Patient Teaching
Cultural Competencies
Cultural Competencies
Differentiate expressive and receptive aphasia.
Expressive - understands; difficulty forming words
Receptive - doesn't understand; can form words
Name the 5 levels of communication.
Intrapersonal
Interpersonal
Small Group
Public
Electronic
Do dreams occur in NREM or REM sleep?
Both
Define Fidelity and provide an example of fidelity in patient care
fidelity= agreement to keep promises, follow-through
Ex: Nurse says she will be back to check on patient 30 minutes after pain medications administered to re-assess pain
Describe the PPACA
Patient Protection and Affordable Care Act =
affordable health care coverage, increased access to care, improves care for the most vulnerable in our society
What is the role of the nurse in patient teaching (3 main components)?
Teach info that patients and families need to make informed decisions regarding their care.
Determine what patients need to know
Identify when patients are ready to learn
5 C's of communication
complete, clear, courteous, cohesive, concise
Name the 6 parasomnias discussed in lecture?
Somnambulism, Night terrors, Night mares, Nocturnal enuresis, Body rocking, Bruxism
What are the four components consistent among all variations of the ANA Code of Ethics
responsibility
accountability
confidentiality
Describe EMTALA
Emergency Medical Treatment and Active Labor Act = provide care in emergency situations even to the uninsured
Breakdown motivational interviewing (4 components) and summarize them.
Express Empathy - provide respectful nonjudgemental responses
Develop a Discrepancy- Help a patient to state their goal and identify their behavior; identify gap b/t goals
Role w/ Resistance - maintain therapeutic communication and focus on pt
Support self-efficacy - provide encouragement, believe the pt can achieve the goal
Differentiate complimentary and symmetrical communication?
Complimentary - nurse patient education
Symmetrical- conversation with coworkers in breakroom
Name how many hours of sleep neonates, toddlers, school age, young adults, infants, preschoolers, adolescents, and middle/older adults need.
Neonates- 16 hrs a day
Toddlers- 12 hrs a day
School Age - 9 to 10 hrs
Young Adults - 6-8.5 hrs
Infants- 8-10 hrs a night / 15 hrs a day
Preschoolers- 12 hrs a night
Adolescents- 7.5 hrs
Middle/Older Adults- Total # declines
Key concept: same duty to self as to others- personal & professional growth
Nurse maintains physical health by working out in the morning to have necessary physical health to carry out duties of care
What is in an Advanced Directive?
Living Will
Health Proxy/ DPA
DNR (if applicable)
When a provider is educating a patient regarding an appendectemy, what type of instruction would this classify as?
Telling or preparatory discussion
A family member is visiting a patient in the room at a designated seating area. Which personal space zone would they be considered in?
Social
Name a few drugs or substances that can influence sleep? (8)
Hypnotics, diuretics, narcotics, antidepressents, alcohol, caffeine, beta-blockers, anticonvulsants
Describe all 5 Philosophies of Ethics
Deontology
Utilitarianism
Feminist Ethics
Ethics of Care
Casuistry
What must be included in a consent form?
All risks, harm and possible death
Alternative therapies
What would happen if patient did nothing
anticipated pain
right to refuse even up to during procedure
Name 3 communication techniques used for cognitively impaired patients.
Reminiscence
24-hour reality
Validation
Define A-I-D-E-T
Acknowledge, Introduce, Duration, Explain, Thank you
Differentiate the 3 tests involved in a polysonogram.
EEG, EMG, EOG
step1= ask if this is an ethical dilemma
step2= gather all relevant information
step3= clarify values
step4= verbalize the problem
step5= identify possible courses of action
step6= negotiate the outcome
step 7= evaluate the action
Explain all torts!
Intentional: assault, battery, false imprisonment
Quasi-intentional: invasion of privacy, defamation of character (slander, libel)
Unintentional: negligence, malpractice