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Questions and Answers

What is a common action or precaution associated with the use of St. John’s wort?

  • Can cause addiction
  • Increases appetite
  • May interfere with HIV medications (correct)
  • May increase blood pressure
  • What is the recommended dosage of valerian root for anxiety relief?

  • 200-300mg once daily
  • 1000-1200mg once weekly
  • 500-600mg TID
  • 300-400mg 1-2 times daily (correct)
  • Which therapeutic communication technique involves asking questions that require more than a yes or no answer?

  • Summarizing
  • Offering self
  • Open-ended questions (correct)
  • Seeking clarification
  • Which of the following is NOT a non-therapeutic response in nurse-patient communication?

    <p>Reflecting patient feelings</p> Signup and view all the answers

    What is the primary active ingredient in St. John’s wort?

    <p>Hypericin</p> Signup and view all the answers

    Which of the following therapeutic communication techniques summarizes the patient's statements?

    <p>Summarizing</p> Signup and view all the answers

    What quantity of liquid extract is recommended for daily usage for ginseng?

    <p>200-600mg</p> Signup and view all the answers

    Which response technique would be inappropriate if a patient expresses feeling overwhelmed?

    <p>Dismissing the feeling</p> Signup and view all the answers

    Which of the following is an example of tertiary prevention?

    <p>Support groups</p> Signup and view all the answers

    What is a characteristic of false reassurance in nursing communication?

    <p>It minimizes the patient's situation with misleading statements.</p> Signup and view all the answers

    Which strategy is crucial for effective health promotion?

    <p>Individualized patient education</p> Signup and view all the answers

    What does the term 'nonprofessional involvement' refer to in nursing?

    <p>Establishing relationships outside the therapeutic context.</p> Signup and view all the answers

    Which type of prevention aims to stop a disease before it starts?

    <p>Primary prevention</p> Signup and view all the answers

    What is a common issue with the nontherapeutic response of changing the subject?

    <p>It makes patients feel their feelings are discounted.</p> Signup and view all the answers

    In the context of assessing learning needs, which approach is most appropriate?

    <p>Tailoring educational resources to patient-specific information.</p> Signup and view all the answers

    Which of the following best represents the moralistic approach in nursing?

    <p>Evaluating patient behavior as right or wrong.</p> Signup and view all the answers

    What is a key benefit of deep breathing in managing stress?

    <p>It triggers the relaxation response.</p> Signup and view all the answers

    When are relaxation techniques particularly beneficial according to nursing interventions?

    <p>Before and after various diagnostic tests and treatments.</p> Signup and view all the answers

    What does the acronym L.E.A.P in crisis intervention stand for?

    <p>Listen, Empathize, Affirm, Partner.</p> Signup and view all the answers

    Which of the following is NOT a typical nursing intervention for managing stress and anxiety?

    <p>Increasing environmental noise to distract the patient.</p> Signup and view all the answers

    How do relaxation techniques impact breathing and heart rate?

    <p>They normalize and deepen breathing while slowing heart rate.</p> Signup and view all the answers

    What is the role of meditation in stress management?

    <p>It shifts thoughts from threats to challenges.</p> Signup and view all the answers

    Which statement about the impact of poorly oxygenated blood is correct?

    <p>It contributes to lethargy, tension, and depression.</p> Signup and view all the answers

    What common nursing practice involves supporting patients during anxiety-inducing situations?

    <p>Using relaxation techniques before procedures.</p> Signup and view all the answers

    Study Notes

    Fundamentals of Nursing Final Exam Review (Keiser University)

    • This document is a review for a fundamentals of nursing final exam
    • It covers principles of healthcare ethics, rights and ethical rules of professional-patient relationships, intentional and unintentional torts, the nursing process, types and sources of data, nursing diagnosis statements, illness prevention, complementary and alternative medicine (CAM), communication, safety, health assessment, patient education and health promotion, learning needs and assessment, timing and amount of information, fall prevention, health assessment, and hygiene and self-care.
    • It also includes information on the chain of infection, medical asepsis, and surgical asepsis, transmission based precautions, factors affecting self-care, mobility, and factors affecting respiratory, cardiovascular, sensory, and integumentary function, pain management, and fluid, electrolyte, and acid-base imbalances.

    Chapter 3: Principles of Healthcare Ethics

    • Respect for persons: Individuals are treated as autonomous agents; those with limited autonomy are protected.
    • Beneficence: To do or promote good to help others.
    • Nonmaleficence: To avoid doing harm, remove from harm, and prevent harm.
    • Justice: Making fair decisions about resource allocations for societies or groups.

    Chapter 3: Rights and Ethical Rules

    • Veracity: Telling the truth.
    • Fidelity: Nurses commitment to patients.
    • Privacy: Protecting sensitive patient information.
    • Confidentiality: Maintaining patient privacy.

