of dying or insanity, chills or hot flashes, agoraphobia
What are the Psychiatric Nursing Standards of Practice? (Nursing process)
assessment, diagnosis, outcomes identification, planning, implementation, evaluation
If you want a highly controlled study, which quantitative approach should you use?
Experimental
What are the 5 stages of grief in the Kubler-Ross model?
Denial, anger, bargaining, depression, acceptance
Bowel incontinence, delayed gastric emptying, and vaginal infections are all signs of which type of neuropathy?
Autonomic
What are the early side effects of SSRIs/SNRIs?
nausea, tremors, fatigue. These should decrease in a few days or before 2 weeks.
What does Classic Psychoanalysis assess?
unconscious thoughts and feelings, and resolving conflict.
What is Qualitative research?
systematic, subjective approach used to describe life experiences and give them meaning. Useful in understanding human experiences, focus on understanding the whole.
What are the 3 types of grief we talk about in class?
2. Adaptive-work in a positive way to accept reality of death.
3. Prolonged-long and intense mourning for greater than 6 months.
The thickening of vessel membranes in capillaries and arterioles d/t hyperglycemia impact which areas of the body the most?
eyes- retinopathy
kidneys-nephropathy
nerves- neuropathy
What are the 4 levels of anxiety?
Mild- everyday life--problem solving effective
Moderate- selective inattention-- start to lose objectivity.
Severe- focus on one detail or many scattered details.
Panic- disturbed behavior--not able to process anything, may act out or withdraw.
Explain Rehabilitation versus Recovery
rehabilitation- focuses on managing a person's deficits, helping one learn to live with their illness.
recovery- focuses on achieving goals of person's choosing, leading increasingly productive and meaningful lives.
What are the 4 types of data analysis in Qualitative research?
Coding- used for description, can be used to expand, transform, and reconceptualize data.
Memos- records insights or ideas r/t notes, transcripts, or code.
Storytelling- instructive in understanding a phenomenon of interest; includes sequence of events.
Narrative analysis- formally analyzing stories, researchers unpack story structure. Used to determine how people tell stories.