Sensory
Who is at risk for sensory overload?
Persons who are institutionalized
persons with impaired vision or hearing
Persons with brain damage
Persons who are confused or disoriented
Persons who are taking prescribed or recreational drugs which affects the central nervous system
Does the admission end on the day the patient arrives to the facility?
No
Why?
What is the concept called when a person feels good about themselves and believe that others hold them in high regard.
self esteem
Name two responsibilities of the nurse when collecting specimens
Verify the patient
Get an order
Educate the patient
Use the correct supplies
Name some reasons why older adults sleep less
Older adults should get an average of 7 to 8 hours of sleep
As we age, sleep is less sound
Older adults frequently have great difficulty falling asleep and have more complaints of problems sleeping due to a decline in physical health, psychological factors, effects of drug therapy
What is sensory overload?
Sensory overload is excessive stimuli over which a person feels little control; the brain is unable to meaningfully respond to or ignore stimuli.
When does discharge begin
The first contact with the patient
what is the concept called when a person has a mental image or picture of self that can either encourage or inhibit personal growth
self-concept
Can a patient collect a stool or urine specimen?
Yes, a patient can collect the sample.
What must be done to ensure that the patient does it correctly?
What are some negative effects as a result of sleep deprivation?
Sleep loss can result in fatigue
Decreased competence
Increase risk of a sleep-related motor vehicle accident.
Obesity
A nurse is caring for an unconscious person to the unit considers which guideline when performing care for this client?
a. Speak to the patient as if they are awake
b. Refrain from touching the unconscious patient because it may confuse them.
c. Increase the environmental noise level high in the patient’s room to help stimulate the client.
d. Get a referral for pastoral care
a. Speak to the patient as if they are awake
Hearing is the last sense to go
Which other healthcare professionals may be involved with the discharge process?
any healthcare professional that was part of the patient's care
What is the term when a person is able to perceive the solidity of objects and their size, shape, and texture.
What is stereognosis
What are some methods of securing a urine sample?
clean catch
catheters
ostomy
What is insomnia?
Insomnia is characterized by difficulty falling asleep, intermittent sleep, or difficulty maintaining sleep, despite adequate opportunity and circumstances to sleep
A patient with minimal hearing loss needs to communicate with the nurse. How can the nurse facilitate this patient's care?
a. Reduce the environmental noise
b. Use only written communication
c. Have the patient repeat the question several times
d. Type information on the smart phone for all communication
a. Reduce the environmental noise
What are some factors that the nurse must consider when admitting the patient?
culture
family support
type of illness
health care beliefs
socioeconomic status
language
knowledge of the illness
How can a nurse provide emotional support for a patient with an altered body image?
a. Listen and offer support
b. Reassure the patient
c. Offer to pray
d. Encourage the patient to forget the event
a. Listen and offer support
What are some factors to consider when securing a stool sample from a patient?
Functional disability of the patient
Test to be performed
Patient's knowledge of the procedure
Need a medical provider's order
Gather all necessary equipment
Label at the bedside
Need only stool
What are some strategies the registered nurse can suggest to promote sleep?
Promote quiet environment
Continue bedtime routines
Promote relaxation techniques
Promote comfort
Avoid unnecessary task
A patient has been isolated for several days and the nurse suspects sensory deprivation. Which of the following is the most effective care for this patient?
a. Ask the patient to identify themselves, ask date, and time.
b. Plan to discharge to a group home
c. Call the medical provider for hearing aids order
d. Make preparation for a sitter for 24 hours
a. Ask the patient to identify themselves, ask date, and time.
What must the nurse consider when planning to transfer a patient?
Get an order
Inform the patient
Call the receiving unit or facility
Pack the belonging
Get family involved if applicable
Contact other healthcare professionals
Work to reduce anxiety and fear
Transport arrangement
A patient who works from home with three children comes to clinic and is overwhelmed. The patient states, "I just cannot keep up with everything." What component of the identity is compromised?
a. Role performance
b. Power
c. Significance
d. Kindness
a. Role performance
What is occult blood in stool?
Blood is hidden in the stool despite appearing to be of a normal color
What are some questions the nurse can ask the patient when exploring why the patient has difficulty falling sleep?
The nature of the problem
The cause of the problem
The related signs and symptoms
When the problem began and how often it occurs
How the problem affects everyday living
Any intervention by a health care professional
The success of any treatments attempted