NUR160 Exam 2 Review|NUR 160 exam1 study guide.

NUR160 Exam 2 Review|NUR 160 exam1 study guide.Factors affecting communication  False reassurance Space and territoriality Physiologic factors  False assumptions Level of trust Psychosocial factors  Giving advice or personal opinions Language barriers  Approval or disapproval Culture  Posturing positioning Age and gender Denotive meaning  Normal word to you may mean something different to Pt EX: Nurse asks pt when was their last BM and the pt does not know what the nurse is talking about. Void and BM is familiar to healthcare professionals but not pt Connotative  Reflects the individuals perception of interpretation Jargon  Common place language or terminology used in a particular worksetting Verbal therapeutic communication technique Restating- Repeating what patient said to let pt know youre listening Paraphrasing- Restating pt message in nurses own words Clarifying- When pt statement is incomplete or confusing the nurse asks pt to verify that nurses understanding is accurate Focusing- Focus when pt info is vague or stray from topic Reflecting- Involves feelings and thoughts more than facts assists pt to explore their own feelings Offering information- Preparing a pt for what to expect or discharge teaching to prepare pt for self care at home. Summarizing- Review of main points covered A+ How to handle awkward moments and challenges?  Answer personal questions  Silence  Displays of emotion How to communicate with a pt on ventilator  Communication board Communication with pt with aphasia  Be patient, listen, allow pt time to understand and comprehend Unresponsive  Rescue Pull pin to unlock handle Activate Aim low at base of fire Confine fire Squeeze Extinguish Sweep the unit from side to side Type of fire extinguishers Type A- Paper, wood, cloth Type B- Flammable liquid fires(grease anesthetics) Type C- Electrical fires Type ABC- Can be used on any type of fire Safety Primary prevention  Preventing problems (immunizations) Secondary prevention  Early diagnosis of a problem (screenings, tests, pap smear) Tertiary prevention  Diseases that are present already and alleviating (palliative care) A+ Active Errors- Happens during pt care Latent Errors- Occurs due to a flaw in the system Sentinel event- Unexpected occurrence involving death or serious psychological injury Nonmaleficence- Means to do no harm to pt Assault- Intentional threat to cause bodily harm to pt Battery- Unlawful touching of another person without consent Libel- Untrue writing about another person that brought attention of others Slander- Untrue spoken words about another person Tort- A type of law that involves wrongs against a person or property Liability- legal responsibility Proxy- Speaks for pt and make decisions regarding pt care acts on pt behalf according to pt wishes Medication and medication administration Parenteral IM IV SubQ Percutaneous  Absorbed through mucous membranes or through skin EX: Inhalation(abuterol), Topical, sublingual (Nitro) Absorption Distribution- Where med is distributed through (blood stream, lymph system) Metabolism- Bodys breakdown and inactivation of drugs (liver primary site) Excretion- Elimination of the drug (Feces, urine, evaporation through skin, exhaled from lungs, breastmilk, saliva) Idiosyncratic- When something unusual or unexpected occurs EX: aspirin causing an asthma attack Allergic reaction- When a pt has taken a drug in the past and the immune system develops antibodies to that medication so the next time they are exposed