Timby 7, 28 Concepts 44, 41 Flashcards
1
Q
The nurse is discussing the use of technology in relation to patient education. Which of the following sites is considered the least creditable for patient education material? Governmental sites Educational sites Nonprofit sites Commercial sites
A
Commercial sites
2
Q
The goal of all patient education is _______
A
Change
3
Q
Which of the following statements regarding patient education is true?
A-Learning will occur whether or not the patient is ready to learn
B-Patient motivation will determine when, how, and if patient education will occur
C- if learning materials are well structured, the teaching techniques will not need to change based on the age of the patient
D- patient education focuses on giving health care providers more control regarding their patients health and learning needs
A
B-Patient motivation will determine when, how, and if patient education will occur
4
Q
The nurse is teaching a patients family how to change a wound dressing. The nurse assembles the supplies necessary for the dressing change and demonstrates the procedure. The nurse then asks the family to demonstrate the dressing change. Which of the following best describes what the nurse has implemented? A- cognitive teaching B- psychomotor teaching C- affective teaching D- formal teaching
A
B- psychomotor teaching
5
Q
Which nursing theorist most closely relates to the concept of patient education? A- jean Watson B- Florence nightingale C- Dorothea Orem D- Martha rogers
A
C- Dorothea orem
6
Q
Developing a patient education plan based on an identified need is the responsibility of the Lpn/LVN?
A- true
B- false
A
B- false
7
Q
Which of the following are considered adult learning principles? Select all that apply.
A- learning is voluntary and self initiated
B- learning is directed and controlled by the teacher
C- learning is reinforced by prompt feedback from the teacher
D- learning is related to an immediate need, problem, or deficit
E- learning cannot be effective within a group atmosphere
A
A
C
D
8
Q
In which stage of the educational process does the nurse determine which teaching methods will be used to meet the patients educational needs? A- learner assessment B planning C- implementation D- evaluation
A
B- planning
9
Q
Which statement best describes health literacy? Health literacy refers to
A- a patients ability to understand and interpret health related information and instructions
B- the process nurses use to impart health care information
C- the patients ability to read and understand all written materials.
D- the patients ability to read and follow prescription labels
A
A- a patients ability to understand and interpret health related information and instructions
10
Q
True or false
The traditional nursing role not only involves physical care but also close emotional relationships
A
True
11
Q
True or false
Silence is a form of nonverbal communication
A
False
12
Q
True or false
A nurse develops a positive relationship with every client
A
False
13
Q
True or false
Verbal communication is used to instruct, clarify, and exchange ideas
A
True
14
Q
True or false
Affective touch has different meanings to people depending on their upbringing and cultural background
A
True
15
Q
_________ includes nonverbal techniques such as facial expressions, posture, gestures, and body movements.
A
Kinesics
16
Q
Mutual agreement on improvement of the clients immediate health problems occur in the _______ phase of the nurse client relationship
A
Terminating
17
Q
__________ consists of vocal sounds that are not actually words, but which communicate a message
A
Paralanguage
18
Q
_______ is an intuitive awareness of what a client is experiencing
A
Empathy
19
Q
_______ is the use and relationship of space to aid a communication
A
Proxemics
20
Q
The nurse is planning the discharge from the hospital of an 84-year-old client after recovery from hip surgery. The client intends on returning home, but the client’s children and hospital care team are skeptical of the client’s ability to safely live on their own and rehabilitate their hip. A family meeting has been organized. How can the care team minimize the client’s anxiety and foster therapeutic communication during this process?
Emphasize the potentially unsafe consequences of living independently.
Ensure that the client maintains as much control over the decisions as possible.
Ask the client’s physician to present a unified plan.
Present two options to the client and ask the client to choose one.
A
Ensure that the client maintains as much control over the decisions as possible.
21
Q
A client with a new diagnosis of type 2 diabetes mellitus is being discharged after being admitted for acute hyperglycemia. The nurse prepares a discharge teaching plan for the client. In order to enhance the nurse-client partnership, what should the nurse include as a priority?
Emphasize the consequences of missing follow-up appointments.
Assess the client’s motivation to change.
