Multidimensional Care 1 Exam 1 (1st Exam) Questions
and Answers…
What does Maslow believe about the hierarchy of needs?
a person could not meet the needs of love and belonging and self-esteem without
meeting basic physiological needs .
herbal supplements & their usage
Ginko Biloba: Depression, memory
Ginseng: depression
Kava: Depression, anxiety
Echinacea: common cold
Chamomile: calming and soothing properties.
Goldenseal: Stimulates immune system and bile secretion
Melatonin: sleep
Kava
Herbal Antianxiety Agent and Depression
Name the pain scales
1-10
FACES
FLACC
CRIES
FLACC pain scale
F:face
L:legs
A:activity
C:cry
C:consolability
Things to know about pain assessment
PQRST
If treatment works
It's subjective
Ginko Biloba
Depression and memory (dementia)
Ginseng
fatigue and depression
Echinacea
common cold
Goldenseal
Stimulates immune system and bile secretion
Chamomile
calming and soothing properties.
Melatonin
sleep
When dealing with maslow hierarchy of needs, what is done first?
ABCs!!
,Maslow Hierarchy of needs
Self-Actulaization, Esteem, Safety & Security, Love & Belonging, & physiological
SelfActualization
Met when the person reaches maximum potential and acts in an unselfish manner.
Examples of self actualization
(e.g., extent to which goals are achieved, role performance, Personal growth, reaching
one's highest potential)
Catholic End-of-Life indviduals may be
brought to hospitalized patients by a priest, deacon, or designated lay Eucharis- tic
minister
A Roman Catholic who is seriously ill might
wish to receive the sacrament of anointing the sick. (last rites)
Last Rites
Anointing of the Sick (Catholic)
Mormons follow a strict
health code, known as the Word of Wisdom
Word of Wisdom (Mormon Culture)
advises healthful living and pro- hibits the use of tea, coffee, alcohol, and tobacco
Mormons believe in
life before and after death; thus, death repre- sents the passage into another life phrase
(Mormon) Nurses may remove garments
before surgery, but it must at all times be considered intensely private and be treated
with respect
Mormons wear garments at all times except for
hygiene, elimination, or being intimate in marriage
Nursing Interventions to achieve self actualization
Provide art supplies
Esteem
Met when a person feels a sense of accomplishment and are recognized by others for
that achievement.
Esteem tier consists of? (Maslow Hierarchy of needs)
1. Feeling of accomplishment
2. Body image
3. Pride in achievements
4. Admiration from others
Self-Actualization tier consists of? (Maslow Hierarchy of needs)
1. Achieving one's full potential
2. Extent to which goals are achieved
3. Role performance
Nursing Interventions to achieve esteem
Facilitating visits from loved ones
Safety and security
freedom from physical harm and feelings of fear and anxiety.
Safety and security tier consists of? (Maslow Hierarchy of needs)
1. Protection from physical harm
2. Adequate shelter
,3. Freedom from fear and anxiety
4. Safe from falls
5. Treatment
6. Side effects
7. The need for psychological security
Physiological tier consists of (Maslow Hierarchy of needs)
-Air-Food
- Nutrition
-Water
- Temperature regulation
- Elimination
-Rest
- Sleep effects
-Sex
- Physical Activity
- mobility assessment
- Blood flow (perfusion) is necessary to meet other basic needs
Nursing Interventions to achieve safety and security
Prevent falls & Communicating concerns
Love and belonging
needs are met when the person seeks personal relationships with others.
