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Lpn > Foundations Ch 4, 8, 10 > Flashcards

Foundations Ch 4, 8, 10 Flashcards

1
Q

Maslow hierchy of needs

A

PHYSIOLOGIC: nutrition, elimination, oxygenation, sexuality. SAFETY AND Most basic needs must be met first. SECURITY: Stability, protection, security, freedom and fear from anxiety. LOVE AND BELONGINGNESS: Affection, acceptance, by peers and community. ESTEEM: Self respect, self confidence, feelings of self-worth.

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2
Q

Trailing Zero

A

Don’t use

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3
Q

Leading Zero

A

Always use

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4
Q

Jargon

A

Language specific to the workplace

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5
Q

Non verbal communication

A

Message transmitted w/o words

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6
Q

eye contact longer than 6 sec

A

Intimidating, disrespectful, aggression

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7
Q

Eye contact brief but direct2-6 sec

A

Interest, respect, caring

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8
Q

No eye contact or fleeting

A

Shyness, lack of confidence, low self-esteem

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9
Q

Open posture

A

Relaxed stance, facing receiver, smile direct eye contact

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10
Q

Closed posture

A

Formal, distant stance, arms and possibly legs crossed

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11
Q

Closed questions

A

Yes or no answer very specific answer to specific quwestion

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12
Q

Open ended questions

A

Cannot be answered by yes or no or a one word response . Allows patient to elaborate

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13
Q

Conveying acceptance. Usually involves a verbal component

A

Demonstrates acceptance of patients rights to current beliefs and practices w/o condoning them. Non judgemental

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14
Q

Restating

A

Repeating what you believe to be the main point

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15
Q

Paraphrasing

A

Restatement of pts message in your own words

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16
Q

Clarifying

A

Asking for more information or for elaboration expressed as a question or statement followed by a restatement or paraphrasing part of pt message

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17
Q

Focusing

A

Allows you to gather more specific info when message is to vague. Focuses on specific data

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18
Q

Stating observations

A

Allows for clarification of intended message when verbal cues do not match nonverbal cues

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19
Q

Offering info

A

Prepping pt for what to expect before during and after a procedure

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20
Q

Summarizing

A

Proving a review of the main points covered

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21
Q

Using humor

A

Laughing therapy reduces BP and heart rate
Less pain

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22
Q

Hallucinating pts

A

You appear to be speaking to someone I don’t know

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23
Q

False reassurance

A

Using false comforting phrases to offer reassurance

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24
Q

Giving advice or personal opinions

A

Making a decision for the pt or giving personal opinions

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25
Q

False assumptions

A

Jumping to conclusions, making an assumption w/o validation

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26
Q

Approval or disapproval

A

Trying to impose your own attitude, belief or values on pt about what is right and wrong

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27
Q

Automatic responses

A

Superficial responses that do not focus on what the pt is feeling or trying to say

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28
Q

Defensiveness

A

Responding negatively to criticism

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29
Q

Arguing

A

Challenging the pt statement

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30
Q

Asking for explanations

A

Ask the pt to explain there actions or beliefs with ‘why’ questions

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31
Q

Changing the subject

A

Focusing on something other than the pts concern

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32
Q

We position patients in many different positions

A

To prevent development of complications

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33
Q

Inappropriate positioning

A

Can cause permanent disability

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34
Q

Dorsal/supine

A

Flat on back

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35
Q

Semi- Fowler

A

Head of Bed is raised 30 degrees

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36
Q

Fowler

A

Head of bed raised 45- 60 degrees

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37
Q

Sims-

A

On side with knee and thigh drawn toward chest

38
Q

How to prevent muscle atrophy, contractures and thrombosis

A

Movement of body muscles and joints Range of motion exercises

39
Q

Active range of motion

A

Performed by pt

40
Q

Passive ROM

A

Performed by caregiver

41
Q

Where should you be when walking with pt

A

Support patient on their weak side

42
Q

What does regular exercise do?