Calculate the client’s body mass index.
Provide meaningful options for the client.
A
Provide meaningful options for the client
22
Q
A nurse is caring for a client experiencing biliary colic from uncomplicated cholelithiasis. The client asks, “My doctor says I should have surgery to remove my gallbladder. Do you think it is really necessary?” What is the nurse’s best response?
“Share with me the advantages and disadvantages of your options as you see them.”
“You should follow your physician’s recommendation and have the surgery.”
“When you see the physician this morning, request more information about the surgery.”
“It is a minimally invasive surgery with rapid recovery time, so you will do fine.”
A
“Share with me the advantages and disadvantages of your options as you see them.”
23
Q
A nurse on a subacute geriatric ward is working with a male client who has a diagnosis of Alzheimer disease. How can the nurse best enhance therapeutic communication with this client?
Avoid assessing the client unless the client has a trusted family member nearby.
Ask the client frequently if the client understands what the nurse is saying.
Give the client plenty of time to make responses to questions that the nurse asks.
Ask the client to paraphrase or summarize the nurse’s statements.
A
Give the client plenty of time to make responses to questions that the nurse asks.
24
Q
The nurse educator on a busy medical unit that serves a diverse population is discussing the importance of therapeutic nurse-client relationships with a group of recent nursing graduates. What principle should the nurse educator promote?
View each client as a unique individual with unique needs and priorities.
View each client on the unit in light of the client’s medical diagnosis and necessary treatment.
Remember that there is a wide gap between nurses’ knowledge and the learning needs of clients.
Aim to minimize differences in the care that clients receive in order to promote justice.
A
View each client as a unique individual with unique needs and priorities
25
A palliative care nurse possesses numerous skills that have enhanced the nurse-client relationship and communication in the past. One of these skills that has benefited previous clients is affective touch. Before using this technique, the nurse must consider:
the client's prognosis.
the client's culture.
the client's diagnosis.
the institutional policies.
The clients culture
26
A nurse is completing a health history with a newly admitted client. During the interview, the client presents with an angry affect and states, "If my doctor did a good job, I would not be here right now!" What is the nurse's best response?
Stand and say, "I can see this interview is making you uncomfortable, so we can continue later."
Be silent and allow the client to continue speaking when ready.
Nod and say, "I agree. If I were you, I would get a new doctor."
Smile and say, "Don't worry, I am sure the physician is doing a good job."
Be silent and allow the client to continue speaking when ready
27
The nurse is assisting a client with managing activities of daily living while hospitalized. Which role of the nurse–client relationship is the nurse providing?
Collaborator
Caregiver
Delegator
Educator
Caregiver
28
A client was recently diagnosed with metastatic lung cancer. The nurse finds the client crying in the room. Which statement made by the nurse best demonstrates the use of empathy?
"I see you have been crying. Do you want me to call someone for you?"
"Don't worry, I have seen lots of people with cancer do fine."
"I see you are upset. Would you like to talk?"
"I am sorry to hear you have cancer. I would be upset too, is there anything I can do?"
“I see you are upset. Would you like to talk?”
29
A nurse is caring on an acute medical unit in the hospital. The nurse is caring for the client collaboratively with a licensed practical/vocational nurse (LPN/LVN). Which information will the nurse consider when deciding what nursing care to delegate to the LPN/LVN? Select all that apply.
scope of practice
hospital policy
client stability
LPN/LVN proficiency level
LPN/LVN teaching ability
scope of practice,
hospital policy,
client stability,
LPN/LVN proficiency level
30
A nurse is conducting an admission assessment of a client who will be receiving treatment for a kidney infection. To foster therapeutic conversation, which action should the nurse take?
Sit one to two feet away from the client.
Avoid directly discussing the client's kidney infection.
Remove as many distractions from the interaction as possible.
Avoid silence during the conversation.
Remove as many distractions from the interaction as possible
31
The nurse is caring for a client who has been ringing the call bell frequently and talking to the nurse for prolonged periods of time, making it difficult for the nurse to perform duties for other clients in a timely manner. Which statement by the nurse will be most effective in addressing client needs while optimizing efficiency for the nurse?
