Nursing Communication and Risk Factors Quiz

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Questions and Answers

What is an example of a modifiable risk factor in sexual health assessments?

Age

Genetics

Family history

Diet (correct)

Which component is NOT necessary for nursing to be recognized as a profession?

A code of ethics

Community peer evaluation

Specialized treatment procedures (correct)

Technical and scientific knowledge

What therapeutic communication technique involves helping a patient express emotions?

Sharing Empathy

Focusing

Using Touch

Sharing Feelings (correct)

Which of these is considered a non-therapeutic communication technique?

Changing the Subject Signup and view all the answers

What is the primary focus of the 'Focusing' technique in therapeutic communication?

Taking notice of a single expressed idea Signup and view all the answers

Which of the following statements about nonmodifiable risk factors is accurate?

They influence overall health but cannot be altered. Signup and view all the answers

Which therapeutic technique is most effective for comfort in vulnerable patients?

Using Touch Signup and view all the answers

What is a characteristic of false reassurance in communication?

It can discourage further expression of feelings. Signup and view all the answers

What strategy should a nurse avoid to maintain professional communication?

Giving personal opinions Signup and view all the answers

Which of the following best describes the significance of summarizing in therapeutic communication?

It provides a concise review of key aspects. Signup and view all the answers

What is the primary focus of tertiary prevention in patient care?

Stopping disease from progressing and rehabilitating patients Signup and view all the answers

Which statement best describes the nursing diagnosis process?

It combines the nurse's assessments to understand patient illnesses Signup and view all the answers

What is essential for the accuracy of the nursing diagnosis?

Correctly identifying the client's health status based on assessment Signup and view all the answers

How does ongoing planning differ from initial planning in the nursing process?

Ongoing planning allows adjustments to the care plan based on patient needs Signup and view all the answers

Which of the following is NOT a component of the ABCs used for prioritizing nursing problems?

Comfort Signup and view all the answers

What is the last step in the nursing process?

Evaluation Signup and view all the answers

Which factor does NOT influence the prioritization of nursing problems?

Drug availability Signup and view all the answers

What principle underscores HIPAA regarding patient information?

Patients have the right over the use and disclosure of their health information Signup and view all the answers

What should a nurse do if asked to perform a task outside of their legal scope of practice?

Follow the facility's policies and procedures Signup and view all the answers

Which of the following examples represents tertiary prevention?

Recovering from a stroke Signup and view all the answers

Which of the following is NOT a characteristic of an effective nursing care plan?

It puts emphasis on consistent nursing actions across all patients Signup and view all the answers

Which of the following nursing actions can be performed without a doctor's order?

Providing patient education Signup and view all the answers

What is the purpose of evaluating the nursing care provided?

To assess changes in the patient's health status and effectiveness of care Signup and view all the answers

Which method is effective for a nurse to enhance therapeutic communication during a sexual health exam?

Create a comfortable environment through privacy and non-judgment Signup and view all the answers

Which of the following is a primary prevention strategy?

Vaccination against influenza Signup and view all the answers

In prioritization, which one of the following patient conditions would likely be considered most critical?

A patient exhibiting signs of shock Signup and view all the answers

What is a key characteristic of vulnerable populations that contributes to poorer health outcomes?

Limited access to healthcare and cumulative stressors Signup and view all the answers

Which of the following statements correctly reflects the purpose of health screenings?

Motivated by the desire to increase well-being through early disease detection Signup and view all the answers

In what way does the ANA Code of Ethics serve nurses in their practice?

Guidelines for acceptable and unacceptable behaviors in daily practice Signup and view all the answers

What component of self-concept includes evaluation of physical appearance and success in the workplace?

Body image Signup and view all the answers

What is a direct intervention in nursing practice?

Providing emotional support to patients Signup and view all the answers

What does nonmaleficence in nursing ethics primarily emphasize?

Preventing and avoiding harm Signup and view all the answers

Which of the following is a characteristic of cultural competence in nursing?

