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NUR1010 EXAM 2

QuestionAnswer
Name & describe the 6 elements of therapeutic communication. - Empathy - Trust - Honesty - Validation - Caring - Active Listening (Pg. 270)
Name & describe the 3 therapeutic communication techniques that allow the client set the pace. - Offering self - Broad openings - Silence (Pg. 271-272)
Name & describe the 3 therapeutic communication techniques that encourage spontaneity. - Open-ended comments - Reflection - Restating (Pg. 271-272)
Name & describe the 4 therapeutic communication techniques that focus on the client by responding to verbal, paraverbal & nonverbal cues. - Exploring - Recognition - Focusing - Directing (Pg. 271-272)
Name & describe the 3 therapeutic communication techniques that encourage expression of feelings. - Verbalizing the implied - Making observations - Clarifying (Pg. 271-272)
Name & describe the 2 therapeutic communication techniques that encourage the client to make some changes. - Confronting - Limit setting (Pg. 271-272)
Define the following Communication Roadblock: Reassuring Comments that indicate to the client that concerns or fears are unwarranted.
Define the following Communication Roadblock: Agreeing Comments that indicate that the nurse's view are those of the client.
Define the following Communication Roadblock: Approving Comments that indicate that the client's view, actions, needs, or wishes are "good", rather than "bad".
Define the following Communication Roadblock: Defending Comments that are aimed at protecting the nurse, someone else, or something from verbal attack.
Define the following Communication Roadblock: Using Closed Questions Questions or comments that can be answered by the client w/ one word.
Define the following Communication Roadblock: Using Stereotyped Comments "Pat" answers or cliches that indicate the client's concerns are unimportant or insignificant.
Define the following Communication Roadblock: Changing Focus Switching to a topic that is comfortable to discuss.
Define the following Communication Roadblock: Judging Comments or actions by the nurse that indicate pleasure or displeasure w/ what the client says.
Define the following Communication Roadblock: Blaming Accusing the client of misconduct; undermining the client's needs to be loved & accepted.
Define the following Communication Roadblock: Belittling The Client's Feelings Indicating to the client that feelings expressed are unwarranted or unimportant.
Define the following Communication Roadblock: Advising Giving the client opinion or direction about solving the problem.
Define the following Communication Roadblock: Rejecting Indicating to the client that certain topics are not open to discussion.
Define the following Communication Roadblock: Disapproving Indicating displeasure about comments or behaviors or placing a value on them.
Define the following Communication Roadblock: Probing Pressuring the client to discuss something before he or she is ready.
What are some of the things you can do as a nurse when dealing w/ clients who are hearing impaired? - Determine if the client can lip read. - If they wear hearing aid, see that it is working. - Face the client. - Speak @ normal tone & pace. - Focus on nonverbal cues. - Use gestures & facial expressions w/ verbal msgs. - Provide pen & paper.
What are some of the things you can do as a nurse when dealing w/ clients who are visually impaired? - Always face clients even if visually impaired - Follow client cues to allow for independence - Look directly @ the client - Speak normal tone, normal voice (do NOT yell to compensate) - Ask for permission before touching - Orient client to environm
What are some of the things you can do as a nurse when dealing w/ clients are aphasic? - Assess client's usual communication method & adapt interaction accordingly - Use written interview format, letter boards, yes/no cards - Allow additional time for response - Do not answer client - Use closed questions See book for addt'l
What are some of the things you can do as a nurse when dealing w/ unconscious client's? - Assume the client can hear - Use normal tone & voice - Engage in normal conversation topics - Use touch to communicate sense of presence
What are some of the things you can do as a nurse when dealing w/ confused clients? - Maintain appropriate eye contact - Keep background noises to a minimum - Use simple, concrete words & sentences - Use pics & symbols - Used close ?s rather than open-ended - Give client time to respond
What are some of the things you can do as a nurse when dealing w/ angry clients? - Use caution w/client who has a hx of violent behavior or poor impulse control - Don't turn back to client & set nothing b/twn you & door - Focus on client's body language - Be alert for physical indicators of impending aggression See book for addt'l
Name the factors affecting patient safety. Age, Lifestyle, Sensory & Perceptual Alterations, Mobility, & Emotional State
Name & describe 4 ways to improve the effectiveness of communication among caregivers.
What is a sentinel event? An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function.
