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Patient Centered Care 1 > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

What is a type of health difference that is closely linked to social, economic, and or environment?

A

Health Disparity

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2
Q

What means the capacity to obtain, process and understand basic health information and make health decision?

A

Health Literacy

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3
Q

What is the nurse achieving when providing a medical licensed interpreter for a client who does not speak English?

A

Linguistic Competency (always provide an interpreter for someone who does not speak English)

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4
Q

Your client’s verbal description of their health problems is collected as objective data. True or False?

A

False

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5
Q

What is objective data?

A

Data that you can see, touch, and smell (ex. getting vital signs)

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6
Q

What is subjective data?

A

What someone tells you (ex. someone is having abdominal pain)

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7
Q

What is the nurse performing when asking the client what they preferred to be called?

A

Courtesy (always ask someone what they want to be called)

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8
Q

An open-ended question is used to seek specific information about a problem. True or False?

A

False (a closed ended question can be more than yes or no)

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9
Q

What mode of transmission is characterized by germs being carried less than 6 feet?

A

Droplet

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10
Q

What white blood cell count is expected for a client with an acute infection?

A

15000 mm3

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11
Q

In which isolation precaution must an N95 be worn?

A

Airborne precautions

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12
Q

What will the nurse DON after their gown when donning full PPE?

A

Mask

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13
Q

What is the order of Donning?

A

Gown, mask, goggles, gloves

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14
Q

What is the order of doffing?

A

gloves, goggles, gown, mask

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15
Q

What is fowlers position?

A

60 degree angle

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16
Q

What is supine position?

A

0 degrees on your back

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17
Q

What is prone position?

A

laying 0 degrees on your stomach

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18
Q

What physical assessment technique uses touch to gather information?

A

Palpation

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19
Q

What is Percussion?

A

Tapping

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20
Q

What is Auscultation?

A

listening with a stethoscope

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21
Q

What is inspection?

A

to see

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22
Q

What is the assessment of appearance and behavior?

A

General Survey

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23
Q

What is an error prone abbreviation?

A

HS

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24
Q

What does HS mean?

A

bedtime/half strength

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25
Q

What does PO mean?

A

By mouth

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26
Q

What does BID mean?

A

Twice daily

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27
Q

What does PRN mean?

A

As needed

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28
Q

What temp alteration occurs when pyrogens trigger the immune system causing the hypothalamus to raise temp?

A

Pyrexia

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29
Q

What task can be delegated related to taking vital signs?

A

Measuring on a stable client

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30
Q

What assessment finding should the nurse expect fora client with a fever?

A

Tachypnea

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31
Q

What is Bradycardia?

A

Slow heart ate

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32
Q

What is hypothermia?

A

drop in body temp

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33
Q

What is hypotension?

A

low blood pressure

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34
Q

What is Tachypnea?

A

abnormal, rapid breathing

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35
Q

What method for taking a temp is the least invasive and most accurate?

A

Tympanic membrane

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36
Q

What is a risk factor for impaired skin integrity?

A

Excessive moisture

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37
Q

A client with acute vasoconstriction may have which skin color change?

A

Pallor

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38
Q

What is cyanosis?

A

blue skin tone (de oxygenated)

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39
Q

What is Pallor?

A

Unhealthy pale appearance (less oxygenated)

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40
Q

What is Erythema?

A

skin redness

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41
Q

What is jaundice?

A

yellow skin appearance

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42
Q

A client’s skin turgor test reveals tenting for 4 seconds. What does this indicate?

A

Deficient fluid volume

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43
Q

What is another word for good turgor?

A

Brisk

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44
Q

What is good turgor?

A

When the skin returns normal within 3 seconds

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45
Q

What finding is expected in an older adult client?

A

Decreased skin turgor

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46
Q

What is blanching?

A

Is when the nail bed turns pale and returns to normal within 3 seconds (pinch the nail bed)

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47
Q

What finding is expected using the ABCDE lesion assessment tool?

A

Symmetrical

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48
Q

What lesion is solid, deep, elevated, and <1 cm?

A

Nodule

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49
Q

What is a macule?

