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