NUR 2755 Multidimensional Care Exam 1
Phases of communication Answer- Pre-interaction: The student nurse gathers information about the client
Orientation: The student nurse introduces themself, explains their r
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NUR 2755 Multidimensional Care Exam 1
Phases of communication Answer- Pre-interaction: The student nurse gathers information about the client
Orientation: The student nurse introduces themself, explains their role in the relationship
Working: Active part of the relationship. The student nurse communicates caring and compassion to the client
Termination: This marks the end of the relationship, whether at the end of the shift or at discharge.
PASS Answer- Pull, Aim, Squeeze, Sweep
When there is a fire you would call a Answer- code red or yellow depending on facility
Components of therapeutic communication Answer- Active Listening
Establishing trust
Being assertive
Validating messages
Exploring issues
Using silence
Non-pharmacological interventions if a patient has a sprain Answer- Physical therapy, exercise, hot and cold therapy, relaxation, ankle immobility
Normal vital signs Answer- HR: 60 - 100 bpm
RR: 12 - 20
Temp: 96.4 - 99.5
BP: 120/80
O2: 94-100%
Pain
Pain: assessment—"PQRST" Answer- P = Provocation and Palliative factors - CAUSE
Q= Quality
R= Region of the body or Radiation
S= Severity - scale
T= Timing - when did it start and how long did it last
Pain is the fifth vital sign
dorsal recumbent Answer- Lying on back, knees bent
supine Answer- lying on the back
lithotomy Answer- Dorsal recumbent position at end of table with feet in stirrups, legs flexed, and widely open
Sims' Answer- body position in which a person is lying on his left side with the upper knee flexed and raised toward the chest
Prone Answer- lying face down
lateral recumbent Answer- lying on the side
knee-chest position Answer- patient is lying face down with the hips bent so that the knees and chest rest on the table
unlicensed assistive personnel (UAP) Answer- -Includes CNAs, CMAs, and non-nursing personnel
-Work under direct supervision of an RN or LPN
-Specific tasks usually outlined in position description
-Tasks may including feeding clients, preparing meals, lifting, basic care, measuring & recording vital signs, and ambulating clients
complementary medicine Answer- health care practices and products used together with conventional medicine
priority nursing assessment Answer- -Continuous telemetry monitoring
-Frequent vitals
-Ongoing head-to-toe
-Serial 12-Lead EKG
-Pain: Intensity, location, quality, radiation, aggravating and alleviating factors
Nursing Focus:
-Perfusion
-Respiratory
Psychosocial Support:
-Anxiety
-Educational Needs: Patient and Family
Monitor for Complications:
-Progressive ACS
-Heart Failure
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