A

Prevents bone loss and fractures

43
Q

Decreased lung expansion

44
Q

Signs of Pulmonary embolism

A

Sudden onset SOB, anxiety

45
Q

Knee-chest positioning

A

Kneeling, supported by knees and chest, abdomen raised head to one side

46
Q

Lithotomy

A

Lying supine with hips and knees flexed thighs abducted and rotated externally. Used for GYN exams

47
Q

Trendelenburg

A

Head low body and legs on inclined plane

48
Q

Sims position

49
Q

Sims position

A

On left side rat knee bent

51
Q

Verbal communication

A

Spoken written symbols

52
Q

Inconsistent communication

A

Confused message

53
Q

What impacts communication

A

Style of delivery aaffects the message

54
Q

Assertive communications

A

Honors feelings and needs of pt. Honors nurses rights. even sides

55
Q

Aggressive communication

A

Overpowering and forceful non therapeutic

56
Q

Unassetive communication

A

Agreeing to do what is requested Can create problems forced self

57
Q

Establishing therapeutic relationships

A

Caring, sincere, empathetic, and trustworthy Establishes trust essential to nurse patient relationship

58
Q

Nursing process

A

ADPIE. A= assessment D=diagnosis. P=plan. I= implementation E= evaluation. ABC airway,breathing, circulation

59
Q

Principals of proper body mechanics

A

Maintain appropriate body alignment maintain wide base of support bend knees and hips do not bend from wais t

60
Q

Assisting with movement of patient PRIORITY

A

Always lock wheelchair, stretcher,bed

61
Q

When do you use a lift

A

Amputee, unable to bear weight, heavy patients

62
Q

Neurovasulcular check

A

Skin color, skin temp,movement, sensation, pulses, capillary refill, pain

63
Q

SRD. Safety Reminder Devices. Restraint free environment

A

Toileting programs/ routines, reorient residents frequently, rooms close to nurses station, encourage visitation

64
Q

Nursing interventions for SRD

A

Skin injury, check for thirst and hunger, need to urinate, Circulation problems. NEED to continue use of SRD. ALWAYS use quick release knot

65
Q

What action is a priority for high risk pts (pertaining to fall risk)

A

ASSESSMENT

66
Q

Sentinel events (med errors, procedures and procedures that lead to death inappropriate use of restraints/SRD) must be reported to whom

A

The Joint Commission

67
Q

Upon admission and change in condition what must be done

A

ASSESSMENT

68
Q

Safety and freedom from injury requires

A

Prevention of falls electrical injuries. Fires burns poisonings

69
Q

In the event of accidental poisoning

A

Call poison control 800-222-1222

70
Q

When should you never use an elevator

71
Q

In event of fire who should be rescued

A

Those in immediate danger

72
Q

A. B. C. s, of fire extinguishers

A

A= paper wood cloth. B= liquid fires, grease and anesthetic
S. C= electrical. ABC= any fire

73
Q

Alternate method# of communicating

A

Lip reading sign language paper n pencil. Eye blinks

74
Q

Communicating w hearing impairedhearing aids. Face them pronounce clearly

75
Q

Barriers to communicating

A

False reassurance showing approval giving advice or personal opinions

76
Q

Body mechanics

A

Ergonomics

77
Q

Pneumonia

A

Deceresed lung expansions

78
Q

PE

A

Pulmonary embolism

79
Q

Ulnar flex ion radial flex ion

A

Hand only to right Hand only to left

80
Q

Pronation Supernation

A

Palm down. Hand down

81
Q

Burns

A

Hot liquids , hot packs, Chemical burns

82
Q

Alice training

A

Active shooting

83
Q

Trndelenburg

A

Used for improved perfusion (edema, ankle swelling)

84
Q

Flat effect

A

“Im so happy”. Expression is blank

85
Q

Connotative communication

A

Subjective and reflects individual perception. High potential for misinterpretation

86
Q

Denotative commonly accepted definition of a word

87
Q

Types of communication

A

Non verbal verbal. Assertive. Aggressive unassertive

88
Q

Reflecting

A

Promotes independent decision making for the patient

89
Q

Language barrier

A

Need interpreter

90
Q

Augmentative communication devices

A

Alphabet boards. White boards laptops, eyes up= yes. eyes down= no

91
Q

Effective communication

A

Eye contact

Lpn (18 decks)

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