I Believe
Yin and yang may be practiced in the Asian American culture. Name one aspect Yin represents and one aspect Yang represents?
Yin-negative, dark, cold and feminine
Yang (positive, light, warm, and masculine)
Explain what HIPPA means, and provide 1 example of a violation.
HIPPA: Health Insurance Portability And Accountability Act
Required the creation of regulations regarding patient privacy and electronic medical records.
The client is stating they have a continuous ringing in their ears. What is the name of this condition?
Tinnitus
What percentage of emergency room visits of the older population are caused by polypharmacy?
almost half (greater than 50%)
The client's mobility has become decreased. Name 1 nursing intervention that could help the client.
Immediately Address mobility needs! Educate Importance of lifelong activity, Encourage walking 30 minutes, Three times a week, Encourage using Fine motor movement, Encourage ROM Exercises
Name 1 cultural practices of a Hispanic American who practicing the Catholic faith and 1 spiritual practice of this population.
Family is valued over the individual and is patriarchal. Health is seen as a gift from God.
Often seek help within the family first or may see a folk healer, and may use herbal remedies-“hot” and “cold” therapies. May be superstitious (“evil eye”) and may be vocal about pain.
Belief in one God, infants must be baptized soon after birth, Holy Communion, Sacrament of the sick, dying must receive the sacrament of the sick and make a confession; all body parts must be cremated or buried, natural family planning is the only acceptable method of birth control, Sterilization is forbidden unless for medical reasons.
What is the purpose of communication in healthcare?
To focus on the client and the client’s needs to facilitate interaction
To establish rapport with a client creating a trustworthy and reliable environment
Divorce affects the entire family, including children. Name an issue a child may have when their parents get divorce.
Children may be deeply affected; some may feel to blame for breakup and often feel guilty.
Name 1 nursing intervention that can assist with urinary incontinence.
Assess for an underlying cause, Assist to toilet during regular intervals- bladder retraining, Answer the call light promptly, Prevent skin breakdown, Easy-release clothing
Name 2 interventions or items that a nurse can provide to assist a client with visual deficits.
Environment-Orient the patient, Use bright lights, Remove hazards, Identify yourself when entering & leaving a room, Do not rearrange the patient’s belongings without permission
Mobility-Offer your arm for assistance when ambulating, Assistant Devices-Screen magnifiers, Large-print books, Audiobooks
Caring for a client who practices Judaism may follow dietary restrictions and be more susceptible to certain diseases. Name 1 dietary consideration and 1 susceptible disease.
Diet “Kosher”-Blessing over food; No pork, Dairy not consumed with meat. Animal meat from only certain animals-Beef okay. Allowed to eat certain fish and birds, Fish with scales and birds that are not predatory, No other types of seafood except fish
Eastern European and Jewish ancestry are more susceptible to Tay-Sachs disease, lactase deficiency
Feedback is a form of therapeutic communication, name 1 other form.
Feedback-rephrasing the message, Directly asking a feedback question
Focusing-Keeping attention focused on the communication task at hand, Redirecting the client back to the topic
Adjusting Style-Style and level should be considered, if a slow, calm communicator...adjust to pace
Which age group who experience depression and express suicidal tendencies and plans will most likely to act upon them?
Older adult population; If older adult is experiencing suicidal thoughts...They are more likely to act on them successfully!
Name 1 rationale why the older population is more at risk for constipation and fecal impaction.
Decreased bowel motility, Bed rest, Pain mediation,
Poor diet
The client has a tendency to wander in the evenings. Name 1 association to wandering and 1 nursing intervention to keep the client safe.
Clients that wander tend to be very active people prior to the onset of disease, may be from boredom or restlessness.
Nursing interventions- Identification bracelet that alarms with outside door, Ensuring environment is safe, Informing others about those that wander
The nurse is caring for a patient with a wound that continues to bleed and has become anemic. Which religious faith may influence the treatment plan for this patient?
The patient may need a blood transfusion, but in the Jehovah’s Witnesses faith, blood transfusions are prohibited.
Name 1 example of therapeutic non-verbal communication.
Lean forward; Focus on the speaker’s face; Nod slightly to indicate they hear the message, but not overly nodding;Open body posture
Crime is of particular concern to the elderly. Name 1 nursing intervention to help the elderly population.
Nurses can be instrumental in reducing fear of crime; Assisting elders in exploring security-conscious behaviors to decrease vulnerability to victimization
Name 1 reason an older client may have decrease in nutrition related to their aging body.
Diseased teeth, Poorly fitting dentures, Decline in taste buds, Decline in sense of smell, Dysphagia
Older adults are sick, cannot learn new things, too late for lifestyle changes to improve health, Genetics are the main factor in longevity, not sexual, are a drain on society, are senile, typically isolated from their families, usually live in nursing homes, are poor, unhappy.
The nurse is caring for an African American patient. Name 1 cultural practice that may influence healthcare plans.
Families-Often multigenerational, Members of the church may be considered family, matriarchal (Female Parenting Role), May believe that illness is preventable if...They are attentive to their relationship with God and other people; Folk and home remedies may be used, Baptist is prominent Christian faith
Name 2 blocks to effective and therapeutic communication..
Changing the subject, Offering false reassurance,
Judgmental response, Giving advice, Defensive comments, Asking prying or probing questions,
Using clichés, Listening inattentively
The nurse believes a client is being abused. Name 1 nursing intervention that should be followed.
Identifying those at risk-assessment of signs and symptoms of suspected elder abuse; Avoid a condescending tone of voice or judgmental expression;
Report suspected elder abuse to appropriate agency for investigation
When speaking with an older patient, the nurse should speak very distinctly, name 1 more.
Speak very distinctly, Do not shout, Speak slowly,
Get the person’s attention, Maintain a good distance, Watch for nonverbal feedback, Use short sentences,
Paraphrase for clarification, be patient
The nurse is educating the client on herbal medications. Name 2 types of herbal medications and their indications for use.
Black cohosh-Lessens symptoms of menopause
Garlic-Reduce blood pressure and cholesterol,
Prevents blood clots
Vitamin E-possibly slows dementia
Glucosamine-Helps with arthritis
Ginkgo-Improves blood flow to brain, Helps memory