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Nursing Fundamentals > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

What does QSEN mean?

A

Quality & Safety Education for Nurses

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2
Q

What is involved w/ bioterrism?

A

The intentional release of viruses, bacteria, or other germs that can sicken or kill people, livestock, or crops.

Examples include:
anthrax
Botulism
Plague
Viral hemorrhagic fever
Smallpox
Tularemia

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3
Q

What does RACE mean?

A

Rescue

Alarm

Confine

Extinguish

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4
Q

What is a restraint?

A

Used to prevent client from injuring self or another person

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5
Q

What are the 3 different types of restraints?

A

Physical: Cannot be easily removed and restrict movement

Chemical: Medication used to control behavior or to restrict the client's freedom of movement 

Seclusive: Involuntary confinement of the client alone in a room or area which the client is physically prevented from leaving.
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6
Q

When a fire occurs in a clients room, the nurse’s priority is to:

A

Protect the client

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7
Q

What are the 3 types of communication?

A

Verbal

Non verbal

Electronic

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8
Q

What are the 4 areas of personal space?

A

Intimate touching 0-1.5ft

Personal 1.5-4ft

Social 4-12ft

Public 12ft +

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9
Q

What does EHR mean?

A

Electronic Health Records

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10
Q

What are the 3 interpersonal attitudes for Nursing?

A

Caring & warmth

Respect

Acceptance

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11
Q

What are the 2 professional boundaries?

A

Keep the focus on the client

Avoid sharing personal information

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12
Q

Elderspeak

A

similar to baby talk

give the message of dependence & incompetence to older adults

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13
Q

What are the 3 factors for therapeutic communication?

A

Client and goal oriented

More than a social interaction

Phases of a helping relationship

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14
Q

What are the 4 phases of helping a relationship?

A

Pre-interaction phase

Introductory phase

Working phase

Resolution phase

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15
Q

What does SBAR mean?

A

Situation

Background

Assessment

Recommendation

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16
Q

Which is good? Assertive or non-assertive

A

Assertive

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17
Q

Which doc. System is prob. List/SOAP?

A

Problem-oriented Medical Record

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18
Q

Which doc. System is date/time/focus/progm.?

A

Focus charting

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19
Q

Which doc. System is flow sheets/ standard nursing care/beside access to chart?

A

Charting by Exception (CBE)

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20
Q

What does “SOAP” mean?

A

Subjective data

Objective data

Assessment

Plan

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21
Q

What is reception?

A

Process of receiving stimuli from nerve endings in the skin/body

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22
Q

What is perception?

A

Ability to interpret the impulses transmitted from the receptors and give meaning to stimuli.

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23
Q

External stimulation include the 5…?

A

Senses

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24
Q

Internal stimulation is _____ data.

A

Subjective

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25
Which doc. system is traditional client records?
Source oriented
26
What does the cerebrum do?
Thinking Memory Learning
27
What does the cerebellum do?
Unconscious functions Equilibrium Smooth- muscle functioning
28
What does the brain stem control?
Vital functions (Heart rate, Resp. Rate, swallowing)
29
How many senses does the sensory deficit affect?
All 5
30
What are the 5 levels of consciousness?
Alert Lethargic Obtunded Stupor/semi-comatose Comatose
31
What is the objective assessment of level of consciousness after a head injury or acute trauma?
Glasgow Coma Scale (GCS)
32
What is the assessment for organic brain deficit in elderly people?
Short Portable Mental Status Questionnaire (SPMSQ)
33
What are the 3 modes of memory?
Immediate Recent Remote
34
What is the name of chronic confusion...irreversible/slow/ no cure?
Dementia
35
What is the most common type of dementia and what are the 4 stages?
Alzhiemer’s Disease 1.Mild 2.Moderate 3.Moderate to severe 4.Late Stage
36
What is the name of acute confusion...rapid/suddenly?
Delirium
37
What are the 3 ranges of perception?
Illusion Hallucination Delusion
38
What is Aphasia?
The loss of the ability to speak or write coherently, or to understand speech/writing, due to a CVA
39
What is the result of interrupted transmission of sound waves through the outer & middle ear?
Conduction hearing loss
40
What is the combination of conduction and sensori-neural hearing loss?
Mixed hearing loss
41
What is the damage to inner ear, auditory nerve, the center of the brain?
Sensori-neural hearing loss
42
What is caused by the obstruction of the overflow of aqueous humor?
Glaucoma
43
What is the loss of ability to see close objects?
Presbyopia
44
What is the term defined as the clouding of the lens?
Cataracts
45
What gives us color vision, acute vision & central vision?
Retina
46
Is normal simultaneous constrict of other pupil: Direct of consensual
Consensual
47
Is normal constrict of same-side pupil: direct or consensual
Direct
48
Macular Degeneration
gradual destruction of the macular region of the retina
49
What does PERRLA mean?
Pupils Equal Round Reactive to Light and Accommodation
50
What is “alert”?
Awake and aware
51
What is “lethargic”?.
Sluggish
52
What is “obtunded”?
Diminished responsiveness
53
What is “stupor/semicoma”?
Only respond to certain things
54
What is “coma”?
A period of prolonged unconsciousness brought on by illness or injury
55
What is happy w/ life & proud of accomplishments? Integrity/Despair?
Integrity
56
What is belief of poor choices and wish they could do life over again? Integrity/Despair?
Despair
57
Is urinary inc. Normal in elderly R/T aging?
No
58
What are the 3 concepts R/T cultural Nursing care?
Bicultural or multicultural (dual patterns of ID) Acculturation (Warm to cold) Assimilation (moving countries)
59
What are the 3 barriers to cultural sensitivity?
Prejudice Stereotyping Discrimination
60
What are the 3 health beliefs & practices?
Magico-religious Belief (Gods will) Scientific Belief (health is controlled by physical and biochemical processes)-drugs/treatments/surgery Holistic Belief (nature must be maintained in balance for a person to be healthy)
61
What are the cultural don’t like ice w/ H2O w/o requesting?
Asian Hispanic
62
What are cultures that don’t eat pork?
Hindu Jews Islam/Muslim
63
What are cultures that don’t eat beef?
Hindu
64
What is the name of the one who doesn’t believe in God or higher power?
Atheist
65
What is the name of the one who “needs proof” of a higher power/God?
Agnostic
66
What cultures don’t drink alcohol?
Latter-Day Saints (Mormons) Seventh Day Adventists
67
Score of 8 or less on Glasgow Coma Scale
Defines coma in 90% of cases
68
Spiritual Distress
a state of suffering related to the impaired ability to integrate meaning and purpose in life through connections with self, others, the world, and or a higher power than oneself

Nursing Fundamentals (12 decks)

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