VN 15 Test 4 Study Guide-DONE

Question 1

1. What are isometric exercises, what is its purpose and give examples. (Pg.527)

Answer 1

Consists of stationary exercises. Involves working to hold a position still. Promotes muscle mass

-planks
-wall sit
-squat
-holding weights in a steady position.
-Contracting and relaxing muscles.

Question 2

2. Describe passive exercise and when the VN would utilize it.(pg.529)

Answer 2

therapeutic activity that the client performs w/ assistance and is provided when a client cannot move one or more parts of the body.

-for clients who are comatose or paralyzed from stroke, or spinal injury.

Question 3

3. What type of activity is therapeutic activity?(therapeutic pp slide 11 & Pg.529)

Answer 3

-Isotonic(can be active or passive exercise)
-Isometric

Question 4

4. Define the following terms and give examples:
   a. Abduction (pg.529)

Answer 4

Moving away from the midline
-Raising your arms to the side
-kicking legs to the side
-moving knees apart

Question 5

4b. Flexion(pg.529)

Answer 5

Bending to decrease the angle between 2 adjoining bones
-bicep curls
-leg curls
-crunches

Question 6

4c. Adduction(pg.529)

Answer 6

Moving toward the midline
-hip adduction

Question 7

4 d. Extension(pg.529)

Answer 7

Straightening to increase the angle between adjoining bones up to 180 degrees

Question 8

5. What are nursing considerations for the older adult in relation to exercise?(therapeutic exercise pp slide15 & 16)

Answer 8

-Balance physical activity w/rest
-Eliminate intake of caffeinated or alcoholic beverages before or during physical activity
-Encourage to join organizations, social clubs
-short exercise sessions
-safe shoes w/nonskid shoes
-avoid exercising that is stressful on the joints

Question 9

6. List client education for an ECG stress test (slide 6 ch.24 pp)

Answer 9

-report chest pain, dizziness or dysnea
-no smoking 2-3 hrs before
-no caffeine the day of

Question 10

7. When providing client teaching explain techniques to check for understanding (pg.107)

Answer 10

Teach back method:asking client to repeat info in their own words.

Question 11

8. Define: A. Cognitive domain (pg.104)

Answer 11

Style of processing info by listening or reading facts & descriptions.

Question 12

8 b. Affective domain(pg.104)

Answer 12

Style of processing info that appeals to a person’s feeling, beliefs or values

Question 13

8c. Psychomotor domain(pg. 104)

Answer 13

Style of processing info that focuses on learning by doing

Question 14

8 d. Interpersonal domain

Answer 14

Focuses on ability to interact w/others & w/the greater community.

Question 15

9. List barriers to client education(client teaching pp. Slide14 &15, pg.107)

Answer 15

-illiteracy
-Sensory deficits (older adults) - visual deficits, -auditory deficits
-Cultural variances- language barriers
-Attention & concentration
-Pain
-lack of motivation & readiness

Question 16

10. What are nursing considerations for the older adult in relation to client education (pg.106 & slide 19 client teaching pp)

Answer 16

-use accommodations
-make presentations elder- friendly
-use teaching methods that consider impairments in the sensory, psychomotor, cognitive & affective learning domains
-respond to frequent feedback, family encouragement
-attention affected by low energy level, fatigue & anxiety

Question 17

11. List general rules of confidentiality in patient care(pg.120 &121)

Answer 17

-whiteboards must be free of info linking a client w/a diagnosis, procedure or treatment
-computer screens must be oriented away from public view
-convos regarding clients must take place in private places where they can’t be overheard.
-documentation must be kept of those who have accessed a clients record.
-names of clients on charts can’t be visible to the public

Question 18

12. What information is included when documenting incidents? (Slide 22 documentation pp)

Answer 18

Only document FACT (factual, accurate, complete & timely) information.

*not opinions
*not judgements

Question 19

13. Why is good documentation necessary?(pg.121& documentation pp)

Answer 19

-provide evidence during malpractice suits
-should provide clear understanding and picture of the client
-serves as permanent health record
-ensures client safety & continuity of care
-for investigation of care purposes
-compliance w/national accreditation standards
-promote reimbursement from insurance companies
-facilitate health education & research
-Allows the interprofessional team to communicate w/each other

Question 20

14. Understand the difference between tolerance, addiction, and withdrawal

Answer 20

-tolerance: amount of pain a person endures.
-addiction: craving, compulsive use despite harmful consequences, inability to control impulses regarding consumptions of a substance, dysfunctional behaviors.
-withdrawal: physical and mental symptoms that occur after stopping a drug or reducing intake.

Question 21

15. Understand the various pain assessment tools and when they are appropriate (pg.427)

Answer 21

Tools include: numeric scale, word scale, linear scale, visual analogue(picture) scale.

Pain is appropriately assessed when:
-client is admitted
-whenever vital signs are taken
-once per shift when pain is problem focused or a risk
-when the client is at rest & when involved in a nursing activity
-after each potentially painful procedure or treatment
-before implementing pain management intervention like administering analgesic(pain relieving drug) & again 30 mins later

Question 22

What are client education points that the nurse should discuss regarding pain control? (pg.434)

Answer 22

-take pain-relieving drugs when pain begins or before an activity that causes pain.
-Set a pain control goal such as having no pain worse than 4 on a scale of 0 to 10
-Inform the doctor and nurses if the pain medication is not working.
-Perform simple techniques such as abdominal breathing and jaw relaxation to increase comfort.
-Consult with the doctor or nurses about using cold or hot packs or other nondrug techniques to enhance pain control.