Communication & Documentation
This behavior style of communication is characterized by standing up for one’s self without violating the basic rights of others.
What is Assertive Communication?
Although there is no hard and fast rule, when is the appropriate time to initiate hospice care:
When the patient is expected to live 6 months or less
The propulsion of a bolus of food through the GI tract by wavelike movements is termed:
What is peristalis
Administration of an enema can have serious risks, including stimulation of the vagus nerve, resulting in bradycardia as low as 30-40 beats per minute. If the patient exhibits any of these symptoms you should immediately:
What is stop the enema
On the way out of the facility, you observe the copier next to the breakroom has papers on it. As you investigate, you find information on a new patient just admitted to your unit. You understand that this could have been a breach of what:
What is HIPPA
The student nurse understands that electronic health records contain vast information related to a patients medical records. The nurse understands that they must never:
What is share their username or password
Caring for a client who has a terminal illness. Death is expected w/I 24 hrs. Client's family is at the bedside and asks the nurse about anticipated findings at this time. Which of the following findings should the nurse include in the discussion?
a. Warm skin, b. Increased level of consciousness
c. Irregular breathing pattern, d. Increased muscle tone
c. Irregular breathing pattern
Partially digested food and digestive secretions are known as:
What is Chyme
An absence of bowel sounds indicates a problem and should always be:
What is reported to the physician
A client has a federal government’s health insurance program for people older than 65 years. Which type of health insurance should the nurse expect to see documented in the client’s medical record?
What is Medicare
The student nurse understands that her responsibility related to laboratory and diagnostic test is to receive the results and______________.
What is notify the physician of the results.
Caring for a client who has stage 4 lung cancer. The client states, "I told myself that I would go through with the surgery if I quit smoking, if I could just live long enough to attend my daughters wedding." Based on Kubler-Ross's model, which stage of grief is the client experiencing
If a patient becomes unhappy with his or her care, decides against treatment, or for any other reason simply decides to leave the hospital before the health-care provider authorizes a discharge, this is known as ______________ ______________ ______________.
As stated in our textbook, at the very least, you must make certain that the patient has a bowel movement at least every _____________days to prevent constipation.
What is 3 days
In which nursing care delivery system does the nurse act as a facilitator, coordinator, impartial advocate, and educator?
What is case management?
What does ADPIE stand for?
Assessment, Diagnosis, Planning, Implementation, Evaluation
A terminally ill patient’s respiratory pattern has changed and is now cyclic in nature, with increasing and then decreasing depths that are spaced by brief periods of apnea. The nurse charts that the patient is having:
What is Cheyne Stokes.
Predetermined payment for services based on medical diagnoses is:
What is DRG's (diagnosis-related groups, Medicares prospective payment plan)
The assessment of bowel movements should be performed and documented every shift. Documentation should always include COCA, which stands for:
What is color, odor, consistency, amount
A cost-containment program featuring a primary care physician as the gatekeeper to eliminate unnecessary testing and procedures. This is a capitated system that requires the insured person to remain within the network:
What is HMO, (Health Maintenance Organization)
A resident was found in the floor, you complete the assessment and the patient was sent out to the ER for evaluation. You have completed the incident report and know it will be placed:
What is In the supervisor's hand
Deliberate ending of a terminally ill patients life:
What is euthanasia
This group sets quality standards for healthcare facilities:
Who are The Joint Commission
Which type of enema works by distending the colon and by irritating the walls of the colon, which further increases peristalsis?
What is a soapsuds enema
Discharge teaching begins:
What is on admission