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Exam (elaborations)

NURS 507 Test 1 – Questions With Verified Solutions

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NURS 507 Test 1 – Questions With Verified Solutions

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NURS 507 Test 1 – Questions With Verified Solutions

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Terms in this set (212)



Test for HTN Aldosterone, arteriography (kidney), catecholamines,
cortisol, BUN/Cr, creatinine clearance, electrolytes,
MRA (kidney), metanephrines, renin, thyroxine,
triiodothyronine, TSH, Tilt table testing, total blood
volume, UA, Vanillylmandelic acid (VMA)


Blind or visually impaired -verbally identify yourself & others in room
-don't leave without informing ot
-ask b4 help & how they would like to be assisted
-written materials in auditory, tactile, or electronic
format (audio file, Braille, lg print)
-explain before beginning
-tell the pt where personal belongs are & don't move
without telling them
-be welcoming & describe the environment
-never distract or touch a service animal without
permission

,Hard of Hearing -ask best way to communicate
-written materials
-inform of sign language interpreting & real-time
captioning available
-promptly provided above services if requested
-don't talk from a distance or another room
-look directly at pt, mouth visible
-speak normally & clearly. Don't shout, exaggerate
mouth movements, or speak rapidly
-minimize background noise & glare


Deaf -ask best way to communicate
-inform of sign language interpreting & real-time
captioning available
-promptly provided above services if requested
-don't use family for interpreter
-address the pt, not interpreter
-written materials


Wheelchairs -make sure path is accessible
-respect personal space, wheelchair & assistive
devices
-don't propel WC unless asked
-provide equipment as needed
-assist as needed, such as clearing obstacles from
path, or jelp with transfer
-don't separate pts from their WC


what does teach back measure? Not a test of pts knowledge but how well you
explained things.

,Teach-Back Method -plan your approach
-"chuck and check"
-clarify & check again
-start slowly & use consistenlty
-practice
-use the show-me method
-use handouts along with teach-back


Implicit Bias unconscious evaluation of a person based on
perceived group identity, leading to neg. associations
-can negatively impact pt encounters
-can manifest in nonverbal behaviors & contribute to
institutional bias


Explicit Bias Conscious decision based on beliefs or associations
regarding group identity
-race, gender, sex, & age can influence
communication


Institutional Bias refers to the aggregation of implicit biases that lead to
a structural system of privilege
-Misallocates care for marginalized groups


Elements of Informed Consent -nature of the procedure or treatment
-risks & benefits
-reasonable alternatives
-risk & benefits of alternatives
-assessment of pt understanding


Informed consent involves a comprehensive communication process
where clinicians thoroughly educate patients about
the risk, benefits, and alternatives associated with a
procedure or intervention.

, Legal & Ethical Clinicians bear both a ______ & ______ obligation to adhere
to this consent process meticulously, ensuring that no
critical details are omitted.


decisional capacity every pt with _____ retains the right to either consent or
decline procedures or treatments once fully informed.


Angry or aggressive pt -acknowledge justified anger & try to make amends
-accept angry feelings w/out retreating or
receoprocating
-validate feelings w/out reinforcing neg criticism
-maintain a calm, nonconfrontational stance & suggest
moving to a private area if needed
-listen carefully to understand root of anger


De-escalation techniques for angry or use calming language, validate feelings & maintain a
aggressive pt nonthreatening posture


Guidelines for Broaching Sensitive -embrace nonjudgmental engagement
Topics -clarify the purpose of your inquires
-identify & use appropriate opening questions
-acknowledge your own discomfort


Empowering the patient -evoke the pts perspective
-convey interest in the person, not just the problem
-follow the pts leads
-elicit & validate emotional content
-share info w/ the pt, esp. at transition points during
the visit
-make your clinical reasoning transparent to the pt
-reveal the limits of your knowledge

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