5

Question 1

nursing actions/responses when caring for pt who says they are agnostic

Answer 1

view that the existence of God, of the divine or the supernatural is unknown or unknowable

-assess for sense of meaning or purpose in life and how health care can maintain that

Question 2

how to assess spiritual needs

Answer 2

love, identity, meaning, forgiveness, hope, love, isolation, disconnection from family, critical of/paranoid of family

forgiveness: anger, guilt, refuse care

BE AWARE OF NEEDS

Question 3

interventions to help a pt meet spiritual needs

Answer 3

• empathy
• mindful of restrictions associated w beliefs/customs
• aware of significant clothing, jewelry or other apparel, read religious literature

Question 4

factors affecting communication/blocks

Answer 4

appropriate, privacy, comfort, equal treatment, encourage, focus, aware of pt’s and own feelings

socioeconomic status, language, gender, health status, developmental level, emotions, falsely reassume, defensive, disapproval, stereotype, ask why, changing subject, belittle, give opinion, pet names

Question 5

examples of facilitators of communication

Answer 5

open/closed-ended questions, summarizing, focusing, promote social interaction, paraphrase, listen, use silence, touch, gentle humor, assertiveness

Question 6

appropriate therapeutic nsg response to decrease pt’s anxiety R/T upcoming treatment

Answer 6

reiterate their feelings

be honest but provide comfort

Question 7

Principles of G/D

Answer 7

quantitative/qualitative (ht, wt, emotion, psychosocial), continuous & orderly regular trends, environmental influences, rates, individualized, patterns predictable, critical periods, chephalocaudal, proximodistal, general to specific

Question 8

interventions R/T G/D issues

Answer 8

understand behavior, don’t mistake G/D changes c dz or vice versa

Question 9

most accurate indicators of fluid balance

Answer 9

1. I/O
2. urinary out
3. daily weights

Question 10

pts at risk for fluid imbalance

Answer 10

surgery, v/d, diaphoresis, hemorrhage, burns, ascites, DM, other dz
-young and old

Question 11

Electrolyte ranges

Answer 11

1. sodium: 135-145 mEq/L
2. potassium: 3.5-4.5 mEq/L
3. calcium: 8.5-10.5 mg/dL
4. magnesium: 1.2-2.1 mEq/L

Question 12

assessment R/T sleeping difficulties

Answer 12

usual amount of sleep, usual bedtime routine/time, naps, meds, environment, exercise pattern perception of need for sleep; assess as much at one time (combo therapy)

Question 13

interventions/teaching R/T promoting sleep

Answer 13

• decrease noise
• turn off lights
• provide comfort
• temp in room
• usual routine
• emotional support
• increased activity during the day
• decreased day-dozing
• get as much done when assessing
• bed time snack 1 hr before bed (teach pt to eat snacks high in protein & tryptophan)

Question 14

insomnia

Answer 14

• trouble falling asleep
• wake up during sleep
• shorter overall period of sleep

Question 15

normal sleep cycle

Answer 15

I, II, II, IV, III, II, REM
4-5 cycles per night
awakened, begin w stage II
as night progresses: NREM III & IV decrease; REM incr.