Nursing 150 Final Exam with accurate detailed ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
solutions
Describe normal pulse rate, bradycardia, and tachycardia related to a client's heart rate. -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔Normal pulse rate: bradycardia: slow heart rate, less than 60 bpm
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
tachycardia: rapid heart rate, higher than 100 bpm ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Describe the nursing role differences related to in-service education, advanced education,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
certificate education, and continuing education. - correct answer✔✔Inservice education-
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
when a certain practice comes into a hospital or institution and teaches you how to do
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
something (demonstration) ||\\//||
Advanced education- after a baccalaureate degree you can receive a masters degree (2-3)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
extra years for specific education & doctorate is fully specializing in your field to apply
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
research findings to clinical nursing ||\\//|| ||\\//|| ||\\//|| ||\\//||
Certificate education- choosing to work towards a specific certification in a special area of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
nursing (certification in medical surgical) after passing the exam, you go on to continue
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
education
Continuing education- involves formal, organized educational purposes, professional nursing
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
organizations, and educational and healthcare institutions (program on caring for older adults ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
with dementia offered by a university)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Describe nursing practices which demonstrate autonomy, responsibility, advocacy, and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
accountability. - correct answer✔✔Autonomy- making independent decisions based on ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
medical knowledge on the situation ||\\//|| ||\\//|| ||\\//|| ||\\//||
Patient autonomy- right for patient to have a say in their medical care
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Responsibility- duties needed to perform & ownership to do them (willingness to follow ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
through)
Advocacy- stand up for the patient & command final decisions ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Accountability- responsibility for actions ||\\//|| ||\\//|| ||\\//||
,Confidentiality- keep things between patient & nurse on duty (protection of patients privacy) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Describe the different influences on nursing in healthcare practice including: nursing
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
shortage, healthcare reform, and the medically underserved population. - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Nursing shortage- no struggle to find a job (baby boomer generation is growing ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
old) more care needed ||\\//|| ||\\//|| ||\\//||
When too many patients to handle happens = rushing patients (be like a sloth)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Healthcare reform- ACA (Affordable Care Act) = people get insurance that could not before, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
can not turn anyone down even if they do not have health care (must treat everyone)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Medically underserved population- patients are sent home more frequently due to less cost
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
to treat from home
||\\//|| ||\\//|| ||\\//||
Describe the different communication roles (channel, receiver, message, sender, referent, and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
feedback) between the nurse and client. - correct answer✔✔Channel- how to get the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
message across (verbal, visual, electronic) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Receiver- student (receives message) ||\\//|| ||\\//|| ||\\//||
Massage- facial reaction, non-verbal cues ||\\//|| ||\\//|| ||\\//|| ||\\//||
Sender- teacher (gets message out) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Referent- motivate a person to communicate w/someone ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Feedback- how to understand message (either need a further explanation or was interpreted
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
good)
Environment- hot & cold, effects focus- lives in an abusive household (could not tell the truth ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
if abusive person is present) SETTING SHOULD BE SAFE ALWAYS
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Interpersonal variables- anything that can influence communication, severe pain (hard to ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer health questions) ||\\//|| ||\\//||
Identify each component of SBAR utilized for delivering client report to the healthcare
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
provider. - correct answer✔✔S- situation (what is happening right now?)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B- background (what led up to the current situation?)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A- Assessment (What is the identified problem, concern, or need?)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,R- Recommendation (What actions or interventions should be initiated to alleviate the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
problem?)
