◦ Timby's Introductory Medical-
nb nb
Surgical Nursing 13th Edition Moreno Test B
nb nb nb nb nb nb
ank complete chapters NEW!!!!
nb nb nb
Chaptern b 1 Conceptsnb andnb Trendsnb innb Healthcare
◦ Anbnewnbnursenbisnbworkingnbwithnbanbpreceptornbonnbannbinpatientnbmedical-
surgicalnbunit.nbThenbpreceptornbadvisesnbthenbstudentnbthatnbwhichnbisnbthenbprioritynb
whennbworkingnbasnbanbprofessionalnbnurse?
◦ Attendingn b ton b holisticn b clientn b needs
◦ Ensuringn b clientn b safety
◦ Notn b makingn b medicationn b errors
◦ Providingnbclient-
nbfocusednbcarenbA
NS:nbB
◦ Allnbactionsnbarenbappropriatenbfornbthenbprofessionalnbnurse.nbHowever,n b en
suringn b clientn b safetyn b isn b then b priority.n b Upn b ton b 98,000n b deathsn b resultn b eachn b yearn b fromn
b errorsnbinnbhospitalnbcare,nbaccordingnbtonbthenb2000nbInstitutenbofnbMedicinenbreport.nbManynb
morenbclientsnbhavenbsufferednbinjuriesnbandnblessnbseriousnboutcomes.nbEverynbnursenbhasnbthen
bresponsibilitynbtonbguardnbthenbclientsnbsafety.
◦ DIF:nbUnderstanding/ComprehensionnbREF:nb
2nbKEY:nbPatientnbsafetynbMSC:nbIntegratednbProcess:nbNursingn
bProcess:nbIntervention
◦ NOT:nbClientnbNeedsnbCategory:nbSafenbandnbEffectivenbC
arenbEnvironment:nbSafetynbandnbInfectionnbControl
◦ Anbnursenbisnborientingnbanbnewnbclientnbandnbfamilynbtonbthenbinpatientnbunit.nbWhatnb
informationnbdoesnbthenbnursenbprovidenbtonbhelpnbthenbclientnbpromotenbhisnbornbhern
bownnbsafety?
◦ Encouragenb thenb clientnb andnb familynb tonb benb activen b partners.
◦ Havenb thenb clientnb monitornb handnb hygienenb inn b caregivers.
◦ Offernb thenb familynb thenb opportunitynb tonb staynb withnb then b client.
◦ Tellnbthenbclientnbtonbalwaysnbwearnbhisn
bornbhernbarmband.nbANS:nbA
◦ Eachnbactionnbcouldnbbenbimportantnbfornbthenbclientnbornbfamilynbtonbperfor
m.nbHowever,nbencouragingnbthenbclientnbtonbbenbactivenbinnbhisnbornbhernbhealthnbcarenbasnbanb
partnernbisnbthenbmostnbcritical.nbThenbothernbactionsnbare
◦
◦ verynblimitednbinnbscopenbandnbdonbnotnbprovidenbthenbbroadnbprotectionnb
thatnbbeingnbactivenbandnbinvolvednbdoes.
◦ DIF:nbUnderstanding/ComprehensionnbREF:nb
3nbKEY:nbPatientnbsafetynbMSC:nbIntegratednbProcess:nbTeachin
g/nbLearning
◦ NOT:nb Clientnb Needsnb Category:nb Safenb andnb Effectivenb Care
,Environment:n b Safetyn b andn b Infectionn b Control
◦ Anbnursenbisnbcaringnbfornbanbpostoperativenbclientnbonnbthenbsurgicalnbunit.nbThenbclientsnb
bloodnbpressurenbwasnb142/76nbmmnbHgnb30nbminutesnbago,nbandnbnownbisnb88/50nbmmnb
Hg.nbWhatnbactionnbbynbthenbnursenbisnbbest?
◦ Calln b thenb Rapidn b Responsen b Team.
◦ Documentn b andn b continuen b ton b monitor.
◦ Notifynb thenb primarynb caren b provider.
