stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
EOC PART 2 Flashcards | StudBud
Explore
/
EOC PART 2
EOC PART 2
75 terms
·
StudBud Administration
·
38 plays
chaps 5, 6, 7 and 8
Flashcards
75 cards
F
Practice quiz
P
Host live
L
Questions
75
Answers
1
What is a modifiable factor for health with someone with diabetes?
Their birth sex
A low carb diet
Their age
Family history of diabetes
2
What are ways to help resolve conflict?
Be specific about problem, ask other for ideas on resolving conflict
Speak privately with other person, focus on the problem
Apologize for any misunderstandings, civilly disagree on conflicts
Involve supervisor before starting conversation, make it personal
3
A pt states they've loss their hearing aids. The LPN cannot find them. What does the nurse do next?
Call the police
Fill out incident/variance report that isn't included in the medical record
Tell the pt that the hospital will reimburse them
Chart in the medical record that the patient has lost their hearing aids
4
How can a nurse encourage good rapport with a patient using their body position?
Stand over and peer down at a seated patient to demonstrate confidence
Slump over to show patient that the nurse is relaxed
Fold arms to keep hands still as to not distract the patient
Sit at eye level, lean slightly foward, and maintain an open body posture
5
A nurse shows a pt a nutrition label from an ice cream tub. What questions would she ask? (multiselect)
"If you were allergic to peanuts and soy, could you eat this safely?"
"If you ate this entire container, how many servings would it be?"
"Where was this ice cream packaged?"
"You eat 2,000 cals a day, what % of cals would you consume in 1 serving"
6
When a person relies on others for help in diagnosis and treatment, like a doctor, they're in the ___ phase of illness.
Dependency
Symptomatic
Seeking Help
Recovery
7
How can culture influence communication?
What is acceptable in one culture may be unacceptable in another
Some cultures require more personal space than others
Some patients will find excessive eye contact rude
A nurse and a patient do not speak the same language.
8
Long term care is not required by law to use EHR exclusively, so paper charts are still seen in nursing homes.
True
False
9
In LTC, a federal law known as ORBA mandates a form called ___ must be completed.
Minimum Data Set (MDS) for Resident Assessment and Care Screening
Outcome and Assessment Information Set, known as OASIS
10
A kardex includes : (multiselect)
A resident's insurance information
The physician's orders
Lists care that a resident should recieve
Nursing orders
11
When someone isn't feeling well with symptoms like body aches and fatigue, they're in the ___ phase of illness.
Dependency
Symptomatic
Seeking Help
Prodromal
12
What phrases contain words with strong connotative language? (multiselect)
"If you don't take this medication, you could die."
"Yes, I can get you something to eat."
"Oh, I love that show! Do you mind if I take your vitals now?"
"Can I see your wristband?"
13
Ideally, a nurse document immediately after care is provided, but this is not always possible.
True
False
14
Eventually, our bodies cannot keep up the pace of dealing with stressors AND fighting off illness.
False
True
15
When someone develops a sore throat and congestion, they're in the ___ phase of illness.
Symptomatic
Dependency
Seeking Help
Prodromal
16
The Joint Comission audit medicial records to verify facility complience in meeting standards.
True
False
17
Nurses should use therapeutic communication often, but which technique should be used sparingly?
Asking the patient what you could do to make them feel better
Staying silent to allow a pt to process their feelings
The nurse summarizing the pts concerns at the end of a conversation
A pt is upset, the nurse restates what the pt said to show active listening
18
Select all examples of verbal communication
A patient rolling their eyes at their spouse
A patient pointing to the window, gesturing that they want it opened
Your classmates says "Boy, am I sick of studying!"
A patient uses a whiteboard to write out the words "can I have some water?"
19
What documentation can be delegated to a CNA?
A new skin tear on patient's wrist
Patient's orientation to the four spheres
I & O shift totals
% of diatary supplement consumed by patient
20
In a lecture, a student finds themselves in a ___ range, or 4 to 12 feet away from their professor.
Intimate
Social-consultative
Public
Casual-personal
21
Only 12% of the population has a proficient health literacy level according to the National Assessment of Adult Literacy
False
True
22
What is the main objective of the body's fight-or-flight response?
To raise the hemoglobin level
To keep the blood from clotting excessively
To get more O2 to certain oragns and muscles
To keep electrolyte levels normal
23
Which cultures may abstain from eating pork? (multiselect)
People who follow the Jewish faith
People who follow the Hinduism
People who follow the Islamic faith
People who follow Celtic teachings
24
Information can be collected from the EHR to track trends and identify needs based off of them.
