week 1

Card Set Information

week 1
2011-03-29 20:44:31

well being
Show Answers:

  1. in cases of panic attacks, what nursing actions should be considered? SATA
    • give simple directions
    • ensure pt's safety
  2. anxiety rituals are called _______.
  3. a pt who is a alcoholic withdrawal is given Clonidine. which action is appropriate for this pt?
    teach the pt change position slowly
  4. a student who has preparing for a final exam comes to a student health center sobbing and hyperventilating. he says "i haven't slept all night, i cant go on." which response is most appropriate?
    "studying for finals can be very stressful. let's work on a plan that can be helpful"
  5. when examining a nursery school child, the nurse finds multiple contusions on the body. child abuse is suspected. which are s/s? SATA
    • all lesions including color, shape, and location should be documented
    • child has multiple bruises which could not be explained
  6. nursing action is important in the secondary violence in abuse includes...
    helping participants discuss the problem, and developing alternatives that can lead to violence move to safe heaven
  7. the following are eating disorders, except...
  8. the following are true about normal eating, except...
    it can give a feeling of guilt and anxiety
  9. FILL-IN

    ________ drug-seeking behaviors that interfere with work, relationship, and normal activities.
  10. a nurse refers a 14y/o daughter of an alcoholic. which resource is more appropriate?
  11. the pt shouldis taking Antibuse. the nurse should give additional teaching to pt if pt claims that he is using the following product.
  12. the most commonly abused substance is...
  13. a nurse sees a pt that is a cocaine abuser picking on his skin. he claims that there are bugs crawling all over him, but the nurse doesnt see any bugs. what should the nurse do?
    tell pt that she doesnt see any bugs
  14. a drug of choice for narcotic toxcity is...
    narcan (neloxone)
  15. a friend called you crying saying good-bye, and saying that you will not see her anymore. you suspect she will commit suicide. what can be done at this time?
    talk to her as long as possible while contacting 911
  16. the nurse at the psychiatric unit is assigned to stay with a severely depressed pt. the nurse needs to go to the bathroom. what should the nurse do?
    the nurse should have another staff member inform the nurse manager of the need for replacement
  17. ________ power is a kind of power where the manager may threaten undesirable schedules, denial of vactions, layoff in a employee is not complient.
  18. write out the 5 rights of delegation.
    • 1. right task
    • 2. right circumstances
    • 3. right person
    • 4. right direction/communication
    • 5. right supervision/evaluation
  19. the following could be considered time wasters, except...
    resource management
  20. FILL-IN

    ________ system is a system that determines staffing needs, measures pt's illness, and catergories to delegate the level of care needed.
    acuity system
  21. steps in time management are the following...SATA
    • time to plan and establish priorities
    • completing highest priority task
    • reasses and reproritize tasks based on any changes
  22. the following is true about nursing process...SATA
    • a scientific method of problem solving
    • forms the organizing framework for effective nursing practice
  23. FILL-IN

    ________ developed the classification system for pt problem and nursing dx, student nurses with appropriate terminology

    Maslow's levels of human behavior.
    • 1. physiological needs
    • 2. safety and security needs
    • 3. love and belonging need
    • 4. esteem and self-esteem needs
    • 5. self-actualization needs
  25. FILL-IN

    ________ data is information/statement that the pt makes about what she feels
    subjective data
  26. the nurse made a nursing dx of impaired skin integrity related to immobility as manifested by which data? SATA
    • redness on perianal area
    • a becubidus of 2x3cm on coccyx area
  27. nursing dx statement includes 3 parts, except...
  28. which type of nursing dx is used when a nurse identify potential problems?
    possible dx
  29. the pt is having SOB. O2 sat is getting down to 88%. the nurse hooks O2 of 2L onto the pt...the nurse's action is based on pt's needs, which is?
    physiological needs

    by law, the nurse documents all the nursing action, observation, and pt response to care...
  31. FILL-IN

    a step in nursing process where nurse determines pt response to care provided is called __________.