NUR 2755 Multidimensional Care Exam 1

Phases of communication Answer- Pre-interaction: The student nurse gathers information about the client Orientation: The student nurse introduces themself, explains their role in the relationship Working: Active part of the relationship. The student nurse communicates caring and compassion to the client Termination: This marks the end of the relationship, whether at the end of the shift or at discharge. PASS Answer- Pull, Aim, Squeeze, Sweep When there is a fire you would call a Answer- code red or yellow depending on facility Components of therapeutic communication Answer- Active Listening Establishing trust Being assertive Validating messages Exploring issues Using silence Non-pharmacological interventions if a patient has a sprain Answer- Physical therapy, exercise, hot and cold therapy, relaxation, ankle immobility Normal vital signs Answer- HR: 60 - 100 bpm RR: 12 - 20 Temp: 96.4 - 99.5 BP: 120/80 O2: 94-100% Pain Pain: assessment—"PQRST" Answer- P = Provocation and Palliative factors - CAUSE Q= Quality R= Region of the body or Radiation S= Severity - scale T= Timing - when did it start and how long did it last Pain is the fifth vital sign dorsal recumbent Answer- Lying on back, knees bent supine Answer- lying on the back lithotomy Answer- Dorsal recumbent position at end of table with feet in stirrups, legs flexed, and widely open Sims' Answer- body position in which a person is lying on his left side with the upper knee flexed and raised toward the chest Prone Answer- lying face down lateral recumbent Answer- lying on the side knee-chest position Answer- patient is lying face down with the hips bent so that the knees and chest rest on the table unlicensed assistive personnel (UAP) Answer- -Includes CNAs, CMAs, and non-nursing personnel -Work under direct supervision of an RN or LPN -Specific tasks usually outlined in position description -Tasks may including feeding clients, preparing meals, lifting, basic care, measuring & recording vital signs, and ambulating clients complementary medicine Answer- health care practices and products used together with conventional medicine priority nursing assessment Answer- -Continuous telemetry monitoring -Frequent vitals -Ongoing head-to-toe -Serial 12-Lead EKG -Pain: Intensity, location, quality, radiation, aggravating and alleviating factors Nursing Focus: -Perfusion -Respiratory Psychosocial Support: -Anxiety -Educational Needs: Patient and Family Monitor for Complications: -Progressive ACS -Heart Failure -Cardiogenic Shock -Cardiac Arrest open-ended questions Answer- questions that allow respondents to answer however they want Maslow's Hierarchy of Needs Answer- physiological, safety, love/belonging, esteem, self-actualization visceral pain Answer- pain originating in the internal organs in the thorax, cranium, or abdomen deep somatic pain Answer- ligaments, tendons, bones, blood vessels, nerves Types of nutrition Answer- mouth/oral, enteral, parenteral mobiity Answer- ability of an individual to perform purposeful physical movement of the body. Consequences of Immobility Answer- Osteoporosis, contractures Pressure ulcers Constipation Anorexia Urinary stasis renal calculi, infection Psychological effects Mobility interventions Answer- passive ROM repositioning skin assessment nutrition breathing exercises mobility aids if needed characteristics of therapeutic communication Answer- 1. Empathy 2. Respect 3. Genuineness 4. Correctness 5. Confrontation restating Answer- using your own words to summarize the message you received from the client clarifying Answer- ensure you have decoded the message correctly "when you say that, what do you mean?" validating Answer- confirm you have made the correct interpretation Barriers to communication Answer- asking too many questions changing the subject expressing approval or disapproval offering advice false reassurance stereotyping patronizing language culture Answer- Socially transmitted behaviors, arts, beliefs, values, customs, lifeways and other characteristics that guide decision making open ended questions Answer- allows a narrative answer can use probing OSHA Answer- Occupational Safety and Health Administration workplace hazards protective equipment Joint Commission Answer- a not-for-profit organization that evaluates and accredits different types of healthcare facilities sets quality standards