Exam 4 Blueprint Urinary and Bowel Elimination, Cultural Awareness (1)
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San Bernardino Valley College *
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100
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Communications
Date
Jan 9, 2024
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Study Guide – Ch. 24, 26, 46,47 and 9
Communication, Documentation/Informatics, Urinary and Bowel Elimination Cultural Awareness
Communication –
Be able to differentiate between the various levels of communication
Intrapersonal
Interpersonal
Small-group Public Electronic Define the components of the Circular Transactional Model
of Communication and be able to give examples of each component Referent
Sender
Message
Channels Feedback Interpersonal variable
Environment
Forms of Communication
Understand the components of Verbal Communication
: e.g. vocabulary, intonation (tone of voice), Pacing, Clarity, brevity, and directness; as well as the importance of timing when communicating
Understand the components of Non-Verbal Communication
includes The five senses and everything that does not involve the spoken or written word;
e.g. personal appearance, facial expression, posture and gait, eye contact, etc.
Zones of Communication
: When is it appropriate to use each zone with patients/families. Be able to state the appropriate distances in each zone.
Intimate Zone – Personal Zone
Socio-consultative Zone
Public Zone
Define the four Phases
that Characterize the Nurse/Patient Relationship. What occurs during each phase?
Pre-interaction Phase
Orientation Phase
Working Phase
Termination Phase
E
lements of Professional Communication – be able to give examples for each one
Appearance, demeanor and behavior
Use of Names
Courtesy and Respect
Autonomy and Responsibility
Trustworthiness
Assertiveness
Therapeutic Communication Techniques
; understand benefits and how do we use them? Active Listening Nnemonic: using S O L E R Empathy
Hope
Humor
Use of Touch
Sharing Feelings
Encourage patient’s expression of feelings Non-therapeutic communication Techniques – how do they impede good communication?
Asking personal questions
Using stereotypes
False reassurance
Asking for explanations
Imposing our own values/beliefs
Defensive responses Challenging or arguing
Review 24-9 Communicating with Patients who have special needs
Review Table 26-1 - Legal Guidelines for Documentation
-
What steps do you take if you make an error in written documentation?
-
What is the purpose of a “Patient’s Medical Record”? -
Understand the difference between a Electronic medical record (EMR) and
a electronic health record (EHR) ? What is Nursing Informatics? -
Understand the Standards that govern documentation; e.g factual, accurate, etc. -
Handling and Disposing of Patient Information. What is HIPPA – what are the implications for nurses how does it apply to patient information
-
What is subjective data, give examples
-
What is objective data, give examples
Methods of Documentation: -
-
Review examples of nursing progress notes Box 26-1 – pg. 363
Narrative – strengths/weakness; SOAP; PIE, Focus Charting -
Describe “charting by exception” (CBE)
Telephone and Verbal Orders – How and when do we use them? What is “read back”?
-
What is CPOE?
Bowel Elimination
–
-Understand normal bowel elimination and factors that promote, impede or
cause alterations in elimination -State and understand the parts of the Gastrointestinal tract and their function: Mouth, Esophagus, Stomach, Small Intestine, Large intestine, Anus
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-Understand Factors Affecting Bowel Elimination: Age, diet, fluids, physical activity, stress, personal elimination habits, hemorrhoids, surgery, anesthetic agents, immobility
-Diagnostic tests for GI system- Pre and Post Nursing Care/Considerations
Endoscopy, Colonoscopy, Upper GI series: Barium Swallow, fecal occult blood test (FOBT),
-State and understand Common Bowel Elimination Problems -Bowel Training - Benefits – who can benefit? -Nursing Assessment for bowel elimination patterns and abnormalities – -Components of an abdominal assessment: inspection, etc. -Types of Ostomies and Nursing Care: Sigmoid colostomy, transverse colostomy, ileostomy -Enema Administration – Nursing considerations; what is maximum volume of fluid to be administered for an adult?
Urinary Elimination
- -Understand the function and parts of the urinary system: Kidneys, ureters, bladder and urethra … state anatomical differences in men and women r/t urethra and the implications -what is the function of Nephrons?
-Act of Urination: Bladder emptying - understand Micturition
-Bedpan Positioning for patients -Factors influencing Urinary Elimination – Review Box 46-1 – pg. 1102. Growth & development; Sociocultural factors; psychological factors; personal habits; fluid intake; pathological conditions, surgical procedures, medications, diagnostic examinations -Common Urinary Elimination Problems: Urinary Retention
Urinary tract infection (UTI)
Urinary incontinence – Types of urinary incontinence: Define Urgency and Stress Incontinence. What are the causes and treatments for each.
-Have knowledge of the following terms:
Anuria
Oliguria
Hematuria
Polyuria
Nocturia
Dysuria Enuresis
Diagnostic Tests for Urinary System: Pre—Post Nursing Care/Implications
-Ultrasound Kidneys, ureters, & bladder
-Intravenous Pyelogram (IVP)
-Computerized tomography (CT) scan
-MRI -Labs: Urine Culture & sensitivity; urinalysis – collection process -
Bladder Scan – Post void Residual (PVR)
Foley Catheter – Nursing Care and considerations/Implications/Risks
-Indwelling - -Intermittent Catherization (Straight Catherization) Urinary Diversion – (Ileal Conduit) Nursing Care & Considerations Cultural Awareness
: -Health Disparity – Be able to define and understand the significance of health disparity
-Core Measures – Define; what is the purpose? -Culturally Competent Care - Understanding significance of a self-assessment to recognize our own
biases Teach Back – What is teach back? How do we implement it?
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