Foundations Ch 4, 8, 10

Question 1

Maslow hierchy of needs

Answer 1

PHYSIOLOGIC: nutrition, elimination, oxygenation, sexuality. SAFETY AND Most basic needs must be met first. SECURITY: Stability, protection, security, freedom and fear from anxiety. LOVE AND BELONGINGNESS: Affection, acceptance, by peers and community. ESTEEM: Self respect, self confidence, feelings of self-worth.

Question 2

Trailing Zero

Answer 2

Don’t use

Question 3

Leading Zero

Answer 3

Always use

Question 4

Jargon

Answer 4

Language specific to the workplace

Question 5

Non verbal communication

Answer 5

Message transmitted w/o words

Question 6

eye contact longer than 6 sec

Answer 6

Intimidating, disrespectful, aggression

Question 7

Eye contact brief but direct2-6 sec

Answer 7

Interest, respect, caring

Question 8

No eye contact or fleeting

Answer 8

Shyness, lack of confidence, low self-esteem

Question 9

Open posture

Answer 9

Relaxed stance, facing receiver, smile direct eye contact

Question 10

Closed posture

Answer 10

Formal, distant stance, arms and possibly legs crossed

Question 11

Closed questions

Answer 11

Yes or no answer very specific answer to specific quwestion

Question 12

Open ended questions

Answer 12

Cannot be answered by yes or no or a one word response . Allows patient to elaborate

Question 13

Conveying acceptance. Usually involves a verbal component

Answer 13

Demonstrates acceptance of patients rights to current beliefs and practices w/o condoning them. Non judgemental

Question 14

Restating

Answer 14

Repeating what you believe to be the main point

Question 15

Paraphrasing

Answer 15

Restatement of pts message in your own words

Question 16

Clarifying

Answer 16

Asking for more information or for elaboration expressed as a question or statement followed by a restatement or paraphrasing part of pt message

Question 17

Focusing

Answer 17

Allows you to gather more specific info when message is to vague. Focuses on specific data

Question 18

Stating observations

Answer 18

Allows for clarification of intended message when verbal cues do not match nonverbal cues

Question 19

Offering info

Answer 19

Prepping pt for what to expect before during and after a procedure

Question 20

Summarizing

Answer 20

Proving a review of the main points covered

Question 21

Using humor

Answer 21

Laughing therapy reduces BP and heart rate
Less pain

Question 22

Hallucinating pts

Answer 22

You appear to be speaking to someone I don’t know

Question 23

False reassurance

Answer 23

Using false comforting phrases to offer reassurance

Question 24

Giving advice or personal opinions

Answer 24

Making a decision for the pt or giving personal opinions

Question 25

False assumptions

Answer 25

Jumping to conclusions, making an assumption w/o validation

Question 26

Approval or disapproval

Answer 26

Trying to impose your own attitude, belief or values on pt about what is right and wrong

Question 27

Automatic responses

Answer 27

Superficial responses that do not focus on what the pt is feeling or trying to say

Question 28

Defensiveness

Answer 28

Responding negatively to criticism

Question 29

Arguing

Answer 29

Challenging the pt statement

Question 30

Asking for explanations

Answer 30

Ask the pt to explain there actions or beliefs with ‘why’ questions

Question 31

Changing the subject

Answer 31

Focusing on something other than the pts concern

Question 32

We position patients in many different positions

Answer 32

To prevent development of complications

Question 33

Inappropriate positioning

Answer 33

Can cause permanent disability

Question 34

Dorsal/supine

Answer 34

Flat on back

Question 35

Semi- Fowler

Answer 35

Head of Bed is raised 30 degrees

Question 36

Fowler

Answer 36

Head of bed raised 45- 60 degrees

Question 37

Sims-

Answer 37

On side with knee and thigh drawn toward chest

Question 38

How to prevent muscle atrophy, contractures and thrombosis

Answer 38

Movement of body muscles and joints Range of motion exercises

Question 39

Active range of motion

Answer 39

Performed by pt

Question 40

Passive ROM

Answer 40

Performed by caregiver

Question 41

Where should you be when walking with pt

Answer 41

Support patient on their weak side

Question 42

What does regular exercise do?

