Culturally Competent
Please provide examples of other cultures approach to cure illness or achieve optimal health.
Ying-yang approach, balancing good and bad external forces, using herbs or spices, eating hot or cold foods
Better acceptance of education, comfort level with patient, cooperation
When conducting a health history, what is to be included?
Chief concern, history of presenting illness or problem, medical history, surgical history, personal history, social history, review of systems, medications
What is the normal range for an adult pulse? What is tachycardia and bradycardia?
60-100
Please give an example of an expected outcome statement in measurable terms.
Client will report pain of less than 5 on a scale of 0-10.
When assessing a patient's home meds it is important assure the patient includes? Select all that apply.
A. Prescribed Medications from all providers
B. Home remedies
C. Prescribed medications only from the provider they are seeing
D. Alternative treatments
E. Supplements
A, B, D, E
Please give examples of how a nurse can promote a good rapport with their patient.
Eye contact, Sitting at patients level, active listening, open-ended questions, full attention
What are some factors that can inhibit the ability to obtain an initial assessment?
Pain, Non-cooperative, Bad rapport, Anxiety, Confusion
12-20
What are the steps of the nursing process
Assessment, Diagnosis, Planning, Implementation, Evaluation
When conducting an assessment on a non English speaking patient what is appropriate to do to best facilitate communication?
Utilize an interpreter, Determine the patient's primary language, use culturally appropriate communication
Which of the following are communication techniques that can be utilized to promote a positive rapport?
A. Open-ended questions
B. Nonjudgmental questioning
C. Closed-ended questioning
D. Asking for clarification
A, B, D
When assessing a patient's drug and alcohol intake, what questions are appropriate to ask? Select all that apply.
A. On average, how many drinks do you have per week?
B. What type of alcohol do you drink?
C. On a drinking day, how many drinks do you have?
D. Do you currently, or have you ever used drugs?
A, C, D
How do we test for orthostatic hypotension?
Test patient's BP lying, sitting, and standing. Check for a decrease in BP with changing of positions
What are some examples of nonpharmacologic pain relief interventions?
Repositioning, massage, range of motion exercises, guided imagery, music
What cultural factors can contribute to a patient's food selections or meal times?
Beliefs, fasting practices, cultural practices
What is the definition of a focused health history?
Please describe the following:
Stage 1 Pressure Ulcer
Stage 2 Pressure Ulcer
Stage 3 Pressure Ulcer
Stage 4 Pressure Ulcer
Unstageable
Deep Tissue Injury
1: epidermis
2: epidermis and dermis
3: epidermis, dermis, subcutaneous tissue
4: epidermis, dermis, subcutaneous tissue, muscle/bone
Unstageable: eschar/ slough
DTI: Bruise/ non blanchable
When a patient is experiencing dehydration, what can the nurse expect to find on assessment? Select all that apply.
A. Hypertension
B. Hypotension
C. Decreased skin turgor
D. Tachycardia
E. Bradypnea
B, C, D
When taking a temperature on a comatose patient, which routes can be used?
Temporal, Rectal, Tympanic
Food preferences, beliefs and practices, communication, treatment preferences
What is the definition of the chief compliant?
The illness, disease, or symptoms that are to be addressed during their appointment or hospital stay
What are some nursing considerations for a patient that sustained a 3rd degree burn?
Hypovolemia, dressing changes, diet, medications
Why should the nurse avoid taking vitals on an infant when they are fussy?
It can alter the vital signs. Assessment order should be RR, HR, BP, Tympanic Membranes
Using too big or too small cuff, BP after exercise, BP after smoking, Obtaining VS after ROM assessment