Quiz 2 Flashcards
5 core values of trauma informed care are:
Safety, trustworthiness, choice, collaboration, and empowerment
The Human Trafficking presentation discusses possible reasons why victims of sex trafficking would be hesitant to seek help. Which of the following examples refers to the victim having a “need met” such as companionship or love by the abuser, therefore, reluctant to seek help?
a Trauma Bond
ACES are potentially traumatic events that occur before a child reaches the age of 18. What does the acronym ACEs stand for?
Adverse Childhood Experiences
Name the substance found in the fetal lung fields that is made up of lipoproteins, reduces surface tension in the alveoli and is essential for a successful transition from fetal to neonate life.
Surfactant
Which of the following would be considered an assessment of respiratory distress in the physical exam of a newborn.
Nasal flaring
Chest retractions
Grunting
Which actions are part of the assessment of the glossopharyngeal and vagus nerves?
Ask patient to say “ah”
Having the patient swallow
Which would be correct sites for physical stimulation to determine a Glasgow Coma Score?
Trapezius pinch
Supraorbital notch
Finger tip pressure
The four steps to complete the Glasgow Coma scale assessment are:
Check, Observe, Stimulate, Rate
APGAR Scoring in the Newborn is completed by the RN at _________ and _________ minutes.
One and Five minutes.
Using the acronym “All Physicians Take Money” as a guide, name the 4 heart sound locations for auscultation:
Aortic Pulmonic Tricuspid Mitral
Abduction of the leg does which of the following?
It moves the leg away from the body’s midline reference point
We assess pain by using the mneumonic PQRST - what does each letter stand for?
Provocation
Quality
Radiates/region
Severity
Time
Lab Prep Terminology: Vesicular breath sounds are best heard:
Over periphery of lung
The nurse can mindfully employ strategies in their daily practice to engender trustworthiness, transparency, empowerment, and the other facets of Trauma Informed Care; these include
Introduce yourself and your role in every client interaction
Ask before touching
Protect client privacy
Use plain language and teach-back
External variables influencing a person’s health beliefs and practices include:
family practices
psychosocial and socioeconomic factors
cultural background
The Nurses’ Role in Behavioral Change includes which of the following?
Active listening
Providing resources
Education
The Core Skills of Motivational Interviewing include?
Open questions
Affirmations
Reflections
In this stage, people have sustained their behavior change for a while (defined as more than 6 months) and intend to maintain the behavior change going forward. People in this stage work to prevent relapse to earlier stages.
Maintenance
Bronchovesicular breath sounds are best heard:
posteriorly between scapulae and anteriorly over bronchioles lateral to sternum.
__ is an involuntary, rhythmical oscillation of the eyes, occurs because of local injury to eye muscles and supporting structures or a disorder of the cranial nerves innervating the muscles. A nurse assesses for this while testing the 6 Cardinal Fields of Gaze.
Nystagmus
To measure my adult patient for nasogastric tube insertion, I will measure my patient from:
tip of the nose to earlobe to xyphoid process
Which conduction pathway is considered the “pacemaker of the heart”?
SA node
Examples of SENSORY findings in a focused neurological assessment would include:
Confusion
Numbness/tingling
Loss of vision
Any characteristic or factor that increases the vulnerability of an individual or group To an illness, accident or impairment is a risk factor
Attribute
Quality
Environmental situation
Trait
examples of MODIFIABLE risk factors:
Attitudes
Heath literacy
Motivation
Nutritional choices
Activity choices
Lifestyle behaviors
examples of protective factors:
Social connections
Resilience
Knowledge of resources
Coping skills
Nurturing relationships
Social and emotional competence