NUR 168 Ch 8, 9, 10, & 26 Exam -1 Review -2 with complete solution.

stimulus A nurse initiates the communication process by addressing a patient need. This patient need becomes a ___ for conversation. channel When a doctor communicates with a nurse by telephone to prescribe pain medication for a patient, the telephone is considered to be the ___ of this communication. feedback A patient who verbally acknowledges understanding of discharge instructions is providing ___ to the caregiver. nonverbal A patient who expresses anger at a diagnosis by slamming a food tray on the table is using ___ communication. helping When a nurse helps a patient achieve goals that allow his or her human needs to be satisfied, the nurse and patient are involved in a ___ relationship. orientation When a nurse and patient meet and learn to identify each other by name and clarify their roles, they are in the ___ phase of the helping relationship. validating A nurse is using a ___ comment/question when she says to her patient, "You have been following a diet high in fiver at home. Are you continuing to get enough fiver in the foods you've been eating since you have been here?" horizontal violence Anger and aggressive behavior between nurses, or nurse-to-nurse hostility, has been labeled ___. Message The actual product of the encoder Receiver He or she must translate and make a decision about the product Feedback Verbal and nonverbal evidence that the patient received and understood the product Source He or she prepares and sends the product Channel The medium selected to convey the product Noise Factors that distort the quality of the product Working phase examples -The patient will demonstrate the ability to maneuver on crutches -The patient will attend a counseling session dealing with smoking -The patient will express his or her concerns about pending surgery to the nurse Termination phase examples -The patient will acknowledge the goals he or she has accomplished in physical therapy -The patient will express a desire to go home despite the excellent care he or she received at the facility -The patient will verbalize the goals set forth in his or her transition to a home health care setting Orientation phase examples -The patient will learn the name of the physical therapist and address him or her by name -A patient with anorexia will establish an agreement with his or her health care professional to return gradually to a normal eating habit -The patient will establish an agreement with the home health care worker about the frequency and length of contacts Clarifying question/comment example "You say you've always been healthy and active; is this the first time you have been hospitalized?" Reflective question/comment example "You expressed concern about your children at home..." Validating question/comment example "At home you've been treating your ulcer with an antacid. Did you take any today?" Directing question/comment example "You've been on your present medication for 3 years. Did you experience any side effects?" Sequencing question/comment example "Your chest pain began after exercising on a bike?" A nurse uses a disclaimer to verify that any views expressed on Facebook are his or hers alone and not the employer's. Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. What is an example of the proper use of social media? Orientation phase A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established? Assertive A nurse states the following to another nurse who is constantly forgetting to wash her hands between patients, "It looks like you keep forgetting to wash your hands between patients. It's not really safe for your patients. Let's think of some type of reminder we can use to help you remember." This communication is an example of what type of speech? Speaking slowly and distinctly, but not loudly. A nurse is attempting to communicate with a patient who speaks a different language and does not understand what is being communicated. Which nursing action would best facilitate the communication process? Establish communication that is continuous and reciprocal. In a helping relationship, the nurse would most likely perform what action? The nurse would listen to the themes in the patient's comments. Which technique would a nurse employ when using listening skills appropriately? The nurse gently strokes the baby's cheek to facilitate breastfeeding. A nurse who is caring for newborn infants delivers care by using the sense that is most highly developed at birth. Which example of nursing care achieves this goal? Therapeutic touch A nurse who "unblocks" and "clears" congested areas of energy in a patient's body to promote comfort is applying the phenomenon known as: "Feel like a woman..." A 36 yo patient who underwent a hysterectomy 4 days ago says to the nurse, "I wonder if I'll still feel like a woman." Which response would most likely encourage the patient to expand on this and express her concerns in more specific terms? Small-group communication When attending a staff meeting, a nurse is participating in what type of communication? promote health The aim of patient education for a nurse who counsels an overweight teenager to eat a health diet and exercise is to ___. helping relationship When a nurse and a patient