◦ Repeatnbbloodnbpressurenbmeasuremen
tnbinnb15nbminutes.nbANS:nbA
◦ ThenbpurposenbofnbthenbRapidnbResponsenbTeamnb(RRT)nbisnbtonbintervenenbwh
ennbclientsnbarenbdeterioratingnbbeforenbtheynbsuffernbeithernbrespiratorynbornbcardiacnbarrest.nbSi
ncenbthenbclientnbhasnbmanifestednbanbsignificantnbchange,nbthenbnursenbshouldnbcallnbthenbRRT.nb
Changesnbinnbbloodnbpressure,nbmentalnbstatus,nbheartnbrate,nbandnbpainnbarenbparticularlynbsigni
ficant.nbDocumentationnbisnbvital,nbbutnbthenbnursenbmustnbdonbmorenbthannbdocument.nbThenbpri
marynbcarenbprovidernbshouldnbbenbnotified,nbbutnbthisnbisnbnotnbthenbprioritynbovernbcallingn b th
enbRRT.nbThen b clientsnbbloodnbpressurenbshouldnbbenbreassessednbfrequently,nbbutnbthenbpriorit
ynbisnbgetting thenbrapidnbcarenbtonbthenbclient.
◦ DIF:nbApplying/Applicationn b REF:n b 3
◦ KEY:nbRapidnbResponsenbTeamnb(RRT
)|nbmedicalnbemergenciesnbMSC:nbIntegratednbProcess:
Communicationn b andn b Documentation
◦ NOT:n b Clientn b Needsn b Category:n b Physiologicaln b Integrity:n b PhysiologicalnbAdaptation
◦
◦ Anbnursenbwishesnbtonbprovidenbclient-
centerednbcarenbinnballnbinteractions.nbWhichnbactionnbbynbthenbnursenbbestnbdem
onstratesnbthisnbconcept?
◦ Assessesnb forn b culturalnb influencesnb affectingn b healthn b care
◦ Ensuresnb thatnb allnb thenbclientsnb basicnb needsnb aren b met
◦ Tellsnb thenb clientnb andnb familynb aboutnb allnb upcomingn b tests
◦ Thoroughlynborientsnbthenbclientnban
dnbfamilynbtonbthenbroomnbANS:nbA
◦ Competencynbinnbclient-
focusednbcarenbisnbdemonstratednbwhennbthenbnursenbfocusesnbonnbcommunication,nbcultu
re,nbrespect,nbcompassion,nbclientnbeducation,nbandnbempowerment.nbBynbassessingnbthenb
effectnbofnbthe
◦
◦ clientsnbculturenbonnbhealthnbcare,nbthisnbnursenbisnbpracticingnbclient-
focusednbcare.nbProvidingnbfornbbasicn b needsnbdoesnbnotnbdemonstratenbthisnbcompetence.nbSi
mplynbtellingnbthenbclientnbaboutnballnbupcomingnbtestsnbisnbnotnbprovidingnbempoweringnbeduc
ation.nbOrientingnbthenbclientnbandnbfamilynbtonbthenbroomnbisnbannbimportantnbsafetynbmeasure,
nbbutnbnotnbdirectlyn b relatednbtonbdemonstratingnbclient-centeredn b care.
◦ DIF:n b Understanding/Comprehensionn b REF:n b 3
, ◦ KEY:nbPatient-
centerednbcare|nbculturenbMSC:nbIntegratednbProcess:nbCaring
nbNOT:nbClientnbNeedsnbCategory:
Psychosocialn b Integrity
◦ Anbclientnbisnbgoingnbtonbbenbadmittednbfornbanbschedulednbsurgicalnbprocedure.nbW
hichnbactionnbdoesnbthenbnursenbexplainnbisnbthenbmostnbimportantnbthingnbthenbclie
ntnbcannbdon b tonbprotectnbagainstnberrors?
◦ Bringnbanb listnb ofnb allnbmedicationsnb andnb whatnb theynb aren b for.
◦ Keepnb thenb doctorsnb phonenb numbernb bynb then b telephone.
◦ Makenb surenb allnb providersnb washnb handsnb beforenb enteringnb then b room.
