HEALTH COMMUNICATION NURSING PROCESS AND VITAL SIGNS
Maslow’s Hierarchy of Needs
Physiological > Safety & Security > Love & Belonging > Self Esteem > Self Actualization?
Occurs when patients move to a sitting or standing position who have been immobile for a period of time
What is orthostatic hypotension
Skin pain, muscle pan, tissue pain, superficial or deep?
What is somatic pain
Vitamin A, D, E and K
What are fat soluble vitamins?
The fire safety acronym PASS
What is Pull pin, Aim at base of fire, Squeeze the handle, Sweep the fire from side to side
Use of these are barriers to patient communication
False assurance, use of medical jargon, ‘why’ questions, judgmental statements?
The movement of a limb or other part of the body toward the midline.
What is adduction?
Appropriate pain scale for a patient who is unable to speak/communicate effectively
NVPS - Nonverbal pain scale (assesses facial expressions, etc.)
A common lab value to assess nutritional status – and it's normal range?
What is Albumin? 3.4-5.4 g/dL
Diagnostic test that includes hemoglobin and hematocrit measurements, erythrocyte (red blood cells) count, leukocyte (white blood cell) count, red blood cell indices, and a differential white cell count.
What is CBC (complete blood count)
The nurse identifies expected outcomes individualized to the client. The nurse develops a plan of care that prescribes interventions to attain expected outcomes.
What is planning?
Assessment, Diagnosis, Planning, Implementation and Evaluation (ADPIE)
The 10 medication administration rights
What is Right patient, Right medication, Right dose, Right route, Right time, Right to refuse, Right to education, Right to Assess, Right to evaluate, Right to document?
Pain originating from an internal organ
Visceral pain?
Urine leakage with sudden pressure on the bladder and urethra that causes the sphincter muscles to open briefly.
What is stress incontinence?
This is the most important step in breaking the chain of infection
What is hand washing!
The expected time that it takes for color to return to an external capillary bed after pressure has been applied
What is Capillary Refill < 3 seconds?
A drug given the buccal route is placed here.
What is the cheek. Buccal medications are topical and are placed in the cheek to diffuse into the oral mucosa and into the blood stream. (e.g., nicotine)
Physical, mental, and behavioral changes that follow a daily cycle. They respond primarily to light and darkness in an organism's environment. Sleeping at night and being awake during the day is an example.
What is circadian rhythm
Diet recommendation for a patient experiencing diarrhea?
What is BRAT? (Bananas, Rice, Applesauce, Toast / tea)
According to Erikson, achieving a sense of complexity of relationships, value of tenderness and loving freely, means you successfully completed this developmental conflict stage
What is Intimacy vs Isolation (Early Adulthood 20-25 years)
Cardinal rule for auscultation
What is stethoscope to skin / Look, Listen, Feel?
Most effective method for learning assessment?
What is teach-back method
Difficulty falling asleep or staying asleep
What is insomnia?
Common, preventable nosocomial infection related to prolonged use of, or mismanagement of a urinary catheter
What is catheter associate urinary tract infection, CAUTI?
Before leaving the room, ensure your patient's safety by doing this.
What is putting the bed in the lowest position, placing nonskid socks on patient, making sure bed alarm is within reach, proper lighting, side rails in appropriate positions.