PN1 Final Exam. | GRADED A

1. Best Practice (Pg.5) a. To promote client safety and continuity of care excellent practice is for a nurse to use I-SBAR-R when contacting a health care provider for an order i. I=Identification of self and client ii. S=Situation iii. B=Background iv. A=Assessment v. R=Recommendation vi. R=Read back 2. Inter-Generational Families (Pg. 18) a. Also called multigenerational families b. 2 or more related generations living together as a functioning family. (Sometimes 3-4 generations) c. Reasons- economic support, child care, emotional support 3. Lab data for malnutrition (Pg. 675) a. Have a BMI of less than 20 when undernourished b. Decreased Albumin level of <3.8 g/dL is seen with protein deficiency c. Serum proteins (most widely used) d. Serum Albumin, creatnine and BUN 4. How to assist a patient and family through a crisis (Pg. 843) a. Be an active listener b. Assist family to cope with situation in positive manner c. Keep family informed d. Prepare family to cope with an unwanted outcome e. Help family understand clients condition so they understand 5. Parenting styles (Pg. 25-26) a. Authoritarian: i. Most common ii. Clear division of who is in control and who must obey. iii. Parents set the rules and distribute consequences and rewards depending on child’s adherence to parents rules and guide lines b. Authoritative i. Democratic or active parenting ii. Provides behavioral guidelines and encourages children to think about the consequences of behavior iii. Parents actively reinforce child’s positive behavior and are significantly involved in monitoring child’s behavior and explain expectations c. Permissive: i. “Hands off” parenting technique, thought as neglectful bc of minimal parental interventions ii. Freedom to learn from their own mistakes iii. Children raised this way struggle as adults because they do not recognize boundaries or limits 6. Distress family and communication (Pg. 26 Box 2-3) a. Poor communication between members, including dishonesty, hostility, sarcasm, silent treatment and frequent misunderstandings b. Neglect of basic needs c. Anger control issues d. Unrealistic expectations of family members 7. Acidosis/Alkalosis (know the change in pH) (Pg. 222 Figure 11-1) a. Normal is 7.35-7.45 b. Acidosis: <7.35 (7.0 Neutral, 6.8 Death) c. Alkalosis: >7.45 (7.8 Death) 8. Therapeutic communication (Pg. 32) a. Active listening: Really listening to what client is saying and attempting to understand. Take in voice tone, pitch and inflections, watch body language and explore and clarify to ensure accurate understanding. At times humor, touch, silence or confrontation maybe appropriate. b. Show empathy, be able to imagine one’s self in their circumstances c. An offer of sympathy may hinder therapeutic communication because the client may not feel comfortable when someone “feels sorry for them” 9. Communication challenges (Pg. 33) a. Language barriers, cultural barriers, vision and hearing impairment