Answer 42

Prevents bone loss and fractures

Question 43

Decreased lung expansion

Answer 43

Pneumonia

Question 44

Signs of Pulmonary embolism

Answer 44

Sudden onset SOB, anxiety

Question 45

Knee-chest positioning

Answer 45

Kneeling, supported by knees and chest, abdomen raised head to one side

Question 46

Lithotomy

Answer 46

Lying supine with hips and knees flexed thighs abducted and rotated externally. Used for GYN exams

Question 47

Trendelenburg

Answer 47

Head low body and legs on inclined plane

Question 48

Sims position

Question 49

Sims position

Answer 49

On left side rat knee bent

Question 50

Question 51

Verbal communication

Answer 51

Spoken written symbols

Question 52

Inconsistent communication

Answer 52

Confused message

Question 53

What impacts communication

Answer 53

Style of delivery aaffects the message

Question 54

Assertive communications

Answer 54

Honors feelings and needs of pt. Honors nurses rights. even sides

Question 55

Aggressive communication

Answer 55

Overpowering and forceful non therapeutic

Question 56

Unassetive communication

Answer 56

Agreeing to do what is requested Can create problems forced self

Question 57

Establishing therapeutic relationships

Answer 57

Caring, sincere, empathetic, and trustworthy Establishes trust essential to nurse patient relationship

Question 58

Nursing process

Answer 58

ADPIE. A= assessment D=diagnosis. P=plan. I= implementation E= evaluation. ABC airway,breathing, circulation

Question 59

Principals of proper body mechanics

Answer 59

Maintain appropriate body alignment maintain wide base of support bend knees and hips do not bend from wais t

Question 60

Assisting with movement of patient PRIORITY

Answer 60

Always lock wheelchair, stretcher,bed

Question 61

When do you use a lift

Answer 61

Amputee, unable to bear weight, heavy patients

Question 62

Neurovasulcular check

Answer 62

Skin color, skin temp,movement, sensation, pulses, capillary refill, pain

Question 63

SRD. Safety Reminder Devices. Restraint free environment

Answer 63

Toileting programs/ routines, reorient residents frequently, rooms close to nurses station, encourage visitation

Question 64

Nursing interventions for SRD

Answer 64

Skin injury, check for thirst and hunger, need to urinate, Circulation problems. NEED to continue use of SRD. ALWAYS use quick release knot

Question 65

What action is a priority for high risk pts (pertaining to fall risk)

Answer 65

ASSESSMENT

Question 66

Sentinel events (med errors, procedures and procedures that lead to death inappropriate use of restraints/SRD) must be reported to whom

Answer 66

The Joint Commission

Question 67

Upon admission and change in condition what must be done

Answer 67

ASSESSMENT

Question 68

Safety and freedom from injury requires

Answer 68

Prevention of falls electrical injuries. Fires burns poisonings

Question 69

In the event of accidental poisoning

Answer 69

Call poison control 800-222-1222

Question 70

When should you never use an elevator

Answer 70

Fire

Question 71

In event of fire who should be rescued

Answer 71

Those in immediate danger

Question 72

A. B. C. s, of fire extinguishers

Answer 72

A= paper wood cloth. B= liquid fires, grease and anesthetic S. C= electrical. ABC= any fire

Question 73

Alternate method# of communicating

Answer 73

Lip reading sign language paper n pencil. Eye blinks

Question 74

Communicating w hearing impairedhearing aids. Face them pronounce clearly

Question 75

Barriers to communicating

Answer 75

False reassurance showing approval giving advice or personal opinions

Question 76

Body mechanics

Answer 76

Ergonomics

Question 77

Pneumonia

Answer 77

Deceresed lung expansions

Question 78

PE

Answer 78

Pulmonary embolism

Question 79

Ulnar flex ion radial flex ion

Answer 79

Hand only to right Hand only to left

Question 80

Pronation Supernation

Answer 80

Palm down. Hand down

Question 81

Burns

Answer 81

Hot liquids , hot packs, Chemical burns

Question 82

Alice training

Answer 82

Active shooting

Question 83

Trndelenburg

Answer 83

Used for improved perfusion (edema, ankle swelling)

Question 84

Flat effect

Answer 84

“Im so happy”. Expression is blank

Question 85

Connotative communication

Answer 85

Subjective and reflects individual perception. High potential for misinterpretation

Question 86

Denotative commonly accepted definition of a word

Question 87

Types of communication

Answer 87

Non verbal verbal. Assertive. Aggressive unassertive

Question 88

Reflecting

Answer 88

Promotes independent decision making for the patient

Question 89

Language barrier

Answer 89

Need interpreter

Question 90

Augmentative communication devices

Answer 90

Alphabet boards. White boards laptops, eyes up= yes. eyes down= no

Question 91

Effective communication

Answer 91

Eye contact