◦ Writenbdownnbthenbnamenbofnbeachnbcaregivernbw
honbcomesnbinnbthenbroom.nbANS:nbA
◦ Medicationnberrorsnbarenbthenbmostnbcommonnbtypenbofnbhealthnbcarenbmistak
e.nbThenbJointnbCommissionsnbSpeaknbUpnbcampaignnbencouragesnbclientsnbtonbhelpnbensurenbt
heirnbsafety.nbOnenbrecommendationnbisnbfornbclientsnbtonbknownballnbtheirnbmedicationsnbandnb
whynbtheynbtakenbthem.nbThisnbwillnbhelpnbpreventnbmedicationnberrors.
◦ DIF:nbApplying/Applicationn b REF:n b 4
◦ KEY:nbSpeaknbUpnbcampaign|nbpatientnbsafetynbMSC:nbIntegratednb
Process:nbTeaching/LearningnbNOT:nbClientnbNeedsnbCategory:nbSafenbandnbEffect
ivenbCarenbEnvironment:nbSafetynbandnbInfectionnbControl
◦ Whichnbactionnbbynbthenbnursenbworkingnbwithnbanbclientnbbestnbdemonstratesnbrespectnb
forn b autonomy?
◦ Asksnb ifnb thenb clientnb hasnb questionsnb beforenb signingnban b consent
◦ Givesn b then b clientn b accuraten b informationn b whenn b questioned
◦ Keepsnb thenb promisesnb madenb tonb thenb clientnb andn b family
◦ Treatsnbthenbclientnbfairlynbc
omparednbtonbothernbclients
nbANS:nbA
◦ Autonomynbisnbself-
determination.nbThenbclientnbshouldnbmakenbdecisionsnbregardingnbcare.nbWhennbthenbnursenbo
btainsnbanbsignaturenbonnbthenbconsentnbform,nbassessingnbifn b thenbclientnbstillnbhasnbquestionsnb
isnbvital,nbbecausenbwithoutnbfullnbinformationnbthenbclientnbcannotnbpracticenbautonomy.nbGivi
ngnbaccuratenbinformationnbisnbpracticingnbwithnbveracity.nbKeepingnbpromisesnbisnbupholding
nbfidelity.nbTreatingnbthe
◦
◦ clientn b fairlynb isn b providingn b socialnb justice.
◦
◦ DIF:nbApplying/Applicationn b REF:n b 4
◦ KEY:nbAutonomy|n b ethicalnb principlesn b MSC:n b Integratednb Process:nb Caring
◦ NOT:nb Clientnb Needsn b Category:n b Safen b andn b Effectivenb Caren b Environment:n b Manage
ment
ofnbCare
, ◦
◦ Anbstudentnbnursenbasksnbthenbfacultynbtonbexplainnbbestnbpracticesnbwhennbcommunica
tingnbwithnbanbpersonnbfromnbthenblesbian,nbgay,nbbisexual,nbtransgender,nbandnbqueer/nb
questioningnb(LGBTQ)nbcommunity.nbWhatnbanswernbbynbthenbfacultynbisnbmostn b acc
urate?
◦ Avoidnb embarrassingnb thenb clientnb bynb askingn b questions.
◦ Dontnb makenb assumptionsnb aboutnb theirn b healthn b needs.
◦ Mostnb LGBTQnb peoplenb donb notnb wantnb tonb sharen b information.
◦ Nonbdifferencesnbexistnbinnbcommunicatingnbwi
thnbthisnbpopulation.nbANS:nbB
◦ ManynbmembersnbofnbthenbLGBTQnbcommunitynbhavenbfacednbdiscriminatio
nnbfromnbhealthnbcarenbprovidersnbandnbmaynbbenbreluctantnbtonbseeknbhealthnbcare.nbThenbnursenb
shouldnbnevernbmakenbassumptionsnbaboutnbthenbneedsnbofnbmembersnbofnbthisnbpopulation.nbR
ather,nbrespectfulnbquestionsnbarenbappropriate.nbIfnbapproachednbwithnbsensitivity,nbthenbclient
nbwithnbanynbhealthnbcarenbneednbisnbmorenblikelynbtonbanswernbhonestly.
