2024 NURS 6001 EXAM 1WITH
CORRECT ANSWERS
factors that contribute to falls - CORRECT-ANSWERSover 65, history of falls,
impaired vision or balance, altered gait or posture, impaired mobility,
medication regimen, postural hypotension, slowed reaction time, weakness,
frailty, confusion, disorientation, unfamiliar environment
three types of restraints - CORRECT-ANSWERSphysical, chemical, seclusion
physiological hazards associated with restraints - CORRECT-
ANSWERSsuffocation from entrapment, impaired circulation, altered skin
integrity, pressure ulcers, diminished muscle and bone mass, fractures.
altered nutrition and hydration, aspiration and breathing difficulties,
incontinence, changes in mental status
types of physical restraints - CORRECT-ANSWERSwrist, mummy, elbow,
papoose board, bed rails, food tray
three main classes of medications used to chemically retain a patient -
CORRECT-ANSWERSbenzodiazepines, typical or classic antipsychotics, and
atypical antipsychotics
chemical restraints always require - CORRECT-ANSWERSdoctors orders
physical restraint - CORRECT-ANSWERSphysical devices used to limit a
patients movements
considerations for restraints? - CORRECT-ANSWERSalways a last resort,
assessed every hour/psych ever 15 min, document date/time/type/ what was
tried first and notify family
supine position and associated benefits - CORRECT-ANSWERSflat on back,
helps muscle relaxation
prone position and associated benefits - CORRECT-ANSWERSon abdomen,
assess hip and posterior
sims position and associated benefits - CORRECT-ANSWERSlies on either
side. lower arm below the body. both knees flexed, partially flexed
, fowlers position and associated benefits - CORRECT-ANSWERSsitting. low
(15-30 degrees) semi (30 to 45 degrees) fowlers (45-60 degrees) high (85-90
degrees)
general consideration for canes - CORRECT-ANSWERSwiden a persons base
of support to help with balance. weight evenly. support comes from stronger
leg
general considerations for crutches - CORRECT-ANSWERSfor patients who
have temporary restrictions on ambulation. weight from hands and arms, not
axillary
general considerations for walkers - CORRECT-ANSWERSimprove balance by
increasing base or support. never on stairs
three learning domains - CORRECT-ANSWERScognitive, psychomotor, and
affective
cognitive learning domain - CORRECT-ANSWERSstoring and recalling of new
info in the brain. strategies: lecture, panel, discovery, written materials
affective learning domain - CORRECT-ANSWERSchanging attitudes, values,
feelings. strategies role modeling, discussion, audiovisual materials
psychomotor learning domain - CORRECT-ANSWERSlearning a specific skill.
strategies: demonstration, discovery, printed material
TEACH - CORRECT-ANSWERSTune in patient
Edit patient info
Act on every teaching moment
clarify often
honor the patient as partner in education
motivational interviewing - CORRECT-ANSWERSa collaborative family
centered model that focuses on understanding and helping rather than
solutions. making the patient interested in helping themselves.
HIPAA - CORRECT-ANSWERSthe health insurance portability and
accountability act. addresses patients privacy and rights. securing medical
info
primary level of care - CORRECT-ANSWERSactivities to reduce the probability
that a disease will develop
secondary level of care - CORRECT-ANSWERSearly detection and treatment
of a disease. block progression of disease