Incorporating cultural beliefs into care Signup and view all the answers

Which ethical principle ensures that nurses provide accurate information to their patients?

Veracity Signup and view all the answers

What is the primary role of the State Board of Nursing?

To regulate nursing practice and handle licensing Signup and view all the answers

In the context of delegation, what does the 'Right Person' refer to?

Selecting the best prepared individual for the task Signup and view all the answers

Which of the following describes the concept of justice in nursing ethics?

Ensuring fair treatment for all patients Signup and view all the answers

What does the wellness-illness continuum illustrate?

The dynamic nature and influence on health Signup and view all the answers

What type of interventions should nurses prioritize for patient safety?

Least restrictive interventions first Signup and view all the answers

Which of the following best describes the Nurse Practice Act?

A collection of laws governing nursing practice Signup and view all the answers

What is included in the definition of cultural awareness?

Perceiving cultural beliefs affecting behavior Signup and view all the answers

Study Notes

Nursing Prioritization and Scope of Practice

ABCs: Airway, Breathing, Circulation — critical framework for prioritizing patient care.
Factors influencing prioritization include problem urgency, future consequences, patient preference, and computer-assisted diagnosing.
RN scope of practice involves tasks like turning patients, providing comfort, assisting with ADLs, and patient education without needing a doctor's order.
If asked to perform outside their scope, nurses should refer to facility policies and use the chain of command.

Prevention Levels

Primary Prevention: Aims to prevent disease onset. Examples include healthy eating, exercising, and vaccinations.
Secondary Prevention: Focuses on early disease detection through screenings (e.g., mammograms, blood pressure checks).
Tertiary Prevention: Targets minimizing disease progression and rehabilitation, including support groups and rehab programs.

Nursing Process (ADPIE)

The nursing process is a cyclical model made up of Assessment, Diagnosis, Planning, Implementation, and Evaluation.
Assessment: Involves collecting subjective and objective data directly from the patient (primary) or secondary sources (e.g., medical records).
Diagnosis: Focuses on identifying health patterns through critical-thinking, establishing a nursing diagnosis, and distinguishing it from medical diagnoses.
Planning: Entails setting patient-centered goals, ongoing adjustments, and discharge planning to promote self-care post-discharge.
Implementation: Actual performance of planned interventions requires effective documentation and delegation.
Evaluation: Assesses patient outcomes and the effectiveness of nursing care, employing structure, process, and outcomes evaluation.

Maslow’s Hierarchy of Needs

Hierarchical model prioritizing needs from physiological requirements to self-actualization.

HIPAA Compliance

HIPAA protects patient privacy, regulating health information management.
Ensure privacy by logging off computers, avoiding public discussions about patients, and obtaining consent before searching belongings.

Nursing Attributes

Essential attributes: honesty, integrity, advocacy, effective communication, prioritization, and responsibility.

Therapeutic Communication

Importance of creating a comfortable environment during sensitive assessments, such as sexual health.
Techniques include active listening, sharing empathy and hope, and providing relevant information.
Recognizing nonverbal cues and allowing patient expression are critical components.

Risk Factors

Modifiable Factors: Can be changed (e.g., diet and stress).
Nonmodifiable Factors: Cannot be altered (e.g., family history, genetics).

Nursing as a Profession

Nursing requires technical knowledge, peer evaluation, service orientation, and adherence to a code of ethics.
Promoting professional recognition involves standardized education, continued learning, and public education about nursing roles.

Ethical Principles in Nursing

Nonmaleficence: Avoiding harm; Autonomy: Supporting patient choice; Justice: Ensuring fair treatment; Beneficence: Promoting good; Veracity: Honesty; Fidelity: Keeping promises.

Nurse Practice Act

Regulatory framework establishing the laws governing nursing practice in individual states.

Cultural Awareness in Nursing

Recognition of cultural influences on patient behavior and decision-making.
Incorporating cultural competence in care allows for respect and acceptance of diverse values and beliefs.