◦ DIF:nbUnderstanding/ComprehensionnbREF:nb
4nbKEY:nbLGBTQ|nbdiversitynbMSC:nbIntegratednbProcess:nbTea
ching/Learning
◦ NOT:n b Clientn b Needsn b Category:n b Psychosocialn b Integrity
◦
◦ Anbnursenbisnbcallingnbthenbon-
callnbphysiciannbaboutnbanbclientnbwhonbhadnbanbhysterectomynb2nbdaysnbagonbandnbhasnbp
ainnbthatnbisnbunrelievednbbynbthenbprescribednbnarcoticnbpainnbmedication.nbWhichnbstat
ementnbisnbpartnbofnbthenbSBARnbformatnbfornbcommunication?
◦ A:nb Inb wouldnb likenb younb tonbordernb anb differentnb painn b medication.
◦ B:nbThisnb clientnb hasnb allergiesnb tonb morphinenb andn b codeine.
◦ R:n b Dr.n b Smithn b doesntnb liken b nonsteroidalnb anti-inflammatoryn b meds.
◦ S:nbThisnbclientnbhadnbanbvaginalnbhys
terectomynb2nbdaysnbago.nbANS:nbB
◦ SBARnbisnbanbrecommendednbformnbofnbcommunication,nbandnbthenbacronym
nbstandsnbfornbSituation,nbBackground,nbAssessment,nbandnbRecommendation.nbAppropriaten
bbackgroundnbinformationnbincludesnballergiesnbtonbmedicationsnbthenbon-
callnbphysiciannbmightnborder.nbSituationnbdescribesnbwhatnbisnbhappeningnbrightnbnownbthatnb
mustnbbenbcommunicated;n b thenbclientsnbsurgerynb2nbdaysnbagonbwouldnbbenbconsiderednbbac
kground.nbAssessmentnbwouldnbincludenbannbanalysisnbofnbthenbclientsnbproblem;nbaskingnbfor
nbanbdifferentnbpainnbmedicationnbisnbanbrecommendation.nbRecommendationnbisnbanbstatement
nbofnbwhatnbisnbneedednbornbwhat
◦
◦ outcomenbisnbdesired;nbthisnbinformationnbaboutnbthenbsurgeonsnbprefere
ncenbmightnbbenbbetternbplacednbinnbbackground.
◦ DIF:nbApplying/
ApplicationnbREF:nb5nbKEY:nbS
nb
BAR|nbcommunication
nb nb
Surgical Nursing 13th Edition Moreno Test B
nb nb nb nb nb nb
ank complete chapters NEW!!!!
nb nb nb
Chaptern b 1 Conceptsnb andnb Trendsnb innb Healthcare
◦ Anbnewnbnursenbisnbworkingnbwithnbanbpreceptornbonnbannbinpatientnbmedical-
surgicalnbunit.nbThenbpreceptornbadvisesnbthenbstudentnbthatnbwhichnbisnbthenbprioritynb
whennbworkingnbasnbanbprofessionalnbnurse?
◦ Attendingn b ton b holisticn b clientn b needs
◦ Ensuringn b clientn b safety
◦ Notn b makingn b medicationn b errors
◦ Providingnbclient-
nbfocusednbcarenbA
NS:nbB
◦ Allnbactionsnbarenbappropriatenbfornbthenbprofessionalnbnurse.nbHowever,n b en
suringn b clientn b safetyn b isn b then b priority.n b Upn b ton b 98,000n b deathsn b resultn b eachn b yearn b fromn
b errorsnbinnbhospitalnbcare,nbaccordingnbtonbthenb2000nbInstitutenbofnbMedicinenbreport.nbManynb
morenbclientsnbhavenbsufferednbinjuriesnbandnblessnbseriousnboutcomes.nbEverynbnursenbhasnbthen
bresponsibilitynbtonbguardnbthenbclientsnbsafety.
◦ DIF:nbUnderstanding/ComprehensionnbREF:nb
2nbKEY:nbPatientnbsafetynbMSC:nbIntegratednbProcess:nbNursingn
bProcess:nbIntervention
◦ NOT:nbClientnbNeedsnbCategory:nbSafenbandnbEffectivenbC
arenbEnvironment:nbSafetynbandnbInfectionnbControl
◦ Anbnursenbisnborientingnbanbnewnbclientnbandnbfamilynbtonbthenbinpatientnbunit.nbWhatnb
informationnbdoesnbthenbnursenbprovidenbtonbhelpnbthenbclientnbpromotenbhisnbornbhern
bownnbsafety?