A

<1cm, a freckle

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50
Q

What is a Papule?

A

<1cm, mole or wart

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51
Q

What is a tumor?

A

> 1 cm, mass/meleona

52
Q

What is a Nodule?

A

<1cm, rheumatoid nodules

53
Q

What indicates good capillary perfusion?

A

Brisk capillary refil

54
Q

What should the nurse do when giving a bath for someone with DVT?

A

Use light strokes for a client with DVT’s (Deep vein thrombosis)

55
Q

What is the proper way to wash?

A

Distal to proximal (clean to dirty)

56
Q

What action follows nursing guidelines for bathing?

A

Use a bath blanket

57
Q

Diabetic toenails should be cut?

A

Straight across (don’t cut close to the nail bed, file them down)

58
Q

What does it mean to provide patient centered care?

A

Try to see a client’s worldview

59
Q

The nurse provides a bed bath and then asks the client how they feel. Which step in ADPIE is this?

A

Evaluation

60
Q

What does A mean? (ADPIE)

A

Assessment

61
Q

What does D mean? (ADPIE)

A

Diagnosis

62
Q

What does P mean? (ADPIE)

A

Planning

63
Q

What does I mean? (ADPIE)

A

Implementation

64
Q

What does E mean? (ADPIE)

A

Evaluation

65
Q

What role is the nurse performing when assisting the client in getting an advance directive?

A

Advocacy

66
Q

A culturally competent assessment includes the clients view of their illness. True or false?

A

True

67
Q

What should the nurse do to be culturally competent?

A

Examine one’s own beliefs

68
Q

A certified medical interpreter should be used to explain health care information for someone who does not speak English. True or False?

A

True

69
Q

What is an example of a question that allows the client to tell their story?

A

“What brings you here today?”

70
Q

What type of PPE must be worn when organisms can be spread > 6 feet via sneezing?

A

N95

71
Q

What type of heat loss occurs from the transfer of heat from one object to another?

A

Conduction

72
Q

A client with hypoxia may have which skin color change?

A

Cyanosis

73
Q

What is a risk factor for impaired skin integrity?

A

Impaired mobility

74
Q

What attitude is the new nurse demonstrating when looking up hospital policy for infection prevention measures?

A

Responsibility

75
Q

What should the nurse do to build a therapeutic relationship with the client?

A

Use open ended questions

76
Q

What is the client describing when they state, “My chest feels really tight.”

A

Quality

77
Q

How many lbs are in 1kg?

A

1kg= 2.2 lbs

78
Q

How many cm are in 1 in?

A

1 in= 2.54cm

79
Q

What tool will the nurse use to assess for pedicures captious(lice)?

A

Comb

80
Q

A client’s skin turgor test reveals tenting for 1 second. What does this indicate?

A

Good Turgor

81
Q

Which is the analysis of the assessment data to determine the actual or potential problem?

A

Diagnosis

82
Q

What is the critical thinking model for nurses?

A

Nursing process

83
Q

What are the 5 steps in the nursing process?

A

1.) Assessment, 2.) Nursing Diagnosis, 3.) Planning, 4.) Implementing, 5.) Evaluating

84
Q

What is a standard of professional performance?

A

Education

85
Q

What standard requires inclusiveness?

A

Equitable practice

86
Q

What is a QSEN competency?

A

Evidence-based practice

87
Q

What is QSEN?

A

Quality and Safety Education for Nurses

88
Q

What describes the client as the full partner in compassionate and coordinated care?

A

Patient Centered Care

89
Q

An epic worldview is a intercultural encounter from an insider perspective. True or False?

A

True

90
Q

An implicit bias is when we are aware of a bias that is present. True or False?

A

True

91
Q

What is the process of conducting a self-examination of one’s own biases toward other cultures?

A

Cultural awareness

92
Q

What intellectual standard describes communicating what is factual?

A

Accurate

93
Q

The most critical source of knowledge a nurse applies to critical thinking is only from the medical record. True or False?

A

False

94
Q

What are critical thinking attitudes?

