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Questions and Answers
What is the preferred position for feeding a patient to reduce the risk of aspiration?
Which of the following is NOT a characteristic associated with aspiration risk?
Which item is essential to check for accuracy before feeding a patient?
What should be done after placing the meal tray on the table?
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Silent aspiration can be assessed through which of the following methods?
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What is an early sign that a patient may be experiencing aspiration?
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Before starting the feeding process, what is the first action you should take?
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What is a common sign of silent aspiration that healthcare providers should monitor?
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What is the correct placement of hands when supporting a patient using the gait belt?
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What is the first step in helping a patient stand up using a gait belt?
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When standing in front of the patient to help them up, how should you position your feet?
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If the patient has IV lines or a catheter, what should you do before assisting them out of bed?
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What should you do upon returning the patient to bed after ambulation?
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What is the primary goal of maintaining professional boundaries in a mentor/mentee relationship?
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Which of the following best describes empathy?
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How does active listening contribute to patient engagement?
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What is a critical aspect of developing a therapeutic relationship with a patient?
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What is one of the primary goals of patient engagement?
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What does responding with empathy require?
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Why are boundaries critical for sustaining empathy?
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What is a key component of responding with empathy during patient interactions?
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What is the first step to assist a patient in rolling onto their side?
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When rolling a patient to their left side, which limb should be positioned on top?
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What physical position should the patient be in before performing the swivel technique?
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During the weight shift while rolling a patient, how should the hands be positioned?
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If a patient needs minimal assistance while rolling over, what is encouraged?
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Which of the following is a key tip when assisting with patient transfers?
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What should be done with the bed rails when a patient is rolling towards one side?
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What is the purpose of placing a hand under the patient's scapula and the other hand at the hip during a transfer?
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What is the normal average range for adult blood pressure?
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Which action is NOT part of the process for obtaining vital signs?
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In what position should a patient be placed when measuring vital signs?
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What temperature reading indicates that an adult is within the normal range?
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What should you do if a patient reports a pain level of 5 on a scale of 0-10?
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Where should the blood pressure cuff be placed?
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What is the expected range for adult respiration rate?
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What should you do after cleaning the vital signs machine components?
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Study Notes
Empathy vs. Sympathy
- Empathy is the ability to understand and share the feelings of another person.
- Sympathy is feeling pity or sorrow for someone else.
Professional Boundaries
- Maintaining professional boundaries is essential for both staff and patients.
- Professional boundaries help ensure that working relationships are not misread or confused with friendship or other personal relationships.
- Professional boundaries are essential for maintaining trust and respect, ensuring the safety of both the patient and the staff.
Patient Engagement Goals
- Maintain a professional boundary: Keep a distance between the professional's scope of service and the patient's personal life.
- Develop a therapeutic relationship: This creates a safe and respectful environment for the patient, allowing them to trust and open up to the professional.
- Respond with empathy: This includes active listening, demonstrating genuine care and concern, and accepting the patient's perspective without trying to fix everything.
Boundaries in Patient Care
- Boundaries are vital for maintaining empathy and effective collaboration within the patient care team.
Physical Patient Care
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Turning a Patient:
- Raise all rails on the side the patient will be turning to and lower the rails on the other side.
- Place one hand under the patient’s scapula (shoulder blade) and one under the iliac crest (hip bone).
- Bend your legs to lower your center of gravity.
- Ask the patient to reach over to the railing they will be turning towards.
- Shift your weight as you rotate your hands to guide the patient over to their side.
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Swiveling Technique:
- Adjust the bed height to ensure proper body mechanics.
- Raise the head of the bed so the patient is in Fowler’s position.
- If the patient has a stronger side, transfer them towards that side.
- Encourage the patient to use their own strength to assist with the movement.
- Place one hand on the patient’s scapula and the other hand "over & under" their knee.
- Swing the patient’s legs off the edge of the bed while guiding the back.
Key Tips for Patient Care Tasks
- Always ask for assistance if a task is beyond your physical capabilities.
Aspiration
- Aspiration is the inhalation of secretions, fluids, or solids into the trachea instead of the esophagus.
- It is associated with patients who have difficulty swallowing, recent surgery, post-anesthesia, or a reduced level of consciousness.
- Signs include coughing, throat clearing, and food pocketing.
- Silent aspiration occurs without obvious signs; it can be assessed through chest x-rays, temperature, and respiratory status.
Feeding a Patient
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Preparation:
- Check with the RN for approval and directions.
- Gather necessary supplies: meal tray, wash cloths, toothbrush, and paste.
- Perform hand hygiene.
- Identify catheters or monitor leads connected to the patient.
- Ensure the wheels on the bed are locked.
- Adjust the bed height for proper body mechanics.
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Feeding:
- Position the patient in high Fowler’s position or a chair.
- Verify that the patient's name and MR# on the food tray match their I.D. armband.
- Clean the tray table with Sani-wipes.
- Assist the patient with washing their hands and face.
Vital Signs
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Preparation:
- Check with the RN for approval and directions.
- Gather necessary supplies: automated vitals machine, alcohol wipes, temperature probe cover, IV or BP Cuff Sign, paper and pen.
- Perform hand hygiene.
- Identify catheters or monitor leads connected to the patient.
- Ensure the wheels on the bed are locked.
- Adjust the bed height for proper body mechanics.
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Obtaining Vital Signs:
- Clean all components of the vitals machine.
- Position the patient with their arms and legs uncrossed.
- Assess the patient's pain level on a scale of 0-10.
- Place the blood pressure cuff on the patient’s bare upper arm.
- Place the oxygen saturation sensor on the patient’s index finger.
- Press "Start" on the automated vitals machine.
Helping a Patient Stand Up and Ambulate
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Standing Up:
- Place the gait belt around the patient and secure it.
- Stand in front of the patient with your feet between theirs.
- Flex your knees to lower your center of gravity.
- Ask the patient to place their hands on the bed to help push up.
- Place your hands on the gait belt near the patient’s lower back.
- Count to three and slowly stand up with the patient.
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Ambulation:
- Place one hand on the gait belt behind the patient's back.
- Walk next to the patient, slightly behind, offering support.
- If the patient has IV lines or a catheter, ask the nurse for assistance.
- When returning the patient to bed, ensure proper bed settings.
- Report the distance walked and the patient's tolerance to mobility to the RN.
Adult Normal Average/Range for Vital Signs:
- Blood Pressure: 120/80 mmHg
- Pulse: 60-100 beats per minute
- Temperature (oral): 98.6°F +/- 1°F
- Respiration: 12-20 breaths per minute
- O2 Saturation: 97%-99%
- Pain Level: Report pain at or above a certain level (depending on the facility's pain scale) to a nurse immediately.
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Description
This quiz explores the crucial distinctions between empathy and sympathy, particularly within professional healthcare settings. It emphasizes the importance of maintaining professional boundaries and developing therapeutic relationships with patients. Test your understanding of these key concepts in fostering patient engagement and trust.