Love/Belonging tier consists of? (Maslow Hierarchy of needs)
1. Intimate relationship
2. Friends
3. Social supports
Nursing Interventions to achieve love & belonging
Referring a patient to a support group
Physiological needs
are essential for maintenance of life
Examples of physiological needs
(e.g., oxygen, water, food, air, water, shelter, sleep and rest, elimination, activity,
temperature regulation)
Nursing Interventions to achieve physiological needs
1. Helping patient to eat dinner
2.Changing a patients oxygen tank
3.Ensure patient is getting enough rest
Basic physiological needs (needs that are essential for the maintenance of life)
Air, Food (Nutrition), water, temp regulation, elimination, rest (sleep effects), sex,
physical activity (mobility assessment), blood flow (perfusion) is necessary to meet
other basic needs
One of the most critical nursing interventions the nurse has is the ability to
monitor and interpret the client's?
vital signs.
Interventions for elevated/decreased vitals
continue to monitor patient
recheck vitals
, Regulation or thermoregulation is determined using
the client's temperature.
Normal Temp
96.4 to 99.5 degrees Fahrenheit
Different methods temperature can be taken
Orally,
Axillary
Rectally
Temporal Artery
Tympanic
Hypothermia:
temperature below the normal range that may be related to exposure to a cold
environment
-Temp lower than 95
Hypothermia Preventions
ii. Cover the pt with blankets iii. Use heating devices
iv. Increase room temp
v. Infuse warm solutions
vi. Remove wet clothing
Hyperthermia
temperature above the normal range that may be related to exercise or exposure to an
abnormally hot environment
-Temp is greather than 104 degrees
What is perfusion?
Adequate arterial blood flow to the peripheral tissue.
What does peripheral and central perfusion relate to?
Peripheral=peripheral tissue
Central=major organs
Definition of pulse?
rhythmic expansion of an artery produced when a bolus of oxygenated blood is forced
into it by contraction of the heart.
Bradycardia pulse rate
less than 60 bpm
Tachycardia pulse rate
beats higher than 100/min
Influences for pulses?
o Exercise
o Age
o Gender
o Anxiety
o Pain
Documentation for pulse?
o Rhythm - even tempo
o Strength (0-4+, absent, weak or thready, normal, strong, bounding)
o Regular rhythm: 30 seconds x 2- or 15-seconds x 4o Irregular rhythm
(regular/irregular); full minute; apical.
and Answers…
What does Maslow believe about the hierarchy of needs?
a person could not meet the needs of love and belonging and self-esteem without
meeting basic physiological needs .
herbal supplements & their usage
Ginko Biloba: Depression, memory
Ginseng: depression
Kava: Depression, anxiety
Echinacea: common cold
Chamomile: calming and soothing properties.
Goldenseal: Stimulates immune system and bile secretion
Melatonin: sleep
Kava
Herbal Antianxiety Agent and Depression
Name the pain scales
1-10
FACES
FLACC
CRIES
FLACC pain scale
F:face
L:legs
A:activity
C:cry
C:consolability
Things to know about pain assessment
PQRST
If treatment works
It's subjective
Ginko Biloba
Depression and memory (dementia)
Ginseng
fatigue and depression
Echinacea
common cold
Goldenseal
Stimulates immune system and bile secretion
Chamomile
calming and soothing properties.
Melatonin
sleep
When dealing with maslow hierarchy of needs, what is done first?
ABCs!!
,Maslow Hierarchy of needs
Self-Actulaization, Esteem, Safety & Security, Love & Belonging, & physiological
SelfActualization
Met when the person reaches maximum potential and acts in an unselfish manner.
Examples of self actualization
(e.g., extent to which goals are achieved, role performance, Personal growth, reaching
one's highest potential)
Catholic End-of-Life indviduals may be
brought to hospitalized patients by a priest, deacon, or designated lay Eucharis- tic
minister
A Roman Catholic who is seriously ill might
wish to receive the sacrament of anointing the sick. (last rites)
Last Rites
Anointing of the Sick (Catholic)
Mormons follow a strict
health code, known as the Word of Wisdom
Word of Wisdom (Mormon Culture)
advises healthful living and pro- hibits the use of tea, coffee, alcohol, and tobacco
Mormons believe in
life before and after death; thus, death repre- sents the passage into another life phrase
(Mormon) Nurses may remove garments
before surgery, but it must at all times be considered intensely private and be treated
with respect
Mormons wear garments at all times except for
hygiene, elimination, or being intimate in marriage
Nursing Interventions to achieve self actualization
Provide art supplies
Esteem
Met when a person feels a sense of accomplishment and are recognized by others for
that achievement.