◦ Encouragenb thenb clientnb andnb familynb tonb benb activen b partners.
◦ Havenb thenb clientnb monitornb handnb hygienenb inn b caregivers.
◦ Offernb thenb familynb thenb opportunitynb tonb staynb withnb then b client.
◦ Tellnbthenbclientnbtonbalwaysnbwearnbhisn
bornbhernbarmband.nbANS:nbA
◦ Eachnbactionnbcouldnbbenbimportantnbfornbthenbclientnbornbfamilynbtonbperfor
m.nbHowever,nbencouragingnbthenbclientnbtonbbenbactivenbinnbhisnbornbhernbhealthnbcarenbasnbanb
partnernbisnbthenbmostnbcritical.nbThenbothernbactionsnbare
◦
◦ verynblimitednbinnbscopenbandnbdonbnotnbprovidenbthenbbroadnbprotectionnb
thatnbbeingnbactivenbandnbinvolvednbdoes.
◦ DIF:nbUnderstanding/ComprehensionnbREF:nb
3nbKEY:nbPatientnbsafetynbMSC:nbIntegratednbProcess:nbTeachin
g/nbLearning
◦ NOT:nb Clientnb Needsnb Category:nb Safenb andnb Effectivenb Care
,Environment:n b Safetyn b andn b Infectionn b Control
◦ Anbnursenbisnbcaringnbfornbanbpostoperativenbclientnbonnbthenbsurgicalnbunit.nbThenbclientsnb
bloodnbpressurenbwasnb142/76nbmmnbHgnb30nbminutesnbago,nbandnbnownbisnb88/50nbmmnb
Hg.nbWhatnbactionnbbynbthenbnursenbisnbbest?
◦ Calln b thenb Rapidn b Responsen b Team.
◦ Documentn b andn b continuen b ton b monitor.
◦ Notifynb thenb primarynb caren b provider.
◦ Repeatnbbloodnbpressurenbmeasuremen
tnbinnb15nbminutes.nbANS:nbA
◦ ThenbpurposenbofnbthenbRapidnbResponsenbTeamnb(RRT)nbisnbtonbintervenenbwh
ennbclientsnbarenbdeterioratingnbbeforenbtheynbsuffernbeithernbrespiratorynbornbcardiacnbarrest.nbSi
ncenbthenbclientnbhasnbmanifestednbanbsignificantnbchange,nbthenbnursenbshouldnbcallnbthenbRRT.nb
Changesnbinnbbloodnbpressure,nbmentalnbstatus,nbheartnbrate,nbandnbpainnbarenbparticularlynbsigni
ficant.nbDocumentationnbisnbvital,nbbutnbthenbnursenbmustnbdonbmorenbthannbdocument.nbThenbpri
marynbcarenbprovidernbshouldnbbenbnotified,nbbutnbthisnbisnbnotnbthenbprioritynbovernbcallingn b th
enbRRT.nbThen b clientsnbbloodnbpressurenbshouldnbbenbreassessednbfrequently,nbbutnbthenbpriorit
ynbisnbgetting thenbrapidnbcarenbtonbthenbclient.
◦ DIF:nbApplying/Applicationn b REF:n b 3
◦ KEY:nbRapidnbResponsenbTeamnb(RRT
)|nbmedicalnbemergenciesnbMSC:nbIntegratednbProcess:
Communicationn b andn b Documentation
◦ NOT:n b Clientn b Needsn b Category:n b Physiologicaln b Integrity:n b PhysiologicalnbAdaptation
◦
◦ Anbnursenbwishesnbtonbprovidenbclient-
centerednbcarenbinnballnbinteractions.nbWhichnbactionnbbynbthenbnursenbbestnbdem
onstratesnbthisnbconcept?