form a relationship in which mutual respect and trust are established, they have a ___. Cognitive ___ learning is the process by which a person acquires and increases knowledge in a measurable way as a result of teaching. affective A patient who expresses a desire to control binge eating and return to a healthy diet has experienced the ___ domain of learning. patients Generally, ___ are considered the best source of assessment information. Motivation ___ is an internal impulse (such as emotion or physical pain) that encourages the patient to take action or change behavior. evidence-based Content that is supported by nursing research and reflects the most accurate and clinically supported information is called ___. counselor. When a nurse assists a patient to decide to quit smoking, the nurse is fulfilling the role of ___. coach A nurse ___ establishes a partnership with a patient and uses discovery to identify the patient's personal goals and agenda in a way that will result in change rather than using teaching and education strategies directed by the nurse as the expert. Lecture example A nurse speaks to a group of patients about the dangers of smoking. Role modeling example A nurse chooses a low-calorie meal for herself when having lunch with an obese patient. Discussion example A nurse performs a bathing procedure on a newborn in front of several new mothers. Printed material example A nurse obtains pamphlets for a 16 yo that describes how STI's are transmitted. Role-playing example One student pretends to be a patient while another student conducts a nursing interview. Audiovisual materials example A nurse uses a videotape to teach a patient about heart disease. Discovery example A nurse describes the symptoms of an anxiety attack to a patient with panic disorder and lets him choose measures to take during and after the attack. Restoring health teaching strategy examples -A nurse demonstrates to a postop patient the proper way to bandage his incision -A nurse introduces a patient recovering from a broken hip to the physical therapy staff Preventing illness teaching strategy example -A nurse explains to a new mother the importance and availability of immunizations for her baby -A nurse presents a lecture on baby-proofing a home to a group of parents -A nurse refers a 42 yo woman to a clinic providing free mammograms Promoting health teaching strategy examples -A nurse counsels a woman in her first trimester on proper nutrition -A nurse teaches a young athlete stretching exercises to be used before running track Facilitating coping teaching strategy example -A nurse refers a recovering alcoholic to a local group meeting -A nurse teaches relaxation techniques to a patient recovering from coronary bypass surgery Psychomotor learning examples -A patient learns how to care for his surgical wound -A patient learns how to perform range-of-motion exercises after surgery Cognitive learning examples -A patient explains how eating a proper diet will lower his cholesterol level -A patient reiterates the need for prenatal and infant care to her social worker Affective learning examples -A patient expresses self-confidence after she completes a class to stop smoking -A patient decides to get dressed in the morning following treatment for depression Intellectual development Which developmental consideration is a nurse assessing when he or she determines that an 8 yo boy is not equipped to understand the scientific explanation of his disease? Patient A nurse is documenting assessment data for a new patient. What is the best source of assessment information for the nurse? Risk for injury, related to mother's lack of knowledge about child safety Which diagnosis would best describe a situation in which a woman has a knowledge deficit concerning child safety for her toddler who is currently being treated for burns and was previously treated for a fracture from a fall? The nurse writes one long-term objective for each diagnosis, followed by several specific objectives. A nurse is writing learner objectives for a patient who was recently diagnosed with type 2 diabetes. Which statement describes the proper method for writing objectives? Content When deciding what information the patient needs to meet the learner objectives successfully, the nurse is planning which part of the teaching plan? Short-term counseling A nurse may attempt to help a patient solve a situational crisis during which type of counseling session? Motivation counseling When a patient says, "I don't care if I get better; I have nothing to live for, anyway," which type of counseling would be appropriate? The nurse should be able to draw from the previous experience of the patient to emphasize the importance of stress reduction. When teaching an adult patient how to control stress through relaxation techniques, the nurse should consider what assumption concerning adult learners? The teaching-learning process can be facilitated by a helping relationship. Which principle of the teaching-learning is an accurate guideline for the nurse/teacher? The nurse and the patient When a nurse is planning for learning, who must decide who should be included in the learning sessions? explicit A nurse unit manager displays power that is attained by virtue of the position. This