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UNIT 5 NPP
| Question | Answer |
|---|---|
| A nurse is caring for a 15-year-old adolescent who states, “I’m trying to figure out who I am and what career I want in the future.” Which of Erikson’s psychosocial stages is this adolescent experiencing? | Identity vs. Role Confusion |
| A nurse is assessing an 82-year-old client who states, “When I look back on my life, I’m proud of what I’ve accomplished and the choices I’ve made.” Which of Erikson’s psychosocial stages is the client demonstrating? | Ego Integrity vs. Despair |
| Identity | Who you are |
| incongruence | what you believe |
| 5 components of emotional intelligence | self awareness, self regulation, motivation, empathy, social skills |
| A nurse is caring for a client who states, “You’re the one who’s angry with me!” The nurse recognizes that the client is actually experiencing anger but is attributing those feelings to the nurse. What defense mechanism is the client demonstrating? | Projection |
| A nurse is caring for an adult client who has been hospitalized for several weeks. The client begins asking for a stuffed animal and insists that family members feed them. Which defense mechanism is the client exhibiting? | Regression |
| A nurse is caring for a client whose spouse recently died. The client states, “I can’t remember anything that happened at the funeral.” Which defense mechanism is the client most likely using? A. Suppression B. Repression C. Regression D. Denial | . Repression |
| A nurse is assessing a 10-month-old infant. Which behavior indicates the infant has successfully completed Erikson’s stage of Trust vs. Mistrust? | The infant cries but is easily comforted by the caregiver. |
| A nurse is caring for a 2-year-old toddler. Which behavior demonstrates successful completion of Erikson’s stage of Autonomy vs. Shame and Doubt?. | The toddler asks to feed themselves with a spoon. |
| A nurse observes a 4-year-old preschooler pretending to be a firefighter while playing with friends. Which Erikson stage is the child demonstrating? | Initiative vs. Guilt |
| A nurse is assessing a 9-year-old school-age child. Which statement indicates successful resolution of Erikson’s stage of Industry vs. Inferiority? | “I worked really hard on my science project.” |
| A 16-year-old adolescent tells the nurse, “I’m trying to figure out who I am and what career I want.” Which Erikson stage is the adolescent? | Identity vs. Role Confusion |
| A 30-year-old adult tells the nurse, “I’m hoping to find a lifelong partner and start a family.” Which Erikson stage is this? | Intimacy vs. Isolation |
| A 50-year-old client tells the nurse, “I enjoy mentoring new nurses and giving back to my community.” Which Erikson stage does this represent? | Generativity vs. Stagnation |
| define acute stress | A short-term response to a stressful or traumatic event EX). car wreck, surgery, taking an exam |
| Define Chronic stress | A long-term, ongoing response to persistent stressors EX). financial problems, caregiver responsibilities |
| Acute Stress Disorder (ASD) | Symptoms begin within 3 days to 1 month after the trauma. |
| Post Traumatic Stress Disorder (PTSD) | Symptoms last longer than 1 month and interfere with daily functioning. |
| Difference between Physiological and Psychological? | Physiological = Physical (body) Psychological = Mental/Emotional (mind) |
| Physical Manifestations of the fight or flight response: *TIP). Fight-or-Flight = “Everything speeds up except digestion.” | Physical manifestations: * ❤️ Increased heart rate * ⬆️ Increased blood pressure * 🌬️ Rapid breathing (increased respiratory rate) * 👁️ Dilated pupils |
| STAGES OF SLEEP: | Stage 1- lightest, easy to wake up Stage 2-(where adults spend the most time) light everything slows down, decreases Stage 3-(Deep repair and recovery) Deepest sleep Stage 4- (dream and remember) Most active sleep stage |
| Obstructive Sleep Apnea (OSA) | Upper airway repeatedly becomes blocked during sleep. EX). * Loud, chronic snoring * Episodes of stopped breathing during sleep * Gasping or choking during sleep |
| A nurse is assessing a client who reports difficulty falling asleep, waking up several times during the night, and feeling tired during the day. Which sleep disorder does the nurse suspect? | Insomnia |
| How to remember phases of would healing: | “I P R M” → “I Pray Recovery Makes” I = Inflammatory phase ( 0-3 days) P = Proliferative phase (3-21 days) R = Remodeling phase (3 weeks- 1+ year) M = Maturation phase (1 year +) |
| What’s a wound Dehiscence and what would a nurse do after seeing this on a patient? | Dehiscence= Wound Edges Separate INTERVENTION= Cover the wound with sterile saline-moistened dressings |
| A nurse prepares a client for surgery by cleansing the skin with chlorhexidine. What is the purpose of this intervention? | Prevent surgical site infection by reducing skin bacteria |
| How to remember clients who are not appropriate for a massage | “Don’t massage what is BROKEN, BLOCKED, or BLEEDING.” |
| sleep - wake hormone | Melatonin - sleep Cortisol- awake |
| what’s a CPAP and how do i memorize what it does? | Definition- a machine that delivers constant positive air pressure through a mask to keep the airway open during sleep. 🧠 Memory Trick: “CPAP = Keeps Passages Airway Patent” |
Created by:
halyncolburn