"Why are you frequently ringing your call bell?"
"I have 10 minutes to talk with you and will come back after I complete some of my other duties."
"I am not sure that I understand your concerns, will you please clarify them?"
"You continue to ring your call bell but are not specific about what your needs are."
“I have 10 minutes to talk with you and will come back after I complete some of my other duties."
32
The nurse is talking with a client who has received a diagnosis of Crohn disease. The client states, "I just feel my life is not going to be very easy because of this." What is the most therapeutic nursing response?
"Things could always be worse, it could be a more serious disease."
"If I were you, I would investigate alternate therapies instead of traditional medications."
"You are feeling as though life will be more difficult."
"That is not true, you could have a great life once you adjust to the changes."
“You are feeling as though life will be more difficult."
33
The nurse is demonstrating how to administer allergy injections so that the client may be able to continue the injections at home. The client states, "I am just not sure how I am going to do this by myself." What is the most therapeutic response by the nurse?
"There are many people who do this independently without difficulty."
"You are finding it difficult to consider administering the medication by yourself."
"Ask your health care provider to give you something else other than shots."
"What is so hard about doing this?"
“You are finding it difficult to consider administering the medication by yourself."
34
A client with chronic hyperparathyroidism expresses that she is fed up with her diet and can no longer continue with it. What should the nurse's appropriate response to the client be?
"What is the reason that you cannot adhere to the prescribed diet plan?"
"I think it is not so difficult to follow the suggested dietary restrictions."
"You may be having a difficult time staying on that diet; let's discuss it."
"It's important to stay on the diet to prevent formation of kidney stones."
“You may be having a difficult time staying on that diet; let’s discuss it.”
35
The wife of a client who is terminally ill expresses to the nurse that she is unable to see her husband die and she may not come to the health care facility anymore. What should the nurse's response to her be?
"Your husband would come to know that you are not here, and you would feel guilty."
"You are right; after all, your husband knows that you love him. We will take care of him."
"I think at this stage of the disease, you should focus on your husband and not yourself."
"You have been coming here every day; are you taking some time for yourself?"
“You have been coming here every day; are you taking some time for yourself?”
36
The nurse is caring for a client with Alzheimer disease who has difficulty with verbal expression. What intervention(s) can the nurse provide that will facilitate communication with the client? Select all that apply.
Make verbal corrections when the client states something incorrectly
Use visual cues or gestures to clarify verbal meanings
Maintain eye contact during the conversation
Speak at a louder volume to attract the client's attention
Rephrase the information if the client demonstrates misunderstanding
Use visual cues or gestures to clarify verbal meanings,
Maintain eye contact during the conversation,
Rephrase the information if the client demonstrates misunderstanding
37
A nurse anticipates collaborating with the nurse aide, physical therapist, surgeon, and respiratory therapist in which circumstance?
caring for a client following a total hip replacement
ambulating a client with a new leg cast and crutches
feeding a client who has difficulty swallowing after a stroke
preparing a client to receive treatment for partial-thickness or second-degree burns
Caring for a client following a total hip replacement
38
Which quality in a nurse helps the nurse to become effective in providing for a client's needs while remaining compassionately detached?
Sympathy
Kindness
Empathy
Commiseration
Empathy
39
A client has cancer, but the significant other does not want the client to know the diagnosis. The nurse demonstrates sensitivity to the significant other and works with the couple to achieve desired outcomes. What kind of behavior is the nurse exhibiting?
Humility
Curiosity
Empathy
Sympathy
Empathy
40
The nurse is meeting a client in the clinic for the first time to establish care. Which action can the nurse perform to initiate the nurse–client relationship in the introductory phase?
Create a plan for the client's health care and implementing the plan.
Identify the health problems that the client is experiencing at this time.
Encourage the client to make decisions related to one's health care independently.
Discuss the goals for treatment and how they will be achieved.
Identify the health problems that the client is experiencing at this time.
41
The nurse and client are looking at a client's heel pressure injury. The client asks, "Why is there a small part of this wound that is dry and brown?" What is the nurse's appropriate response?