    Chapter 3: Intentional and Unintentional Torts

    • Assault: Threat of bodily harm.
    • Battery: Harmful or offensive touching without consent (ex. CPR without consent).
    • Defamation of character: False statements harming a person's reputation.
    • Fraud: Deliberate deception.
    • Invasion of privacy: Unwarranted intrusion into personal life.
    • False imprisonment: Unlawful restraint of a person.

    Chapter 5: Nursing Process

    • The nursing process has several phases: assessment, diagnosis, planning, implementation, and evaluation.
    • Subjective data (symptoms): include patient feelings and statements.
    • Objective data (signs): include measurable and observable data.
    • Two main data sources: the patient; family, significant others, other healthcare team members, and lab tests/literature.

    Chapter 5: Nursing Diagnosis Statement

    • A concise statement of health concerns used to guide nursing interventions.
    • Contains diagnostic label, related factors, and defining characteristics.
    • Includes patient's problem, why it's important, and plan of action.

    Chapter 11: Illness Prevention

    • Primary prevention: aims to prevent illness, (ex. immunizations, education).
    • Secondary prevention: aims to detect illness early (ex. screenings, mammograms).
    • Tertiary prevention: aims to manage chronic illness (ex. cardiac rehab, support groups).
    • Includes Integrative healthcare (IHC), a holistic approach to treatment, prevention, and promotion.
    • Includes Traditional/allpathic medicine, Iatrogenic illness

    Chapter 17: Safety

    • Fall prevention measures: removing obstacles from walkways, installing handrails, and ensuring adequate lighting where necessary, avoiding unsafe tools.

    Chapter 18: Obtaining Subjective Data

    • During an interview be professional, attentive, and maintain good eye contact.
    • Use open-ended and closed- ended questions appropriately.
    • Be attentive to cultural differences while obtaining patient history, and get necessary translators.

    Chapter 19: Vital Signs

    • Temperature, pulse, respiration, and blood pressure are measured.
    • Factors affecting temperature, pulse, and respiratory measurements are age, time of day, exercise, stress, medications, recent food/drink consumption, pain, and other factors to be reviewed.

    Chapter 20: Asepsis and Infection Control

    • Medical asepsis: Techniques used to decrease transmission of infection to patients include hand hygiene, disinfection and sterilization.
    • Surgical asepsis: Refers to “sterile technique.”
    • Transmission based precautions are methods of preventing transmission of infections such as airborne, droplet, and contact routes.
    • Chain of infection involves: infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host

    Chapter 24: Hygiene and Self Care

    • Factors that affect self care include environmental issues, such as lack of access to appropriate resources(foods, healthcare, transportation).
    • Motivation is a significant factor in maintaining adequate self-care.
    • Mental health, cognitive abilities, energy levels, pain, acute illness, surgery, and neuromuscular problems affect self-care.

    Chapter 25: Mobility

    • Body mechanics: Use of proper alignment, posture, and balance to avoid injury.
    • Factors affecting mobility: lifestyle, habits, musculoskeletal system, nervous system, circulation, etc..
    • Altered mobility: problems such as decreased muscle strength, tone, lack of coordination.
    • Activity tolerance and other factors should also be considered.

    Chapter 26: Integumentary Function

    • Issues with integumentary function can be caused by circulation problems; nutrition problems, allergic reactions, and environmental factors, or from infection

    Chapter 27: Infection Prevention and Management

    • Human defenses against infection include anatomical barriers, chemical factors, local tissue factors, etc.
    • Factors affecting normal resistance to infection: types of infectious agents, compromised host, breaks in skin, and stasis of body fluids.

    Chapter 28: Pain Management

    • Patients experience somatic pain which is pain felt in skin, bones, joints, and muscles.
    • Other types of pain exist such as visceral and neuropathic pain.

    Chapter 29: Sensory Perception

    • Sensoristasis: The optimal level of sensory arousal.
    • Adaptation: Sensory receptors adapting less to repeated stimuli.
    • Factors affecting sensory perception: cultural considerations, environment etc.
    • Types of sensory deprivation and overload disorders are detailed; as well as nursing care and interactions for clients experiencing these conditions.

    Chapter 30: Respiratory Function

    • Factors affecting respiratory function (various).
    • Altered respiratory function (various problems detailed)
    • Health promotion methods.

    Chapter 31: Cardiovascular Function

    • Factors affecting cardiovascular function.
    • Changes in vital signs, skin, and cardiac issues.
    • Nursing interventions for cardiovascular function problems.

    Chapter 32: Fluids, Electrolytes, and Acid-Base Balance

    • Body fluids, electrolytes, and acid-base balance, and their functions.
    • Electrolyte levels and their relationship to patient health and well-being.
    • Imbalances are described.

    Chapter 41: Stress Coping and Adaptation

    • The constant process of maintaining physiologic parameters to allow survival.
    • Characteristics of stress, coping, and adaptation.
    • Stress response, resilience vs vulnerability, allostatic load.
    • Coping mechanisms (various).
    • Factors affecting coping patterns.

    Chapter 40, 42: Loss and Grieving

    • Characteristics of normal grief and loss.
    • Factors affecting grieving.
    • Working through grief stages

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