SG #3
What does ISBAR stand for?
Introduction, Situation, Background, Assessment Recommendation, Read Back
What is the Scope in Communication
It ranges from effective communication to no communication, Eg. Linguistic (spoken word), Paralinguistic (Gestures), and Metacommunication (insinuating through text)
Diarthrosis joints
movable joints that allow the body to have a wide range of movement and activity
Amphiarthrosis joint
slightly movable joint
Pedagogy Versus Andragogy Theory is used to
Assist children to learn or the strategies of traditional teaching.
What are the attribute of Patient Education
Planning is involve The outcomes are goal oriented The patient is motivated to learn
Which stage of Piaget's theory of cognitive development would the nurse observe in a preschooler?
Preoperational
What are the scopes of health promtion
Secondary prevention, Primary prevention, Tertiary Prevention
What does SPICES stand for?
Sleep disorders Problems with eating or feeding Incontinence Confusion Evidence of falls Skin breakdown
What is the attributes in health promotion
optimization of health Evidence patient/ community centered enculturation
Which response is the most therapeutic to give to a client who has been sexually abused and tearfully says, "I'm no good now; there's nothing to live for"?
"Tell me more about your feelings.
Which is the longest time after birth that the Apgar test is conducted for the second time?_______ minutes
5 min
What defines disease
A function or structural disturbance that result when a person's adaptive mechanisms to counteract stimulate and stresses fail.
The nurse is interviewing a client for admission to the hospital. Which phase of the nursing process is being used in this situation?
Assessment
meta-communication
Contextual variables
Failure to meet expected developmental level
Developmental Delay
The nurse would place information about the patient's concern that his illness is threatening his job security in which functional health pattern?
Role and Relationship
Paralinguistic Communication
Use of gestures, eye contact and facial expression
What are some forms of communication?
Verbal Nonverbal Symbolic Meta-communication
HEADSS Assessment for Adolescents
home education/employment peer group activities drugs sexuality suicide or depression
What is the definition of wellness
A positive state of health of an individual, family, or community
What are the three domaine of learning
Affective (feelings/attitude) Cognitive (knowledge) Psychomotor (skills/performance)
Position of an individual in the sequence of development
Developmental Level
The nurse is explaining the nursing process to a student nurse. Which step of the nursing process would include interpretation of data collected about the client?
Assessment
A. Set of functional skills or age specific tasks that most children can complete at a certain age range. Major markers in tracking development
Developmental Milestone
Previously exhibited normal development .Progressively loses the key 'milestones' they have acquired
Developmental Regression
What are the three types of Assessment
Comprehensive assessment, Focused assessment, and Emergency assessment
According to the nursing process, which would the nurse do after administering pain medication to a postoperative client?
Determine whether the pain medicine relieved the client's pain
The client reports difficulty in breathing. The nurse auscultates lung sounds and assesses the respiratory rate. Which is the purpose of the nurse's action?
Data collection The nurse is gathering objective data to support the subjective data. The client's report of difficulty breathing is subjective data that must be supported by data obtained during the physical examination. The nurse reviews the database after data collection to decide if it is accurate and complete. This step is called data validation. The grouping of data that forms a pattern is called data clusters. The nurse uses critical thinking to interpret the data and analyze it before it is classified and organized into data clusters.
When the nurse revises the care plan because the goals have not been met, which phase of the nursing process is being applied?
Evaluation
linguistic Communication
Face to Face, reading, texting, silence, omission, and/ or avoidance.
Secondary Prevention
Identify individuals in an early state of a disease process so that prompt treatment can be initiated.
The nurse is performing nursing care therapies and including the client as an active participant in the care. Which step in the nursing process is involved in this situation?
Implementation
Which step of the nursing process is directly affected if the nurse does not make a nursing diagnosis?
Planning
What is the scope of Health Promotion
Primary, Secondary, and Tertiary Prevention; for an individual, family, community, population, and environment
What are the Attribute of communication
Process of complementary exchange Context, Learning Skills
In which stage of Piaget's theory of growth and development does an infant develop an action pattern to deal with the environment?
Sensorimotor
Which definition is correct to explain the nursing process?
Sequence of steps used to meet the client's needs
Which activities would the nurse consider to be a part of the tertiary level of preventive care? Select all that apply. One, some, or all responses may be correct.
Using a sheltered colony Providing selective placement Providing work therapy in hospitals
What is the definition of health
a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity
The patient health history and physical examination provide the nurse with information primarily to
identify nursing diagnoses and collaborative problems.
synarthrosis joint
immovable joint
Which nursing process includes tasks that can be delegated
implementation
The nurse is preparing to examine a patient's abdomen. Place in order the proper steps for an abdominal assessment,
Inspection, Auscultation, Percussion,Palpation
What are some physical Examination technique
Inspection, palpation, percussion, Auscultation
What is the definition of Health Promotion
Is the process of enabling people to increase control over and to improve their health
What is ISBARR and what is the purpose of it?
It is used when passing patient responsibility to a nurse, at the end of shift, when transferring a patient to another facility, and when you call a provider to report a problem.
Which response would the nurse make to a client with schizophrenia who claims to be Joan of Arc about to be burned at the stake?
It seems like the world is a pretty scary place for you.
Lag in all areas of development
Global Delay
Which step in the nursing process would involve promoting a safe environment for the client?
Implementation
Which action of the leader signifies the implementation phase of the nursing process to teaching?
Sequencing different tasks The application of the nursing process involves four phases: assessment, planning, implementation, and evaluation. The implementation phase involves sequencing of different tasks. Establishment of expectations indicates the planning phase. In the evaluation phase, the progress is compared with the plan. Assessing the needed performance level is part of the assessment phase
The SBAR communication technique stands for
Situation- (What is happening at the current time? Background- (What are the circumstances leading up to this situation) Assessment- (What does the nurse think the problem is?) Recommendation- (What should we do to correct the problem?)
Primary Prevention
Strategies that aimed at optimizing health and disease prevention