1/14/21 Lecture Flashcards
how much of communication is non-verbal?
anything the pt or caregiver says to you
anything that you acutally observe
who should you not get an oral temp on?
anybody <4, mouth breathers, & pt's with facial trauma
who should you not get a rectal temp on?
pt's with diarrhea, pt's <3 mo old
how does chronic lung dz affect O2?
where is the most accurate location to check for heart rate?
5th intercostal space
normal heart rate
how long do we count VS for?
30s unless abnormal, then count for 1 full min
in what order (in regards to invasiveness) do we assess pt's?
least to most invasive
in what order do we assess the abd?
in what order do we assess all other areas (besides abd)?
in regards to painful areas, which order do you assess?
assess painful areas last
in what order do we listen for bowel sounds?
how long do you have to listen for bowel sounds before you can say they are absent?
1 full minute
what are the stages of edema?
1+, 2+. 3+, 4+
what does the Romberg test tell us?
what are the phases of the nurse-pt relationship?
can halt a therapeutic relationship and can even provoke feelings of anger or aggression with the pt/family
it is very important to be aware of your __________________ (in regards to nonverbal communication)
- where your arms/hands are
what are some forms of nonverbal communication?
- body movements and posture
- facial expressions
- vocal cues
what are some examples of health disparities?
- gender and sexuality
- language and literacy
- bias and discrimination
2 ways we can help eliminate disparities?
- social determinants of health
- improving health literacy
what are some ways in which we can assess cultural competence?
- time orientation
- social orientation
- environmental control
- biological variations
used to evaluate distance vision
how is the Snellen chart test completed?
chart is mounted on a wall 20ft from the pt; pt covers one eye and identifies the letters
what tests are used to assess extraocular muscle function?
corneal light reflex and the 6 cardinal positions of gaze
what are the 6 cardinals positions of gaze?
- superior rectus (CN III)
- inferior oblique (CN III)
- medical rectus (CNIII)
- superior oblique (CN IV)
- inferior rectus (CN III)
- lateral rectus (CN VI)
what nodes do we palpate?
- occipital (base of the skull)
- postauricular (over the mastoid)
- preauricular (in front of the ear)
- tonsillar (angle of the mandible)
- submandibular (along the base of the mandible
- submental (midline under the chin)
- anterior cervical (
auscultatory sites for the heart
what order do we palpate the abd?
what are the stages of edema?
- 1+ (rapid skin response)
- 2+ (10-15s skin response)
- 3+ (prolonged skin response)
- 4+ (prolonged skin response)
describe the Romberg test
client stands w/ feet together, arms at both sides, & eyes closed; the client should be able to stand w/ minimal swaying for at least 5 s
implies special feelings on the part of both the patient and the nurse based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude
ability to see beyond outward behavior and to understand the situation from the patient's point of view
type of touch that is impersonal and businesslike; is used to accomplish a task
ex: a tailor measuring a customer for a suit or a physician examining a pt
type of touch that is still rather impersonal, but it conveys an affirmation or acceptance of the other person
touch at this level indicates a strong liking for the other person-a feeling that he or she is a friend
ex: laying one's hand on the shoulder of another
type of touch that conveys an emotional attachment or attraction to another person
ex: engaging in a strong, mutual embrace
touch at this level is an expression of physical attraction only
ex: caressing or touching another w/ intent to create sexual arousal
having the knowledge, abilities, and skills to deliver c are congruent with the patient's cultural beliefs and practices
difference, inequity, discrepancy, or gap
health difference that is closely linked with social, economic, or environmental disadvanatages
consist of a variety of circumstances and conditions "in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks"
social determinants of health (SDOH)
the SDOH model has 5 key elements:
- economic stability
- social and community context
- health and healthcare
- neighborhood and built environment