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29 Cards in this Set
- Front
- Back
<repeating back what they just learned> storing and recalling new knowledge in the brain
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Cognitive Learning Domain
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<demonstrating what they've learned> using mental and muscular activity
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Psychomotor Learning Domain
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<patient expressing self-confidence> changes in attitudes, values, and feelings after learning
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Affective Learning Domain
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T->tune into patient
E->edit patient information A->act on every teaching moment C->clarify often H->honor the patient as a partner |
T.E.A.C.H.
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used to diagnose a psychiatric disorder <clarifies mental illness and presents guidelines and diagnosis criteria for various mental disorders>
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DSM-IV-TR
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A woman who lost her job states that it will work out to her advantage because she needs to move anyway.(more reasoning)
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Intellectualization
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"I use drugs because it's the only way I can cope with my life." (excuses)
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Rationalization
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A woman who is angry with her husband kicks her dog.
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Displacement
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details all mental disorders except personality and mental retardation (bipolar,ADD)
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Axis I <DSM-IV-TR>
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personality diorders/mental retardation (_____personality disorder)
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Axis II <DSM-IV-TR>
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General medical conditions
(diabetes, HTN) |
Axis III <DSM-IV-TR>
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Psychosocial or Environmental Problems (affects the ability of the client to adapt)
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Axis IV <DSM-IV-TR>
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Global Assessment of Functioning (GAF); ratio= current:highest
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Axis V <DSM-IV-TR>
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acute, usually reversible alteration in consciousness (quick onset and brief duration)
sx= dilated pupils, increased bp |
Delirium
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loss of memory for events within a specific period of time (temporary or permanent)
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Amnesia
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a progressive and usually irreversible deterioration of cognitive and intellectual functions and memory w/o impairment of consciousness (slow onset)
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Dementia
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What do you obtain for validation of placement BEFORE iniating infusion of central line?
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X-ray
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What do you do if there is an air embolism in clients with CVL?
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Trendelenburgs, left side and contact Dr.
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what is the common site of metastasis from prostate cancer
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bone, pelvic nodes
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C->changes in bowel or bladder habits
A->a sore throat that does not heal U->unusual bledding or discharge T->thickening or lumps I->indigestion or difficulty swallowing O->obvious change in a wart or mole N->nagging cough or hoarseness |
The seven warning signs of cancer
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radiaton source is external to the client (help maintain position/ DON'T wash off markings)
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Teletherapy
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radiation source in direct contact with the tumor- client is a hazard to others
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Brachytherapy
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oral, IV, body cavity (don't share toilet seats, secretions, etc./ patient is radioactive)
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Unsealed radiation source
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(implants) excretions from patient are not radioactive; save all dressings and bed linens until after the source is removed
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Sealed radiation sources
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*Don't remove the markings until course is completed.
*No lotions or ointments are permitted unless the radiologist prescribes them *No direct sun exposure to the area for at least 1 year *Advise them that some changes may be permanent |
Nursing Care for radiation therapy
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150,000-400,000
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Platelet count
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platelets less than 20,000
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patient starts bleading out
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preventative care for decreased platelets starts at:
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50,000
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*Manifestions: weakness, muscle cramps, loss of appetite, fatigue, weight gain, nervous system changes..
*Treatment: fluid restriction and increased na intake *Drug therapy: Demeclocycline (oral antibiotic; opposes ADH) |
SIADH
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