"You are seeing undermining, a type of tissue erosion."
"That is called slough, and it will usually fall off."
"This is normal tissue."
"Necrotic tissue is devitalized tissue that must be removed to promote healing."
“Necrotic tissue is devitalized tissue that must be removed to promote healing."
42
A nurse uses enzymatic debridement to promote the healing of wounds for a client in the health care facility. For which type of wounds would the nurse use this type of debridement?
uninfected wounds
deep wounds
extensive wounds
small wounds
Uninflected wounds
43
When assessing a wound that a client sustained as a result of surgery, the nurse notes well-approximated edges and no signs of infection. How will the nurse document this assessment finding?
avulsion
abrasion
laceration
incision
Incision
44
The nurse is providing care for a client whose recent health deterioration has led to a nursing diagnosis of Risk for Impaired Tissue Integrity. What assessments should the nurse consequently perform? Select all that apply.
assessing the client's bowel and bladder function
assessing the client's hair distribution pattern
monitoring the client's nutritional status
assessing the client's level of mobility
monitoring the client's fluid intake
assessing the client's bowel and bladder function,
monitoring the client's nutritional status,
assessing the client's level of mobility,
monitoring the client's fluid intake
45
The nurse has collected blood from a client for laboratory analysis. Which dressing will the nurse select to cover the site from which the blood was drawn?
tape with eyelets
gauze
hydrocolloid
transparent
Gauze
46
A nurse is preparing to change the dressing on an elderly client's sacral wound that developed after a prolonged period of immobility prior to admission. Which action should the nurse perform while performing an aseptic change of this client's dressing?
performing hand washing before the dressing change and after removing the existing dressing
donning sterile gloves before removing the existing dressing from the client's wound
administering oral or subcutaneous analgesics during the dressing change
irrigating the wound bed with chlorhexidine or hydrogen peroxide to remove debris from the wound bed
performing hand washing before the dressing change and after removing the existing dressing
47
The nurse is caring for a client with an ankle sprain. Which client statement regarding an ice pack indicates that nursing teaching has been effective?
"I must wait 15 minutes between applications of cold therapy."
"I can let this stay on my ankle an hour at a time."
"I will put a layer of cloth between my skin and the ice pack."
"I should keep this on my ankle until it is numb."
"I will put a layer of cloth between my skin and the ice pack."
48
In consultation with a wound care nurse, a nurse has included wound irrigation in the nursing care plan of a client. What characteristic of the client's wound would justify the use of irrigation during the wound care regimen?
The client's wound in healing well, but the client has risk factors for impaired tissue integrity.
There is debris on the client's wound bed but granulation has begun to form.
There is a drain in place in the client's wound, but output over the past 24 hours has been scant.
The client's wound is a surgical wound that is held in place with staples.
There is debris on the client's wound bed but granulation has begun to form.
49
The nurse is preparing to insert an IV for a client with dehydration. Which dressing supply will the nurse gather to take in the client's room?
hydrocolloid
gauze
transparent
adhesive strips with eyelets
Transparent
50
A client who was injured when stepping on a rusted nail visits the health care facility. What is the most important assessment information the nurse needs to obtain?
Staging the wound for assessment
The status of the client's tetanus immunization
If there is contamination of dirt and debris
The event leading up to the trauma
The status of the client’s tetanus immunization
51
A nurse at an extended care facility is conducting an in-service for care staff on the prevention of pressure ulcers. Which preventive measures should the nurse recommend?
placing residents in a prone position to sleep
applying pads to the bony prominences of residents who have impaired mobility
avoiding the use of commercial soap when providing bed baths to residents
using mechanical lifts or ceiling lifts for resident transfers whenever possible
applying pads to the bony prominences of residents who have impaired mobility
52
What observation should the nurse make about a client's open wound if the wound is healing by third intention?
The wound edges are widely separated and brought together with closure material.
The wound edges are directly next to each other.
The wound edges are widely separated, leading to a complex reparative process.
The wound edges are close to each other but require closure material.
The wound edges are widely separated and brought together with closure material.
