ANSWERS | GRADED A+ | GUARANTEED PASS!!
A nurse seeks to organize the data obtained from the client in a logical manner.
The organizational method that identifies relationships between factors and
symptoms in database is known as
- answer-clustering data
Example of an open ended question
- answer-What problems have you had since your injury?
The process of data collection should begin with the nurse performing
- answer-client interview
There is a new patient on the medical unit. When is the best time for completion of
admission history?
- answer-Once client is oriented to the room
Vital signs, level of consciousness, and skin color are what type of data?
- answer-objective
1 goal of helping relationships:
- answer-- Helping clients manager their problems in living more effectively
- Helping clients become better at helping themselves
- Helping clients develop an action-oriented prevention mentality
A in SBAR stands for
- answer-A = Assessment (analysis and considerations of options — what you
found/think)
A patient has just had a sip of ice water or a cup of hot coffee, how long do you
need to wait before assessing their temperature orally?
- answer-30 minutes.
acknowledging
- answer-giving recognition, in a non judgmental way, of a change in behavior, an
effort the client has made, or a contribution to communication/can be with or
without understanding and verbal/nonverbal, ex. "you walked twice as far today
without your walker"
,Active listening
- answer-defined as attending closely to and attaching significance to a patient's
verbal and nonverbal messages.
aggressive communication
- answer-communication directed toward what one wants without considering the
feelings of others
Aggressive communication style
- answer-a communication style in which you belligerently or violently confront
others with your preferences, feelings, needs, or rights with little regard for their
preferences or rights
agreeing and disagreeing
- answer-similar to judgement responses, agreeing and disagreeing imply that the
client is either right or wrong and that the nurse is in a position to judge this. these
responses deter clients from thinking through their position and may cause a client
to become defensive
assertive communication
- answer-acommunication that takes a listener's feelings and rights into account
assertive communication
- answer-honest, direct, and appropriate communication while being open to ideas
and respecting the rights of others/minimizes miscommunication
B in SBAR stands for
- answer-background
-admitting diagnosis
-date of admission
-important clinical information
being defensive
- answer-attempting to protect a person or health care services from negative
comments. these responses prevent the client from expressing true concerns. the
nurse is saying, "you have no right to complain." defensive responses protect the
nurse from admitting weaknesses in the health care services, including personal
weaknesses
,being specific and tentative
- answer-making statements that are specific rather than general and tentative
rather than absolute, ex. "rate your pain on a scale of 0-10" or "you seem
unconcerned about your diabetes"
BP
- answer-Measure of pressure exerted by blood as it flows through the arteries.
bullying
- answer-repeated, unreasonable actions of individuals (or a group) directed
towards an employee (or group of employees), which is intended to intimidate,
degrade, undermine, humiliate, or create a health risk to the employee(s)
challenging
- answer-giving a response that makes clients prove their statement or point of
view. these responses indicate that the nurse is failing to consider the clients
feelings, making the client feel it necessary to defend a position
changing topics and subjects
- answer-directing the communication into areas of self-interest rather than
considering the clients concerns is often a self-protective response to a topic that
causes anxiety. these responses imply that what the nurse considers important will
be discussed and that the clients should no discuss certain topics
charting (recording, documenting)
- answer-process of making an entry on a client record
charting by exception
- answer-a documentation system in which only abnormal or significant findings or
exceptions to norms are recorded
clarifying time or sequence
- answer-helping the client clarify an event, situation, or happening in relationship
to time, ex.
client: I've been asleep for weeks
nurse: you had your operation on Monday and today is tuesday
, communication/clinical
- answer-(fill in the blank) nurses must be as proficient in _______________ skills
as they are in _________________ skills
database (problem-oriented record)
- answer-consists of all information known about when the client first enters the
health care agency
Define the mnemonic PASS when using a fire extinguisher.
- answer-P- Pull out the extinguishers safety pine
A- Aim the hose at the base of the fire
S- Squeeze or press the handle to discharge the material onto the fire
S- Sweep the hose from side to side across the base of the fire until the fire appears
to be out
Define the RACE protocol:
- answer-Rescue: If the area is safe to enter, protect and evacuate clients who are in
immediate danger
Alarm: Pull the fire alarm and report details and location to the hospitals fire
emergency extension
Confine: Contain the fire by closing doors to all rooms and fire doors at each
entrance to the unit
Extinguish: extinguish the fire. Use the appropriate type of fire extinguisher or
evacuate if fire is too large to contain
Describe and provide examples of hygienic care. Skin, feet, nails, mouth, hair,
eyes, and ears.
- answer--Hygienic care is care given by nurses to their clients. Early morning care
is provided to clients as they awaken in the morning like providing a urinal or bed
pains, washing hands and face, and providing oral care.
-Morning care is often completed after clients have breakfast and includes
providing for elimination needs, a bath or shower, perineal care, back massages,
and oral, hair, and nail care.