◦ Assessesnb forn b culturalnb influencesnb affectingn b healthn b care
◦ Ensuresnb thatnb allnb thenbclientsnb basicnb needsnb aren b met
◦ Tellsnb thenb clientnb andnb familynb aboutnb allnb upcomingn b tests
◦ Thoroughlynborientsnbthenbclientnban
dnbfamilynbtonbthenbroomnbANS:nbA
◦ Competencynbinnbclient-
focusednbcarenbisnbdemonstratednbwhennbthenbnursenbfocusesnbonnbcommunication,nbcultu
re,nbrespect,nbcompassion,nbclientnbeducation,nbandnbempowerment.nbBynbassessingnbthenb
effectnbofnbthe
◦
◦ clientsnbculturenbonnbhealthnbcare,nbthisnbnursenbisnbpracticingnbclient-
focusednbcare.nbProvidingnbfornbbasicn b needsnbdoesnbnotnbdemonstratenbthisnbcompetence.nbSi
mplynbtellingnbthenbclientnbaboutnballnbupcomingnbtestsnbisnbnotnbprovidingnbempoweringnbeduc
ation.nbOrientingnbthenbclientnbandnbfamilynbtonbthenbroomnbisnbannbimportantnbsafetynbmeasure,
nbbutnbnotnbdirectlyn b relatednbtonbdemonstratingnbclient-centeredn b care.
◦ DIF:n b Understanding/Comprehensionn b REF:n b 3
, ◦ KEY:nbPatient-
centerednbcare|nbculturenbMSC:nbIntegratednbProcess:nbCaring
nbNOT:nbClientnbNeedsnbCategory:
Psychosocialn b Integrity
◦ Anbclientnbisnbgoingnbtonbbenbadmittednbfornbanbschedulednbsurgicalnbprocedure.nbW
hichnbactionnbdoesnbthenbnursenbexplainnbisnbthenbmostnbimportantnbthingnbthenbclie
ntnbcannbdon b tonbprotectnbagainstnberrors?
◦ Bringnbanb listnb ofnb allnbmedicationsnb andnb whatnb theynb aren b for.
◦ Keepnb thenb doctorsnb phonenb numbernb bynb then b telephone.
◦ Makenb surenb allnb providersnb washnb handsnb beforenb enteringnb then b room.
◦ Writenbdownnbthenbnamenbofnbeachnbcaregivernbw
honbcomesnbinnbthenbroom.nbANS:nbA
◦ Medicationnberrorsnbarenbthenbmostnbcommonnbtypenbofnbhealthnbcarenbmistak
e.nbThenbJointnbCommissionsnbSpeaknbUpnbcampaignnbencouragesnbclientsnbtonbhelpnbensurenbt
heirnbsafety.nbOnenbrecommendationnbisnbfornbclientsnbtonbknownballnbtheirnbmedicationsnbandnb
whynbtheynbtakenbthem.nbThisnbwillnbhelpnbpreventnbmedicationnberrors.
◦ DIF:nbApplying/Applicationn b REF:n b 4
◦ KEY:nbSpeaknbUpnbcampaign|nbpatientnbsafetynbMSC:nbIntegratednb
Process:nbTeaching/LearningnbNOT:nbClientnbNeedsnbCategory:nbSafenbandnbEffect
ivenbCarenbEnvironment:nbSafetynbandnbInfectionnbControl
◦ Whichnbactionnbbynbthenbnursenbworkingnbwithnbanbclientnbbestnbdemonstratesnbrespectnb
forn b autonomy?
◦ Asksnb ifnb thenb clientnb hasnb questionsnb beforenb signingnban b consent
◦ Givesn b then b clientn b accuraten b informationn b whenn b questioned
◦ Keepsnb thenb promisesnb madenb tonb thenb clientnb andn b family
◦ Treatsnbthenbclientnbfairlynbc
omparednbtonbothernbclients
nbANS:nbA
◦ Autonomynbisnbself-
determination.nbThenbclientnbshouldnbmakenbdecisionsnbregardingnbcare.nbWhennbthenbnursenbo
btainsnbanbsignaturenbonnbthenbconsentnbform,nbassessingnbifn b thenbclientnbstillnbhasnbquestionsnb
isnbvital,nbbecausenbwithoutnbfullnbinformationnbthenbclientnbcannotnbpracticenbautonomy.nbGivi
ngnbaccuratenbinformationnbisnbpracticingnbwithnbveracity.nbKeepingnbpromisesnbisnbupholding
nbfidelity.nbTreatingnbthe
◦
◦ clientn b fairlynb isn b providingn b socialnb justice.