53
A nurse bandages the knee of a client who has recently undergone a knee surgery. What is the major purpose of the bandage?
maintains a moist environment
keeps the wound dry
supports the area around the wound
reduces swelling and inflammation
Supports the area around the wound
54
The nurse observes the presence of intestinal contents protruding from the client's surgical wound after colon resection. What action will the nurse take?
Pack the wound with gauze pads and a dry sterile dressing.
Apply saline solution–moistened gauze over the protruding area.
Inform the client that this is an expected occurrence and not to worry.
Allow the wound and intestinal contents to remain open to air.
Apply saline solution-moistened gauze over the protruding area.
55
The nurse is caring for a client for whom maggot therapy has been ordered for a nonhealing leg wound. The client states, "You're not putting those nasty bugs on me!" What are the appropriate nursing responses? Select all that apply.
"I understand your concern; let's talk further about your thoughts about this treatment."
"The choice regarding whether to have or decline this treatment is yours."
"We have to do this treatment to help your wound heal."
"If you do not have this debridement, you will get septicemia and possibly die."
Medical maggots are sterilized before they are introduced to the wound.
“I understand your concern; let's talk further about your thoughts about this treatment.",
"The choice regarding whether to have or decline this treatment is yours."
56
The nurse educator on a hospital's acute medical unit has created a document encouraging nurses to use cold applications when appropriate to clients' plans of care. What benefits of cold application should the educator cite?
prevention of swelling
promotion of circulation
increased rate of wound healing
relief of muscle spasms
Prevention of swelling
57
The nurse in the long-term care facility observes that a client has developed a sacral pressure wound, which is very red and surrounded by blisters. Which stage of pressure injury does this client present?
stage II
stage IV
stage I
stage III
Stage II
58
A nurse is caring for a client with laceration wounds on the knee. The nurse notes that the client is in remodeling phase of wound repair. Which statement describes this phase of wound recovery?
process by which damaged cells recover and reestablish normal function
physiologic defense immediately after the tissue injury
period during which the wound undergoes changes and maturation
period during which new cells fill and seal a wound
Period during which the sound undergoes changes and maturation
59
A client with vaginal itching and burning has been scheduled for an examination and Pap procedure. Which teaching regarding douching will the nurse provide to the client to prepare for the appointment?
"Do not douche for 24–48 hours before the procedure."
"Plan to begin douching routinely immediately after your procedure."
"Douching is recommended so that you are clean for the examination."
"The Pap procedure includes application of a douche."
“Do not douche for 24-48 hours before the procedure”
60
A nurse is caring for a client with dehydration at the health care facility. The client is receiving glucose intravenously. What type of dressing should the nurse use to cover the IV insertion site?
transparent
bandage
gauze
hydrocolloid
Transparent
61
What is the best nursing diagnosis to describe a minor laceration to the finger, sustained when a client was cutting fruit with a knife in the kitchen?
Knowledge Deficit regarding wound care related to laceration
Pain related to wound sustained by knife
Impaired Skin Integrity related to open wound
Risk for Infection related to wound
Impaired skin integrity related to open wound
62
How do you teach someone with a cognitive deficit?
The teaching will include physiological information designed to enhance the patients understanding of the necessity of a procedure.
Suggest regular physical activity, a healthy diet, social activity, hobbies, and intellectual stimulation.
63
What are the three different learning domains?
Cognitive domain
Psychomotor domain
Affective domain
64
What is cognitive domain?
Increasing knowledge
| Involves knowledge and the development of intellectual skills.
65
What is psychomotor domain?
Developing or improving a skill.
66
What is affective domain?
Changing or influencing attitudes
67
How do you teach an older adult?
68
Know about internet resources.
| Which do you use and which don’t you?
The most creditable sources are government .gov
Educational .edu
Nonprofit .org
Don’t use commercial .com
69
What are the purposes of wound dressings?
```
Keeping the wound clean
Absorbing drainage
Controlling bleeding
Protecting the wound from further injury
Holding medication in place
Maintaining a moist environment
```
70
What is verbal communication
| And what are the three verbal communications?
Communication that uses words including speaking, reading, and writing.
