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nursing funds > Week 2 -- ati 2, 9, 16, 17, 35, & hw > Flashcards

Week 2 -- ati 2, 9, 16, 17, 35, & hw Flashcards

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1
Q

assessing the cognitive domain

A

lecture
question & answer
discussion
***thinking domain

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2
Q

assessing the affective domain

A

Role Play
Discussion
**emotions & feelings

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3
Q

5 steps of affective domain

A
  1. Receiving
  2. Responding
  3. Valuing
  4. Organization
  5. Characterization
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4
Q

assessing the psychomotor domain

A

demonstration
games
**learning based on action

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5
Q

7 Steps of Psychomotor Domain

A
  1. Perception
  2. Set
  3. Guided Response
  4. Mechanism
  5. Complex of overt response
  6. Adaptation
  7. Origination
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6
Q

Knowles 6 Fundamental Principles of Learning

A
  1. Relevance
  2. Self-Directed
  3. Life Experience
  4. Readiness
  5. Task Centered
  6. Motivations
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7
Q

S.M.A.R.T

A

S–Smart
M–Measurable
A– Achievable
R–Relevant
T–Timed

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8
Q

question that assesses client health literacy

A

” How confident are you about filling out medical forms by yourself ? “

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9
Q

fine motor skills

A

use of small muscles

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10
Q

gross motor skills

A

use of large muscle groups to perform whole body movements

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11
Q

7 principles of self-care

A
  1. Knowledge & health literacy
  2. Mental wellbeing & self-awareness
  3. Physical Activity
  4. Healthy eating
  5. Risk Avoidance
  6. Good Hygiene
  7. Reason
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12
Q

goal of Healthy People initiative

A

public to select their objective to use to improve overall health

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13
Q

Primary Prevention

A

behaviors & vaccinations
**act of intervening before negative health effects occur

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14
Q

Secondary Prevention

A

early screenings to detect disease

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15
Q

Tertiary Prevention

A

Therapy / Rehab
Support groups
***controlling chronic effects of ongoing disease

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16
Q

Quartanary Prevention

A

protects client from excessive use of medical interventions that cause more harm than good.

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17
Q

A nurse is caring for a client on the med-surg unit. Which client care needs should the nurse initiate a referral for a social worker?

A
  • A client who has terminal cancer requests hospice care in the home

*A client asks about community resources available for older adults

*A client requests an electric wheelchair for use after discharge

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18
Q

a goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. Referral to which interprofessional team ?

A

Occupational Therapist

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19
Q

Which interprofessional care team can assist the client in understanding medication?

A

Provider
RN
Pharmacist

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20
Q

A client who had a cerebrovascular accident has problems with dysphagia. Referral to where?

A

Speech-Language Pathologist

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21
Q

Tasks CNA’s can perform

A

Bathing
Ambulating
Toileting
Measuring vital signs

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22
Q

client with low albumin levels & unexplained weight loss should be referred to?

A

Registered Dietician

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23
Q

Occupational Therapist

A

assesses & plans for clients regain ADL skills–motor &
UPPER extremities
**using utensils w/ dominant hand following stroke

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23
Q

Physical Therapist

A

assesses & plans for clients to increase musculoskeletal function – LOWER extremities to maintain memory

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24
Q

Social Worker

A

works w/ clients & family by coordinating inpatient & community resources to meet needs

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25
Q

terminal client can’t perform ADL’s–partner needs equipment. Refer to who?

A

Social worker

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26
Q

Baseline Data includes

A

vital signs
height
weight
allergy status

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27
Q

Psychosocial Assessment includes asking about..

A

alcohol, drug, & caffeine use
history of mental illness
history of abuse
history of homelessness
home- situation

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28
Q

a nurse is performing an admission assessment for an older adult client. After gathering the assessment data & performing the review of systems, which of the following actions is priority for the nurse?

A

Orient the client to their room

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29
Q

a nurse is admitting a client who has acute cholecystitis to a med-surg unit. Which of the following actions are essential steps of the admission procedure?

A

*Explain the roles of other care delivery staff
*Begin discharge planning
*Document the client’s wishes about organ donation
*Introduce the client to their roommate

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30
Q

A nurse is caring for a client who had a stoke & is scheduled for transfer to a rehab center. Which of the following tasks are the responsibility of the nurse at the transferring facility?

A

*Ensure that the client has possession of their valuables

*Confirm that the rehab center has a room available at the time of transfer

*Give a verbal transfer report via telephone

*Complete a transfer form for the receiving facility

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31
Q

A nurse is preparing the discharge summary for a client who has had knee arthroplasty & is going home. Which of the following info about the client should the nurse include in the discharge summary?

