Stress & Coping
What is a physiological stressor and give an example?
A physical condition that causes stress to the body. Examples: Burn injury, pain, infection, Chronic illness, Surgery, Trauma and extreme temperatures
A nurse is caring for a client who says, "I don't understand what the doctor told me about my diagnosis." The nurse contacts the provider to return and explain the information again. Which ethical principle is the nurse demonstrating?
Advocacy
This is the single most effective way to prevent the spread of infection.
What is handwashing (or hand hygiene)?
What is an acceptable patient identifier? (5)
Full name
Date of birth
Medical record number
Home telephone number
Assigned identification number (like ID wristband)
A deficiency in this vitamin may cause bleeding gums, poor wound healing, fatigue, and pinpoint red spots on the skin known as petechiae.
What is vitamin C?
What is the first physiological response in the General Adaptation Syndrome?
Perceived Stressor stimulates the CNS
What rule includes financial penalties for HIPPA violations?
Enforcement Rule
Which organism are transmitted by airborne transmission?
TB
Rubeola
Varicella
A nurse is assisting with the care of a client who is receiving a unit of packed red blood cells (PRBCs). The client suddenly develops chills, back pain, and fever. Which of the following actions should the LVN take first?
Notify the charge nurse immediately
What part of the nursing process is used when helping formulate care goals?
Planning
What type of grief is it when a client is starting to enjoy life again after a loss?
Uncomplicated grief
What are guidelines for proper documentation?
Should be organized and completed in a timely fashion
Should be accurate and complete
can be used in a court of law
What is the proper way to clean medical equipment?
Remove visible material
Disinfect using appropriate level of disinfection
What's the first action when there is smoke in the building?
Close all doors
Which task is appropriate to delegate to an AP?
Obtaining vital signs
Ambulating a stable client
Assisting with hygiene or bathing
Measuring and recording intake and output
Feeding a client without swallowing issues
Obtaining a daily weight
Transporting a client
Making beds
Collecting urine or stool specimens
A client stressed by homelessness is experiencing what kind of stressor?
Socioeconomic stressor
What components are part of a health record?
Medical History
Allergies
Medications
Immunizations
Treatment plans
Assessments
Labs and diagnostic tests
What is important to know about preventing the spread of infection? (4 responses)
Hand hygiene is the number one way to prevent spread
Teach patient the importance of washing hands
Hand sanitizer is effective
Less than 50% of health care workers are in compliance with hand hygiene
What is considered a sentinel event?
unexpected occurrence involving death, serious physical or psychological injury, or the risk thereof
Examples
Death related to a medical error (e.g., sepsis after surgery)
Surgery on the wrong body part or patient
Retained foreign object after surgery
Infant abduction or discharge to the wrong family
Severe pressure injury (Stage 3 or 4) acquired in a facility
Suicide of a patient receiving care
Unanticipated death not related to the patient’s condition
What physiological changes occur during non-rapid eye movement?
Brain activity decreases
Heat rate and BP decrease
Body Tempt Drops
Breathing Slows
Which form of alternative medicine focuses on the root cause of illness?
Functional Medicine
What actions should the nurse take when educating a patient who has low health literacy?
Speak Slowly and clearly
Use the teach back method
Encourage question
Use plain language
Use visual aids
What skin changes in older adults increase their infection risk? (3)
Thin skin
Decreased elasticity
Less hydration
After finding a patient on the floor, the nurse ensures patient safety and performing an assessment, what should the nurse do next?
Notify the provider
Religious beliefs
Cultural practices
Financial concerns
Age
Past experiences with death