mod 1.1 1.2 1.3 2.1 6.1

Question 0

What are some activities done during assessment ?

Answer 0

Obtain a nursing health history
Conduct a physical assessment
Review client records
Review nursing literature 
Consult supper persons
Consult health care professionals

Question 1

Purpose of assessment is

Answer 1

To establish a database about the clients response to health concerns or illness and the ability to manage health care needs.

Question 2

Purpose of nursing diagnosis is

Answer 2

To identify client strengths and health problems that can be prevented or resolved by collaborative and independent nursing interventions.

Question 3

Activities of diagnosing

Answer 3

Interpret and analyze data
-compare data against standards
-cluster or group data
-identify gaps and inconsistencies
Determine strengths, rushed and problems
Formulate nursing diagnosis and collaborative problem statements

Question 4

What’s an actual diagnosis

Answer 4

A client problem that is present at the time of the nursing assessment.
Ex) inefffective airway clearance and anxiety.

Question 5

What’s a risk diagnosis ?

Answer 5

A clinical judgement that a problem does not exis, but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene.
Ex) risk for injection risk for falls.

Question 6

What must a goal statement include?

Answer 6

A time frame, be realistic, mutually developed, observable or measurable.

Question 7

Wholly compensatory

Answer 7

Nurse agency totally compensates for client self-care deficits.

Question 8

Partially compensatory

Answer 8

Nurse agency supplements clients limited self-care ability.

Question 9

Supportive educative

Answer 9

Nurse agency provides support counseling and teaching.

Question 10

Cognitive domain of learning

Answer 10

Intellectual behavior understanding. Ex) alert and orientated and able to listen and interact

Question 11

Affective domain of learning

Answer 11

Feelings related to values, attitudes, and opinions. Ex) asking them to change what they may value more.

Question 12

Psychomotor domain of learning

Answer 12

Integration of mental and motors abilities. Ex) ability to use motor skills for activity, giving injection.

Question 13

Teaching nandas

Answer 13

Deficient knowledge ex-(low-cal diet)
Readiness for enhanced knowledge ex-(exercise and activity)
Noncompliance ex-(with medication plan)

Question 14

Teaching nanda with deficient knowledge as etiology

Answer 14

Risk for impaired parenting related to deficient knowledge(skills in infant care and feeding)
Risk for injection related to deficient knowledge (stds and their prevention)
Anxiety related to deficient knowledge (bone marrow aspiration)
Others that can be used: risk for injury, ineffective breast feeding, coping, or health maintenance

Question 15

Teaching strategy: lecture

Answer 15

Short, but never short enough to really learn.

Question 16

Lecture-discussion

Answer 16

Allows for questions, better way to learn.

Question 17

Discussion

Answer 17

Exchange points of view, correct information, requires more time.

Question 18

Demonstration/return demonstration

Answer 18

Perform motor skill for client then have them perform it back to you. Needs practice.

Question 19

Analogs

Answer 19

Verbal instruction with familiar images.

Question 20

Group teaching

Answer 20

Support groups

Question 21

Audiovisual material

Answer 21

Use of visual and auditory stimulation, films.

Question 22

Internet

Answer 22

Information may be incomplete, misleading, or inaccurate.

Question 23

Printed material

Answer 23

Must fit reading level, use information in language used by client. 12th grade reading level is national average.

Question 24

Government responses to disaster

Answer 24

FEMA-federal emergency management agency SEMA-state emergency management agency CERT-community emergency response team NDRM-National disaster medical systems(homeland security) Red cross-volunteers

Question 25

Natural disasters

Answer 25

Tornadoes, hurricanes, earthquake, flood, storm, epidemic

Question 26

Non-disaster stage

Answer 26

Preplan when vulnerable to disaster. Threat of disasters and there is time to prepare.

Question 27

Impact stage

Answer 27

Disaster has happened, assess damage, death , loss of propert, injury

Question 28

Emergency stage

Answer 28

Help arrives, recovery begins

Question 29

Reconstruction stage

Answer 29

Restore, rebuild mitigation (minimizes the effects or prevents future disasters and makes them right)

Question 30

Nursing preparation to disaster

Answer 30

``` Know facilities plan Know your role Be supportive to patients Carry out plan as best you can Be available if off duty ```

Question 31

Opioid analgesics

Answer 31

Mainstay in the management of all types of pain. Block the release of neurotransmitters in the spinal cord. Ex) morphine, fentanyl, hydrocodone, meperidine, methadone, codeine

Question 32

PRN medications

Answer 32

Pain medication that is given on an as needed basis after doing a pain assessment on the patient. Can only be given every few hours depending on the drug.

Question 33

PCA

Answer 33

Patient controlled analgesia. Can improve pain relief and increase patient satisfaction. Reduces anxiety which helps relieve pain.

Question 34

Analgesics in elderly

Answer 34

``` Metabolize drugs slower Start low and go slow NSAIDS – High incidence of GI bleed Nephrotoxicity Avoid using Demerol/Codeine (causes constipation) Increased cognitive impairment Slow GFR (glomerular filtration rate) Decreased GI motility and absorption ```

Question 35

SE titration

Answer 35

- You want to give the minimal dose that will give the maximum affect w/minimal side effects. (Start low & go slow)

Question 36

What to watch for with opioid use

Answer 36

Watch patient for Respiratory Depression, hold med if respiratory rate is less than 10. Constipation is a main side effect of Opioids along with urinary retention and puritis (itching).

Question 37

Antagonist/antidote for opioids

Answer 37

Narcan (Nalaxone)