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Jarvis Ch. 2,7,10,30

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
The failure to provide for a child's basic needs is termed? a) abuse b) punishment c) neglect d) hate   show
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show d) physical abuse  
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Fondling genitals, incest, penetration, rape, sodomy, indecent exposure, commerical exploitation through prostitution or the production of pornographic matericals is termed? a) neglect b) sexual abuse c) emotional abuse d) physical abuse   show
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show c) emotional abuse  
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True or False: Nurses, physicians and social workers must have proof of abuse before calling an abuse hotline.   show
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show True!  
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show True!  
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Related to this domestic violence unit, symptoms of dehydration and malnutrition can be indicative of? a) neglect b) abuse c) sexual abuse d) false imprisonment   show
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show False: His intensions to care for his wife were good; however the wife did experience profound unintentional neglect.  
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True or False: Suspected self-neglect does not need to be reported as a person has the right to live autonomously and does not have an societal obligation to care for themself.   show
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show True!  
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What are some messages that need to be conveyed to a suspected abused woman, during her domestic violence screening?   show
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Why might a woman of 90 not report abuse by her Alzheimer diseased huby? a) she is 90 and is not able to feel pain as much b) she is afraid of her sexual history being revealed during the possible court case c) she fears that he will be institutionalized   show
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What should be a significant red flag for a nurse? a) an elderly patient with a gastric tube that has a poor appetite b) a 4-year-old child with bruises on her elbows and knees c) a baby that rolled off the bed and acquired a few bruises   show
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What are the most frequent health problems associated with violence? a) depression b) suicide c) PTSD d) substance abuse e) anxiety f) all of the above   show
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show a) believe it or not, 11!  
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What is avulsion? a) a wound caused by rubbing the skin or mucous membrane b) a bruise c) and incision d) the tearing away of a structure or part   show
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Another word for an incision is a? a) abrasion b) cut c) ecchymosis d) lesion   show
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show c) petechiae  
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show a) bruising/bleeding complications  
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show d) baseline laboratory tests including a CBC, platelet level, BUN, creatinine, protein, albumin, serum liver function tests, coag panel, and urinalysis.  
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show b) bruising on the buttocks, hands and abdomen as bruising in these locations is exceedingly rare and should arouse concern  
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True or False: Normal bruising on elderly adults tends to be located on the neck, ears, genitalia, buttocks, and soles of the feet, while bruising on the extremities is unusual and should be cause for further investigation.   show
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If you made 3 identical bruises on a person, what would you expect in 1-2 days. a) all 3 bruises having the same shade(progressing through the stages of color at the same rate b) 3 bruises of possibly different shades   show
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When recording a report of domestic violence history, you should do the following. a)write word for word what the patient says b) write what the person says, but omit swears and inappropriate language / terminology   show
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True of False: Even if abuse is suspected, in an unconscious or cognitively impaired person, it is morally and legally wrong to photography them without their permission.   show
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show c) Women in this country are mosre often killed by a husband, boyfriend, or ex-husband than by anyone else.  
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What specialized nerve endings are designed to detect painful sensations from the periphery and transmit them to the central nervous system? a) ganglions b) neurons c) somatosomes d) nociceptors   show
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Which two primary sensory fibers carry carry pain signals to the central nervous system? a) A8 b) B fibers c) C fibers d) Spinocerebrum fibers   show
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show a) A8  
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______ are unmyelinated and smaller, and they transmit the signal more slower resulting is diffuse and aching sensations that persist after the initial injury. a) A8 b) C fibers   show
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Put the following 4 phases of Nociception in order: Modulation, Transduction, Perception, Transmission   show
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show b) injured tissues release neurotransmitters that propagate a pain message  
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Transmission involves: a) pain impulse moves from the spinal cord to the brain b) injured tissues release neurotransmitters that propagate a pain message c) the pain message is inhibited d) the conscious awareness of a painful sensation   show
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Perception involves: a) pain impulse moves from the spinal cord to the brain b) injured tissues release neurotransmitters that propagate a pain message c) the pain message is inhibited d) the conscious awareness of a painful sensation   show
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Modulation involves: a) pain impulse moves from the spinal cord to the brain b) injured tissues release neurotransmitters that propagate a pain message c) the pain message is inhibited d) the conscious awareness of a painful sensation   show
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show c) larger interior organs  
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show a) blood vessles, joints, tendons, muscles, bones  
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show b) subcutaneous tissues and skin  
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Pain the persists for_____is considered chronic pain. a) 2+ weeks b) 6+ weeks c) 2+ months d) 6+ months   show
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Erica's patient reports that she is always in pain, Erica should tell the patient that: a) pain is a normal part of the aging process b) pain indicates cancer or tumors c) pain indicates pathology or injury d) your HR is not high you cant be in pain   show
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Does a pain gene exits?   show
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show False! Pain is subjective. If a patient tells you they are in pain, you have to beleive them. Period.  
