NURS 251 Training Exam Questions And Complete Answers.
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Course
Nurs 251
Institution
Nurs 251
Safe Patient handling for immobile patients - Answer transfer devices, lift teams
Safe Patient handling for patients that can assist - Answer •Wide base of support
•Lower center of gravity
•Equilibrium of an object is maintained as long as the line of gravity passes through the bas...
NURS 251 Training Exam Questions And
Complete Answers.
Safe Patient handling for immobile patients - Answer transfer devices, lift teams
Safe Patient handling for patients that can assist - Answer •Wide base of support
•Lower center of gravity
•Equilibrium of an object is maintained as long as the line of gravity passes through the base of its
support
•Facing the direction of movement prevents abnormal twisting of the spine
•Dividing balanced activity between arms & legs reduces the risk of injury
•Leverage, rolling turning, or pivoting requires less work
•When friction is reduced between the object to be moved & the surface on which it is moved, less force
is required to move it.
Patient Safety Goals - Answer Focus is on preventable medical events
Pt. Safety goals focuses on - Answer Accuracy of patient ID. Wrong pt, wrong site, wrong procedure.
Communication between caregivers. Prevent HAI. Patient saftey
Information on Falls - Answer Common both in & out of healthcare settings.
More common in elderly
Result in pain, disability & death.
Account for 90% of all incident reports
Fall Risk: Intrinsic factors - Answer Surgery
Decreased mobility
Confusion & Delirium
,Patients perceived ability
Fall Risk: Extrinsic Factors - Answer Unfamiliar environment
Drains/Tubes
Intravenous devices
Catheters
Fall Diagnosis instructions - Answer Leave side rails up
Make sure everything is in reach of pt.
Always ask for assistance getting out of bed
Identify as fall risk
Alternatives to restrains
Types of Restraints - Answer Chemical & Physical
Restraints ________ be ordered prn - Answer CANT
When using a restrictive device: - Answer Assess circulation of limb every 15 min
Offer food, fluids, toileting every 2h
Remove restrains & do ROM
Assess skin under restrains
Reposition every 2h
Communication - Answer An exchange of information, ideas, and feelings that requires interpretation,
sensitivity, imagination, and active participation
Referent - Answer Motivates one to communicate with another
Sender and receiver - Answer One who encodes and one who decodes the message
,Message - Answer Content of the message
Channels - Answer Means of conveying and receiving messages
Feedback - Answer Message the receiver returns
Interpersonal variables - Answer Factors that influence communication
Environment - Answer The setting for sender-receiver interaction
Critical thinking and communication - Answer Interpret messages received from others
Analyze the content
Make inferences about what the message means
Evaluate the effect
Explain the rationale for the technique used
Examine the communication style/pattern
Intrapersonal - Answer Occurs within an individual
Interpersonal - Answer One-to-one interaction between two people
Transpersonal - Answer Interaction within a persons spiritual domain
Small group - Answer Interactions with a small number of people
Public - Answer Interaction with an audience
Factors influencing communication - Answer -perceptions
, -values
-emotions
-sociocultural background
-knowledge level
-roles and relationships
-environments
-space and territory
Personal space (distance) - Answer Intimate 0-18 inches
Personal 18 in - 4 feet
Social 4ft- 12 ft
Public 12 ft and up
Touch zones - Answer Social zone (permission not needed)
Consent zone (permission needed)
Vulnerable zone (special care needed)
Intimate zone (great sensitivity needed)
Challenging factors influencing communication - Answer People who are: •Silent, withdrawn,
•depressed
•Angry
•Uncooperative
•Talkative
•Demanding
•Frightened,
•Sensory impairment
•Confused or disoriented
•Unable to speak or understand English (or only a little)
•Flirtatious
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