False
True
25
Displacement (transference) is known as :
"Burying"
"Finger pointing"
"Kick-the-dog syndrome"
"Out-of-body experience"
26
A nurse speculates his patient undergoing spiritual ditress. What would be his
first
action?
Pray with the patient
Notify the hospital's chaplin to see if they could visit the patient
Bring the patient a bible
Sit with the patient for awhile and talk with her.
27
People can move up and down the wellness–illness continuum yearly, monthly, daily, even hourly.
False
True
28
What are some positive coping strategies? (Multiselect)
Listening to your body
Deep breathing
Eating regular meals, low in fat and sugar
Hurting loved ones
29
When performing an assessment on a patient, the nurse is ___ range of the patient.
Casual-personal
Public
Intimate
Social-consultative
30
Proxemics refers to
Another term for body mechanics
The attitude given by a person
The body languge being used
The distance placed between people and others
31
Assessing health literacy is so important that it has been referred to as the “newest vital sign.”
True
False
32
Which documentation is objective? (multiselect)
'Found pt laying face down on floor next to bed'
'Found patient after he fell out of bed'
'Patient reports he fell out of bed while reaching for his phone'
'Patient hurt himself while trying to go to the bathroom'
33
Most facilities have a standard report form that you recieve at the beginning of your shift.
False
True
34
The admission form that verifies that the patient meets certification requirements for Home-Health is called
Outcome and Assessment Information Set, known as OASIS
Minimum Data Set (MDS) for Resident Assessment and Care Screening
35
The portion of an interview that accomplishes the main point of the interview. Where most of the questions are asked
Opening of an interview
Body of interview
Closing of interview
36
Which of the following are purposes of documentation? (multiselect)
To serve as a punitive measure for nurses who will not do all interventions
To provide a permanent record of medical dx, nursing dx, plan of care.
To provide a record to adminstration to ensure nurses earn their pay
Serve as a record of accountability for reimbursement
37
What would be an example of a chronic illness?
Influenza
A broken pinky
A UTI that resolves with antibiotics
Obesity
38
Bedside shift report is the most recommended form of shift to shift hand off.
False
True
39
The body can tell the difference between 'good stress' and 'bad stress'.
True
False
40
Research has shown that people who have low health literacy are at higher risk for poor health regardless of education.
False
True
41
The four primary sections in a problem-oriented medical report.
Database, problem list, plan of care and progress notes.
PIE, Focus, Narrative, SOAP
ADLs, Vitals, MAR, Notes
Nurses notes, MAR, graphic data, physician notes
42
What guideline should be followed when charting on a patients EHR?
Use abbrevations that your facility have approved
Since the chart is electric, leaving blank spaces is okay
nurses can copy n' paste their previous notes and make changes to save time
Using terms like 'well, poor, average' are acceptable bc they're succient
43
During the interview, unless the situation calls for it, the nurse should avoid 'yes' or 'no' questions.
True
False
44
What are the beliefs of traditional Chinese medicine? (multiselect)
Yang is compared to parasympathetic nervous system
Illness is caused by some sinful act or by an actual demon spirit
Yin is compared to the sympathetic nervous
Hot diseases or states: hypertension, DM, pregnancy
45
The portion of the interview when the patient can ask questions.
Opening of interview
Closing of interview
Body of interview
46
"Good morning, my name is Nursey Nurse. I'm going to be asking a few questions, is that okay?" is an example of?
Body of interview
Closing of interview
Opening of an interview
47
While charting on paper, you spill coffee on the chart. What should the nurse do? (muliselect)
Save destroyed copy
Mark down on new page that it was recopied
Recopy the page onto the next page of chart with time and date
Mark on destroyed copy which page it'll be rewritten on
48
Culture is/includes (multiselect)
beliefs, values, symbols, art, etc
The whole of the learned behaviors of individuals within a specific group
categorization of a group of people by a distinctive trait race nationality
way of life that distinguishes a particular group of people from others.
49
Using the
DESC
method, which statement reflects the
E
portion in conflict?
Hey Jim, I've noticed that you take hour long breaks instead of 30 mins.
When you take longer breaks, I have to cover you longer, and I fall behind
If you continue taking long breaks, I'll have to get the manager involved.
I need you to take the alloted 30 min break instead of taking an hour.
50
While at a conference, a speaker is about 12 feet away from the audience, or in the ___ range.
