Exam 2 Review Flashcards
The student nurse should be aware of the signs of caregiver stress according to their Giddens resource. When a family member states “If he asks me that question one more time, I will scream,” the family member is displaying which sign of caregiver stress?
Anger
A service that offers short-term relief by providing a new environment or time to relax for family caregivers who support the ill, disabled, or frail older adult and can be provided at home by a friend, another family member, or a volunteer; by a paid service; or in a care setting such as adult day care or a residential center is called _______ care.
Respite
Performing skillfully, protecting, and preserving dignity are all examples of which caring process of Swanson’s Theory of Caring?
Doing for
The healthcare provider orders a patient to take 250 mg PO TID of a medication. You have 125 mg/tablets available. How many tablets will you administer per DAY?
6 tablets/day
Caregiver stress can be influenced by:
The amount of time for self-care.
The perception of the experience by the caregiver.
The ability to cope and coping resources.
Empathy is defined/described as:
The ability to understand the feelings of others.
The provider has ordered a hospice consult for the client you are caring for. The nurse knows that the client:
Will no long receive aggressive treatment.
Is reaching the end of life.
Will receive medications for symptom relief.
The caregiver states “Oh i forgot to give their AM meds”, which sign of caregiving stress are they displaying?
Inability to concentrate (being forgetful)
The caregiver states, “I’m so tired all the time”. Which sign of caregiving are they displaying?
Fatigue
The caregiver states “ If they ask me for one more thing…” Which sign of caregiving stress are they displaying?
Irritability; anger.
The caregiver states “ I sometimes lay awake staring around the ceiling”. Which sign of caregiving stress are they displaying?
Sleeplessness
The nurse notices the pt caregiver is stressed. The nurse should…
Encourage the caregiver to take care of themselves as well.
Caregivers always ask for help when they need it.
False
State of burnout and secondary trauma is known as what?
compassion fatigue
Those with frequent, intense, or prolonged exposure to grief and loss are at high risk for compassion fatigue.
True
Providing caregiver with short term relief by sending the patient elsewhere is known as
Respite care
What is Swanson’s caring process?
Knowing
Being with
Doing for
Enabling
Maintaining belief
Patient and family-center care that optimizes quality of life by anticipating, preventing, and treating suffering.
Palliative care
Recognized as the last stage of palliative care for patients with terminal diagnosis at the end of life.
Hospice care
What is the FLACC pain scale?
Scale used for infants
Face
Legs
Activity
Crying
Consolability
The health care provider prescribes 3 mg morphine IV as needed (PRN). The medication dispensing system has morphine 10 mg/mL. The nursing student prepares the medication and shows the syringe (see figures below) to the nursing instructor. What should the nursing instructor do first to support the students learning?
Ask the student to demonstrate the calculations and steps required to prepare the dose.
When admitting a patient the nurse asks the client about their experience with pain. The patient states that “it’s prolonged and varies in intensity. I can’t explain or identify a source or remember when it first started.” This is an example of
Chronic pain
A patient with diabetes mellites is complaining of pain in the feet. Upon assessment the nurse see’s no trauma, no lesions or infections and the tissue is warm. This client is experiencing which type of pain?
neuropathic
What are non-pharmacological methods for relief of nausea?
Reduce stimuli.
Relaxation and Imagery.
Accupressure.
Oral care.
Distraction.
What are the 5 rights of delegation?
Right task
Right situation
Right worker
Right direction and communication
Right teaching, supervision, and evaluation
An RN on a med-surg floor talks to administration about safety concerns of other RNs, what type of leader is this?
Informal
A charge nurse assigns tasks to each member on the floor. What leadership style is this?
Autocratic
A charge nurse has a list of tasks that need to be done but is afraid to bug the staff. What leadership style is this?
Laissez-faire
The Charge nurse asks the team which task they would like to complete. What leadership style is this?
Democratic
The Charge nurse gives a speech at the start of the shift in hopes to inspire the team. What leadership style is this?
Transformational
When do you delegate tasks?
The patient is stable
The task is within the worker’s job description and capabilities
You’re able to do the teaching and supervision the worker needs
You’ve planned how to monitor the patient’s results yourself
What are the 4 steps of delegation?
Assess and plan
Communicate
Ensure surveillance and supervision
Evaluate and give feedback
The RN has a list of tasks to complete for a pt recovery from a LTKR. Which tasks should she delegate to the UAP?
Record their output on the I&O sheet
Report abnormal VS to RN
Helping the pt to the restroom
Helping bathe the patient
A new pt was just admitted to the unit. Which tasks should the RN assign to the LVP/LPN?
Insert a Foley catheter
Administer Tylenol
A healthy workplace environment needs…
Effective communication
Effective decision-making
Meaningful recognition
True collaboration
Appropriate staffing
Authentic leadership
What are some of the patient’s rights?
Right to refuse treatment
Know who is providing their care
File a complaint against the RN
What are some types of caregivers?
Spousal
Adult children
Grandparent
Parental
Friend/neighbor
Which factors influence stress?
Perception of the experience
Ability to cope and resources
Individual expectations and culture
Amount of time available for self-care
What are the caregiver stressors?
Change in role and relationships
Juggling day to day activities with caregiving
Unaware of the time, energy, and skill required
No respite/ social isolation
Family conflict and culture
What are examples of respite care?
Adult daycare
Senior center
Assisted living facility
Being emotionally present to the other, sharing feelings, and not burdening are which part of Swanson’s process?
Being with
Facilitating the other’s passage through life transitions is which part of Swanson’s process?
Enabling
Comforting, protecting, preserving dignity are which part of Swanson’s process?
Doing for
Maintaining a hope filled attitude and realistic optimism are in which part of Swanson’s process?
Maintaining belief
What are different ways nurses can show they care?
Touch
Being present
Listening
Spiritual caring
The nurse sits with the fam member while they talk about their concerns. How is the nurse showing caring?
By being present
By listening
The nurse ask the patient about any religious/spiritual concerns they want added to the care plan. How is she showing caring?
Spiritual caring
The nurse places their hand on the pt shoulder after receiving bad news. How is the nurse showing caring?
Touch
Being present
Listening is necessary for meaningful interactions with patients
True
The patient complains of pain 3 hours after pain medication was administered. This is an example of which type of pain?
Breakthrough pain
The patient forcefully ejected the contents of their stomach but is not nauseous. What are they experiencing?
Projectile vomiting
The patient is nauseous and forcefully ejected the contents of their stomach. What are they experiencing?
Vomiting
The patient reports vomiting all night, they are at high risk for what?
Dehydration
What are we looking for when assessing emesis?
Odor
How digested it is
Is there blood
Presence of bile
What are interventions for nausea?
NPO
Assess for dehydration
Aspiration precautions
The pt has been nauseous and vomiting all day and states that is relieved when they take a really hot shower. They are experiencing?
Cannabis related nausea and vomiting
What are interventions to help pregnant patients with morning sickness?
Eat crackers before getting out of bed
Take a nap
Take vitamins at bed time
Avoid greasy food
Opioid side effects
Constipation
Nausea/vomiting
Sedation
Respiratory depression
Pruritus
