NUR 1020C- Module 3,4 and 5 study
Guide Questions with Actual Detailed
Answers.
Clinical Judgement - Answer refers to the result (outcome) of critical thinking or clinical
reasoning; the conclusion, decision, or opinion a nurse makes
clinical reasoning - Answer to focus and filter data to recognize most to least important by
prioritizing using ABC's and Maslow's
The six cognitive skills used in critical thinking - Answer RAPGTE
Recognize cues
Analyze Cues
Prioritize hypotheses
Generate Solutions
Take Action
Evaluate Outcomes
SBAR - Answer S: Situation
B: Background
A: Assessment
R: Recommendation
* part of interpersonal communication
Nurse-patient relationship phases - Answer Orientation, working, termination
Orientation: Nurse - Answer -Introduce self to the client and state purpose
-Set the contract: meeting time, place, frequency, duration, and date of termination
-Discuss confidentiality
-Build trust by establishing expectations and boundaries
-Set goals with the client
-Explore the client's ideas, issues, and needs
-Explore the meaning of testing behaviors
-Enforce limits on testing or other inappropriate behaviors
,Working Phase of Nurse-Client Relationship - Answer Maintaining the relationship, gathering
data, and promoting problem-solving skills and self-esteem, facilitate change. This lasts however
long the patient is in the clinic.
termination phase - Answer Therapeutic conclusion of relationship occurs when:
Progress has been made toward attainment of the goals.
A plan of action for more adaptive coping with future stressful situations has been established.
Feelings about termination of the relationship are recognized and explored.
Nurse-Patient 5 phases - Answer -build trust
- demonstrate empathy
-establish boundaries
-recognize/respect culture
- develop comprehensive care plan
Anosmia - Answer smell deficit
- damage to the chemoreceptors
Smell Risk Factors - Answer Anorexia
Safety
food poisoning
* can be congenial or happen w/ increased age
prebycusis - Answer - age-related hearing loss that results in the inability to register high
frequency sounds
* speak in normal low tone where they can see lip movement
* can be chronic
Hearing Risk Factors - Answer - speech impairment
- developmental delays
otosclerosis - Answer hardening of the bony tissue of the middle ear
- obstructs transmission of sound waves from tympanic to inner ear
Ototoxicity - Answer Toxicity to the ears is often drug-induced and manifests as varying
degrees of hearing loss that is likely to be permanent.
, * First symptom is ringing of the ears
macular degeneration - Answer loss of central vision
diabetic retinopathy - Answer damage to the retina as a complication of uncontrolled diabetes
prebyopia - Answer Impairment of vision due to old age
* farsightedness
cataract - Answer clouding of the lens of the eye
*double vision/ nearsightedness
Glacoma - Answer increased intraocular pressure results in retinal and optic nerve damage
* loss of vision
PERRLA - Answer pupils equal, round, reactive to light and accommodation
Stereognosis - Answer the sense that perceives the solidity of objects, their size, shape, and
texture
sandwich generation - Answer Group of people who are caring for both their parents and their
children.
Grandparent generation - Answer grandparents being caregivers of children due to the
inability of the parent
caregiver stressors - Answer change in roles within family, lack of relief, juggling daily activities,
change in living conditions, conflict with family related to decisions in caregiving, inability to
meet personal needs, financial depletion, inadequate information/skills for caregiving tasks
sensory perception - Answer the ability to receive sensory input and, through various
physiologic processes in the body, translate the stimulus or data into meaningful information
Community Based Model - Answer managed home and community-based services that do not
address medical care
ex: meal on wheels
Guide Questions with Actual Detailed
Answers.
Clinical Judgement - Answer refers to the result (outcome) of critical thinking or clinical
reasoning; the conclusion, decision, or opinion a nurse makes
clinical reasoning - Answer to focus and filter data to recognize most to least important by
prioritizing using ABC's and Maslow's
The six cognitive skills used in critical thinking - Answer RAPGTE
Recognize cues
Analyze Cues
Prioritize hypotheses
Generate Solutions
Take Action
Evaluate Outcomes
SBAR - Answer S: Situation
B: Background
A: Assessment
R: Recommendation
* part of interpersonal communication
Nurse-patient relationship phases - Answer Orientation, working, termination
Orientation: Nurse - Answer -Introduce self to the client and state purpose
-Set the contract: meeting time, place, frequency, duration, and date of termination
-Discuss confidentiality
-Build trust by establishing expectations and boundaries
-Set goals with the client
-Explore the client's ideas, issues, and needs
-Explore the meaning of testing behaviors
-Enforce limits on testing or other inappropriate behaviors
,Working Phase of Nurse-Client Relationship - Answer Maintaining the relationship, gathering
data, and promoting problem-solving skills and self-esteem, facilitate change. This lasts however
long the patient is in the clinic.
termination phase - Answer Therapeutic conclusion of relationship occurs when:
Progress has been made toward attainment of the goals.
A plan of action for more adaptive coping with future stressful situations has been established.
Feelings about termination of the relationship are recognized and explored.
Nurse-Patient 5 phases - Answer -build trust
- demonstrate empathy
-establish boundaries
-recognize/respect culture
- develop comprehensive care plan
Anosmia - Answer smell deficit
- damage to the chemoreceptors
Smell Risk Factors - Answer Anorexia
Safety
food poisoning
* can be congenial or happen w/ increased age
prebycusis - Answer - age-related hearing loss that results in the inability to register high
frequency sounds
* speak in normal low tone where they can see lip movement
* can be chronic
Hearing Risk Factors - Answer - speech impairment
- developmental delays
otosclerosis - Answer hardening of the bony tissue of the middle ear
- obstructs transmission of sound waves from tympanic to inner ear
Ototoxicity - Answer Toxicity to the ears is often drug-induced and manifests as varying
degrees of hearing loss that is likely to be permanent.
, * First symptom is ringing of the ears
macular degeneration - Answer loss of central vision
diabetic retinopathy - Answer damage to the retina as a complication of uncontrolled diabetes
prebyopia - Answer Impairment of vision due to old age
* farsightedness
cataract - Answer clouding of the lens of the eye
*double vision/ nearsightedness
Glacoma - Answer increased intraocular pressure results in retinal and optic nerve damage
* loss of vision
PERRLA - Answer pupils equal, round, reactive to light and accommodation
Stereognosis - Answer the sense that perceives the solidity of objects, their size, shape, and
texture
sandwich generation - Answer Group of people who are caring for both their parents and their
children.
Grandparent generation - Answer grandparents being caregivers of children due to the
inability of the parent
caregiver stressors - Answer change in roles within family, lack of relief, juggling daily activities,
change in living conditions, conflict with family related to decisions in caregiving, inability to
meet personal needs, financial depletion, inadequate information/skills for caregiving tasks
sensory perception - Answer the ability to receive sensory input and, through various
physiologic processes in the body, translate the stimulus or data into meaningful information
Community Based Model - Answer managed home and community-based services that do not
address medical care
ex: meal on wheels
