FUNdamentals of Nursing - Exam 1:Study Guide with Correct Answers
Acronym used for successful communication in the workplace to promote teamwork and safety. - ansS -
situation
B - background
A - assessment
R - Recommendation
Another term for a seizure? - ansIrritable focus -or- Foci
Assessment for Hygiene - ansSelf-care ability
* encourage self-care
skin
feet & nails
Oral cavity
hair & hair care
Eyes, ears & nose
Best way to palpate is? - ansLightly - for superficial
Deeply - with two hands for deeper findings
Body temp is affected by heat loss, what causes this? - ansRadiation
,Conduction
Evaporation
Convection
Body Temp normal range - ans96.4-100.1
Can the RN provide subjective information about patient? - ansNO! Only the patient can give subjective info.
OBJECTIVE info is what the RN sees, hears, or smells
CHANNELS in communication process - ansThese are the means of conveying the message through visual,
auditory, and tactile senses.
Facial expression = visual message
Spoken word = auditory
Touch = tactile
Characteristics of communication within Caring/Working Relationships: - ansProfessionalism - appearance,
demeanor, behavior
Courtesy - hello, good-bye, knock on doors, please, thank you...
Use of Names - Always introduce yourself
,Confidentiality - HIPPA
Trust - always honest!
Acceptance & Respect - Non-judgmental attitudes
Availability - "Anything else I can get you?
Socializing - don't socialize with pt. and don't socialize with colleagues where pt's can hear
Code Blue - ansCheck for responsiveness
Assess for breathing 5-10 sec
Activate code blue
check pulse for 5-10 sec
If not pulse, begin CPR
Common NANDA International diagnostic Identification for patient situation: - ansActivity intolerance
Ineffective health maintenance
Risk for infection
Impaired physical mobility
Bathing self-care deficit
Dressing self-care deficit
, Condition of what areas greatly impacts patient's ability for self-care? - ansFeet - bear weight or ambulate
Hands - dexterity
Nails - infection
Consent zone of touch is - ansMouth, wrists, feet
Permission needed
Define acronym SOLER - ansS - Sit facing the patient
O - Open posture
L - Lean toward the patient
E - Establish & maintain eye contact
R - Relax
Define Assessment - ansCollects comprehensive data pertinent to the patient's health and/or situation.
- info medical personnel can look at
- begins the moment you walk through the door
Define Eupnea - ansNormal breathing
Acronym used for successful communication in the workplace to promote teamwork and safety. - ansS -
situation
B - background
A - assessment
R - Recommendation
Another term for a seizure? - ansIrritable focus -or- Foci
Assessment for Hygiene - ansSelf-care ability
* encourage self-care
skin
feet & nails
Oral cavity
hair & hair care
Eyes, ears & nose
Best way to palpate is? - ansLightly - for superficial
Deeply - with two hands for deeper findings
Body temp is affected by heat loss, what causes this? - ansRadiation
,Conduction
Evaporation
Convection
Body Temp normal range - ans96.4-100.1
Can the RN provide subjective information about patient? - ansNO! Only the patient can give subjective info.
OBJECTIVE info is what the RN sees, hears, or smells
CHANNELS in communication process - ansThese are the means of conveying the message through visual,
auditory, and tactile senses.
Facial expression = visual message
Spoken word = auditory
Touch = tactile
Characteristics of communication within Caring/Working Relationships: - ansProfessionalism - appearance,
demeanor, behavior
Courtesy - hello, good-bye, knock on doors, please, thank you...
Use of Names - Always introduce yourself
,Confidentiality - HIPPA
Trust - always honest!
Acceptance & Respect - Non-judgmental attitudes
Availability - "Anything else I can get you?
Socializing - don't socialize with pt. and don't socialize with colleagues where pt's can hear
Code Blue - ansCheck for responsiveness
Assess for breathing 5-10 sec
Activate code blue
check pulse for 5-10 sec
If not pulse, begin CPR
Common NANDA International diagnostic Identification for patient situation: - ansActivity intolerance
Ineffective health maintenance
Risk for infection
Impaired physical mobility
Bathing self-care deficit
Dressing self-care deficit
, Condition of what areas greatly impacts patient's ability for self-care? - ansFeet - bear weight or ambulate
Hands - dexterity
Nails - infection
Consent zone of touch is - ansMouth, wrists, feet
Permission needed
Define acronym SOLER - ansS - Sit facing the patient
O - Open posture
L - Lean toward the patient
E - Establish & maintain eye contact
R - Relax
Define Assessment - ansCollects comprehensive data pertinent to the patient's health and/or situation.
- info medical personnel can look at
- begins the moment you walk through the door
Define Eupnea - ansNormal breathing
