-3 Domains of Learning
-cognitive (thinking) Storing and recalling of new knowledge in the brain Ex. Lecture, discussion, panel discussion, audio visual, computer simulations
-psychomotor (skills) Learning a physical skill Ex. Demonstration, discovery, printed materials
- Affective (feelings) Changing attitudes, values and feelings Ex. Role modeling, role playing
What is health literacy?
The degree to which individuals have the capacity to obtain, process, and understand basic health information needed to make appropriate health decisions. See what the persons baseline is. Establish what they already know.
What nursing interventions would you perform when bathing a client with dementia?
Encourage caregivers about patient reorientation
Enforce positive feedback
Explain what you’re doing in a simple easy way before you do it Break up the activities
Make things comfortable for them and as little stress for them as possible
Observe client closely
Which position is a semi-sitting position in which the head of the bed is elevated 45 to 60 degrees?
Fowlers, promotes cardiac and respiratory function
NREM (non-rapid eye movement)
low wave sleep, divided into 4 stages stage 1&2 = 5%-55% of sleep stage 1- know your surroundings, easily aroused,
stage 2- can be aroused,
stage 3 -arousing difficult, slow brain waves, 10% of sleep
stage 4 =delta sleep, really hard to wake someone up , V/S decrease, metabolism slows The parasympathetic branch of the autonomic nervous system becomes progressively more dominant
REM (rapid eye movement)
About 90 minutes after onset of sleep and after deep sleep in stage IV, the brain becomes highly active, dream during this stage,(pulse, respiratory rate, blood pressure, metabolic rate, and body temp. increase), skeletal muscle tone and deep tendon reflexes are depressed, eyes dart back and forth. 20-25% of sleep
Subjective vs. Objective Data
Subjective = what the patient tells you
Objective = what you observe (vitals, labs)
What is a therapeutic medication level?
The level of the drug in the blood stream, the range within which that drug is expected to be effective without being toxic
How many teaspoons are in 60 mL?
What would nursing interventions be for the following nursing diagnosis: Knowledge Deficit and Adolescent Sexuality Concerns related to misinformation and absent family-based sex education as evidenced by the patient’s self-report?
Assess the readiness to learn
Assess current knowledge level
Assess capability to learn
Assess motivation to learn
Assess if there’s cultural limitations
Determine most urgent need Identify what content they need Identify what teaching method will be used when you’re teaching the patient
What are the 3 levels of health promotion and what are some examples of activities in each?
Primary – exercise, immunization, seat belts, accident prevention, diet
Secondary – screening, early detection of disease, mammogram, testicular exam, dental exam, vision exam, pap smear
Tertiary – treatment of illness, reduce disability from illness – PT, support groups, medications
What is circumduction?
Moving in a circle
What is the difference between active and passive range of motion?
AROM – patient moves themself
PROM – nurse moves joint for patient
What are proper body mechanics when lifting an object off the floor?
Use your legs, bend at the knees, wide base, avoid bending and twisting, squat to lift, keep objects close, raise the bed, get help from other staff, use assistive devices
What is rationalization?
Trying to get a reasonable explanation for something that happened. Ex. Drs appt. if they didn’t have to wait so long they wouldn’t forget the appointment
How many mL are in 8 fl oz?
What are normal breath sounds and where are they heard?
- Bronchial- larynx and trachea, high pitched, harsh blowing sound, expiration is longer than inspiration
- Bronchialvesicular- first and second intercostal space, expiration is equal to inspiration
- Vesicular – lung field, soft, low pitched, inspiration is longer than expiration
What are normal heart sounds and where are they heard?
Ape to man=
What is the meniscus?
Curve at the top of a liquid, always measure from the bottom of the meniscus
whats the difference between health promotion and health prevention
Promotion- motivation by desire to heal yourself
Prevention – motivated by desire to avoid illness or disease, or maintain disease