Professionalism and Evidence
What is a patient demonstrating when they make independent decisions regarding their health care?
Autonomy
A nurse in a senior center is counseling. A group of older clients about their nutritional needs and considerations. Which of the following information should the nurse include?
Older adults are more prone to dehydration than younger adults, the recommended intake of daily fiber decreases in older adults, many older adults need calcium supplementation
At what age does the anterior fontanel close in infants?
2 months
What are the levels of prevention?
Primary, Secondary, Tertiary, Quaternary
Critical Thinking: What are the 3 requirements?
Thinking ahead, thinking-in-action, and thinking back
During caring for the patient, they have the right to what?
Modification of the Care Plan
A 16 year-old girl comes in with a BMI of 26. In what BMI category is she in?
Overweight
A toddler might show _________ as a response to anxiety or separation
Regression
What immunizations should a child get from 4 to 6 years of age?
Dtap; measles, mumps, rubella (MMR); inactivated poliovirus (IPV); and varicella
What are the six steps of the clinical judgment model?
(1) recognize cues, (2) analyze cues, (3) prioritize hypotheses, (4) generate solutions, (5) take action, and (6) evaluate outcomes.
What are common advance directives?
Living Will, Durable ‘POA’, Health Care Proxy
How do nurses assist with aspiration?
Position the patient to high Fowlers, have patient took their chins when swallowing, avoid the use of a straw, keep clients and semi Fowlers for at least an hour after meals, provide oral hygiene after meals and snacks
How can a parent aid their preschool aged child if the child is having sleep disturbances?
Assess whether the bedtime is too early, keep a consistent bedtime routine, avoid media use or stimulation before bed, use night light, reassure children who are frightened
True or False: Restraints should be used in infant seats
True
Which step of the clinical judgment model involves implementing the solution(s) that address the highest priorities?
Take action
How is informed consent obtained?
A patient grants permission after discussing; details of the treatment, risks and benefits, available alternatives, and risks if the patient refuses surgery
What does a puréed diet consist of?
Clear and full liquids plus puréed meats, fruits, and vegetables
Obesity predisposes school aged children to low self esteem, diabetes, heart disease and high blood pressure. Advise parents to...
Not use food as a reward, emphasize physical activity, provide balanced diet, avoid skipping meals
Children younger than ___ are safer in the backseat?
13
The ability to interact with and appreciate people of different cultures and beliefs
Cultural competence
What is the nurse’s role during the client’s informed consent?
Witnessing a patient’s signing of an informed consent, the nurse verifies that the patient is mentally competent and that the signature is that of the patient
The nurse is caring for a client who requires a low residue diet. The nurse should expect to see which of the following foods on the clients meal tray?
Vanilla custard
What age range is Erikson’s “Integrity Vs Despair” stage?
Older adult - 65+
Concern that vaccine is dangerous (autism, SIDS) is an example of?
Barriers to vaccination
Culturally congruent care uses culturally based knowledge in what ways?
Sensitive, Creative, Safe, and Meaningful