NRSNA 300 FINAL EXAM QUESTIONS
AND ANSWERS
Components of effective communication - Answer-Sender, mode of communication,
recipient, and feedback
Nonverbal communication - Answer-communication using body movements, gestures,
and facial expressions rather than speech
Working with a patient with behavioral problems - Answer-- understand symptoms of
mental health condition
- never take resident's behavior personally
- respect individuality of resident
- be respectful, caring, and supportive
- speak and act calmly to provide a peaceful environment
- assist in providing proper nutrition and adequate exercise/activities
- observe, report, and document physical and behavior changes
Communicating with patients with dementia or confused patients - Answer-- smile and
gently touch a resident prn
- keep an even tone of voice
- maintain eye contact
- calmly explain why you are there and what is needed
- KISS
- break down instructions into step prn
- close ended questions
- remind them of the time and time
- provide cues (visual, manual, verbal, or hand-over-hand)
Intro steps - Answer-- knock prior to entering
- hand hygiene
- introduction
- check resident's ID
- close for privacy (window, door, curtain)
- gather supplies/equipment
- check bed brakes
- explanation of care and gain consent
-raise rails and raise bed to waist height
Communicating with a patient with a hearing impairement - Answer-- approach resident
from the front
- face resident when speaking
- maintain good eye contact
- avoid mumbling
- speak slower or louder prn
, - KISS
- ensure resident's hearing aids are on
- ASL may be used
Feeding a dependent patient - Answer-- HH and clean overbed table
- place towel/bib over resident's chest (permission required)
- check food tray with dietary card (note diet/fluid restrictions)
- help with set up/prepare meal tray
- if visually impaired: use clock method, ask where they'd like their beverage placed,
name each mouthful of food as you offer it
- if difficulty swallowing: follow swallowing guidelines set by SLP
- feed from the tip of the spoon (only fill 1/2 of spoon with food)
- alternate between solid foods and liquid
- do not rush feeding
- allow resident enough time for chewing and swallowing (check mouth between prn)
- encourage resident to eat as much as possible
- document
Reporting to a nurse for feeding - Answer-Report to nurse if patient has refused their
meal or if there are any changes or complications with the condition or resident's state
What to do if a patient refuses care - Answer-let the LN or RN know
How to perform oral care on an unconscious patient - Answer-Needed supplies:
toothette, 2 pillows (for lateral position), 2 hand towels, kidney basin, padded tongue
blade, cup of water
Procedure:
-HH and apply gloves
-position resident in lateral position facing you (put pillow behind back for support)
-cover chest with hand towel
-place hand towel under mouth/chin
-place kidney basin under chin
-separate tongue and teeth and insert padded tongue blade
-wet toothette in water cup and remove excess moisture
-clean inner surfaces of teeth, outer surfaces of teeth, gums, roof of mouth, inside of
cheeks, inside of lips, and tongue
-if solution other than water is used: wet a new toothette and rinse resident's mouth
-place tongue blade and toothette(s) in kidney basin
-wipe resident's mouth and remove towels
-lubricate lips
-remove gloves and HH
Urine abnormalities - Answer-- darkened in color (syrup or brown ale color)
- blood in urine
- cloudiness
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