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show a) standardized overall pain assessment tools  
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Which pain assessment asks patients to answer the eight questions concerning location, duration, quality, intensity and aggravating/relieving factors? a) standardized overall pain assessment tools b) initial pain assessment c) brief pain inventory   show
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Which pain assessment tool asks the pt to rate their pain during the last 24hrs with respect to its impact on mood, walking, ability and sleep? a) initial pain assessment b) brief pain inventory c) descriptor scales   show
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Which pain assessment asks pts to rank a list of descriptors of their intensity and give an overall intensity rating to his or her pain? a) standardized overall pain assessment tools b) initial pain assessment c) short-form McGill Pain questionnaire   show
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Which type of rating scales do older adults prefer? a) 0-10 numerical b) no pain/mild pain/ moderate pain/ severe pain c) the Wong Baker faces scale   show
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show c) point to where it hurts; they cannot rate pain intensity at this developmental level  
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show c) 4-5 years of age  
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show False: Persons with chronic pain typically try to give little indication that they are in pain and therefore are at higher risk for undetection.  
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The aging adult may hide signs of pain, what could indicate that they are indeed experiencing pain? a) increase in energy b) wearing larger fitted shoes c) cooking more bland foods d) changes in dressing, walking, and toileting.   show
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Erikson's sixth stage covers the first years of early adulthood, from 20 to 24 years and the major psychologic conflict to be resolved is that of?   show
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According to Levinson, an adult's life alternates between periods of______and_____. a) transition, floating b) structure building, transition c) floating, transition   show
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show c) Where am I going/ Why am I doing these things  
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show a) cancer,heart disease,injuries  
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show Generativity vs Stagnation  
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What is the sandwich generation? a) kids that have both older and younger siblings b) adults that have both older and younger siblings c) adults that have both children and aging parents d) adults with 2 moms or 2 dads(homosexual)   show
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show a) decreased reaction time  
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The life review usually occurs during what time period? a) adolescence b) early adulthood c) late adulthood d) old age   show
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show Ego integrity vs despair  
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show b) stress  
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show a) ADL's, IADL's,Mobility  
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show In a hospital setting, a patient will not be able to perform all of the needed activities and overestimation or underestimation of the activities is likely to happen.  
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show a) Lawton IADL assessment tool- scores people in areas of the telephone, shopping, meal preparation, housekeeping, laundry, transportation, self-medication, and management of finances.  
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How are ADLs different then IADLs?   show
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What is one problem with the Lawton IADL assessment? a) it specifically excludes Native Americans b) it can only be used on American adults c) male/female gender role biases d) cognitive/physical assumptions   show
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What instrumental ADL test would you use on a patient with dementia? a) KADL b) DAFA c) IADL d) no specific test exists for patients with dementia; one is needed!   show
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show a)Alzheimers, dementia, delirium  
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Depressed people often complain of? a) foot aches b) increased energy c) memory impairment d) none of the above   show
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Delirium often presents with? a) chronic changes in cognition b) acute changed in cognition c) hallucinations d) emotional instability   show
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show Formal- includes programs such as social welfare and other social service and health care deleivery agencies such as home health care. Informal agencies: includes family and close long-time friends and is usually provided free of charge.  
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show c) mastalgia  
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show a) tympany  
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Throwing up blood is termed: a) hemoptysis b) hemetemesis c) hemiuria d) hemaglobin   show
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show a) hemoptysis  
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show c) do nothing, this is normal! Generally it takes 24 hours for the body to resume normal bowel activity.  
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show c) have the patient void  
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What would you suggest for a patient who has Raynauds disease? a) take cold showers b) wear gloves outside c) wear a helmit at all times d) cook foods high in Vitamin C   show
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show c) claudication  
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show b) color, sensation, movement  
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show b) SA node(or sinoatrial node)  
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show Veins!  
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Where would you find the apical pulse? a) left side-4th intercostal space b) right side-4th intercostal space c) left side-5th intercostal space d) right side- 5th intercostal space   show
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What is another name for the apical pulse? a) S1 b) S2 c) S3 d) S4   show
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