A

*Follow up care
*Instructions for diet & medications
*Contact info for the home health care agency

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32
Q

As part of the admission process a nurse at a long-term care facility is gathering a nutrition history for a client who has dementia. Which of the following components of the nutrition evaluation is the priority for the nurse to determine from the client’s family?

A

Any difficulty swallowing

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33
Q

Admission Procedure

A
  1. introduce yourself
    2.explain roles of team
  2. introduce roomate
  3. Position client & apply ID
  4. Provide info & include advanced directive
  5. Document client advanced directive status
34
Q

Procedure for transferring a client

A
  1. confirm availability & time
  2. complete documentation
  3. give verbal transfer report (person or phone)
  4. confirm mode of transport
35
Q

Procedure for receiving a transfer client

A
  1. have equipment ready
  2. inform team & roommate
  3. meet & assess
36
Q

scheduling routine physicals

A

age 20-40
**1-3 yrs female
**every 5 yrs male

37
Q

scheduling dental
vs
scheduling TB

A

dental = every 6 mo
TB = 2 yrs (annually if health care worker)

38
Q

Schedule for Blood Glucose
vs Blood Cholesterol

A

Glucose = start age 45–minimum every 3 yrs

Cholesterol = start age 20 – minimum every 5 yrs

39
Q

Assessing vision vs BP

A

vision
*under 40 every 3-5 yrs
*40-64 every 2 yrs
*65+ annually

BP = every 2yrs unless elevated then annually

40
Q

skin assessment occurs

A

ages 20-40 = every 3 yrs
40+ annually

41
Q

Colorectal screening

A

annually age 50-75

42
Q

items periodically assessed a routine physicals

A

BMI
hearing
digital rectal

43
Q

Tests specific for women

A
  • Cervical Cancer Screening
    -age 21-65 every 3 yrs
    -age 30 every 5 yrs + HPV test
    -age 65 no test

*Breast Cancer
-age 20-29 every 3 yrs
-age 40-54 annual
-age 55+ every 1-2 yrs

44
Q

Tests specific for men

A

**Clinical Testicular exam —routine since puberty
**Prostate Specific Antigen Test—age 50
**digital rectal exam–age 50

45
Q

primary prevention

A

promotes health & prevents disease
*health education
*immunizations

46
Q

secondary prevention

A

identifies illness, provides treatment, & prevents worsening
*disease screening
* early detection

47
Q

tertiary prevention

A

begins after illness/injury, & prevents consequences of illness
**optimal functioning
**rehab/support groups

48
Q

a nurse is caring for a young adult at a college health clinic. which of the following actions should the nurse take first?

A

Determine the client’s health risks

49
Q

A nurse in a health clinic is planning health promotion & disease prevention strategies for a client who has multiple risk factors for cardiovascular disease. Which of the following interventions should the nurse include?

A

*Help the client see the benefits of their actions
**Identify the client’s support systems
**Suggest & recommend community resources
**Teach stress management strategies

50
Q

A nurse in a health clinic is caring for a 21yr old client who tells the nurse that their last physical was in high school. Which of the following health screenings should the nurse expect the provider to perform?

A

Testicular examination

51
Q

Which of the following activities should the nurse include as part of primary prevention?

A

Teaching about a healthy diet

52
Q

A nurse at a provider’s office is talking about routine screenings w/ a 45yr old female client w/ no specific family history of cancer or diabetes.which of the following client statements indicate an understanding of how to proceed?

A

“For now, I should continue to have a mammogram each year”

53
Q

A nurse in a provider’s office is collecting data from the caregiver of a 12 mo old infant who asks if the child is old enough for toilet training. Following an educational session w/ the nurse, the client agrees to postpone toilet training until the child is older. Learning has occurred in which of the following domains?

A

Affective

54
Q

A nurse is providing pre-op education for a client who will undergo a mastectomy. Which of the following statements should the nurse identify as an indication that the client is ready to learn?

A

“Can you tell me about how long the surgery will take?”

55
Q

A nurse is preparing an instructional session for a client about managing stress incontinence. Which of the following actions should the nurse take first when meeting with the client?

A

Determine what the client knows about stress incontinence

56
Q

a nurse is evaluating how well a client learned the info. presented in an instructional session about following a heart healthy diet. which of the following actions should the nurse take to evaluate the client’s learning?

