Foundations Test 1 2
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- What are some examples of therapeutic nursing techniques?
- silence, reflective, accepting, empathy, clarification, voicing doubt, etc.
- What are some examples of non-therapeutic nursing techniques?
- Giving approval, false reassurance, rejecting, disapproving, advising, probing, testing, etc
- What are the elements of the communication process?
- sender, receiver, message, feedback
- What factors influence communication?
- environment, values, attitudes, knowledge, cultural, beliefs, personal histroy, gender, social status, age, developmental level
- In what ways do we communicate?
- hear, read, see, discuss, teach
- What are the non-verbal attending skills?
- squarely, open, lean in, eye contact, relaxation
- what is solar?
- non verbal attending skills
- When is touch appropriate?
- if you know the person well or are consoling them.
- Discuss territorality and space in the context of an interview.
- should have 4-5 ft between. Keeps people confortable.
- What is assertive?
- state opinion and feelings w/o encroaching up another person's emotions and feelings
- Give an example of an assertive statement.
- "I do not think that is appropriate."
- What is passive?
- never voice own thoughts and feelings and do as told regardless of personal feelings
- Give an example of a passive action.
- Give a medication to a pt. even though pt is allergic and dr. prescribed
- What is aggressive?
- voice own opinions and feelings in a way that can be threatening
- Give an example of an aggressive statement.
- "slap me one more time and i will slap you back"
- What are the guidelines of self-disclosure.
- Disclose only what you feel comformable and when it is appropriate
- What are the guidelines of confidentiality?
- share nothing that will identify the patient, HIPAA
- What are the guidelines of humor?
- make sure it is appropriate and it is someone you know. use sparingly
- Which NANDA is most ocmmonly used to deal with communication problems?
- impaired verbal communication
- How should you address client?
- by their last name until you are told otherwise
- What terms should be avoided?
- anything deroggatory or terms of endearment
- Which communication channel is best for remembering?
- visualing and teaching
- What are some things that give useful feedback?
- give appropriate answer, give clues for appropriate answer, dont be formulating answer while the person is talking, listen
- Why are "why" questions non-therapeutic?
- force answers, demeaning, implies blame
- What is empathy?
- feel for the patient
- What is sympathy?
- feel with the patient
- Which is the better therapeutic technique? empathy or sympathy
- empathy
- What do Open ended questions facilitate?
- answers.....more details
- What do closed ended questions do to answers?
- provide for one word answers, no a lot of elaboration, force choice
- Give an example of an open ended question?
- Would you please tell me more about your childhood?
- Give an example of a closed ended question?
- When did you take that? Anything that is a "yes" or "no" answer
- What do you do when communicating with a special needs client?
- use language the understand, look to family for answers if necessary
- What do you do when communication with an elderly person?
- be in eye sight, speak slower, dont yell, dont use words they dont understand or are slang
- What do you do when communicating with a child?
- dont use big words, be on their level, be calm, explain
- How would you define communication?
- Process of transmitting messages and interpreting meaning. Verbally and nonverbally interacting with others to discuss
- What are the two types of communication?
- verbal and nonverbal
- Is there a problem with using too many questions? Why
- yes, patient can become confused, annoyed, break train f thought breaks therapeutic chain
- How does anxiety affect communication?
- can stop communication, make a barrier
- What was Nightengales's center of concern?
- patient
- What makes a person suitable for nursing?
- chaste, sober, honest, truthful, trustworthy, punctual, quiet and quick, discrete with self-indulgence, cheerful, hopeful, clean, think about pt before self
- How did Nightengale feel about nursing in regards to the Dr.
- implicit obedience and loyalty
- What are the nursing roles?
- Surrogate Mother, technician, manager, specializing agent, health teacher, counselor or psychotherapist
- How is nursing changing?
- more skills, more colleagues han subordinates, more education, more politically correct and responsible
- What qualities do you believe a nurse should have?
- caring attitudes, assertive, empathy
- Define Nursing
- caring for sick and disabled person
- What are independent roles of nursing?
- problem solving skills, filling nursings orders, doing a nursing diagnosis
- What are dependent roles of nursing?
- following Dr.'s orders
- What are interdependent roles of nursing?
- 2 way communication and confirmation or orders
- What is meant by saying that health is subjective and objective?
- it is what you can observe and what they say
- What is your definition of health?
- overall state of well-being
- How does the WHO defind health?
- complete, physical, mental and social well being, not merely the absense of disease
- Describe the health-illness continuim
- health is a dynamic state that fluctuates as a person adapts to changes in the internal and external environments to maintain a state of physical emotional, intellectual, social, developmental and spiritual well bein
- What is a risk factor?
- genetic and physiological variables.
- What are some examples of risk factors?
- age, lifestyle, environment,
- What does a risk factor do?
- increases likelihood of getting illness or disease
- What is high-level wellness?
