Exam 3 Collection Flashcards
Describe mild anxiety
Heightened state of alertness
A preschooler is having difficulty with communication. How should the nurse address this?
With play. Clay, crayons, and paper become modes of expression for important feelings and thoughts about problems. Play is the child’s language especially because children have major difficulties verbalizing their feelings
A patient is recovering from a head injury with a lower level of consciousness. What is important to remember regarding verbal communication?
Hearing can remain acute. Initiate conversation and remember you patient may be able to hear you even if they appear unconscious
What is expressive aphasia?
Expressive aphasia can understand what is being said but cannot express thoughts or feelings in words
What can the nurse use to assist with education for a client who is illiterate?
Images and symbols
What does avoidance in therapeutic communication lead to?
Postpone the conflict leading to future issues/problems
How does one assist a blind client with ambulation?
Allow the client to take your arm preserve the clients autonomy
Nurse are kinesthetic learners. What does that mean?
Kinesthetic learners learn best with demonstration and hands on practice
What is the goal of crisis intervention response?
To return the client to a precrisis level of functioning
An effective teaching strategy for reinforcement is shaping. Describe what shaping is?
Shaping refers to the reinforcement of successive approximations of the target behavior. The client is reinforced for behavior to get him closer to the goal or desire behavior
What is the goal of palliative care?
Management for the client and support for family during the last stages of life
What is a developmental crises?
A developmental crises can occur as individual negotiate developmental age related milestones in their life
What is veracity?
Truthful information about clients conditions
What is a teach back process?
Teach back is client/provider evaluation method to confirm a clients understanding
What is the difference between nonverbal and verbal communication?
Verbal communication includes sounds and words. Nonverbal communication uses wordless cues
A client has entered the rage stage what should the nurse do?
Leave and get help
List two de-escalation interventions for mental health emergencies
Avoid rushing client
Slow things down. Set reasonable limits.
Do not indicate you feel threatened or argue the logic of a situation. Allow verbal venting within reason. Use open non threatening stance. Go to a quiet place
What is a situational crisis?
A situational crisis refers to a stressful life event which exceeds a client’s resources and coping skills
An effective teaching strategy uses modeling. Describe this strategy
Modeling describes learning a behavior by observing another perform it
What organization established educational standards requiring health care agencies to provide systematic health education and trained clients?
The joint commission has established standards requiring health care agencies to provide systemic health education and training clients and families
An effective teaching strategy uses empowerment? What does this include?
Approaches that allow client to take on their own initiative in care
You have a client who only speaks Spanish. Who can be utilized as an interpreter to give discharge instructions?
On staff interpreters
There is local community crisis. Describe the heroic phase in responding to the crisis
Heroic emergency teams, neighbors, friend, rally around survivors providing support and supplies for recovery
What is anticipated grief?
Anticipatory grief is an emotional response that occurs before the actual death around a family members with a terminal disorder
What does C.A.R.E for?
C -clarify
A - articulate
R- request
E -evaluate
What is the goal of a crisis intervention response?
To return client to pre-crisis. Get them out of the crisis and into long term help.
List 2 de-escalation interventions for mental health emergencies
Avoid rushing the patient, slow things down, set reasonable limits, and do not indicate that you feel threatened.
An effective teaching strategy uses empowerment. What does this include?
- Assisting the client to take charge of his or her own life
- Client gains strength and confidence from interactions with providers, enabling him or her to move toward achievement of goals
An effective teaching strategy uses modeling. Describe this strategy.
Describes learning a behavior by observing another perform it
What is a situational crisis?
An unusually stressful life event, which exceeds a client’s resources and coping skills
(Ex: unexpected illness or injury, rape, car accident, loss of home, spouse, or being laid off from a job)
A client has entered the rage stage. What should a nurse do?
Leave and get help
A client only speaks Spanish. Who can be used to give instructions?
A certified interpreter
Preschooler is having difficulty with communication. How should the nurse address this?
With play – clay, crayons, and paper become modes of expression for important feelings and thoughts about problems. Play is a child’s language, especially because children have major difficulties verbalizing their feelings.
What does avoidance in therapeutic communication do?
Postpones the conflict leading to future issues/problems
A patient is recovering from a head injury with a lowered LOC. What is important to remember regarding verbal communication?
Hearing can remain acute. Initiate conversation and remember your patient may be able to hear you even if they appear unconscious.
An effective teaching strategy for reinforcement is shaping. Describe what shaping is.
Refers to the reinforcement of successive approximations of the target behavior. The long term goal is broken down into smaller steps and the person is reinforced for any behavior (successive approximation) that gets him or her closer to accomplishing the desired behavior.
What is a developmental crisis?
A developmental crisis can occur as individuals negotiate developmental age-related milestones in their life
(Ex: becoming a parent or retiring from long-term employment)
What organization established educational standards requiring health care agencies to provide systematic health education and training for clients and families?
The joint commission
What is the difference between verbal and nonverbal communication?
Verbal communication includes sounds and words
Nonverbal communication uses wordless cues and actions
How does one assist a blind patient with ambulation?
Allow them to take your arm, walk in front of them to preserve client autonomy
What is Veracity?
Truthful info about the client’s condition (don’t tell the spouse)
What is expressive aphasia?
Can understand what is being said but cannot express thoughts or feelings in words
What can the nurse use to assist with education for a client who is illiterate?
Images, symbols, and colors
What will assist in educating a 4-year-old about an upcoming procedure?
Involve parents, allow child to touch and play
There is a local community crisis. Describe the heroic phase in responding to this crisis.
Emergency response, neighbors, and friends rally around survivors providing support and supplies for recovery
Describe mild anxiety.
Heightened state of alertness (not always bad)
What is the goal of palliative care?
Management for the client and support for the family during the last stage of life
What is teach back process?
A client/provider evaluation method to confirm a client’s understanding
Nurses are kinesthetic learners. What does this mean?
Kinesthetic learners learn best with demonstration and hands on practice
What is anticipatory grief?
An emotional response that occurs before the actual death around a family member with a degenerative or terminal disorder
What is receptive aphasia?
Creates difficulties in receiving and processing written and oral messages
What are the stages of grief and loss?
- Denial - “No, not me”
- Anger - “Why me?”
- Bargaining - “Yes, me, but… I need just a little more time”
- Depression - “Yes, me” stage of dying (depressive feelings/mood swings)
- Acceptance - Acknowledgment of an inevitable end to physical life
What is acute grief?
Somatic distress that occurs in waves with feelings of tightness in the throat, shortness of breath, an empty feeling in the abdomen, a sense of heaviness and lack of muscular power, and intense mental pain
What is chronic sorrow?
A normal grief response associated with an ongoing living loss that is permanent, progressive, recurring, and cyclic in nature
What is complicated grief?
Represents an intense expression of grief, which is significantly longer in duration and emotionally incapacitating