Social-consultative
Casual-personal
Intimate
Public
51
What would NOT be an example of therapeutic communication?
"Everything is going to be okay, you'll be fine."
"Are you saying that you feel like the treatment is making you feel worse?"
"Tell me more about these feelings."
"Your MRI is scheduled for 12PM tomorrow."
52
The parasympathetic nervous system reverses fight-or-flight response.
False
True
53
What are ways a nurse can help maintain HIPAA? (multiselect)
Shred all handwritten notes after each shift
Call before you fax any document
Log out of your charting computer anytime you step away from it
Get verbal consent from patient to send medical records to another doctor
54
Patient of different cultures might deal with death and dying in different ways.
False
True
55
In source oriented records, the nurse only charts in one section of the chart.
True
False
56
What effects does the fight or flight response have on the cardiovascular system?
Decrease RR
Dilate blood vessels in center of body, contrict peripheral blood vessels
Constrict blood vessels in center of body, dilate peripheral blood vessels
Increase heart rate
57
There's a female to male transgender patient who uses he/him pronouns. In the chart the pt's name is Lisa.
"He needs to see his gynecologist after discharge."
"Okay Lisa, are you ready to take your meds?"
"She's a man now."
"This patient is saying she feels pretty good and is ready to go home."
58
What could a nurse do to better communication with a patient with an Endotracheal tube? (multiselect)
Have the patient blink to answer questions (once for yes twice for no)
Document successful strategies and pass them along to next shift
Reassure the pt often with frequent communication
Provide patient something to write on, like a whiteboard
59
When is the next time Healthy People 2030 going to be updated?
2030
2040
2050
2025
60
What is an example of cultural diversity in a hospital setting?
Employing people who speak a variety of languages
Having many disciplines working together
RNs, LPN, and CNAs all being part of the nursing staff
Accepting only patients of selected ethnicities and cultures
61
When a person is slowly able to resume independence and regain their health, they're in the ___ phase of illness.
Seeking Help
Recovery
Dependency
Symptomatic
62
You are taking care of a patient and you recieve a phone call from someone asking for an update. What do you do first?
Say 'no' and hang up.
Since this is the pt's sister, you can go ahead and give her an update.
Put them on hold and ask the pt if you can give them an update
Tell them you're the nurse, but you must ask the pt before giving out info
63
According to The Joint Commission, all patients have the right to
Have meals prepared according to their cultural preferences
Get medical care considerate of their culture, religion and spiritual being
Recieve care from nurses of the same culture or religion as the pt
Have a service performed in the hospital chapel of their religion
64
Using Dunn Theory of High Wellness, what quadrant would a chronically ill pt with a strong support system be in?
Protected Poor Health
Poor Health
Emergent High-Wellness
High Level Wellness
65
What could a nurse do to have a hearing impaired patient understand them better? (multiselect)
Speak loudly so the patient can hear them.
Eliminate enviromental distractions
Stand in front of a window
Use short, simple sentences.
66
When someone seeks help from a medical professional, like a doctor, they're in the ___ phase of illness.
Seeking Help
Dependency
Symptomatic
Recovery
67
There is no need to talk to an unresponsive patient while performing care.
False
True
68
What could a nurse do to better communication with a patient with aphasia? (multiselect)
Finish the patient's sentences
Speak in a different tone than normal
Demostrate what you're about to do if needed
Ask yes or no questions
69
Transcultural nursing is about recognizing and addressing (multiselect)
The difficulties of communcating with patients of different cultures
Treating all patients the same
Cultural differences among patients
The culture of an individual nurse
70
What is one social determinant of health?
Low crime rate
Having secure housing
Being able to attend college
Only having a dollar store in walking range for food options
71
'Not charted not done' means that if something wasn't charted, it wasn't done. What type of charting does this NOT apply
Focus Charting
Charting by Exception
SOAP/SOAPIER
Narrative Charting
72
When sitting at a lunch table with a friend, you find yourself about 20 inches away from them. Describe this.
Intimate
Casual-personal
Social-consultative
Public
73
What is an example of a way a nurse can help establish mutual trust with a patient? (multiselect)
Focus conversation on patient, not the nurse
Bring their pain meds in a timely manner
Tell a patient you're not rounding often is bc you're short staffed
Be empathetic, but keep some emotional distance.
74
Care Plans serve to communicate pts problems, interventions, and effectivness of interventions. Revisions can be made.
False
True
75
Which facilities will the EHR be used in? (multiselect)
Clinics
Pharmacies
Home Health
Hospital
