ANSWERS LATEST UPDATE. BUY
QUALITY MATERIALS!
What tasks are appropriate to delegate to unlicensed assistive personnel (CNA)?
ADLs, bathing, grooming, dressing, toileting, ambulating, feeding (without swallowing
precautions), positioning, bed making, vitals for stable patients, specimen collection,
I/Os
What are 3 things you should consider before delegating a task to a person?
training, education, experience
What are the 5 rights of delegation?
right task, right circumstance, right person, right directions and communication, right
supervision and evaluation
What does "right task" mean?
ensuring that the task delegated is appropriate for delegation, taking into account
factors such as complexity, risk, and relevance to the delegate's role
What does "right circumstance" mean?
considering the environment in which the task will be performed, including factors like
the patient's condition, available resources, and any special considerations
What does "right person" mean?
selecting the suitable individual to delegate the task to, based on their competence,
training, and ability to perform the task safely and effectively
What does "right information" mean?
providing clear and comprehensive instructions to the delegate regarding the task,
including objectives, expectations, any specific procedures, and relevant patient
information
What does "right supervision and evaluation" mean?
providing adequate supervision during task performance to ensure it's carried out
correctly and safely. Additionally, providing constructive feedback to the delegatee
afterward to support learning and improvement
What are the Kubler-Ross stages of grief?
denial, anger, bargaining, depression, and acceptance (not in a sequential order, may
not experience all of them)
What is compassion fatigue?
cumulative stress that develops from the desire to help those who are suffering
combined with the inability to relieve that suffering, resulting in a feeling of professional
uselessness and self-blame
What is post-traumatic stress disorder (PTSD)?
difficulty recovering after an emotionally shocking event, often characterized by
flashbacks
What is prolonged grief disorder?
grief that lasts longer than 6 months, inability to accept the death of the loved one
, What is adventitious stress?
stress induced by an unanticipated stressor such as a disaster or crisis
Which hormones affect/are involved in sleep?
- GABA: reduces arousal
- melatonin: promotes sleep-wake cycle
- decreased ghrelin (hunger hormone)
- decreased cortisol (stress hormone)
What type of physiological changes occur during non-rapid eye movement sleep?
body temperature starts to decrease, muscle twitching
What client education would a nurse give for a patient with insomnia?
sleep medications, sleep-promoting techniques and lifestyle changes, and cognitive-
behavioral therapy
What are some methods to promote sleep?
- remove unnecessary light and noise (use white noise if necessary)
- keep room at cool temperature
- keep naps short, less than 30 min
- complete exercising at least 3 hours before bed
What clinical findings would a nurse see in a patient with obstructive sleep apnea
(OSA)?
snoring, excessive daytime sleepiness, low energy, lack of motivation, interrupted sleep
What are the clinical findings a nurse would see in a patient with sleep
deprivation?
affected higher order cognitive processes, impaired judgement, decreased response
time, tension HA, mood swings, depression
What is the best way to assess that your patient understands what you just
taught them?
teach back method, ask open ended questions
What is advocacy?
speaking on another's behalf, actively championing for patients' rights, needs, and well-
being within the healthcare system
What does ABC stand for?
airway, breathing, circulation (see patients in this order)
**Know the steps of critical thinking: questioning, intuition, creativity, and
analysis
What happens in the "questioning" step of critical thinking?
challenge assumptions, seek evidence, clarify concepts, and consider different
perspectives
What happens in the "intuition" step of critical thinking?
recognize patterns, draw on experience, and use gut feelings wisely
What happens in the "analysis" step of critical thinking?
examine information, identify bias, evaluate arguments, and synthesize insights
**Know the difference between: Clinical Judgement, Critical thinking, Clinical
reasoning, andConcept mapping
What is clinical judgement?
the observed outcome of critical thinking and decision making
What is critical thinking?