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Nursing Fundamentals > Exam 3 > Flashcards

Exam 3 Flashcards

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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
Q

Which doc. system is traditional client records?

A

Source oriented

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26
Q

What does the cerebrum do?

A

Thinking

Memory

Learning

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27
Q

What does the cerebellum do?

A

Unconscious functions

Equilibrium

Smooth- muscle functioning

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28
Q

What does the brain stem control?

A

Vital functions (Heart rate, Resp. Rate, swallowing)

29
Q

How many senses does the sensory deficit affect?

A

All 5

30
Q

What are the 5 levels of consciousness?

A

Alert

Lethargic

Obtunded

Stupor/semi-comatose

Comatose

31
Q

What is the objective assessment of level of consciousness after a head injury or acute trauma?

A

Glasgow Coma Scale (GCS)

32
Q

What is the assessment for organic brain deficit in elderly people?

A

Short Portable Mental Status Questionnaire (SPMSQ)

33
Q

What are the 3 modes of memory?

A

Immediate

Recent

Remote

34
Q

What is the name of chronic confusion…irreversible/slow/ no cure?

A

Dementia

35
Q

What is the most common type of dementia and what are the 4 stages?

A

Alzhiemer’s Disease

1.Mild

2.Moderate

3.Moderate to severe

4.Late Stage

36
Q

What is the name of acute confusion…rapid/suddenly?

A

Delirium

37
Q

What are the 3 ranges of perception?

A

Illusion

Hallucination

Delusion

38
Q

What is Aphasia?

A

The loss of the ability to speak or write coherently, or to understand speech/writing, due to a CVA

39
Q

What is the result of interrupted transmission of sound waves through the outer & middle ear?

A

Conduction hearing loss

40
Q

What is the combination of conduction and sensori-neural hearing loss?

A

Mixed hearing loss

41
Q

What is the damage to inner ear, auditory nerve, the center of the brain?

A

Sensori-neural hearing loss

42
Q

What is caused by the obstruction of the overflow of aqueous humor?

A

Glaucoma

43
Q

What is the loss of ability to see close objects?

A

Presbyopia

44
Q

What is the term defined as the clouding of the lens?

A

Cataracts

45
Q

What gives us color vision, acute vision & central vision?

A

Retina

46
Q

Is normal simultaneous constrict of other pupil: Direct of consensual

A

Consensual

47
Q

Is normal constrict of same-side pupil: direct or consensual

A

Direct

48
Q

Macular Degeneration

A

gradual destruction of the macular region of the retina

49
Q

What does PERRLA mean?

A

Pupils

Equal

Round

Reactive to

Light and

Accommodation

50
Q

What is “alert”?

A

Awake and aware

51
Q

What is “lethargic”?.

A

Sluggish

52
Q

What is “obtunded”?

A

Diminished responsiveness

53
Q

What is “stupor/semicoma”?

A

Only respond to certain things

54
Q

What is “coma”?

A

A period of prolonged unconsciousness brought on by illness or injury

55
Q

What is happy w/ life & proud of accomplishments? Integrity/Despair?

A

Integrity

56
Q

What is belief of poor choices and wish they could do life over again? Integrity/Despair?

A

Despair

57
Q

Is urinary inc. Normal in elderly R/T aging?

A

No

58
Q

What are the 3 concepts R/T cultural Nursing care?

A

Bicultural or multicultural (dual patterns of ID)

Acculturation (Warm to cold)

Assimilation (moving countries)

59
Q

What are the 3 barriers to cultural sensitivity?

A

Prejudice

Stereotyping

Discrimination

60
Q

What are the 3 health beliefs & practices?

A

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
Q

What are the cultural don’t like ice w/ H2O w/o requesting?

A

Asian

Hispanic

62
Q

What are cultures that don’t eat pork?

A

Hindu

Jews

Islam/Muslim

63
Q

What are cultures that don’t eat beef?

A

Hindu

64
Q

What is the name of the one who doesn’t believe in God or higher power?

A

Atheist

65
Q

What is the name of the one who “needs proof” of a higher power/God?

A

Agnostic

66
Q

What cultures don’t drink alcohol?

A

Latter-Day Saints (Mormons)

Seventh Day Adventists

67
Q

Score of 8 or less on Glasgow Coma Scale

A

Defines coma in 90% of cases

68
Q

Spiritual Distress

A

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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