Immunity
__________ Prevention includes immunizations, modifying risk factors, & education
Primary Prevention
__________ Communication involves the use of "I" statements
Assertive Communication
Support; Rapport, Empathy, Support, Partnership, Explanations, Cultural competence, Trust
A patient belonging to this religious community CANNOT receive donated blood or blood products
Jehovah's Witness
When prioritizing care ABCs stands for what?
Airway Breathing Circulation
A colonoscopy screening is an example of this level of prevention
Secondary Prevention
________ Behavior involves asserting one's rights in a negative manner that violates the rights of others. Can be verbal or physical.
Aggressive Behavior
Name barriers to communication when communicating with someone with a different cultural background
Jargon, expressions, idioms, making assumptions
A patient that identifies as Hindu cannot receive food or products made by _______ and/or ________
Cows or Pigs
As a nurse which patient are you going to care for FIRST
A) 25 year old female complaining of a sore throat & cough
B) 52 year old male complaining of chest pain and SOB
C) 78 year old female with a broken wrist
D) 33 year old male with a head laceration with no obvious CNS changes or s/s hemorrhage
B) 52 year old male complaining of chest pain and SOB
Patient is SOB (Airway) & is complaining of chest pain (possible Circulation issue)
_________ Prevention involves treating an illness
Tertiary Prevention
Name the 3 levels of communication
Intrapersonal, Interpersonal, Group
When using the SBAR format to communicate about your patient what does the 'B' stand for?
Background: should include VS, labs, diagnostics, allergies, meds/orders, code status, date of admission, current diagnosis, & any other pertinent clinical information
HIV/AIDS, STIs, and lack of screening measures are important issues among patients in the _________ ___________
LGBTQ+ community
You are a nurse and you are about to go change a patients brief when the PCA tells you a patient is requesting their pain medicine, what do you do?
A) Tell the PCA to give the patient norco as ordered
B) Change the patient's brief and then give the other Pt. pain medicine
C) Assess the Pt. and give pain meds as ordered and then change the brief
D) Quit and go home
C) Assess the Pt. and give pain meds as ordered and then change the brief
When ABCs do not apply consider Maslow's Hierarchy of Needs, pain will need to be controlled first in this situation
You work in a pediatrician's office as a RN, a parent calls & states that her 12 month old was in today & received a booster vaccine for varicella & is now fussy & has a low grade fever (100.1). What should you tell the mother?
This is an expected side effect of vaccinations & should resolve in a few days
Name 3 of the 5 parts of the Communication Process
Stimulus, Sender or Source of Message (Encoder), Message Itself, Medium or Channel of Communication, Receiver (Decoder)
You work as a nurse on a med surge floor & your patient's status changes. You call the on-call provider and over the phone you are given a new set of orders to initiate. What should you do prior to ending your phone call with the provider?
Voice back what the provider is ordering and ask that they put those orders into the computer as soon as possible. Document that you confirmed the orders with the provider over the phone.
In this culture it is important for women to receive care by female health care professionals
Muslim
You are given your patient assignments, which patient do you assess FIRST?
A) Patient that is post op day 1 from CABG that is complaining of new onset chest pain, RR 34, and HR 120
B) Patient that is waiting to be discharged today
C) Patient that is post op day 2 from lobectomy that is stable and has orders for ambulating
D) Patient that is resting with orders for pain medications q 4 hours and received their last dose 6 hours ago
A) Patient that is post op day 1 from CABG that is complaining of new onset chest pain, RR 34, and HR 120
New onset of sxs and unstable VS indicate a PROBLEM
When is the DTaP vaccine given to pregnant women?
During the 3rd trimester to give passive immunity to newborns
This type of communication is the means to est. a rapport & helping-trust relationship between nurses and their patient
Therapeutic Communication
You are a nurse on an oncology floor and your patient tells you "I feel like a burden to my family, I feel as if this is a hopeless situation." What should your response be?
A) Yeah, that really sucks.
B) Say nothing and leave the room.
C) I understand how you feel, I've had many cancer patients go through the same thing but they got through it and so will you.
D) You say you are feeling like a burden and hopeless. Let's talk about why you are feeling this way.
D) You say you are feeling like a burden and hopeless. Let's talk about why you are feeling this way. --Make sure you understand what the patient is saying without putting words in their mouth & ask open ended questions. Avoid comparisons/cliches
The nurse is caring for a patient that does not speak English & the interpreter has arrived. While giving discharge instructions the nurse faces the interpreter & speaks directly to them. Why does the charge nurse intervene?
Regardless if an interpreter is being utilized you should face & speak directly to your patient. This helps maintain a therapeutic relationship & communication.
Patient is admitted with respiratory distress with the following orders: start a PIV & initiate IV fluids, administer albuterol via nebulizer, administer solu-medrol IV, give O2 via nasal cannula at 4L/min. Which order do you initiate FIRST?
O2 via nasal cannula; you are going to get the other orders done QUICKLY but we need to address the root cause---RESPIRATORY DISTRESS they cannot oxygenate adequately and O2 will address this first