- optimal health
- What is meant by saying heath is dynamic?
- Ever changing process there are no ablsolutes
- What can you know for sure about nursing?
- That nothing is ever for sure
- What are the major goals of healthy people 2010?
- increased span of healthy life, reduce health disparities, achieve access to preventive service
- define collaboration
- working together
- What are the characteristics of a a therapeutic relationship?
- 2 way, rapport, respect, genunineness, trust, honesty
- What are the four phases of a relationship?
- preinteraction, orientation, working, termination
- What happens in the preinteraction phase of a working relationship?
- review available data, and pts hx, talk to other caregives, anticipate health concerns, identify time and location,
- when id the preinteraction phase of a working relationship?
- before meeting the client
- What happens in the oreientation phase of a working relationhip?
- meet client, set tone, ct. tests you, assess cts health status, clarify roles, form contracts, let client know when to expect relationship to be terminated
- What happens in the working phase of a working relationhsip?
- work together to solve problems and achieve goals,
- What happens in the termination phase of a working relationship?
- remind client termination is near, evaluate goal achievement, reminisce, seperate from client and smooth transition to other caregivers
- What are some principles of therapeutic relationships?
- empower client, empathy, open and hones, value individual, watch boundaries, etc
- What is GAS?
- General Adaptation Syndrome
- How many stages of GAS are there?
- 3
- What is the first stage of GAS?
- Alarm reaction
- What happens in the alarm reaction stage of GAS?
- up blood volume, blood glucose leves, spinephrine and norepine. heart rate, blood flow, mental alrertness
- What does the first stage of GAS prepare an individual for?
- for fight or flight
- What is the 2nd stage of GAS?
- resistance stage
- What happens in the 2nd stage of GAS?
- Body stabilizes and responds in an opposite manner to the alarm reaction all things return to normal levels and body repairs damage
- What is the third stage of GAS?
- exhaustion stage
- What happens during the exhaustion stage?
- body can no longer resist effects of stressor and engery is depleted. body unable to defend itsef
- In which stage of GAS can death result?
- Exhaustion
- Which stage does fight or flight happen?
- alarm reaction
- When would a person settle down and be able to plan an escape?
- resistance stage
- What is anxiety?
- a state of uneasiness and apprehension as about future uncertainness
- What is fear?
- a feeling of agitation and anxiety caused by the presence or imminence of danger
- What kind of events are espicially stressful for children?
- shots death illness -- anything that happens to their parents
- Whare are the NANDA for stress and anxiety?
- ineffective coping invlude verbaliation of an inability to cope and ask for help
- What are some physical indicatiors of stress on the cardiovascular system?
- tightness of chest, increased HR, elevated BP
- Whare are some physical indicatiors of stress on the respiratory system?
- breathing difficulties, tachypnea
- Whare are some physical indicators of stress on the neuroendocrine system?
- headaches, migraines, fatigues, exhaustion, insomnia, sleep disturbances, uncoordnated, restlessness, tremors, sweating, dry mouth
- What are some physical indicatiors of stress on the GI/ GU system?
- cold hands and feet, urinary frequency, nausea, diarrhea, vomitting, wt. gain or loss, chg in appettie, GI bleeding
- What are some physical indicators of stress on the Musculoskeletal system?
- backaches, muscle aches, clenched jaw, slumped posture
- Whare are some physical indicatior of stress on the reproductive system?
- amenorrhea, failure to ovulate, loss of libido
- Whare some immunological symptoms of stress?
- frequent or prolonged colds/flu
- Whare are some psychological symptoms of stress on cognitive function?
- forgetfullness, denial, poor concentration, slower thinking, memory problems, distressing dreams, confusion, apathy, etc
- What are some psychological symptoms of stress on emotional function?
- disruption of logical thinking, blaming others, lack of motivation, crying, lack of interest, isolation, negative thinking, etc
- What are some psychological symptoms of stress on your behavior and lifestyle
- worrying, decreased invovlement, withdrawal, suspiciousness, chg in communication, up or down food intake and alcohol intake no exercise
- What factors influence the response to stressors?
- intensity, scope, duration, # and nature of stressors, personal control, cognitive appraisal, support
- What are some methods to reduce stress?
- regular exercise, support systems, time management, guided imagery and visualization, progressive muscle relaxation, journaling
- What are nurses at high risk for?
- substance abuse and burn out
- Why are nurses at a high risk for drug abuse?
- availability of drugs, and really stressed
- Why are nurses at high risk for burn out?
- too many pts, too much to do, not distancing self from job, no hobbies, internalizing issues
- What is proactive?
- acting in advance to deal with an expected difficulty, anticipatory behavior
- What is reactive?
- ten to be responsive to the situation or stimulus
- What is positive affirmation?
- telling yourself you are worth it and you are a good nurse, using good self talk
- What is reality shock?
