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29 Cards in this Set

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<repeating back what they just learned> storing and recalling new knowledge in the brain
Cognitive Learning Domain
<demonstrating what they've learned> using mental and muscular activity
Psychomotor Learning Domain
<patient expressing self-confidence> changes in attitudes, values, and feelings after learning
Affective Learning Domain
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.
used to diagnose a psychiatric disorder <clarifies mental illness and presents guidelines and diagnosis criteria for various mental disorders>
DSM-IV-TR
A woman who lost her job states that it will work out to her advantage because she needs to move anyway.(more reasoning)
Intellectualization
"I use drugs because it's the only way I can cope with my life." (excuses)
Rationalization
A woman who is angry with her husband kicks her dog.
Displacement
details all mental disorders except personality and mental retardation (bipolar,ADD)
Axis I <DSM-IV-TR>
personality diorders/mental retardation (_____personality disorder)
Axis II <DSM-IV-TR>
General medical conditions
(diabetes, HTN)
Axis III <DSM-IV-TR>
Psychosocial or Environmental Problems (affects the ability of the client to adapt)
Axis IV <DSM-IV-TR>
Global Assessment of Functioning (GAF); ratio= current:highest
Axis V <DSM-IV-TR>
acute, usually reversible alteration in consciousness (quick onset and brief duration)
sx= dilated pupils, increased bp
Delirium
loss of memory for events within a specific period of time (temporary or permanent)
Amnesia
a progressive and usually irreversible deterioration of cognitive and intellectual functions and memory w/o impairment of consciousness (slow onset)
Dementia
What do you obtain for validation of placement BEFORE iniating infusion of central line?
X-ray
What do you do if there is an air embolism in clients with CVL?
Trendelenburgs, left side and contact Dr.
what is the common site of metastasis from prostate cancer
bone, pelvic nodes
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
radiaton source is external to the client (help maintain position/ DON'T wash off markings)
Teletherapy
radiation source in direct contact with the tumor- client is a hazard to others
Brachytherapy
oral, IV, body cavity (don't share toilet seats, secretions, etc./ patient is radioactive)
Unsealed radiation source
(implants) excretions from patient are not radioactive; save all dressings and bed linens until after the source is removed
Sealed radiation sources
*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
150,000-400,000
Platelet count
platelets less than 20,000
patient starts bleading out
preventative care for decreased platelets starts at:
50,000
*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