Therapeutic verbal communication (using words and gestures to accomplish a particular objective)
Listening- activity that includes attending to and becoming fully involved in what the client says
And silence (intentionally withholding verbal commentary)
71
What is nonverbal communication?
| And what are the four types of nonverbal communication?
Nonverbal communication is an exchange of information without using spoken or written words, involves what is not said.
Kinesics (body language)
Paralanguage (vocal sounds that are not actually words)
Proxemics (the use and relationship of space to communication
Touch (a tactile stimulus produced by making personal contact with another person or object)
72
What is therapeutic and non therapeutic communication?
Therapeutic verbal communication is using words and gestures to accomplish a particular objective
Non therapeutic communication is giving false reassurance, using cliches, giving approval or disapproval, agreeing, disagreeing, demanding an explanation, giving advice, defending, belittling, patronizing, changing the subject.
73
What is formal vs informal teaching?
Formal is often taught using a curriculum/course plan with standardized content.
Informal teaching often occurs in one-on-one sessions with the patient and/or family. May be planned or spontaneous meetings.
74
What is a stage one wound?
Intact but reddened or darkened skin.
75
What is a stage two wound?
Red and accompanied by blistering or a skin tear WITHOUT slough.
76
What is stage III wound?
Has shallow skin crater that extends to the subcutaneous tissue. Accompanied by serous drainage, undermining, slough, or purulent drainage
77
What is stage IV wound?
Life threatening. Tissue is deeply ulcerated, exposing muscle and bone. Slough and necrotic tissue may be evident.
78
What is an incision?
An open wound.
| Clean separation of skin and tissue with smooth, even edges
79
What is laceration?
An open wound.
| A separation of skin and tissue in which the edges are torn and irregular.
80
What is abrasion?
An open wound.
| A wound in which the surface layers of skin are scraped away.
81
What is avulsion?
An open wound.
| Stripping away of large areas of skin and underlying tissue, leaving cartilage and bone exposed
82
What is ulceration?
An open wound.
| A shallow crater in which the skin or the mucous membrane is missing.
83
What is puncture?
An open wound.
| An opening of the skin, underlying tissue, or mucus membrane caused by a narrow, sharp, pointed object
84
What is contusion?
A closed wound.
| Injury to soft tissue underlying the skin from the force of contact with a hard object, sometimes called a bruise.
85
What’s the difference between wound evisceration and dehiscence?
Wound evisceration is wound separation with the protrusion of organs.
Wound dehiscence is the separation of wound edges.
Page 620 shows a picture.
86
What do you do if wound evisceration and dehiscence occurs and who should you notify?
The nurse positions the client to put the least amount of strain on the open area.
If evisceration occurs, the nurse places sterile dressings moistened with normal saline over the protruding organs and tissues.
For any wound disruption, the nurse notifies the physician immediately.
87
What is scar formation?
Replacement of damaged cells with fibrous scar tissue. Acts as a nonfunctioning patch.
88
What is a gauze dressing and what is it used for?
Gauze is made of woven cloth fibers, its used for covering fresh wounds.
It’s secured with tape.
89
What is a transparent dressing and what is it used for?
It’s clear, acrylic film wound covering, and non absorbent
It has an advantage which is it allows the nurse to assess a wound without removing the dressing.
Doesn’t require tape.
It’s used to cover peripheral and central intravenous insertion sites.
90
What is hydrocolloid, hydrogel, alginate, and collagen? and what is it used for?
Self adhesive, opaque, air and water occlusive wound coverings.
Contains granules of gelatin or pectin in the matrix of the dressing. Keeps the wound moist.
Collagen dressings are used for chronic wounds, pressure ulcers, transplant and surgical wounds, second degree or higher burns, and wounds across large areas.
91
What’s the differences between open and closed drains?
Open drains are flat, flexible tubes that provide a pathway for drainage toward the dressing. The draining occurs passively by gravity and capillary action.
Closed drains are tubes that terminate in a receptacle. They are more effective than open drains because they pull fluid by creating a vacuum or negative pressure.
92
What is a JP drain?