A

Confidence, thinking independently, fairness, responsibility an authority, risk taking, discipline, perseverance, creativity, curiosity, integrity, humility

95
Q

Responsibility, discipline, creativity, and curiosity are key components of the attitudes of critical thinking. True or False?

A

True

96
Q

What clinical judgement skill causes the nurse to collect, categorize, and clarify data?

A

Interpretation

97
Q

What describes the conclusion about a clients needs that leads to taking action?

A

Clinical Judgement

98
Q

What strategies should the nurse take to improve critical thinking?

A

Use a journal to write about the outcomes of clinical judgement, review articles about evidence based practice, find a mentor

99
Q

What action will the nurse take to perform culturally competent care for a client?

A

Value the clients life patterns and their meanings

100
Q

What action will the nurse take when planning care for a client?

A

Work with the client to set realistic goals

101
Q

What attitude should the nurse display when practicing patient centered care?

A

Value seeing health care situations, “through the client’s eyes”

102
Q

What role is the nurse performing when they call the primary care provider to report a change in a client’s status?

A

Collaboration

103
Q

What step in the nursing process is the nurse taking when asking a client for their pain level 20 minutes after administering pain medication?

A

Evaluation

104
Q

What QSEN competency is being demonstrated when the staff nurses research and implement new safety guidelines?

A

Quality improvement

105
Q

What QSEN competency is being performed when the nurse assesses a client’s need for spiritual support?

A

Patient Centered Care

106
Q

After receiving pain medication, a client report’s their pain as not relived. Based on this evaluation, what action should the nurse take, according to the nursing process?

A

Reassess the client

107
Q

What role is the nurse taking when discussing the wishes of a critically ill client to the family?

A

Advocate

108
Q

While interviewing a client, the nurse will implement patient centered care by?

A

Sitting face to face and making eye contact with the client

109
Q

The nurse is documenting client data. What should the nurse identify as subjective data?

A

Dizziness

110
Q

The nurse will perform what action when correctly following standard precaution recommendations?

A

Wear gloves when changing a wound dressing on a client

111
Q

The nurse is admitting a client diagnosed with Mycobacterium tuberculosis. Which type of isolation will the nurse assign for this client?

A

Airborne Isolation

112
Q

The nurse is assessing a group of clients for health disparities. What client is at risk for health disparities?

A

The client without health insurance

113
Q

What abbreviation will a nurse question?

A

U

114
Q

What nursing action will the nurse perform during a physical exam?

A

Perform painful procedures toward the end of the assessment

115
Q

What might the nurse note as an unexpected finding while performing a general survey on a client?

A

The clients hands are trembling bilaterally, The client is grimacing, the clients speech is rapid

116
Q

what nursing action will the nurse perform when giving a client a bed bath?

A

Put the opposite side’s bed rails up when the bed is raised

117
Q

What temperature measurement site will the nurse use to take the most accurate temperature of a client who is short of breath and diaphoretic?

A

tympanic membrane

118
Q

What factor causes an increased risk for decreased circulation to extremities, tissue breakdown, and infection?

A

vascular insufficiency

119
Q

What characteristics of a skin lesion will the nurse associate with a carcinoma?

A

Border irregularity, changing over time, asymmetry, size of 8mm

120
Q

A client with dark skin who is experiencing a reduced amount of oxyhemoglobin may appear to have a yellow-brown or ashen grey skin tone. True or false?

A

True

121
Q

How will the nurse document the client’s single elevated nevus, 0.5cm in size, on the right shoulder of a client?

A

Macule

122
Q

The nurse is assessing the integumentary system of an adult client for signs of decreased systemic fluid volume. What intervention will the nurse correctly perform?

A

Pinch up the clients skin over the mid clavicle or sternum

123
Q

what will the nurse do while measuring a client’s vital signs?

A

Assess the equipment to ensure that is working correctly

124
Q

What will the nurse teach to the client with diabetes mellitus about foot care?

A

“Trim your toenails straight across”

125
Q

What scalp problem will the nurses assess for with a tongue depressor or special comb?

A

Pediculosis Capitis(lice)

126
Q
A

Patient Centered Care 1 (2 decks)

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