ACCURATE RESPONSES FULL SOLUTION
◉ SBAR. Answer: introduction
S = situation
B = background
A = assessment
R = recommendation
use SBAR to share patient information in a clear, complete, concise
and structured format; improving communication efficiency and
accuracy.
◉ Acute illness:. Answer: ex. Influenza, Acute Bronchitis, Varicella,
Gastroenteritis
-sudden onset of symptoms
-progress quickly from mild to severe
-patient usually returns to former level of functioning
-changes often not permanent but may progress to chronic
,-does not usually require long term behavioral change
-might represent a life crisis
◉ Chronic illness:. Answer: ex: Diabetes, Asthma, Lupus
-gradual onset of symptoms
-may be mild or vague
- have remissions and exacerbations
-continues through life span
-changes permanent and progressive
-requires long term behavioral change/treatment
-often represents a life crisis
◉ What are the stages of illness?. Answer: 1. Disbelief and denial
(difficulty believing symptoms are related to illness; used to avoid
anxiety and fear)
2. Irritability and anger ( changes in ability to function results in
anger towards self and others; Nasty renal patients)
3. Attempting to gain control ( patient seeks medical attention and
attempts to control symptoms with home remedies or over the
counter; acupuncture)
4. Depression and grief (illness leads to feeling of loss; ex avid
hunter no longer able to go into woods)
,5. Acceptance and Participation (acknowledges reality and ready to
participate in treatment decisions = feelings of mastery over illness)
◉ At which stage of illness is the client who states, "I have
knowledge about my diet and how to do my insulin injections, so I
can get on with my life.". Answer: Acceptance and participation
◉ Sick role behaviors. Answer: culture and previous
experiences/personality play a role
-exempt from social responsibilities
-not expected to care for self
-should want to get well
-should seek health care advice
-should cooperate with health care experts
◉ Internal influences on illness behavior. Answer: personality is an
internal variable that determines how one manages illness
-DEPENDENCE/INDEPENDENCE needs: continuum from passive to
independent
(some patients become very dependent relying on others to take
care of them)
, -COPING ABILITY: strategies to assess and manage demands (people
have unique coping mechanisms)
-HARDINESS
-LEARNED RESOURCEFULNESS :use of cognitive skills to minimize
negative effects of thoughts ; self mastery
(the ability to resist stress in life and promote healthy adaptive
behaviors)
-RESILIENCE: successful adaption despite challenging or
threatening circumstances
(result of disposition, family factors, outside support)
-SPIRITUALITY: belief in a higher power, interconnectedness among
living beings
(nurses support and respond to spirituality, refrain from trying to
influence patient's beliefs)
◉ An approved NANDA diagnosis defined as "a disturbance in the
belief or value system that provides strength, hope, and meaning to
life". Answer: Spiritual distress