Body Mass Index (BMI)

BMI assesses body fat using height and weight measurements, categorized into underweight, healthy, overweight, and obese.

Wellness-Illness Continuum

A spectrum that illustrates the varying states of health influenced by biological, nutritional, and lifestyle factors.

Immunizations for Older Adults

Recommended vaccinations include annual influenza and pneumonia vaccines, critical for middle-aged adults.

Healthy People 2030

A national initiative setting goals to lower preventable health risks and reduce health disparities.

Delegation in Nursing

Delegation entails transferring responsibilities while maintaining accountability for outcomes, distinct from simple task assignments.
The five rights of delegation: Right Task, Right Circumstance, Right Direction, Right Person, Right Supervision.

Delegable Tasks to Assistive Personnel

Vital signs for stable patients, acknowledging the importance of appropriate task delegation in nursing practice.### Patient Care Activities
Feeding, grooming, bathing, and toileting can be delegated based on UAP, facility, and its policies.
Turning and ambulating patients are essential aspects of patient mobility and comfort.
Stocking supplies ensures that necessary items are available for patient care.
Secretarial tasks include documentation and communication essential for patient management.

Client Advocacy

Client advocacy involves supporting patients’ right to make healthcare decisions and protecting those unable to decide.
Nurses play a crucial role in ensuring patient autonomy and safety through advocacy.

Definition of Nursing

Developing a nursing definition helps clarify the profession's value and distinguishes it from medicine.
Understanding nursing expectations aids students in grasping their future responsibilities.

Direct vs Indirect Care

Direct care interventions involve direct interactions and may include physical care, emotional support, and patient education.
Indirect care interventions include advocacy, referrals, and environmental management on behalf of the patient.

Self-Concept

Self-concept is an individual's overall view of themselves, shaped by evaluations of physical appearance, abilities, and social roles.
Components include body image, self-esteem, role performance, and personal identity.
Factors influencing self-concept are gender, family, socioeconomic status, and peer relationships.

ANA Code of Ethics

The ANA Code of Ethics provides guidelines for acceptable nursing conduct, ensuring ethical practice.

Health Screenings

Health screenings aim to promote well-being and detect diseases in early stages for timely intervention.

Definition of Illness

Illness is defined as a disruption in usual feelings or life, often reflecting personal perceptions influenced by attitudes and lifestyle choices.

Communication with Non-English-Speaking Patients

Utilize facility interpreters or translation software for effective communication with non-English speakers.
Avoid using untrained family members or staff as interpreters to ensure accuracy.

Characteristics of Vulnerable Populations

Vulnerable populations face increased health risks due to limited access to care and various socio-environmental stressors.
Subgroups include the homeless, economically disadvantaged, mentally ill, elderly, and specific ethnic/racial minorities.

Fall Risk Assessment and Education

The Morse Fall Scale is a rapid tool for assessing fall risk.
Strategies to reduce falls include removing hazards, utilizing mobility aids, and implementing alerts such as “fall risk” bands.

Interprofessional Team Members

An effective healthcare team includes nurses, nurse practitioners, physicians, allied health professionals, pharmacists, dieticians, and social workers.
Nurses assess patients and provide care, while nurses' aides assist under supervision.
Allied health professionals like physical therapists and psychologists focus on rehabilitation and psychosocial support.

Home Safety Measures

Common hazards at home include poisoning, fire risks, falls, and suffocation.
Safety measures include installing smoke alarms, safe storage of medications, and secure handling of firearms.

Hospital Safety Measures

RACE protocol for fire safety: Rescue, Alarm, Contain, and Extinguish.
Seizure precautions include ensuring safety equipment is available, protecting the patient, and avoiding mouth placement during seizures.
Fall precautions mirror education on home safety, emphasizing removal of hazards and safety aids.

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Description

Test your knowledge on key concepts in sexual health assessments, nursing profession criteria, and therapeutic communication techniques. This quiz includes questions about modifiable and nonmodifiable risk factors and communication strategies essential for nursing practice.