type of power is known as ___ power. autocratic A charge nurse who makes all the decisions for the nursing team without considering their feelings or ideas is using the ___ style of leadership. democratic In hospitals, the autocratic style of leadership is gradually being replaced by the ___ style of leadership. quantam In the current "___ age," change is conceived as dynamic, ever present, and continually unfolding. power A nurse influences other nurses in a hospital to become involved in community politics affecting the hospital. This ability influence others to achieve a desired effect is known as ___. mentorship When an experienced nurse advises a less experienced nurse regarding patient care without receiving financial reward, their relationship is known as a ___. Transformational leadership examples -A nurse unites with other nurses to create a shelter for battered women in their neighborhood. -A nurse leads other nurses in developing a schedule to cook meals for the homeless. Democratic leadership examples -A nurse opens a discussion among health care team members to determine the best care plan for the patient. -A nurse seeks input from coworkers to solve a problem of understaffing. Autocratic leadership examples -A nurse takes control during a "code blue" and directs all activities to resuscitate the patient. -A head nurse directs the triage unit after several earthquake victims arrive at the ED. -A head nurse issues a memo describing step-by-step documentation procedures that she wants initiated in the ED. Transactional leadership example -A nurse manager uses a reward and punishment system for employees to meet pre-established goals and work deadlines. Quantum leadership example A head nurse openly seeks critiques of his work. Servant leadership example A head nurse desires to serve the population; to enrich the lives of people, build better organizations, and ultimately create a more just and caring world. Democratic A nurse manager values group satisfaction and tries to motivate the staff to be the best nurses possible. In which style of leadership are group satisfaction and motivation primary benefits? Laissez-faire Which style of leadership is rarely used in a hospital setting because of the difficulty of task achievement by independent nurses? Organizing role A nurse arranges all the resources available to teach a teenage girl how to manage her asthma. Which role is this nurse performing? Decisions are made by those who are most knowledgeable about the issue. A nurse manager of a hospital unit is working within a decentralized management structure. Which nursing action best exemplifies this type of system? Moving A nurse manager is attempting to change the policy for scheduling staff on a critical care unit. The nurse is in the process of changing the schedules and announcing the changes. Based on Lewin's change theory, in what stage of change is this nurse participating? The patient's pupils are black, equal in size, and round and smooth. A nurse is performing eye assessments at community clinic. Which assessment would the nurse document as normal? Percussion Which assessment measure would the nurse use to assess the location, shape, size and density of a tumor? Inspection What assessment technique would the nurse use to assess a patient's chest for color, shape, and contour? A patient whose skin is a dusky, bluish color. A nurse uses observation to examine a patient's skin. Which patient would the nurse document as having cyanosis? A reddish retina A nurse is assisting with assessment of the internal eye structures of patients in an ophthalmologist's office. What would the nurse document as a normal finding? Document normal breath sounds A nurse is assessing the lungs of a client and auscultates soft, low-pitched sounds over the base of the lungs during inspiration. What would be the nurse's next action? Assess the patient for dehydration The nurse is palpating the skin of a patient and documents that when picked up in a fold, the skin fold slowly returns to normal. What would be the next action of the nurse based on this finding? The tympanic membrane is translucent, shiny, and gray. The nurse is assessing the ear canal and tympanic membrane of a patient using an otoscope. Which finding would the nurse document as normal? Auscultation A nurse is assessing the bowel sounds of a patient who has Crohn's Disease. What assessment technique would the nurse use? Stop lifting the patient and reassess him or her. The nurse is using a bed scale to weigh a patient, and the patient becomes agitated as the sling rises in the air. What would the priority nursing intervention in this situation? Facial (VII) A nurse asks a patient to raise her eyebrows, smile and show her teeth, and puff out her cheeks. This nurse is most likely assessing which cranial nerve? Reflexes A nurse is testing the function of the spinal cord of a patient who presents in the ED following a motorcycle accident. What would be the focus of this assessment? Palpation The nurse is assessing a child for an underactive thyroid gland. Which assessment technique would the nurse use? Decreased cardiac output A weak, thready pulse found after the nurse palpates peripheral pulses may indicate which condition? Add or remove terms