Documentation
Teacher and Counselor 1
Communication 1
Communication 2
Complementary and Alternative Therapies
100
M. Williams, RN
What is the correct way to sign entry/documentation.
100
Developing teaching materials in patients own native language or having an interpreter when teaching.
What are elements for culturally competent client teaching.
100
The student knows that the primary purpose of documentation is:
What is Communication
100
Communication during an initial client assessment is an integral part of the nursing process.
What is gathering information?
100
Term used to describe traditional medicine
What is allopathy
200
Recorded observations, accurate and factual findings and physician visits and consultations.
What is information that a nurse would document.
200
What is my main problem? What do I need to do? Why is it important for me to do this?
What is Ask me 3?
200
Group discussion among the health care team is considered what type of communication?
What is Interdisciplinary team communication.
200
What statement by a nurse best demonstrates the behaviors of a client focused nurse instead of a task focused nurse? “You need to get out of bed; it is time for your bath.” “I have given this type of injection over 100 times.” “Please eat your breakfast. I need to do an assessment.” “You are afraid of injections. Let’s talk about this.”
What is You are afraid of injections. Let’s talk about this.”
200
Now being used to treat chronic disease in conjunction with traditional/allopathic medicine.
What is CAT or complementary and alternative therapies?
300
Write "Mistaken entry" and draw a line and initial.
What is the appropriate action taken by a nurse in regards to an error?
300
A nurse assists a client through an issue having to do with a new colostomy. This type of counseling is called?
What is Short term or situational?
300
Communication with client and family on a new diagnosis?
What is Interpersonal Communication?
300
This action by the nurse will facilitate the orientation phase of a helping relationship: Provide assistance with activities of daily living, Introducing self and calling client by name, Implementing a client specific teaching plan, Providing needed interventions for care
What is Introducing self and calling client by name
300
The nurse provides massage to the client and assists with medication administration
What is use or implementation of integrative care.
400
Chart in Chronological order Chart date and time of each entry.
What is elements regarding timing when documenting.
400
"I am ready to learn this material" "I want to learn about diabetes" "I have taken previous classes"
What is What are statements that show the nurse readiness to learn?
400
Guarding of wounds Facial grimacing Sighing frequently
What are non-verbal signs of pain?
400
Source or Encoder
What is the person who initiates or begins communication.
400
What statement by the nurse would best explain the purpose of healing touch? “It will decrease the need for fluids after surgery.” “It will assist with postoperative family relationships. “It will help the healing process of the wound.” “It will improve the nurse-client relationship.”
What is “It will help the healing process of the wound.”
500
4/15/2014, 0910- Client fell out of bed, physician notified and incident report complete. K.West, RN
What is incorrect documentation. Do not chart that an incident report was filed.
500
Assess learning needs and readiness Diagnose the client’s learning needs Develop client learning outcomes Implement teaching plan and strategies Evaluate the effectiveness of learning
What is the Teaching-Learning process steps?
500
A nurse is discussing factors that influence communication in an interdisciplinary meeting of staff nurses. What statement by a nurse suggests that more education is needed? “It is important to assess culture and lifestyle influences of clients.” “Don’t women and men have similar communication styles?” “I explain all procedures before I perform them on a client.” “I must be aware of my own personal beliefs and prejudices.”
What is “Don’t women and men have similar communication styles?” Culture and lifestyle do influence the communication process; understanding a client's culture assists nurses in understanding nonverbal communication and enables the nurse to deliver accurate nursing care. Women and men have different communication styles. Explain before you touch or do anything. Know your own cultural competency
500
Kinesthetic
What is touch
500
Which of the following statements indicates client understanding of herbs and supplements? “I will look on the Internet for reputable herb and supplements products.” “The federal government classifies supplements as drugs that are safe.” “I can take as many supplements and herbs as possible to stay healthy.” “I recognize herbs and supplements may interact with my medications."
What is “I recognize herbs and supplements may interact with my medications."
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