Tubes that provide a means for removing blood and drainage from a wound. They promote wound healing by removing fluid and cellular debris.
93
What is a circular turn? (Wrap)
Used to anchor and secure a bandage where it starts and ends. It simply involves holding the free end of the rolled material in one hand and wrapping it around the area,brining it back to the starting point.
94
What’s a spiral turn? (Wrap)
Partly overlaps a previous turn. The amount of overlapping varies from one-half to three-fourths of the width of the bandage. Spiral turns are used when wrapping cylindrical parts of the body such as the arms and legs.
95
What is a spiral-reverse turn? (wrap)
A modification of a spiral turn. The roll is reversed or turned downward halfway through the turn.
96
What is a figure of eight turn? (Wrap)
The best when bandaging a joint such as the elbow or knee. This pattern is made by making oblique turns that alternately ascend and descend, stimulating the number eight
97
What is spica turn? (Wrap)
A variation of the figure of eight pattern. It differs in that the wrap includes a portion of the trunk or chest.
98
What is recurrent turn? (Wrap)
Made by passing the roll back and fourth over the tip of a body part. The bandage is anchored by completing the application with another basic turn such as the figure of eight turn. A recurrent turn is especially beneficial when wrapping the stump of an amputated limb or the head.
99
What are staples?
Wide metal clips.
They do not encircle a wound like sutures do, instead they form a bridge that holds the two wound margins together
Staples are more of an advantage.
100
What are sutures?
Knotted ties that hold an incision together are generally constructed from silk or synthetic materials such as nylon.
101
Know about nurse-nurse collaboration?
It’s also called intraprofessional collaboration.
Nurses develop nursing teams on hospital units, in clinics, and in community settings that provide collaboration and support in patient caregiving.
102
What is first intention healing?
It’s a stage in wound healing.
Also called healing by primary intention, its a reparative process in which the wound edges are directly next to each other.
103
What is second intention healing?
It’s when the wound edges are widely separated, leading to a more time consuming and complex, reparative process.
104
What is third intention healing?
The wound edges are internationally left widely separated and are later brought together with some type of closure material.
105
What is debridement?
The removal of dead tissue
106
Why should wounds be moist?
Wounds should be moist to enhance angiogenesis.
| Moist wounds heal more quickly.
107
Know about irrigation of the ear.
Ear irrigation removes debris from the ear.
| Ear irrigation is contraindicated if the tympanic membrane(ear drum) is perforated.
108
Exemplars of nurse-nurse collaboration
```
Quality improvement project
Mentoring programs
Dedicated information, exchange, meetings, memos, email
Shared governance
Patient care handoff
Student nurse collaboration learning.
```
109
What is a type of collaboration, or creative partnership typically between a novice nurse and an expert nurse, that has been recognized as beneficial to the development of professional nurses.
Mentoring
110
What phase is the period when the relationship comes to an end?
Terminating phase
111
What phase is during which tasks are performed (Involves mutually planning the clients care and implementing the plan)
Working phase
112
What phase is the period of getting acquainted (First meet between client and nurse begins)
Introductory phase
113
What zone is Giving speeches, Gathering of strangers (12ft or more)
Public
114
What zone is Group interactions, Lecturing, Conversations not intended to be private (4-12ft)
Social
115
What zone is Interviewing one-on-one, Physical assessment, Therapeutic interventions involving touch, Private conversations, Teaching (6in-4ft)
Personal
116
What zone is Lovemaking, Confiding secrets, Sharing confidential information (within 6 in)
Intimate
117
What does it mean to perceive the client’s emotional state and need for support
EMPATHY
118
What is shared governance?
Nursing practice model
•Move to management style where nursing staff are more involved in decision-making processes – an environment of empowerment
119
What is mechanical defense mechanisms
It’s your skin.
120
What is hot used for?
```
●Provides warmth
●Promotes circulation
●Speeds healing
●Relieves muscle spasm
●Reduces pain
```
121
What is cold used for?
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●Reduces fevers
●Prevents swelling
●Controls bleeding
●Relieves pain
●Numbs sensation
```
122
What are binders used for?
To secure a dressing.
