NUR 345

Infant's understanding of illness -unaware of effects but senses parent distress Infant responses to hospitalization -sleep-wake cycles disrupted -feeding routines disrupted -displays excessive irritability -separation anxiety -starting about 9 months What helps relieve the separation anxiety for infants and toddlers consistency of nursing care, providers Toddler and pre-schooler's understanding of illness -understanding of cause and effect is not fully developed -have a general concept of ...

A client reports that her mother-in-law is very intrusive. The nurse responds, I know how you feel. My mother-in-law is nosy, too. What is the nurse is demonstrating? countertransference. What is the possible outcome of the nurse's expressions of sympathy instead of empathy toward the client? decreased client communication. A client states "That nurse nevers seems comfortable being with me. How would the nurse's behavior be understood? The nurse does not seem genuine to the client. The nur...

Mental illness psychiatric disorders that have definable diagnoses Physiological needs food, water, oxygen, sleep, sex, and constant body temperature Safety needs includes security, protection, freedom from fear, anxiety, and chaos Belonging and love needs intimate relationships, love, and affection, and belonging; seek to overcome feelings of loneliness and alienation Esteem needs -need for having a high self-regard and have it reflected from others - when these needs are met there is a fee...

What are Benner's stages of nursing proficiency? 1. Novice 2. Advanced Beginner 3. Competent 4. Proficient 5. Expert What is the goal of the Scope and Standards of Practice? To improve the health and well-being of all individuals, communities, and populations through the significant and visible contributions of registered nursing using standards-based practice When did nursing documentation begin? 1960 What are the six standards of practice? 1. assessment 2. diagnosis 3. outcomes identificat...

The nurse admits an older person suffering from chronic alcoholism. Based on which factors would the nurse assess for alteration in total body water (TBW)? Age, Overall health, Body weight, Gender An intravascular fluid sample is to be collected from a patient. Based on the location of this type of fluid, the nurse will inform the patient that the sample will come from what source? Blood specimen The nurse is preparing a continuing education class that will include information on body fluid co...

O Health promotion leading to positive health behaviors may depend on what 3 things? (KTC) knowledge Techniques Community supports Match the following to the correct definition: (knowledge, techniques, community supports) 1. Environmental or regulatory measures available to support health-promoting behaviors within a social context 2. Strategies to apply new knowledge 3. Learning new information about benefits or risks of behaviors community supports Techniques Knowledge What are 4 successful ...

The nurse is working to increase functional ability with a client. Which assistive technique should be included in the plan of care? trapeze bar The sensory organs in the inner ear provide this sense of position, orientation & movement? Proprioceptor or kinesthetic sense Labyrinthine sense Visual/optic reflexes Extensor/stretch reflexes Labyrinthine sense This informs the brain of the location of a limb or body part as a result of joint movements, stimulating special nerve endings in muscles, ...

How is a chief complaint recorded? Always in direct quotes, using the exact words of the patient What is a focused assessment? Usually involves 1-2 body systems, smaller than the comprehensive, but is more in depth on a specific issue. What is an emergency assessment? involves a life-threatening or unstable situation Assessment should be based of of the ABCDE Mnemonic A- Airway (w/ cervical spine protection , if an injury is suspected) B- Breathing (rate and depth, use of accessory muscles )...

A nurse has learned about SBAR communication, and is observing how this model fits what she hears in a meeting on infection prevention. Match the SBAR step to the examples she jots down. - Situation - Background - Recommendation - Assessment - Nosocomial infections up 15% in Cardiac Recovery ward - Never used to have MRSA originate at Cardiac Recovery ward - Need to find source of MRSA and weak link to contamination - Review all equipment introduced since change. Match infection to source - No...

The nurse will be alert for which cognitive alterations when caring for a 40-year-old patient admitted to the emergency department with a high blood alcohol level? SATA: - Delirium - Slurred speech - Expressive aphasia - Ringing in the ears - Exogenous depression - Delirium - Slurred speech - Exogenous depression The nurse notes the presence of which alterations when admitting a 30-year-old patient with suspected meningitis? - Hypoglycemia - Light sensitivity - Aphasia - Motor deficits - Light ...