Exam (elaborations)
NUR 256 Mental Health Exam
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NUR 256 Mental Health Exam
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NUR 256 Mental Health ExamNational Patient Safety Goals (NPSGs) - ANSWER Provides evidence and expert
based solutions to problem areas in terms of patient safety
What are the goals of National Patient Safety? - ANSWER ~Identify patient
correctly
~Improve Staff communication
~Medication safety
~Alarm safety
~Prevent infection
~Identify patient safety risk and prevent surgery related mistakes
What does SBAR stand for? - ANSWER S: Situation
B: Background
A: Assessment
R: Recommendation
When would a nurse use SBAR and why? - ANSWER The TeamSTEPPS
curriculum features tools that may be used by team members to enhance a given
competency; a commonly used example of such a tool is the SBAR format for
communicating critical information
Advanced Directive - ANSWER a written document that specifies if extraordinary
measures are to be taken to prolong life if the patient can no longer make his/her
own decision
Durable Power of Attorney - ANSWER a legal agreement that allows an agent or
representative of the patient to act on behalf of the patient
What is a Chronic condition? - ANSWER a medical condition or health problem with
associated symptoms that requires long-term (3 months or longer) management
Ways to manage pain - ANSWER • Effective and safe analgesia
• Optimal relief
• Comfort function goal
• Responsibility of all members of the healthcare team
• Pharmacologic: multimodal
• Routes and dosing
• Patient-controlled analgesia (PCA)
abnormally low absolute neutrophil count - ANSWER neutropenia
What is the difference between friction and shear? - ANSWER friction = rug burn
shear = force of gravity as well as tear in skin
Preventative Health Screening: Primary Prevention - ANSWER reducing risk of
disease through health promotion and risk reduction strategies
, Ex: Education (wearing sunscreen, bike helmet)
Preventative Health Screening: Secondary Prevention - ANSWER Screening and
early detection activities
Ex: Self exams (breast and testicular)
Preventative Health Screening: Tertiary Prevention - ANSWER Already have
disease and are trying to prevent recurrence or comorbidity
Acute Pain vs. Chronic Pain - ANSWER Acute pain: short term, self-limiting,
dissipates after injury heals, follows a predictable trajectory
Chronic Pain: continues 6 months or longer, types are malignant and nonmalignant,
does not stop when injury heals
What are the signs that death is immanent? - ANSWER Sleeping More
Eating and Drinking Less
Withdrawing From People
Changing Vital Signs
Changing Waste Functions
Dropping Body Temperature
Weakening Muscles
Breathing Trouble
Increasing Confusion
Pain
Hallucinations
Preoperative Phase - ANSWER period of time from when the decision for surgical
intervention is made to when the patient is transferred to the operating room table
Preoperative Documentation - ANSWER Health history and physical exam
Medications and allergies
Nutritional, fluid status
Dentition
Drug or alcohol use
Respiratory and cardiovascular status
Hepatic, renal function
Intraoperative Phase - ANSWER period of time that begins with transfer of the
patient to the operating room area and continues until the patient is admitted to the
postanesthesia care unit
Perioperative nursing management - ANSWER one goal of preoperative nursing
care is to educate the patient how to promote optimal lung expansion and resulting
blood oxygenation after anethesia
Postoperative Phase - ANSWER period of time from when patient is admitted to
PACU to follow-up evaluation in clinical setting or at home
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