Core Test 1.txt

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pcobb
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130196
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Core Test 1.txt
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2012-01-24 08:34:40
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Core Test
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Core Test 1
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  1. What is the first two parts of the ANA Standsards of Practice?
    1. Assessment: gather subjective and objective data

    2. Diagnosis: cluster data to form nursing diagnosis
  2. What are the third and fourth parts of the ANA Standards of Practice?
    Outcome Identification: Realistic, Measurable, Time-limited and Client-centered


    Planning: Identify efidence-based interventions that will assist in client reaching outcome
  3. What are the fifth and six sections of the ANA Standards of Practice?
    Implementation: perform interventions successfully

    Evaluation: was the outcome achieved?
  4. What are the five roles of a nurse?
    • Caregiver
    • Advocate
    • Educator
    • Communicator
    • Manager
  5. List some consumer factors that shape nursing.
    • Longer life span
    • Chronic disease/obesity
    • diversity
    • infomred
    • live far from home
  6. List some Societal Influences that shap nursing.
    • Women's health issues
    • Medically underserved
    • Threat of bioterrorism
    • Threat of litigation
    • Tech test ethical principles
  7. List some factors of today's health care delivery system that shape healthcare.
    • Rising Cost
    • Access to Care
    • Evidence based practice
    • Nursin research
    • Tech/ethics
    • Focus on Safety
  8. What are the five steps of Evidence-based Practice?
    • 1. Ask the PICO question
    • 2. Collect best and most relevant evidence
    • 3. Critique evidence
    • 4. Integrate evidence
    • 5. Evaluate the practice decision
  9. Describe a PICO question.
    • P = Patient population of interest (age, race, disease)
    • I = Intervention of Interest (what do you want to test)
    • C = Comparison of Interst (what is done now)
    • O = Outcome (what do you want to achieve)
  10. Describe what to look for when critiquing evidence.
    Best to Worst: Metaanalysis, randomized, case control, opinions
  11. What are characteristics of the Pre-interaction phase?
    • Find a confidential space
    • Correct Timing
    • Use appropriate communication strategies
    • Use patients name, not room number or illness
  12. What are characteristics of the Orientation phase?
    • Engagement and Assessment
    • Observe Environment
    • Claridy Roles/Expectations
    • Identify patient strengths
    • Use open questions, watch verbal cues, listening
    • Introductions
  13. What are some characteristics of the Working Phase?
    • Plan strategies to meet goal and act on them
    • Evaluate
    • Establish trust and candor
    • Use skills to manage challenging behaviors, gain feedback balanced by attending and listening
  14. What is the keystone to a therapeutic relationship?
    Trust
  15. What is the most common type/manner of communication?
    • Body Language is 55%
    • Vocal Cues are 38%
    • 7% words
  16. What are three purposes of therapeutic communication?
    • 1. Listening so you can identify needs
    • 2. Encourages expression of feelings, builds trust
    • 3. Allows better chance health goals will be met
  17. What are two characteristics of therapeutic communication?
    It is client-centered and purposeful
  18. Therapeutic Environment: what does SOLER mean?
    • S = Sit next to patient
    • O = Open posture
    • L = Lean in
    • E = Eye Contact
    • R = Relax
  19. What are three characteristics of Active Listening?
    • 1. Restate
    • 2. Reflect (verbalize the content AND the implied emotion)
    • 3. Clarify (summarizes and focuses client's thoughts)
  20. What does empathy do that sympathy does not?
    Maintains some objective

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