A

ask the client to explain how to select or prepare meals

57
Q

when are one’s values developed

A

unconsciously during childhood

58
Q

5 factors contributing to culture

A
  1. Knowledge
  2. Values
  3. Beliefs
  4. Morals & Law
    5 Customs & habits
59
Q

cultural imposition

A

cultural blindness

60
Q

Intrapersonal vs Interpersonal vs transpersonal

A

Intra = within oneself
Inter = with others
Trans = w/ unseen higher power

61
Q

transcendence

A

the belief in a force outside the person & material world that is superior

62
Q

Buddhism Practices

A
  • good health thru good deeds
  • illness is a result of nonhuman spirits
  • medications seen as harmful – chemicals
  • no euthanasia or bovine derived medications
  • same gender health care worker
63
Q

Buddhism Diet & Death

A
  • some vegetarians –avoid alcohol & tobacco
    *fast on holy days
  • death is a stage of life–preferred at home
  • avoid touching body (head ok) — body prepared by male
  • brain death not requirement for death
64
Q

Christianity Rituals

A

*lay hands while praying
*anoint a client ill/near death
*fast during lent
*Holy Communions & clergy visits
**hydration & nutrition as long as possible

65
Q

Sikhism rituals

A

*removing undergarments is distressing
*females w/ females
*not cutting/shaving hair

66
Q

Navajo Rituals

A

*holistic health –wellness intervention more than disease prevention

*blessingway practice, songs rituals, & prayer correct health

*focus on humanity & place of humans in universe

67
Q

Hinduism Ritual & diet

A
  • illness = sins
    *decisions are made by community/senior family
    *females defer to spouse/family
    *life prolonging discouraged
    *decline porcine medications

DIET = ahisma (nonviolence to food) = vegetarian

68
Q

Hinduism Death rituals

A

*dying client on floor w/ hear north
*cremations purifies
*body prepared by same gender

69
Q

Islam Beliefs

A

*pain is cleansing

*death is predetermined (avoid talking about it)

*spirituality is connected to health (5x a day prayer & strength in group prayer)

*avoid organ transplant & euthanasia

*permit withdrawl of life support but not nutrition/hydration

70
Q

Islam DIet

A

*decline porcine meds
*avoid alcohol & pork
*fast during Ramadan

71
Q

Islam Death

A

*no autopsy burial preferred
*face turned toward Mecca
*body washed & wrapped in cloth (same gender or mosque person)

72
Q

Jehovah witness beliefs

A

no blood transfusion
no food w/ blood

73
Q

Judaism beliefs

A

*obligation to visit ill
*balance of God & medicine
*refuse treatment on Sabbath
*no euthanasia or life support

*males circumcised 8th day after birth
*kocher diet

74
Q

Judaism death

A

*burial within 24hrs & someone always w/ body

*no autopsy, cremation, or embalming

*Orthodox prefer Jewish Burial Society

75
Q

Mormonism beliefs & death

A

*avoid alcohol, caffeine, & tobacco
*temple clothing during death
*children baptized by age 8
*clients might recite confessional (Shema near death)
*body not left alone
*burial preferred
*visit from spiritual leaders (local elders) for blessing

76
Q

4 C’s cultural assessment

A
  1. Call – what do you call the problem
  2. Cope –how do you cope
  3. Concerns
  4. Cause
77
Q

FICA spiritual assessment

A

F –Faith/beliefs
I –Implications, Importance, Influence
C– community
A –address

78
Q

LEARN assessment tool

A

Listen
Explain
Acknowledge
Recommend
Negotiate

79
Q

A nurse is using an interpreter to communicate w/ a client. Which actions should the nurse use when communicating w/ a client & family members?

A

*determine the client understanding several times during the conversation

*Use lay terms if possible

*Do not interrupt the interpreter & the family as they talk

80
Q

A nurse is caring for 2 clients who report following the same religion. which info should the nurse consider when planning care for these clients?

A

the same religious beliefs can influence individuals differently

81
Q

a nurse enters the room of a client who is crying while reading from a religious book & asks to be left alone. Which action should the nurse take?

A

ensure no visitors or staff enter the room for a short time period

82
Q

a nurse is discussing the plan of care for a client who reports following islamic practices. which statement by the nurse indicates culturally responsive care to the client?

A

” I will ask the client if they want to schedule some times to pray during the day.”

83
Q

A nurse is caring for a client who tell the nurse that based on religious values & mandates, a blood transfusion is not an acceptable treatment option. Which response should the nurse make?

A

“Let’s discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution”

nursing funds (15 decks)

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