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Skills Test 1

Skills Practicum Nursing

What is evidence-based practice? EBP is an approach that uses firm scientific data rather than anecdote, tradition, intuition, or folklore in making decisions about medical and nursing practices.
Why is evidence-based practice important? The goal of EBP is to identify the most effective and cost-efficient treatment for a particular disease, condition, or problem.
What do research studies have to do with evidence-based practice?
What is critical thinking? A combination of reasoned thinking, openness to alternatives, an ability to reflect, and desire yo seek truth
What characterizes a competent professional nurse?
What is the purpose of good communication? Basic human function, sending messages back and forth between 2 or more people, consist of verbal and non verbal messages, helps build working relationships, helps meet physical, psychosocial, emotional, and spiritual needs
What are characteristics of verbal? involves speaking or writing words to send a message; including vocabulary; denotative vs. connotative meaning; pacing of conversation; intonation; tone, pitch, cadence, volume; clarity and brevity; timing; relevance of information; humor; creditable send
what is the difference between therapeutic and social communication? Therapeutic communication is client-centered, goal- directed, and strengthens therapeutic relationship
What are blocks to communication? too many questions; closed-ended questions; asking "why?"; changing the subject abruptly; failing to listen; failing to explore issues in detail; expressing approval or disapproval; offering advice; stereotyping; giving false hope; patronizing language
What is medical asepsis? a state of cleanliness that decreases the potential for the spread of infections
What are the steps to bathing a patient? pages 386-389 in volume 2
When should gloves be used? When you may be exposed to any body secretions directly or indeirectly
What are the best practices to prevent the spread of infections? Maintaining a clean environment; maintaining clean hans; following CDC guidleines
What is included in the different types of isolation? Protective Isolation be sure that equipment has been disinfected before it is take into the room. take linen and dishes directly to the protective isolation room; hand them to someone wearing the required protective garb
What are the characteristics of nonverbal communication? the unconscious use of body language when sending a message: facial expressions; posture and gait; personal appearance; distance; gestures; touch
What is included in the different types of isolation? Transmission Isolation (page 427-428) Disinfect the equipment on removal from the room; when removing linen or non-disposable items form a room w/ contact, droplet, or airborne isolation, place them in special isolation bags; this process requires 2 healthcare workers:
Contact Precaution Pathogens is spread by direct contact-source of infection:draining wounds, secretions, supplies; Precautions include; possible private room, clean gown and glove use, disposal of contaminated items in room; double-bag linen and mark
Standard Precations Protect healthcare workers from exposure; decrease transmission of pathogens; protect clients from pathogens carried by healthcare workers
Airborne Precautioins Pathogens is spread via air currents: transmission via ventilation systems, shaking sheets, sweeping; Precautions include: same as for contact, with addition of special room, special mask, and mask for patient when transported
Droplet Precautions pathogens is spread via moist droplets: coughing, sneezing, touching contaminated ojbects Precautions include same as those for contact, addition of mask and eye protection within 3ft of client(patient)
What is the purpose of antiembolic stockings (TEDS)? Elastic stockings that compress superficial leg veins and promote venous return
What is the procedure for applying them? Page 960-961 Volume 2
What is the purpose of a pneumatic external compression device (SCD)? Cuffs that surround the legs and alternately inflate and deflate to promote venous return to the heart
What are the steps to putting on SCD?
What alternative measures are to be taken before applying restraints? Careful and ongoing assessment and surveillance, finding ways to communicate with the patient, and tailoring exercise programs, medication reviews and environmental modifications to the needs of the individual patient
What is protective restraint?
How often does the restraint have to be removed? Check restraints every 30 minutes; a provider must reassess and reorder the restraints every 24 hours; release restraints and assess every 2 hours (more often for behavioral restraints)
What is the proper technique for washing the patient's face and eyes during a bed bath?
Can lotion be applied without an order? Yes, check to see it there is an order not to apply lotion
What does oral hygiene include?
What is the best position for giving oral hygiene?
Medication Order: Stat that a single dose of medication is to be given immediately and only once; the word now is also used
Medication Order: PRN the provider may prescribe a medication to be given whenever the patient requires; PRN requires the nurse to determine with the patient, when the medication should be given
Medication Order: Standing an instruction or prescribed procedure in force permanently or until changed or canceled; especially : any of the rules for the guidance and government of parliamentary procedure which endure through successive sessions until vacated or repealed
What is the definition of a nursing diagnosis?
What is the purpose of charting?
What are the steps to assist a patient to a sitting position on the side of the bed and to get the patient out of bed?
What is the patient has been immobile for several days?
what are the steps to re-position an immobile patient in bed?
Are pillows used? Where are they placed?
What are the rules for good body mechanics to prevent the nurse from getting an injury?
What does the nurse do if the patient starts to fall while ambulating?
Created by: emv2435