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FUNdamentals of Nursing - Exam 1Acronym used for successful communication in the workplace to promote teamwork and
safety. - ansS - situation
B - background
A - assessment
R - Recommendation
Another term for a seizure? - ansIrritable focus -or- Foci
Assessment for Hygiene - ansSelf-care ability
* encourage self-care
skin
feet & nails
Oral cavity
hair & hair care
Eyes, ears & nose
Best way to palpate is? - ansLightly - for superficial
Deeply - with two hands for deeper findings
Body temp is affected by heat loss, what causes this? - ansRadiation
Conduction
Evaporation
Convection
Body Temp normal range - ans96.4-100.1
Can the RN provide subjective information about patient? - ansNO! Only the patient can
give subjective info.
OBJECTIVE info is what the RN sees, hears, or smells
,CHANNELS in communication process - ansThese are the means of conveying the
message through visual, auditory, and tactile senses.
Facial expression = visual message
Spoken word = auditory
Touch = tactile
Characteristics of communication within Caring/Working Relationships: -
ansProfessionalism - appearance, demeanor, behavior
Courtesy - hello, good-bye, knock on doors, please, thank you...
Use of Names - Always introduce yourself
Confidentiality - HIPPA
Trust - always honest!
Acceptance & Respect - Non-judgmental attitudes
Availability - "Anything else I can get you?
Socializing - don't socialize with pt. and don't socialize with colleagues where pt's can
hear
Code Blue - ansCheck for responsiveness
Assess for breathing 5-10 sec
Activate code blue
check pulse for 5-10 sec
If not pulse, begin CPR
Common NANDA International diagnostic Identification for patient situation: - ansActivity
intolerance
Ineffective health maintenance
Risk for infection
Impaired physical mobility
Bathing self-care deficit
Dressing self-care deficit
Condition of what areas greatly impacts patient's ability for self-care? - ansFeet - bear
weight or ambulate
, Hands - dexterity
Nails - infection
Consent zone of touch is - ansMouth, wrists, feet
Permission needed
Define acronym SOLER - ansS - Sit facing the patient
O - Open posture
L - Lean toward the patient
E - Establish & maintain eye contact
R - Relax
Define Assessment - ansCollects comprehensive data pertinent to the patient's health
and/or situation.
- info medical personnel can look at
- begins the moment you walk through the door
Define Eupnea - ansNormal breathing
Define Intrapersonal - ansa.k.a. SELF-TALK
Define Intrerpersonal - ansOccurs between two people or groups
- usually one on one conversation
Define REFERENT - ansThe referent motivates one person to communicate with
another.
Examples of referents: sights, sounds, odors, time schedules, messages, objects,
emotions, sensations, perceptions, ideas, etc.
Define SENDER in communication - ansThe person who encodes and delivers the
message.
Sender puts ideas or feelings into form that is transmitted and is responsible for
accuracy and emotional tone of message content
Define Small Group Communication - ansCommittee or a conference
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