Mobility and Exercise
1. Body alignment
2. Joint mobility
3. Balance
4. Coordinated movement
What are the functions of sleep?
Restoration, Memory consolidation, Preparation for the next period of wakefulness, rest/preservation, and often overlooked as a cause of health issues
What is Holism?
It is healing the whole person including body, mind, spirit, culture, socioeconomic backgrounds, etc...
What is interprofessional collaboration?
A complex process that is formed between 2 or more people from various professional fields to achieve common goals for a patient.
What is HIPAA?
1. Protects patients’ private health care information
2. Patients may inspect their own health care record
3. Patients may amend
incorrect or incomplete information in their health care record
What do the various gaits look like... Ataxic, Festinating, Spastic, Steppage
Ataxic- unsteady and staggering
Festinating- rapid small steps to keep center of gravity with trunk leaning forward, associated with Parkinson's
Spastic- stiffness and bounce in the legs and a tendency to circumduct and scuff the feet
Steppage- inability to lift the foot while walking due to weakness of muscles that cause dorsiflexion of the ankle joint
What is sleep apnea and how do we treat it?
1.It is when you are unable to breathe and sleep at the same time
2. Lifestyle changes, improved sleep hygiene, continuous positive airway pressure (CPAP), surgery, and oral repositioning devices for the jaw/tongue
The Nursing Metaparadigm includes...
Person, Environment, Health, Nursing
Interprofessional collaboration leads to what positive outcomes.
1. Patient care outcomes improve
2. Healthcare provider and nurse satisfaction improves
3. Costs are controlled
4. Clinical Errors are reduced
5. Patient safety improves
What are good Samaritan laws?
They are laws that encourage healthcare professionals to aid in an emergency and offer legal immunity if they are practicing in their scope of practice.
How do we use safe practices when positioning and helping the patient with mobility?
1. Encourage patient to do as much as possible
2. Move and position safely (protect head, neck joints, lines/tubes)
3. Ask for assistance from other staff
4. Use proper body mechanics when lifting and positioning
5. Protect patient's joints and skin
What is insomnia?
A symptom associated with chronic difficulty falling asleep, frequent awakenings from sleep, and short nonrestorative sleep
Getting a flu shot is what type of prevention?
Primary Prevention
What does the nurse need to do as the key contributor and collaborator in the team?
They need to communicate patient needs to all team member, clarifies priorities, and ensure continuum of care and smooth transitions.
Match the correct scenario with the right word.
Assault
Battery
False Imprisonment
Quasi-Intentional Tort
Libel
Slander
A. The nurse struck the patient and threw him onto the hospital bed causing the patient to sustain a fracture of his hand
B. The patient did not want to take his medicine and the nurse threatened him
C. The nurse restrains the patient because the patient is confused
D. A nurse posts rude comments about her supervisor on social media
1. B
2. A
3. C
4. E
5. D
6. F
What are anti-emboli/anti-thrombi devices and what are some examples of devices?
1. They prevent deep vein thrombosis (DVT) and subsequent emboli. They also promote venous return to the heart and decrease pooling of blood in lower extremities.
2. Anti-emboli Stockings (Ted hose) and Sequential Compression Devices (SCDs)
What are some good interventions for sleep health?
Finding a calm/relaxing environment, having a temp you sleep best at, if you use ventilation when you sleep, limiting distractions when going to sleep, having a good bedtime routine, not doing exercise right before bed, not drinking caffeine right before bed, having bedtime snacks, etc...
What are modifiable risks?
Risks you can take to change them. Not smoking, nutrition, exercise
What is a consultation?
It occurs when seeking expertise of a specialist such as nursing instructor, health care provider, or clinical nurse specialist to identify ways to handle specific problems in patient management or the planning and implementation of therapies.
It is not the same as interprofessional collaboration but can lead to it
Match the correct scenario with the right word
Autonomy
Beneficence
Nonmaleficence
Justice
Fidelity
A. The nurse feels the patient's condition has changed and talks to her charge nurse about getting the patient upgraded to another unit
B. Before the nurse gives the medication she makes sure to check the ID band multiple times to verify that this is her correct patient.
C. The nurse says, “Your pain meds are scheduled at 10 am. I will be back then to administer them”. She then returns to the patient’s room at 10 am to administer the meds.
D. The nurse enters the patient's room and finds that he is upset and crying. The nurse goes over to the patient to comfort him.
E. The nurse enters the unit and learns that she has five patients for that day. Even though she has many patients she still provides the best care for everyone. (4)
1. A.
2. D.
3. B.
4. E.
5. C.
How does immobility affect the respiratory system?
1. Decreased respiratory movement
2. Pooling of respiratory secretions
3. Atelectasis (collapse of alveoli)
4. Pneumonia
What is narcolepsy and how to we treat it?
1. Dysfunction of the processes that regulate sleep and wake states, Fall asleep uncontrollably, excessive daytime sleepiness, and vivid dreams
2. Stimulant medication, short well timed naps, regular exercise, good sleep habits, avoiding shifts in sleep, diet high in protein, avoiding factors that cause drowsiness
ANA Standards of Professional Performance include...
Ethical comportment, Culturally congruent care, Communication, Collaboration, Leadership, Education, Evidence-based practice and
research, Quality of practice, Professional practice
evaluation, Resource use, Environmental health
What makes interprofessional collaboration successful?
1. Interprofessional education
2. Role Awareness as a member of the team
3. Interpersonal relationship skills
4. Deliberate goal setting, planning, and interventions
5. Support of the interprofessional team
6. Being aware of strengths and weaknesses and noting when a consult is needed
Match the correct scenario with the right word
Deontology
Utilitarianism
Casuistry
Feminist
Ethics of Care
A. When someone dies and their organs are used to save the lives of the other five patients
B. Understanding that male and female or nonbinary nurses provide the same type of care
C. One of your new patients is very upset and even though you may not know the entire situation you listen and comfort them.
D. The Ten Commandments (actions that can be defined as right or wrong)
E. When treating a patient who has HTN you recall back to other patients with HTN to understand this case. (3)
1. D
2. A
3. E
4. B
5. C