Final Exam

Question 1

Stepwise approach

Answer 1

ask about alcohol use
use screening tool
assess for alcohol use disorders
advise and assist

Question 2

Withdrawal of alcohol symptoms

Answer 2

N/V, tremor, sweats, anxiety, agitation, tactile disturbances, auditory disturbances

Question 3

At risk drinking

Answer 3

men >15 / week
women >8 / week
1 or more heavy drinking days:
men >5 drinks
women > 4 drinks
> 2 events per year

Question 4

low to moderate drinking

Answer 4

men <2 drinks/day
women < 1 drink/day
65+ < 1 drink/day

Question 5

screening tools

Answer 5

CAGE (cut down, annoyed, guilty, eye opener)
TWEAK: women
SMAST-G: older adults

Question 6

standard drink

Answer 6

12 oz beer
8-9 oz malt liquor
5oz wine
1.5 oz spirits
3 oz martini

Question 7

Intimate partner violence assessments

Answer 7

assess every visit
-PVS: have you been hurt by someone withing the past year? do you feel safe in your current relationship? is there a partner from a previous relationship that makes you feel unsafe now?
HITs: hurt, insult, threatned, scream
STaT: slapped, threatened, and throw
HARK
WAST: women abuse screenign tool
RAT

Question 8

child abuse

Answer 8

neglect, physical abuse, sexual abuse, emotional abuse,
children 11 and older can provide their own health history

Question 9

elder abuse

Answer 9

physical, sexual, psychosocial, neglect, financial
EASI

Question 10

domestic violence

Answer 10

pattern of coercive, controlling behavior that can include physical, emotional, psychological, sexual, or financial abuse

Question 11

what to assess first in children? last?

Answer 11

first: least invasive, inspection
last: most invasive, GU exam or temperature/auscultation (equipment is the most invasive)

Question 12

7 pillars of diversity

Answer 12

awareness
caring
respect
cultural humility
integrity
learning
collaboration

Question 14

Subjective data

Answer 14

opion
what patient says
gained through interview

Question 15

Objective data

Answer 15

what nurse observes during an exam, fact

Question 16

Health assessment

Answer 16

systematic and continous collection of data, sorting, analzying, and organizating that data; and the documentation and communication of the data collected

Question 17

Therapeutic communication

Answer 17

purposeful conversation between nurse, pt, families
- used to reach health related goals, build trust, and maintain relationships

Question 18

Characteristics of communication in healthcare

Answer 18

client centered, purposeful, planned, and goal directed

Question 19

Essential components of therapeutic communications

Answer 19

time, active listening, caring, non judgemental attitude, honesty, trust, empathy

Question 20

Communication

Answer 20

exchange of information so each person clearly understands the other, important so healthcare team knows what is going on

Question 21

Faciliation

Answer 21

general leads like nodding

Question 22

Reflection

Answer 22

sit quietly, allows pt time to think and answer

Question 23

Explanation

Answer 23

share facutal and objective information

Question 24

Empathy

Answer 24

reflects on feelings and puts them into words, sounds like you are feeling sad about…

Question 25

Controntation

Answer 25

honest feedback

Question 26

Interpretation

Answer 26

based on your inference/links events

Question 27

Summary

Answer 27

final review of conversation

Question 28

silence

Answer 28

communicates that the client has time to think

Question 29

nontherapeutic techniques

Answer 29

why?
defensive
challenging the pt
changing the subject
giving advice
sterotypical comments
value judgement
feelings on hold
false reassureance

Question 30

Vital signs

Answer 30

an objective measure of the body’s basic functions
temperature, RR, pulse, blood pressure

follows facility guidlines