Exam1 Flashcards
Conflict is not always __[1]__, and you should not always___[2]___ the source of the conflict.
Don’t Behave; Instead __[3]__.
1-Bad
2-Confront
3-React
What is the DESC script and what is it’s purpose?
DESC script is a tool to help resolve/manage conflict “you” have with another.
D-Describe the situation
E-Express your concerns
S-Suggest alternatives
C-Consequences; state them
What is the LEEN script and what is it’s purpose?
LEEN script help resolve conflict “someone else” has with you.
L-Listen
E-Empathize “That’s understandable”
E-Explain “The reason I did _____ is b/c…”
N-Negotiate “Lets agree on ______”
—Kurt Lewin’s Change Theory—
Change should always be __[1]__.
All change should be __[2]__, and not __[3]__.
All those to be affected should be __[4]__.
1-Gradual
2-Planned
3-Sudden/Sporadic
4-Involved
Define the 3 stages of change…
Unfreezing?
Moving?
Refreezing?
Unfreezing: desiring/planning to change.
Moving: Implementing the change
Refreezing: Change is accepted and stabilized
What is ADPIE and what does it stand for?
It's an acronym to describe the nursing process. A-Assess D-Diagnose P-Plan I-Implement E-Evaluate
The major difference between Problem solving and Decision Making is….?
With problem solving, there is ALWAYS and problem to address.
Exploring, analyzing, prioritizing, explaining, deciding, and evaluating are all concepts involving what?
Tools for critical thinking.
S/S of TB
10
afternoon fever, night sweats, chills productive cough (3+weeks) may be streaked with blood nausea, anorexia, anorexia,lethargy, irregular menses SOB, pleuritic chest pain
Describe Latent TB
Pt. has been exposed to and infected with TB.
Immune system (Active T’s and macrophages) have encapsulated TB bacteria in a granuloma
TB cannot multiply, but it is viable inside granuloma.
+ ppd, -ve CXR, -ve sputum/smear
not contagious
Tx for LTBI
isoniazid for 9 months
What is Quantiferron Gold Test?
Blood test for TB - will get results in 24 hours
What is DOT?
Why done?
direct observational therapy-watching someone take their meds,
It ensures compliance,
outpatient basis - may be only way to reach homeless population
Cons of DOT
Cost
manpower - 1 nurse to 1 pt.
List 4 drugs to Tx active TB & for how long?
Route?
isoniazid (INH), pyrazinamide (PZA), rifampin, ethambutal for 9-18 months PO
Rifampin used to Tx (a) ?
side effects? (b)
a. active TB or latent TB resistant to INH
b. NAUSEA
hepatotoxicity - hepatitis
skin, sweat, tears, urine orange
decreases contraceptive effects
thrombocytopenia
Isoniazid used to Tx (a) ?
side effects? (b)
active TB (in combination with 3 other drugs) or latent TB
b. NAUSEA
hepatotoxicity - hepatitis
NO alcohol
2nd line drugs to Tx TB?
Streptomycin
fluoroquinolones
Ethambutol used to Tx (a) ?
side effects? (b)
active TB (in combination with 3 other drugs)
NAUSEA
ocular toxicity & red/green color disturbances
(Less toxic to liver than other TB Tx)
pyrazinamide (PZA), used to Tx (a) ?
side effects? (b)
active TB (in combination with 3 other drugs)
NAUSEA
hepatotoxicity - hepatitis
reason TB still exists
noncompliance with meds
Tx for resistant strands of TB
newer rifamycins, rifabutin, and rifapentine
Dx for pt with TB symptoms
Place PPD
CXR
Sputum sample for culture x 3 & AFB test x 3, QFT,
can a CXR Dx TB?
No - only support Dx - definitive is +ve Sputum sample x 3 & AFB test x 3