Final Exam Flashcards
(30 cards)
Stepwise approach
ask about alcohol use
use screening tool
assess for alcohol use disorders
advise and assist
Withdrawal of alcohol symptoms
N/V, tremor, sweats, anxiety, agitation, tactile disturbances, auditory disturbances
At risk drinking
men >15 / week
women >8 / week
1 or more heavy drinking days:
men >5 drinks
women > 4 drinks
> 2 events per year
low to moderate drinking
men <2 drinks/day
women < 1 drink/day
65+ < 1 drink/day
screening tools
CAGE (cut down, annoyed, guilty, eye opener)
TWEAK: women
SMAST-G: older adults
standard drink
12 oz beer
8-9 oz malt liquor
5oz wine
1.5 oz spirits
3 oz martini
Intimate partner violence assessments
assess every visit
-PVS: have you been hurt by someone withing the past year? do you feel safe in your current relationship? is there a partner from a previous relationship that makes you feel unsafe now?
HITs: hurt, insult, threatned, scream
STaT: slapped, threatened, and throw
HARK
WAST: women abuse screenign tool
RAT
child abuse
neglect, physical abuse, sexual abuse, emotional abuse,
children 11 and older can provide their own health history
elder abuse
physical, sexual, psychosocial, neglect, financial
EASI
domestic violence
pattern of coercive, controlling behavior that can include physical, emotional, psychological, sexual, or financial abuse
what to assess first in children? last?
first: least invasive, inspection
last: most invasive, GU exam or temperature/auscultation (equipment is the most invasive)
7 pillars of diversity
awareness
caring
respect
cultural humility
integrity
learning
collaboration
Subjective data
opion
what patient says
gained through interview
Objective data
what nurse observes during an exam, fact
Health assessment
systematic and continous collection of data, sorting, analzying, and organizating that data; and the documentation and communication of the data collected
Therapeutic communication
purposeful conversation between nurse, pt, families
- used to reach health related goals, build trust, and maintain relationships
Characteristics of communication in healthcare
client centered, purposeful, planned, and goal directed
Essential components of therapeutic communications
time, active listening, caring, non judgemental attitude, honesty, trust, empathy
Communication
exchange of information so each person clearly understands the other, important so healthcare team knows what is going on
Faciliation
general leads like nodding
Reflection
sit quietly, allows pt time to think and answer
Explanation
share facutal and objective information
Empathy
reflects on feelings and puts them into words, sounds like you are feeling sad about…