Describe the nursing role in maintaining therapeutic communication with clients utilizing
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
intonation, gestures, timing, and vocabulary. - correct answer✔✔Denotation- words could ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
have several meanings (different meaning somewhere else or in a different culture)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Connotation- perception of the word ||\\//|| ||\\//|| ||\\//|| ||\\//||
Pacing- Do not talk too fast, try to slow down ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Intonation- tone of voice, change based on situation (stay calm) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Clarity- making something more clear for the patient, explain more
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Brevity- make it shorter, simplify the process of explaining for the patient
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Timing- pay attention to the good time to communicate to someone (when pain wears off)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Relevance- decide what is important to the patient & their status & report ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Vocabulary- be careful when using medical jargon to a patient, when someone speaks a ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
forgein language & you don't use an interpreter always (DO NOT TRUST A FAMILY MEMBER
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
TO INTERPRET WORDS FOR PATIENT)
||\\//|| ||\\//|| ||\\//|| ||\\//||
Paraphrasing- rephrasing what the patient said in your own words ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Validation- acknowledge the patient's feelings ||\\//|| ||\\//|| ||\\//|| ||\\//||
Describe the nurse's role in maintaining professionalism with client interactions. - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Appearance- dress professional (scrubs) ||\\//|| ||\\//|| ||\\//||
Demeanor- act like you want to be there, take care of the patient with meaning ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Behavior- be engaged & do not do anything inappropriate ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Use of names- address patient with first name, unless they are ederly use (mr.mrs.miss)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Autonomy/Responsibility- be independent in the job & the patient will trust you, take care of ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
them accordingly
||\\//|| ||\\//||
Courtesy- knock on door before you enter ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Trustworthiness- nurse & patient relationship needs to have trust ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, Assertiveness- strongly suggesting to do a task to a patient but not forcing them to do it, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
giving them patient autonomy ||\\//|| ||\\//|| ||\\//||
Explain therapeutic communication techniques the nurse will utilize with clients from a
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
culture differing from the nurse's culture. - correct answer✔✔-speak to patient in a normal
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
tone of voice ||\\//|| ||\\//||
-establish a method for the patient to ask for assistance (call light/bell) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-provide a professional interpreter ||\\//|| ||\\//|| ||\\//||
-avoid using family members, especially children, as interpreters
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Use communication board, pictures, or cards
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-translate words from native language into english list for patient to make basic requests ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Describe the nurse's role with initiating active listening with a client. - correct answer✔✔-
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Being attentive to what a patient is saying both verbally & nonverbally
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
USE SOLER: ||\\//||
S- sit facing the patient (shows interest)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
O- open position (suggests you are open to what the patient has to say)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
L- lean towards the patient (conveys you are involved)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
E- eye contact (shows willingness to listen)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
R- relax (restlessness shows a lack of interest)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Describe how the nurse will assess non-verbal communication related to client behaviors
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
during communication. - correct answer✔✔-Personal appearance (hygiene & proper attire)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Posture & guilt (do not slouch) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Facial expressions (try not to show disgust on your face)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Eye contact (don't pay attention if you don't look directly at patient, some cultures eye
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
contact is disrespectful *pick up on cues) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Gestures
solutions
Describe normal pulse rate, bradycardia, and tachycardia related to a client's heart rate. -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔Normal pulse rate: bradycardia: slow heart rate, less than 60 bpm
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
tachycardia: rapid heart rate, higher than 100 bpm ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Describe the nursing role differences related to in-service education, advanced education,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
certificate education, and continuing education. - correct answer✔✔Inservice education-
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
when a certain practice comes into a hospital or institution and teaches you how to do
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
something (demonstration) ||\\//||
Advanced education- after a baccalaureate degree you can receive a masters degree (2-3)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
extra years for specific education & doctorate is fully specializing in your field to apply
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
research findings to clinical nursing ||\\//|| ||\\//|| ||\\//|| ||\\//||
Certificate education- choosing to work towards a specific certification in a special area of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
nursing (certification in medical surgical) after passing the exam, you go on to continue
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
education
Continuing education- involves formal, organized educational purposes, professional nursing
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
organizations, and educational and healthcare institutions (program on caring for older adults ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
with dementia offered by a university)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Describe nursing practices which demonstrate autonomy, responsibility, advocacy, and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
accountability. - correct answer✔✔Autonomy- making independent decisions based on ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
medical knowledge on the situation ||\\//|| ||\\//|| ||\\//|| ||\\//||
Patient autonomy- right for patient to have a say in their medical care
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Responsibility- duties needed to perform & ownership to do them (willingness to follow ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
through)
Advocacy- stand up for the patient & command final decisions ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Accountability- responsibility for actions ||\\//|| ||\\//|| ||\\//||
,Confidentiality- keep things between patient & nurse on duty (protection of patients privacy) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Describe the different influences on nursing in healthcare practice including: nursing
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
shortage, healthcare reform, and the medically underserved population. - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Nursing shortage- no struggle to find a job (baby boomer generation is growing ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
old) more care needed ||\\//|| ||\\//|| ||\\//||
When too many patients to handle happens = rushing patients (be like a sloth)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Healthcare reform- ACA (Affordable Care Act) = people get insurance that could not before, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
can not turn anyone down even if they do not have health care (must treat everyone)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Medically underserved population- patients are sent home more frequently due to less cost
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
to treat from home
||\\//|| ||\\//|| ||\\//||
Describe the different communication roles (channel, receiver, message, sender, referent, and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
feedback) between the nurse and client. - correct answer✔✔Channel- how to get the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
message across (verbal, visual, electronic) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Receiver- student (receives message) ||\\//|| ||\\//|| ||\\//||
Massage- facial reaction, non-verbal cues ||\\//|| ||\\//|| ||\\//|| ||\\//||
Sender- teacher (gets message out) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Referent- motivate a person to communicate w/someone ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Feedback- how to understand message (either need a further explanation or was interpreted
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
good)
Environment- hot & cold, effects focus- lives in an abusive household (could not tell the truth ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
if abusive person is present) SETTING SHOULD BE SAFE ALWAYS
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Interpersonal variables- anything that can influence communication, severe pain (hard to ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer health questions) ||\\//|| ||\\//||
Identify each component of SBAR utilized for delivering client report to the healthcare
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
provider. - correct answer✔✔S- situation (what is happening right now?)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
B- background (what led up to the current situation?)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A- Assessment (What is the identified problem, concern, or need?)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,R- Recommendation (What actions or interventions should be initiated to alleviate the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
problem?)