◦
◦ DIF:nbApplying/Applicationn b REF:n b 4
◦ KEY:nbAutonomy|n b ethicalnb principlesn b MSC:n b Integratednb Process:nb Caring
◦ NOT:nb Clientnb Needsn b Category:n b Safen b andn b Effectivenb Caren b Environment:n b Manage
ment
ofnbCare
, ◦
◦ Anbstudentnbnursenbasksnbthenbfacultynbtonbexplainnbbestnbpracticesnbwhennbcommunica
tingnbwithnbanbpersonnbfromnbthenblesbian,nbgay,nbbisexual,nbtransgender,nbandnbqueer/nb
questioningnb(LGBTQ)nbcommunity.nbWhatnbanswernbbynbthenbfacultynbisnbmostn b acc
urate?
◦ Avoidnb embarrassingnb thenb clientnb bynb askingn b questions.
◦ Dontnb makenb assumptionsnb aboutnb theirn b healthn b needs.
◦ Mostnb LGBTQnb peoplenb donb notnb wantnb tonb sharen b information.
◦ Nonbdifferencesnbexistnbinnbcommunicatingnbwi
thnbthisnbpopulation.nbANS:nbB
◦ ManynbmembersnbofnbthenbLGBTQnbcommunitynbhavenbfacednbdiscriminatio
nnbfromnbhealthnbcarenbprovidersnbandnbmaynbbenbreluctantnbtonbseeknbhealthnbcare.nbThenbnursenb
shouldnbnevernbmakenbassumptionsnbaboutnbthenbneedsnbofnbmembersnbofnbthisnbpopulation.nbR
ather,nbrespectfulnbquestionsnbarenbappropriate.nbIfnbapproachednbwithnbsensitivity,nbthenbclient
nbwithnbanynbhealthnbcarenbneednbisnbmorenblikelynbtonbanswernbhonestly.
◦ DIF:nbUnderstanding/ComprehensionnbREF:nb
4nbKEY:nbLGBTQ|nbdiversitynbMSC:nbIntegratednbProcess:nbTea
ching/Learning
◦ NOT:n b Clientn b Needsn b Category:n b Psychosocialn b Integrity
◦
◦ Anbnursenbisnbcallingnbthenbon-
callnbphysiciannbaboutnbanbclientnbwhonbhadnbanbhysterectomynb2nbdaysnbagonbandnbhasnbp
ainnbthatnbisnbunrelievednbbynbthenbprescribednbnarcoticnbpainnbmedication.nbWhichnbstat
ementnbisnbpartnbofnbthenbSBARnbformatnbfornbcommunication?
◦ A:nb Inb wouldnb likenb younb tonbordernb anb differentnb painn b medication.
◦ B:nbThisnb clientnb hasnb allergiesnb tonb morphinenb andn b codeine.
◦ R:n b Dr.n b Smithn b doesntnb liken b nonsteroidalnb anti-inflammatoryn b meds.
◦ S:nbThisnbclientnbhadnbanbvaginalnbhys
terectomynb2nbdaysnbago.nbANS:nbB
◦ SBARnbisnbanbrecommendednbformnbofnbcommunication,nbandnbthenbacronym
nbstandsnbfornbSituation,nbBackground,nbAssessment,nbandnbRecommendation.nbAppropriaten
bbackgroundnbinformationnbincludesnballergiesnbtonbmedicationsnbthenbon-
callnbphysiciannbmightnborder.nbSituationnbdescribesnbwhatnbisnbhappeningnbrightnbnownbthatnb
mustnbbenbcommunicated;n b thenbclientsnbsurgerynb2nbdaysnbagonbwouldnbbenbconsiderednbbac
kground.nbAssessmentnbwouldnbincludenbannbanalysisnbofnbthenbclientsnbproblem;nbaskingnbfor
nbanbdifferentnbpainnbmedicationnbisnbanbrecommendation.nbRecommendationnbisnbanbstatement
nbofnbwhatnbisnbneedednbornbwhat
◦
◦ outcomenbisnbdesired;nbthisnbinformationnbaboutnbthenbsurgeonsnbprefere
ncenbmightnbbenbbetternbplacednbinnbbackground.
◦ DIF:nbApplying/
ApplicationnbREF:nb5nbKEY:nbS
nb
BAR|nbcommunication