How can hospitals prevent falls? Good supervision, Orientating client's to environment & call system, Providing ambulatory aids i.e. wheelshair/walkers, Place personal belongings near bed, Hospital beds @ lowest position w/ rails up, Nonslip mats/rugs, Lighting
What type of patients are at increased risk during a fire? Immobilized or incapacitated clients.
Name the common causes of fires include: Smoking in bed, discarding cigarette butts in trash cans, and faulty electrical equipment.
What are the 3 elements of fires? Sufficient heat to ignite the fire, combustible material, & oxygen to support the fire.
Nursing interventions are aimed at preventing or reducing the risk of fires. Name some of the types of interventions. Pg. 678 - Marking fire exits, Know location & operation of fire extinguishers, Practice evacuations, Post emergency phone #s by all phones, Keep hallways open & clear of clutter, Check cords & outlets for exposed or damage wires, Report hazards, Education clients
Name & describe the 3 types of fire extinguishers. Pg. 678 - Type A (Water): used for paper, wood, draperies, upholstery, or rubbish - Type B & C (Carbon Dioxide or Dry Chemical): Flammable liquids, gases or electrical fires. - Types A, B, C (Multipurpose Dry Chemical): Any type of fire
What type of things can a nurse do to protect clients from electrical injury? Pg. 678 - Read warning labels on all equipment - Use only grounded electrical equipment - Check for frayed cords - Avoid overloading circuits - Report shocks rec'd from equipment to biomedical dept
Name at least 3 safety hazards for nurses. Pg. 657-658 - Latex allergies - Blood-borne pathogens - Musculoskeletal injuries - Chemicals - Environmental - Violence
Explain the difference between medical & surgical asepsis. One is the use of practices to reduce the number, growth, & spread of microorganisms. The other is considered sterile technique and consists of practices that eliminate all microorganisms. (Pg. 679-680)
Total elimination of all microorganisms including spores and involves the use of heat, steam, chemicals, radiation or ethylene oxide gas. Sterilization (Pg. 681)
Removal of soil or organic materials from instruments & equipment used in providing client care. This methods uses water, mechanical action, & sometimes detergent. Cleaning (sanitizing) (Pg. 681)
Elimination is the elimination of pathogens, except spores from inanimate objects. Method uses chemical solutions to clean inanimate objects. Common chemicals incl. alcohol, NA+ hypochlorite, & quanternary ammonia. (Household chems include lysol, bleach) Disinfection (Pg. 681)
What is the procedure to properly dispose on infectious waster? - Wear gloves - Use proper containers - Ensure that all infectious waste is properly labeled - Use cautious when handling plastic bags to avoid punctures & tears - Disinfect carts use to carry waste - Wash hands after disposing of waste (Pg. 682)
What are Standard Precautions? Guidelines to prevent infection issued by the CDC. Has 2 tiers. Tier 1 assumes every person is potentially infected. Tier 2
Tier 1 assumes every person is potentially infected. What types of precautions are included in Tier 1? Hand hygiene, PPE (gloves, gowns, masks & eye protection), & safe injection practices.
Tier 2 assumes every person is potentially infected. What types of precautions are included in Tier 2? This tier includes transmission-based precautions include contact, droplet, & airborne. Used for specific syndromes. Some special equipment may be require for certain respiratory conditions. (Pg. 683)
Explain: Contact transmission Involves direct physical transfer of an agent from an infected person to a host through direct contact w/ a contaminated object or close contact w/ secretions. (Pg. 659)
Explain: Airborne transmission Occurs when a susceptible host contacts droplet nuclei or dust particles that are suspended in air. (Pg. 659)
Explain: Vehicle transmission Occurs when an agent is transferred to a susceptible host by contaminated inanimate objects such as water, food, milk, drugs & blood. (Indirect transmission)
Explain: Vectorborne transmission Occurs when an agent is transferred to a susceptible host by animate means i.e. mosquitoes, fleas, ticks, lice, & other animals. (Pg. 659)
Name & describe the common drug resistant organisms & how they are transmitted. MRSA (hand contact w/ client or infected area or fluids), VRE, & C.Diff (contact w/ organisms) (Pg. 663)
What is nonspecific immunity? Is not dependent on prior exposure to the antigen, i.e. skin, normal flora, mucous membrane, sneezing, coughing, tearing, acidic environment, and inflammation.
What is specific immunity? Immune response to an immune response to a specific invading antigen. This response is activated by the failure of phagocytes to completely destroy the antigen; this causes the production of T cells to activate other cells.
Created by: shaston001