Describe the nursing role in maintaining therapeutic communication with clients utilizing
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intonation, gestures, timing, and vocabulary. - correct answer✔✔Denotation- words could ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
have several meanings (different meaning somewhere else or in a different culture)
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Connotation- perception of the word ||\\//|| ||\\//|| ||\\//|| ||\\//||
Pacing- Do not talk too fast, try to slow down ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Intonation- tone of voice, change based on situation (stay calm) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Clarity- making something more clear for the patient, explain more
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Brevity- make it shorter, simplify the process of explaining for the patient
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Timing- pay attention to the good time to communicate to someone (when pain wears off)
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Relevance- decide what is important to the patient & their status & report ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Vocabulary- be careful when using medical jargon to a patient, when someone speaks a ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
forgein language & you don't use an interpreter always (DO NOT TRUST A FAMILY MEMBER
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TO INTERPRET WORDS FOR PATIENT)
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Paraphrasing- rephrasing what the patient said in your own words ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Validation- acknowledge the patient's feelings ||\\//|| ||\\//|| ||\\//|| ||\\//||
Describe the nurse's role in maintaining professionalism with client interactions. - correct
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answer✔✔Appearance- dress professional (scrubs) ||\\//|| ||\\//|| ||\\//||
Demeanor- act like you want to be there, take care of the patient with meaning ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Behavior- be engaged & do not do anything inappropriate ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Use of names- address patient with first name, unless they are ederly use (mr.mrs.miss)
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Autonomy/Responsibility- be independent in the job & the patient will trust you, take care of ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
them accordingly
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Courtesy- knock on door before you enter ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Trustworthiness- nurse & patient relationship needs to have trust ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
, Assertiveness- strongly suggesting to do a task to a patient but not forcing them to do it, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
giving them patient autonomy ||\\//|| ||\\//|| ||\\//||
Explain therapeutic communication techniques the nurse will utilize with clients from a
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culture differing from the nurse's culture. - correct answer✔✔-speak to patient in a normal
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tone of voice ||\\//|| ||\\//||
-establish a method for the patient to ask for assistance (call light/bell) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-provide a professional interpreter ||\\//|| ||\\//|| ||\\//||
-avoid using family members, especially children, as interpreters
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-Use communication board, pictures, or cards
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-translate words from native language into english list for patient to make basic requests ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Describe the nurse's role with initiating active listening with a client. - correct answer✔✔-
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Being attentive to what a patient is saying both verbally & nonverbally
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USE SOLER: ||\\//||
S- sit facing the patient (shows interest)
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O- open position (suggests you are open to what the patient has to say)
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L- lean towards the patient (conveys you are involved)
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E- eye contact (shows willingness to listen)
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R- relax (restlessness shows a lack of interest)
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Describe how the nurse will assess non-verbal communication related to client behaviors
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during communication. - correct answer✔✔-Personal appearance (hygiene & proper attire)
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-Posture & guilt (do not slouch) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Facial expressions (try not to show disgust on your face)
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-Eye contact (don't pay attention if you don't look directly at patient, some cultures eye
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contact is disrespectful *pick up on cues) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Gestures
