Head to Toe
What would you auscultate for with the bell of the stethoscope?
Bruits and Murmurs
Define HIPAA and name the purpose
Health insurance portability and accountability act
Purpose: Protect patient privacy
SBAR
Situation
Background
Assessment
Recommendation
what are the "normal" vital signs of an adult
(HR, RR, BP)
60-100 bpm
12-20 RR
>120/>80 BP
Who is going to pass the final exam?
YOU
Name all the pulse sites
Carotid, Brachial, Radial, Popliteal, Posterior Tibialias, Dorsalis Pedis
OBRA vs COBRA
OBRA: Omnibus Budget Reconciliation Act
Improves the quality and care for residents of nursing facilities (Nursing homes care)
COBRA: Consolidated Omnibus Budget Reconciliation Act
Temporary extension of health insurance coverage
name 5 types of defense mechanisms
compensation
denial
displacement
dissociation
introjection
projection
rationalization
reaction formation
regression
repression
sublimation
undoing
name 3 signs/symptoms of poor central perfusion
weak pulse
delayed capillary refill
low O2
confusion
syncope
What is Florence Nightingale known for?
established the 1st training school for nurses
mother of modern nursing
established healthcare education
maintaining accurate records
wrote books on education and healthcare
sanitation standards
name the locations you would auscultate heart and lung sounds
HEART : Aortic, Pulmonic, Erbs Point, Tricuspid, Mitral
LUNGS : Posteriorly: C7 to T10
Laterally: Axilla to 7/8 Rib
Anteriorly: Supraclavicular to 6th rib
What is OSHA?
Occupational Safety of Health Administration
Responsible for insuring safe and helpful working conditions, promoting a cultural of safety
name all elements of communication
referent
source
message
channel
receiver
feedback
name 3 causes of poor gas exchange
pneumonia
COPD
pulmonary edema
asthma
cystic fibrosis
RSV
what is Clara Barton known for?
creating the American Red Cross
nurse during the civil war
Name all of the cranial nerves (number and test)
3,4,6 = 6 cardinal positions of gaze
5 = motor: mastication, sensory: cotton ball
7 = facial expressions test
8 = whisper test
9 & 10 = gag reflex and AHH test
11 = shoulder shrug
12 = tongue protrusion
What odes the state legislation control over nursing practice?
Scope of nursing practice
Nursing educational requirements
Disciplinary authority
name the 3 phases of the nurse-patient relationship
orientation phase
working phase
termination phase
name all 7 types of health assessments
initial
focused
quick priority
emergency
time lapsed
triage
patient centered
Name Maslow's hierarchy of needs
1. physiological needs
2. safety and security
3. love and belonging
4. self esteem
5. self actualization
Name all types of adventitious lung sounds
Crackles (rales) - crackling
Wheezing - whistling
Rhonchi - gurgling or snoring
Stridor - crowing, high pitched noise on inspiration
Pleural rub - creaking, grating, due to inflammation of the pleura
What is the constitutional law, statutory law, administrative law, and common law?
Constitutional: Derived from the constitution, these laws outline the structure of government and fundamental rights
Statutory: Laws passed by legislative bodies (congress or state legislators) Example - Nurse practice act
Administrative: Rules and regulations created by government agency (State boards of nursing) to enforce statutory laws
Common law: also known as case law or judicial law. laws developed through court decisions and legal precedents. example- informed consent
name 3 therapeutic communication techniques and 3 nontherapeutic communication techniques
THERAPEUTIC:
open ended questions
eye contact
restating
focusing
clarifying
NONTHERAPEUTIC:
why questions
false assurance
rejecting
give advise
changing the subject
define the following sensory deficit illnesses:
presbycusis
presbyopia
otosclerosis
hypoesthesia
presbycusis: age related hearing loss
presbyopia: age related farsightedness
otosclerosis: abnormal bone growth in the ear
hypoesthesia: decreased sensation
Who was QSEN founded by?
Robert Wood Johnson Foundation