Holistic Care I Exam I

In an immobile person, listen to lung sounds every 2 hours.

Safety with older adults. Select all that apply.

Health education about a disease before it happens

Immobility — Cardiovascular System (Select all that apply)

What are some examples of therapeutic communication?

Stages of Illness Behavior: Stage 3

Use restraints as a last resort! Always use the LEAST restrictive restraint.

Always use a medical interpreter, if necessary, it is never appropriate to use family member or devices on cell phones.

What is the purpose of a gait belt?

What are some characteristics of Chronic Illness?

Asking open ended questions, restating and maintaining eye contact are just two few ways of demonstrating what?

Any facility that accepts Medicare/Medicaid reimbursement must abide by the Federal restraint guidelines.

Family is...

To understand and respect culture, a nurse must:

Attainment of the highest level of health for all people

The A in the TEACH acronym stands for:

Student nurse’s role in a disaster: vital signs, supply gathering, applying pressure to a wound, administer meds, triage

Health education focusing on measures that identify early stages of a condition, goal is to diagnose before it happens

Factors that contribute to falls include:

For school-aged children, the teaching process should: (Select all that apply)

Health equity is a particular type of health difference that is closely linked with economic disadvantage.

Patient education starts at admission.

Which client would be a likely candidate for ambulation assistance with a gait belt?

For adolescents during the teaching process, the nurse should:

The T in the TEACH acronym stands for:

Select all that apply: Fall Risk Tools

Assistive device used by the nurse to help patients with ambulation and transferring from bed to chair.

Nursing interventions to prevent falls in the healthcare setting include:

Nurses are obligated both ethically and legally to report abuse.

ISBARRQ — R: Recommendation: Identify pending lab results, what needs to be done, and other recommendations for care

Nurses are not protected by law if they file a report of suspected abuse in good faith that turns out to be erroneous.

Disaster plans should be identified prior to the disaster happening.

Immobility — Urinary (Select all that apply)

How can you prevent falls with someone who has orthostatic hypotension?

Safety with adolescents. Select all that apply.

Stress narrows a patient's attention span and decreases retention.

"What medicines have you been taking at home?" is an example of:

What are some alternatives to restraints for patients?

What does the C stand for in the RACE acronym?

QSEN Safety: Minimizes risk of harm to patients and providers through both system effectiveness & individual performance

Tips for creating a patient centered teaching plan begin with asking the right questions, actively listening & observing

Immobility — Respiratory System (Select all that apply)

Stages of Illness Behavior: Stage 1

Safety with school-age children. Select all that apply.

Examples of secondary prevention

The nurse does not need a physician order for a minimally restrictive restraint.

The nurse should reposition patients every ____ ___________.

Incident reports are primarily used to facilitate improvements, not to determine culpability.

The three learning domains include:

Health determinants: Someone's social & economic environment, physical environment, characteristics & behaviors _______.

Safety with adults. Select all that apply.

Immobility — Musculoskeletal System (Select all that apply)

Wellness is an active state of being healthy by living a lifestyle promoting good physical, mental, and emotional health

The I in ISBARRQ stands for Introduction. What does that entail?

The unique response of a person to a disease; an abnormal process involving change level of functioning

Members of the family must never adjust roles and responsibilities to manage the needs of the ill family member.

What does the E stand for in the RACE acronym?

Mobility assessment includes:

Immobility — Nervous System (Select all that apply)

The A in ISBARRQ stands for Assessment. What does that entail?

How do you know when patient teaching has been effective?

Safety with toddlers/preschoolers. Select all that apply.

Stages of Illness Behavior: Stage 2

In many states, the failure to report actual or suspected abuse is a crime in itself.

The B in ISBARRQ stands for Background. What does that entail?

The S in ISBARRQ stands for Situation. What does that entail?

Fall risk tool: All fall risk assessments are done on admission. Fall risk bracelets are put on those at risk.

What does the A stand for in the RACE acronym?

Stages of Illness Behavior: Stage 4

What does the R stand for in the RACE acronym?

Restraints should be left on until patient discharge in most cases for staff convenience.

Immobility — Integumentary System (Select all that apply)

Immunizations are an example of a secondary prevention.

The second R in ISBARRQ stands for:

What are some characteristics of Acute Illness?

A state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity

It is not necessary to consult with family, inform them of facility policy regarding applying and removing restraints

The H in the TEACH acronym stands for:

What best describes the nurse’s role in disaster preparedness?

Immobility — Nutrition (Select all that apply)

The aims of teaching and counseling include: (Select all that apply)

For preschool children, the teaching process should be directed toward:

Disease is the medical term, referring to pathologic changes in the structure or function of the body or mind

Muscles, _________, and bones are needed to create motion.

The E in the TEACH acronym stands for:

What are some non-therapeutic communication examples that are a barrier to good communication?

Select all that apply to incident reports/incidence occurrence charts.

Immobility — Psychological (Select all that apply)

Procedure-Related Accidents/Possible Errors:

Health education that occurs after diagnosis, focus is to limit complications

The C in the TEACH acronym stands for:

Patients are part of their healthcare team.

Immobility — Gastrointestinal System (Select all that apply)

Nursing interventions to prevent falls in the healthcare setting include:

Some health disparities include:

Safety with neonates. Select all that apply.

Restraints can pose serious risk for a confused or agitated patient and may cause _________. (Select all that apply)