Directions: Complete the following Pre-Simulation Assignment prior to your scheduled simulation day. Submit to Canvas by due date.
_____1. A
... [Show More] student nurse has been assigned a process recording assignment. The student correctly identifies which forms of communication used in the interaction as nonverbal cues? Select all that apply.
A. Written notes B. Facial grimace
C. Tone of voice D. Sighing
E. Groaning
2. Benzodiazepines, such as lorazepam (Ativan), are useful for treating alcohol withdrawal because the
A. Block cortisol secretion B. Exert a calming effect
C. Increase dopamine release
D. Decrease serotonin availability
3. A nurse uses the therapeutic communication technique of clarifying during a patient interaction. Which statement represents clarification?
A. "You say that you are very confused about your feelings?"
B. "I can't imagine how you are feeling right now."
C. "I'm not sure what you mean about feeling confused."
D. "Tell me more about how you are feeling."
4. A nursing instructor observes a nursing student using the communication technique of active listening while talking with her patient. Which demonstrates active listening?
A. "Would you like me to stay with you for a while?"
B. While maintaining eye contact, the student states, "Please go on."
C. The student sits with the patient while the patient collects his thoughts.
D. "Please tell me if I am understanding what you are saying."
5. A syndrome that occurs after stopping the long-term use of a drug is called
A. Amnesia
B. Tolerance
C. Enabling
D. Withdrawal
6. A person who covertly supports the substance-abusing behavior of another is called a(n) A. Enabler
B. Participant
C. Co-dependent
D. Minimizer
7. A client who is dependent on alcohol tells the nurse, “Alcohol is no problem for me. I can quit anytime I want to.” The nurse can assess this statement as indicating
A. Rationalization B. Denial
C. Projection
D. Reaction formation
8. In helping an addicted individual plan for ongoing treatment, which intervention is the first priority for a safe recovery?
A. Ongoing support from at least two family members must be secured.
B. The client needs to be employed.
C. The client must strive to maintain abstinence.
D. A regular schedule of appointments with a primary care provider must be set up.
9. The term tolerance, as it relates to substance abuse, refers to
A. The use of a substance beyond acceptable societal norms.
B. The additive effects achieved by taking two drugs with similar actions.
C. The signs and symptoms that occur when an addictive substance is withheld. D. The need to take larger amounts of a substance to achieve the same effects.
Short Answer.
1. Explain the SBAR format for giving and receiving patient related communication. Identify what the acronym stands for and key points that need assessed, collected, and/or communicated for each. The “S” has been started as an example. You may reference previous nursing textbooks, as needed. During simulation, you will need to use this format to give report (you will have more details specific to the patient scenario during simulation.)
S – Situation
- Identify yourself, hospital, unit, location, room number, etc.
• Identify patient by name, age, gender, DOB
• Describe the problem the patient has that triggered this communication
B – Background
• Admission diagnosis and date of admission
• Important medical history
• Brief summary of the treatment to date
A – Assessment
• Most recent vital signs
• If the patient is on oxygen
• Any changes in prior assessment such as mental status, respirations, pulse, BP, nausea, vomiting ect.
R – Recommendation
• State what you would like to see done in terms of patient transfers, code status, consults, tests
• If a change is ordered ask how often to perform vital signs and assessments
2. Review the following in re [Show Less]