Potter, Perry Fundamentals of nursing test 1 Questions and Verified Answers | 100% Correct, Exams of Nursing

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Questions and Verified Answers | 100%

Correct | Grade A+

Benner theory - CORRECT ANSWERS Novice, advanced, competent, proficient, expert Robert woods - CORRECT ANSWERS Improved education for nurses What is caring - CORRECT ANSWERS Universal phenomenon that influences the way we think, feel and behave Leininger's transcultural caring - CORRECT ANSWERS Expects nurses to understand cultural caring behaviors; specific behaviors and words that reflect human caring in different cultures Watsons transpersonal caring - CORRECT ANSWERS Establish the nurse to patient relationship, holistic model that suggest conscious intention to care promotes healing. Swansons theory of caring - CORRECT ANSWERS five caring processes; nurturing is the way of relating to an individual patient perspective on caring - CORRECT ANSWERS connecting with pt and families, being present, respecting values, beliefs, and healthcare choices ethic of care - CORRECT ANSWERS right or wrong; we need to know ethically how we are going to care for that pt. Places caring at the center of decision making it is concerned with relationships between people and with a nurse's character and attitude toward others Caring in Nursing practice - CORRECT ANSWERS Self care; can give and receive care; as you grow in nursing practice you develop caring behavior; use caring behavior when reaching out to colleagues

Questions and Verified Answers | 100%

Correct | Grade A+

Caring in nursing practice con't - CORRECT ANSWERS providing presence, touch, listening, knowing the pt, spiritual caring, relieving symptoms and suffering, family care, Presence - CORRECT ANSWERS person-to-person encounter conveying a closeness and sense of caring Being there - CORRECT ANSWERS not just physical presence; it involves communication and understanding being-with - CORRECT ANSWERS IS interpersonal, being available at a pt's disposal consistancy and predictability - CORRECT ANSWERS deliver pt care in a predictable way, use ethical standards ad guidelines to ensure more consistency. touch - CORRECT ANSWERS Provides comfort non-contact touch - CORRECT ANSWERS eye contact task oriented touch - CORRECT ANSWERS head to toe assessment caring touch - CORRECT ANSWERS holding hand tap on shoulder protective touch - CORRECT ANSWERS preventing accident - grab pt before fall Listening - CORRECT ANSWERS creates trust, opens lines for communication, creates mutual relationship

Questions and Verified Answers | 100%

Correct | Grade A+

knowing the pt - CORRECT ANSWERS Develops over time, aspects of knowledge how they cope, routine habits, physical capacities and endurance Swansons 5 processes - CORRECT ANSWERS knowing, being with, doing for, enabling, maintain belief spiritual caring - CORRECT ANSWERS finding a balance between his life values, goals, and belief symptoms; recognizing that caring relationships connect us human to human spirit to spirit. Relieving symptoms of suffering - CORRECT ANSWERS More than just giving pain medications, reposition pt, cleaning a wound or providing end of life care. Providing necessary support to pt's families. Performing caring nursing actions that give pt comfort, dignity, respect, and peace. Provide environment that heals the mind body and spirit. Comfort thru listening non-judgmental caring presence The challenge of caring - CORRECT ANSWERS task orientated bio medical model, institutional demands, time constraints, reliance on technology, cost effective strategies, and standardized work processes. To make a difference health care must become more holistic and humanistic. Data collection (primary data) - CORRECT ANSWERS What is the pt telling you; primary data comes from the pt sources of data - CORRECT ANSWERS pt, family, significant others, health care team, medical records, other records and the scientific literature, nurse's experience Secondary data - CORRECT ANSWERS Family members, friends Subjective data - CORRECT ANSWERS Anything pt tells you that cannot be measured; pt verbal descriptions of their health; includes pt's feeling perceptions, and self report of symptoms.

Questions and Verified Answers | 100%

Correct | Grade A+

Objective data - CORRECT ANSWERS Observations or measurements of a pt's health status. temp, BP, measuring of a wound. Data organization - CORRECT ANSWERS factual complete, document it and make it clear, accurate assessment pt centered interview - CORRECT ANSWERS motivational interviewing, effective communication, interview preparation, phases of an interview (orientation and setting agenda, working phase, termination) Interviewing techniques - CORRECT ANSWERS observation, open-ended questions, leading questions, back channeling, direct close ended questions. Pt interview phases - CORRECT ANSWERS interview preparation, introduction/orientation phase, working phase, and termination phase. interview preparation - CORRECT ANSWERS review medical chart, any diagnostic test etc, provide comfortable private room introduction/orientation phase - CORRECT ANSWERS introduce self, explain purpose of interview, get demographics - DOB, living situation. working phase - CORRECT ANSWERS Assessment of health history, gather information about a pt's concerns then complete all relevant questions of health history. Use active listening, stay focused on pt, allow open-ended questions, allow pt to describe what they may know about their health, use therapeutic communication techniques to allow pt to tell his story, verbal cues allows for more focused assessment, must be a though health history and go thru all systems of the body.

Questions and Verified Answers | 100%

Correct | Grade A+

Termination Phase - CORRECT ANSWERS Health history (part of working phase) - CORRECT ANSWERS Provides holistic view of a pt's health care experiences, and current health habits. Chief complaint, hx of current illness, allergies, med's and adverse reactions, medical hx, family and social hx (drinking, drugs, tobacco use) health promotion practice (breast exams, colonoscopy etc) termination phase - CORRECT ANSWERS close, review key findings, ask pt if there is anything else they would like to address, validation , nurse acknowledge pt's participation, describe next step. PQRST - CORRECT ANSWERS Provokes, quality, radiate, severity, time Different types of assessment - CORRECT ANSWERS Comprehensive assessment, focused assessment, emergency assessment Comprehensive assessment - CORRECT ANSWERS through assessment, health hx, review of systems, extensive physical head to toe assessment, cranial nerve eval, sensory, lab, diagnosis, (EVERYTHING) Focused assessment - CORRECT ANSWERS brief individualized, examine what is really going on, physical examine is conducted at beginning to establish pt's status. Focused on current chief complaint Emergency assessment - CORRECT ANSWERS time is a factor, tx must be done immediately priorities of care need to be established, pt tx based on quick survey 5 tier triage system - CORRECT ANSWERS critical, emergent, urgent, non-urgent, fast track.

Questions and Verified Answers | 100%

Correct | Grade A+

critical - CORRECT ANSWERS requires immediate and CC emergent - CORRECT ANSWERS requires care within 30min urgent (potentially life-threatening) - CORRECT ANSWERS requires care within 30-60 min non-urgent (stable) - CORRECT ANSWERS requires care within 60-120min fast track - CORRECT ANSWERS less urgent when possible UAP - CORRECT ANSWERS Unlicensed assistant personal (CNA) cultural sensitivity - CORRECT ANSWERS consider health beliefs, use of alternate therapy, nutritional habits, relationships with family personal comfort zone, avoid stereotyping pt hx and examination - CORRECT ANSWERS conduct interview, review medical records, followed by physical exam Organization of physical exam - CORRECT ANSWERS systematic head to toe, compare symmetry, assess body system most abnormal, offer rest periods, perform painful procedures at the end, be specific recording assessment, record quick notes Preparation for physical examination - CORRECT ANSWERS infection control (hand hygiene, PPE, special room) , environment (lighting temp, privacy) equipment (prepare or arrange any equipment), physical prep of pt-(positioning), psychological prep of pt (through explanation of purpose and steps, let pt know of what to expect and how to cooperate) assessment of age (use different interview styles and approaches for diff age groups)