Conflict Resolution
This communication style is ideal in nursing because it balances respect for others with expressing one’s own needs.
What is assertive communication?
Which model is widely used by the NCSBN to guide clinical judgment in nursing education and practice?
What is the NCSBN Clinical Judgment Model?
Delegation of tasks to UAPs or LPNs improves this critical skill in managing care.
What is time management?
A bone mineral density (BMD) T-score of –2.5 or lower confirms this diagnosis.
What is osteoporosis?
Osteoporosis increases the risk for this common type of fracture, especially in older adults.
What is adequate intake of calcium and vitamin D?
The nurse assessing a limb for the “6 Ps” is monitoring for this emergent complication.
What is compartment syndrome?
Name two commonly affected joints in osteoarthritis.
What are the knees, hips, hands, big toe, cervical spine, or lumbar spine?
Eye rolling, arms crossed, and turning away are examples of what kind of communication barriers?
What is nonverbal blockers?
The nursing process provides structure for clinical reasoning and judgment and includes these five steps.
What are assessment, diagnosis, planning, implementation, and evaluation?
This type of interruption or “pop-up” can challenge even experienced nurses by disrupting the day’s planned workflow.
What is an unexpected event or unplanned task?
Which medication is commonly prescribed to inhibit bone resorption in osteoporosis patients?
What is a bisphosphonate (e.g., ibandronate/Boniva)?
Which diagnostic scan is the gold standard for measuring bone mineral density (BMD)?
What is a dual-energy X-ray absorptiometry (DEXA) scan?
This intervention involves cleaning the fracture site and stabilizing it with external hardware.
What is open reduction with external fixation?
This class of medication is first-line therapy for mild osteoarthritis pain but must be used cautiously due to liver risks.
What is acetaminophen?
This technique confirms client understanding by having them restate information in their own words.
What is the teach-back method?
A nurse uses this type of judgment when deciding which patient to assess first during morning rounds.
What is prioritization based on clinical judgment?
Nurses must consider this when scheduling tasks like medication or procedures around cultural, spiritual, or routine preferences.
What is patient preference or individualized care?
A nurse is reviewing medications with a client. Which type of drug increases the risk of secondary osteoporosis?
What are corticosteroids?
Which serum lab value might be decreased in a patient with osteoporosis due to dietary deficiency?
What is calcium?
In a patient with major muscle injury, clear yellow urine rules out this serious complication.
What is rhabdomyolysis?
List three nonpharmacologic therapies used to manage osteoarthritis.
What are heat/cold therapy, weight reduction, exercise, assistive devices, rest, or joint protection?
Name two characteristics of effective verbal communication in nursing.
What are clarity, accuracy, empathy, and cultural awareness?
Which step of the NCSBN Clinical Judgment Model involves evaluating the effectiveness of nursing actions?
What is evaluating outcomes?
Which nursing task is inappropriate to delegate to unlicensed assistive personnel (UAP)?
What is administering oral medications?
What is the best way to teach a patient how to take oral bisphosphonates like ibandronate (Boniva)?
What is “Take it in the morning with a full glass of water and remain upright for 30–60 minutes”?
This common spinal change in advanced osteoporosis may cause loss of height or a stooped posture.
What is kyphosis or vertebral compression fractures?
Which lab value should the nurse monitor closely after a long bone fracture due to risk of fat embolism?
What is arterial blood gas (ABG) or oxygen saturation?
These two physical signs—bony enlargements of the finger joints—are common in hand OA.
What are Heberden’s nodes and Bouchard’s nodes?
These three basic conflict resolution strategies are commonly taught in nursing communication.
What are ignoring the conflict, confronting the conflict, and postponing the conflict?
When planning patient care, a nurse considers the client's preferences, values, and cultural background. This reflects which element of full-spectrum nursing?
What is client-centered care (or considering the client situation)?
Which patient need would take priority based on the ABCs?
A. Patient needing discharge instructions
B. Patient with increased anxiety
C. Patient with stridor
D. Patient requesting pain medication
What is C. Patient with stridor?
Osteoporosis increases the risk for this common type of fracture, especially in older adults.
What is hip fracture?
Which exercise recommendation is best for strengthening bones in patients with osteoporosis?
What is weight-bearing or resistance exercise (e.g., walking, stair climbing)?
Zachary is placed in traction. What is the nurse’s responsibility regarding weights?
What is ensure weights hang freely and are not on the floor or bed?
Which exercise recommendation is most appropriate for a client with OA?
What is low-impact, weight-bearing exercise (e.g., walking, swimming)?