- when a person really realizes what is going on and they go into mental shock
- What is done to help deal with reality shock?
- stress reducers
- What can happen when a person goes into reality shock?
- leads to cognitive regression and refusing to deal with the reality
- What is test anxiety?
- stress that appears in the prep time prior to a test
- What helps test anxiety?
- deep breathing, visualization, better preperation
- What is stress?
- mentally or emotionally disruptive or upsetting condition occurring in response to adverse external influences
- What is stress capable of affecting?
- physical and mental health
- What is stress usually characterized by?
- increased heart rate, rise in BP, muscular tension, irritability, depression
- What is adaptation?
- acquisition of modifications in an organism that enable it to adjust to life in a new environment
- What is maladaptation?
- faulty or inadequate adaptation
- What results from the arousal of the SNS?
- fight or flight reaction
- What are the 3 stages of GAS?
- alarm, resistance, exhaustion
- what is primary gain?
- evaluating an event for its personal meaning
- What is secondary event?
- focuses on possible coping strategies
- What is eustress?
- stress that protects self
- What are endorphins?
- any of a group of peptide hormones that bind to opiate receptors and are found mainly in the brain.
- What do endorphins reduce?
- the sensation of pain and affect emotions
- What style of writing is nursing research presented in?
- APA
- What edition of APA do we use?
- 5th
- Why is it important to base nursing practice on research?
- so you can give quality care to your patient
- What does the ANA code of ethics say about research?
- participates in the adv. of the profession through contribution to practice, education, administration, and knowledge development
- Why is nursing reasearch an ethical issue?
- best care to pt, not harm pt
- What a nursing research journal?
- Nursing Research
- What does it mean to be "peer reviewed" in a nursing journal?
- your article is sent out to prefessionals that know about the topic and review it
- Is peer reviewing a positive thing?
- it makes for a more credible article
- How do you identify quality research to incoporate into your practice?
- reading research from an accredited research journal
- What is an intro?
- general overview and brief descripton of the nature of the research
- What is problem identification?
- background of why study needs to be done, how the research relates to current nursing concerns
- What is the statement of purpose?
- aims of research, formal statement of problem
- What is the lit review/theoretical and conceptual framework
- summary of what is known about the topic and other pertinent research on subject defines concepts, proposes relationships among concepts
- What is the research question or hypothesis?
- inquiry statemtn or predicted outcome of study, stated in terms of specific variables, their relationships, and what is to be measured
- What is the methodology/design include?
- setting, sample, design, data collection
- What is the description of the methodology/ design section
- where study occured, sample description and how related, how study conducted, how variables measured
- What is data analysis?
- statistical tests used
- What are results?
- report of statistical analysis, research ?'s ans., evid. of supp. for hypothesis, interpretation of findings
- What are limitations?
- weaknesses in design, measurement, or other part of process that introduceds bias or confounding results
- What is discussion
- conclusions, summary, non-tech interp. of result, for adv. knowledge, future research, eduation how findings fit with existing research
- What are clinical inplications
- use of findings in practice?
- Where would you find the setting of the study?
- methodology section
- Where would you find the interpretation of findings?
- results
- Where would you find the summary?
- discussion
- Where would you find in a study where the findings fit in with current research?
- discussion
- Where would you find a general overview of the subject?
- introduction
- Where would you find the formal statement of problem?
- statement of purpose
- Where would you find what is to be measured?
- research question or hypothesis
- Where would you find the part of the study that introduces bias or confounding results?
- limitations
- What does the title page look like in APA?
- pg #, title, student name, university
- Where is the Title Student name and University found on the title page?
- centered in the top 1/3rd of page
- Where do you find the page number on title page
- Top right hand corner
- What does a reference page look like in APA?
- reference and authors.......hanging indent
- Where is the word "reference" written on the reference page?
- top, centered
- How are authors listed?
- alphabetically
- How do you cite a reference in APA style?
- in paper with author and date
- how do you cite a quote in APA?
- author, page number
- How do you incorporate a quote if less than 40 words
- use quote marks
- How do you incorporate a quote if more than 40 words
- block quotation with hanging indent
- In what phase of the nurse client relatioship do you mutually set goals?
- orientation
- Where do you review feelings on relationship
- termination
- Where do you explore personal beliefs and feelings
- preoreintation
- Where do you help cliend learn new behaviors?
- working phase
- Where do you review appropriate theory?
- preorientation
- What is the traditional role of a nurse?
- caregiver
- What is the primary role of a nurse?
- caregiver
- How do we care for pts
- MAny examples
- How are we teachers?
- teach abouttherapy, condition, choices is critical to successful outcome of treatment, patient education after talking with phys
- how are we advocates?
- protect our patients
- how are we managers?
- we organize care so that other nurses can carry on w/o us present
- How are we colleagues
- assist others, help phys - follow orders, collaborators
- How are we experts?
- If called to court case