Question | Answer |
Name three consequences for the lack of trans-cultural awareness | A. incorrect nursing judgments
B. Inappropriate teaching
C. Unsafe interventions |
How does an individual acquire culture | Learn it |
Define stereotype | A fixed concept of how all members of an ethic group act or think |
how do individuals learn values | by observing behavior and the response it evokes |
define culture | social characteristics of a specific group passed from generation to generation |
how do you treat the patient's religious beliefs | with respect |
what do you do if you determine that a cultural health practice is harmful to the patient | explain the hazards of continuing the practice |
if you don't answer call lights promptly, what can you be accused of | negligence |
define malpractice | an act of negligence by a professional |
define libel | written defamation of a person |
define slander | verbal defamation of a person |
define accountability | being responsible for your own actions |
define battery | assault that is carried out or commission of bodily injury or contact without consent |
Which organization has priority in limiting the LVN's duties and responsibilities | Hospital policy and procedure |
Duties of the admission nurse include | A. Explaining visiting hours and rules
B. Explaining the environment and hospital activities
C. Explaining communication systems |
what are the guidelines used to judge whether a nurse is providing competent care | Standards of Care |
Who makes the rules and regulations concerning nursing practices | BVNPT (Board of Vocational Nurse and Psychiatric Technician Examiners) |
What is the nurse's best protection against malpractice | Reasonable prudent care |
Forgetting to give medication to the patient is an example of what type of negligence | Malpractice |
The MD has signed the D/C (Discharge) order for you patient. Your patient must: | Meet all nursing care plan objectives |
List 3 facts about patient charts | A. It is a legal document
B. It is a permanent record
C. It is a property of the hospital |
what does a nurse's ethical code do | Provide standards of conduct |
When a patient is admitted without medical orders or the nurse has problems transcribing the MD orders, what must the nurse do | Call the doctor |
In terms of privacy, can the nurse or the patient lock the bathroom door | No |
What does the Good Samaritan Act do | protects you from liability if you render prudent (careful) care at the scene of an accident |
Define and give examples of objective data | Info that's verifiable, measurable, uses senses
ie. (V.S. Facial Expressions) |
Define NCP and tell me what the NCP is based on | a guide for nursing care NCP is Based on assessment data |
in what phase of the nursing process is documentation found | Implementation |
Name one of the primary purposes of the BCP and pt. chart | Communication; legal record |
When (under what circumstances) do you write a nurse's note (ie DAR, SOAP, narrative note) | A. whenever pt's condition changes
B. to address problems on NCP
C. to address main DX |
define planning | part of the nursing process that involves setting priorities & realistic goals |
Define intervention | activity performed by nurse that should promote/achieve desired pt outcome |
Differentiate between Dependent&Independent nursing measures | A. Dependent: requires MD Rx-
Meds, heating pads
B. Independent: no MD Rx required-
position change, assess, vital signs |
Maslow's Hierarchy of Needs | Physiological, Safety and Security, Love and Belonging, Self-esteem, Self-actualization |
Implementation | implementations is part of the nursing care plan in which nsg, actions are carried out |
Subjective Data | symptoms, facts, perception, or sensation apparent only to the person affected |
Three rules of writing patient goals | patient centered, measurable/ observable, realistic and time oriented |
the components of the nursing process is; | assessment, Dx, expected outcome, Planning and implementation, evaluation |
which steps in the nursing process are identified with patient problems | Expected Outcome |
Risk for skin impairment r/t surgical procedure, What does r/t mean? | Related to |
Define assertibeness | Ability to stand up for one's self and one another using open/honest communication; not violating others right |
which of the five senses is the last to leave the body of a dying pt | Hearing |
The most effective thechniques to facilitate communication is | Listnening |
how do you verify that your message has been accureately rec'd | listen for feedback |
Establishing a trusting relationship w/your pt is based on | Maintaining cofidentiality |
what kind of a respose can you expect to get if you ask "closed" questions | Yes/No |
Define Empathy | Identifying with person's feelings/problems |
Define sympathy | actual feeling of regret or sorrow for pt's plight |
success of interdisciplinary approach to health care depends MOST on | Effective communication |
What are the four parts of the communication process | Sender, Msg, Receiver, Feedback |
Name the two types of communication | verbal and non-verbal |
Define nososcomial infection | a facility-acquired infection |
Chain of infection (definition) | a process that begins when an agent leaves its reservoir or host through a portal of exit, and is conveyed by some mode of transmission, then enters through an appropriate portal of entry to infect a susceptible host |
Infectious agent | micro organism capable of producing an infection |
Reservoir | where micro organism resides, it can be a food or water source also a human source |
Portal of exit | in order for agent to establish infection, it must leave reservoir like: nose, mouth, open wounds, etc. |
mode of transmission | micro organism travels to another host |
Chain of infection | Reservoir-portal of exit-means of transmission-portal of entry-host |