Esteem tier consists of? (Maslow Hierarchy of needs)
1. Feeling of accomplishment
2. Body image
3. Pride in achievements
4. Admiration from others
Self-Actualization tier consists of? (Maslow Hierarchy of needs)
1. Achieving one's full potential
2. Extent to which goals are achieved
3. Role performance
Nursing Interventions to achieve esteem
Facilitating visits from loved ones
Safety and security
freedom from physical harm and feelings of fear and anxiety.
Safety and security tier consists of? (Maslow Hierarchy of needs)
1. Protection from physical harm
2. Adequate shelter
,3. Freedom from fear and anxiety
4. Safe from falls
5. Treatment
6. Side effects
7. The need for psychological security
Physiological tier consists of (Maslow Hierarchy of needs)
-Air-Food
- Nutrition
-Water
- Temperature regulation
- Elimination
-Rest
- Sleep effects
-Sex
- Physical Activity
- mobility assessment
- Blood flow (perfusion) is necessary to meet other basic needs
Nursing Interventions to achieve safety and security
Prevent falls & Communicating concerns
Love and belonging
needs are met when the person seeks personal relationships with others.
Love/Belonging tier consists of? (Maslow Hierarchy of needs)
1. Intimate relationship
2. Friends
3. Social supports
Nursing Interventions to achieve love & belonging
Referring a patient to a support group
Physiological needs
are essential for maintenance of life
Examples of physiological needs
(e.g., oxygen, water, food, air, water, shelter, sleep and rest, elimination, activity,
temperature regulation)
Nursing Interventions to achieve physiological needs
1. Helping patient to eat dinner
2.Changing a patients oxygen tank
3.Ensure patient is getting enough rest
Basic physiological needs (needs that are essential for the maintenance of life)
Air, Food (Nutrition), water, temp regulation, elimination, rest (sleep effects), sex,
physical activity (mobility assessment), blood flow (perfusion) is necessary to meet
other basic needs
One of the most critical nursing interventions the nurse has is the ability to
monitor and interpret the client's?
vital signs.
Interventions for elevated/decreased vitals
continue to monitor patient
recheck vitals
, Regulation or thermoregulation is determined using
the client's temperature.
Normal Temp
96.4 to 99.5 degrees Fahrenheit
Different methods temperature can be taken
Orally,
Axillary
Rectally
Temporal Artery
Tympanic
Hypothermia:
temperature below the normal range that may be related to exposure to a cold
environment
-Temp lower than 95
Hypothermia Preventions
ii. Cover the pt with blankets iii. Use heating devices
iv. Increase room temp
v. Infuse warm solutions
vi. Remove wet clothing
Hyperthermia
temperature above the normal range that may be related to exercise or exposure to an
abnormally hot environment
-Temp is greather than 104 degrees
What is perfusion?
Adequate arterial blood flow to the peripheral tissue.
What does peripheral and central perfusion relate to?
Peripheral=peripheral tissue
Central=major organs
Definition of pulse?
rhythmic expansion of an artery produced when a bolus of oxygenated blood is forced
into it by contraction of the heart.
Bradycardia pulse rate
less than 60 bpm
Tachycardia pulse rate
beats higher than 100/min
Influences for pulses?
o Exercise
o Age
o Gender
o Anxiety
o Pain
Documentation for pulse?
o Rhythm - even tempo
o Strength (0-4+, absent, weak or thready, normal, strong, bounding)
o Regular rhythm: 30 seconds x 2- or 15-seconds x 4o Irregular rhythm
(regular/irregular); full minute; apical.