Portal of entry | infectious agent enters body of susceptible host (a person who is susceptible to an infection) |
Standard of precautions | treat each patient as if they were infectious (break the chain of infection) |
Surgical Asepsis | keeping work area sterile and free of all pathogens including spores |
Medical Asepsis | keeping work area clean and free of most pathogens |
pathogens | pathogens are microorganisms causing diseases |
Prodromal Period | the most infectious stage of infection, the beginning of the appearance of signs and symptoms |
Dysuria | painful or difficult urination |
Bulimia | excessive and unstable appetite binging and purging |
Gastritis | inflammation of lining of stomach |
Oliguria | scanty urine output |
Emesis | vomiting |
Polyuria | Excessive out put of urine |
Peristalsis | Wave-like contraction of intestinal muscles to move contents of GI tract |
Hematuria | blood in urine |
Cystitis | Inflammation of bladder |
Retention | inability to empty the bladder |
Flatulence | excessive intestinal gas |
Jaundice | yellowing of tissue bilirubin in blood |
micturation | urination |
During an enema, your pt c/o abdomen cramping, what do you do? | lower solution container, have pt relax and then continue |
what are the four segments of the large intestine | Ascending, descending, transverse, and sigmoid colons |
list two terms of urination | voiding and micturation |
what changes occur in the digestive system of the aging person | decreased thirst mechanism, decreased taste, decreased peristalsis, all leading to constipation |
what measure is most frequently ordered for pt's with fecal impaction | oil retention, enema |
what method is usually used to collect a "clean catch" us | Mid-stream sampling |
name some normal constituents of feces | bacterial, bile |
name some abnormal constituents of feces | blood, worms |
List four activities that cause stress incontinence | laughing, coughing, sneezing, lifting |
name two important nsg measures for pt's with indwelling cath | clean around meatus, keep drainage bag below bladder |
what is the purpose of digital disimpaction | to break up fecal mass |
BRP | bathroom privileges |
F/C | foley cath |
UA | urinalysis or urine |
What's the abbreviation to describe defecation | BM |
the purpose of maintaining a wide base of support is to | provide stability & balance |
Define adduction | lateral movement of body part toward the midline |
define abduction | lateral movement of body part away from midline |
How high is the HOB elevated for semi-Fowler's | 30-45% |
Define body mechanics | The efficient use of the body |
what does a trochanter roll do | prevents external rotation of legs |
name three positions used for rectal exam | A. Sims
B. Lithotomy
C. Knee-Chest |
Which organ is quickly affected by lying in one position for a long time | Lungs |
Contracture | a permanent shortening muscle |
When a patient is having dyspnea (shortness of breath) position them _________ | sitting up |
prone position | lying on the abdomen |
A mechanical lift & a draw sheet | helps you transfer a dependent pt from bed to Guerney |
Decubitus Ulcer | lack of circulation over bony prominence |
why do we bend our knee's when lifting | prevent injury to our back |
Define atrophy | decreased in size and decreased in strength of muscle |
Define Erythema | redness of skin |
Necrosis | tissue death due to the lack of oxygen |
Dorsiflexion | turning sole of foot upward |
Plantar Flexion | aka foot drop; sole of foot downward |
ROM | range of motion |
Hypoxia | (Hypo + Oxygen) decreased levels of oxygen to tissue |
Difference between Active and passive ROM | Active: pt does exercise
Passive: Nurse assists wit exercise |
Define edema | fluid in the tissues; swelling r/t fluid in the tissues |
Define Atelectasis | incoplete expansion or collapse of lung |
Define ascites | accumulation of fluid and protein in the peritoneal cavity |
Define cerumen | ear wax |
Define disoriented | unaware of time, place or identity |
Define auscultation | listening for sounds within the body |
Define sputum | secretions from the respiratory tract (not saliva) |
Define turgor | skin elasticity |
Define ecchymosis | bruise, bleed under skin |
Define cynotic | blue due to the lack of oxygen |
what color should the skin and mucus membranes be | pink |
what color of skin and mucus membranes is reportable STAT | Dusky and bluish |
Percussion and the chest/back to asses the lungs is done to check for what | Fluid in the lungs |
how can you help your pt increase his fluid intake | offer fluid between meals |
in what position should the pt be in to eat | fowlers |
most important source of calcium | Milk |
name all five food groups in the food pyramid | Grains, vegetables, fruit, milk, meats&beans |
ac | before meals |
pc | after meals |
the main source of energy comes from what nutrient | carbs |
I/O | intake and output |
be able to compute fluid intake | 1 0z= 30 ml |
why are clear and full liquid diets inadequate | too few calories |
who's responsible for making notations q d re; what pt eats | nurse |
S/Sx of malnutrition | irritability, poor muscle tone/skin turgor, malises, weakness |
give examples of clear liquids | water, jello |
cc | cubic centimeter |
what's monitored when pt is on strict output | Ua, emesis, liquid BM, drainage |
The key to maintaining a good nutritional diet is | eat a variety of foods |
BMR | basal metabolic rate |
what's restricted on a low calorie diet | carbs |
Define ischemia | decreased blood flow in to an area |
what nursing activities are appropriate for patients with edema | assess skin, weigh daily, and monitor I&O |
what is the first priority in the ER | assess breathing |
you find a patient on the floor (fell) what do you do first | quick assessment to determine nursing interventions |
Define STAT | immediately |