Chapter 10: Assessing Violence
1. What are the broad categories of violence?
2. What is the difference between abuse and neglect- provide an example.
3. What is the nursing role in assessing types of violence?
4. What are some of the health effects of violence?
5. What does routine, universal assessment for IPV mean?
6. How does routine assessment differ for adolescents? Elders? Children?
7. What are key components of the physical exam and documentation for which nurses are responsible?
8. Are there cultural or genetic factors the nurse should take into consideration during this assessment?
9. Find a recent new story related to family violence and or child abuse. Post to Discussion Forum and comment to a minimum of 2 colleagues and respond to comments posted to your discussion
Chapter 11: Assessing Culture
1. What is culture and why is the assessment of culture necessary to provide nursing care?
2. What is the difference between culture, race, and ethnicity?
3. Define and compare acculturation and assimilation?
4. What is ethnocentrism? Stereotyping?
5. What is the purpose of cultural assessment?
6. Communication is culturally based. What aspects of communication should the nurse consider culturally?
7. What are biological variations of culture?
8. What aspects of culture would you like a nurse to consider if providing care to you or your family? Post to Discussion Forum and comment to a minimum of 2 colleagues and respond to comments posted to your discussion.
Chapter 12: Assessing Spirituality
1. Describe the difference between religion and spirituality.
2. Review the current statistics on spiritual and religious beliefs and practices in the United States.
3. Discuss how understanding the client’s spirituality assists the nurse to understand the client’s decision making processes and support systems.
4. Explain why it is important for nurses to understand their own spiritual beliefs and biases.
5. Discuss risk factors associated with spiritual distress.
6. Complete discussion forum –Self-understanding of spirituality
Chapter 14: Skin, Hair, & Nails Independent Assignment
Part I. Short Answer Questions
1. List at least 5 functions of the skin.
2. Describe the appearance of pallor, erythema, cyanosis, and jaundice in both persons with lightly and darkly pigmented complexions. State common causes of each.
3. List at least two causes of skin changes with temperature, texture, moisture, mobility, and turgor.
4. List and describe 4 stages of pressure ulcer development
5. Describe changes that are common with aging of the skin, hair, and nails.
Part II. Case Study Q&A
A nurse has recently accepted a position in an extended-care facility. One of her primary responsibilities is to complete physical examinations on clients upon admission, and then to perform detailed skin assessments every other day. Because the primary client population in this facility includes clients over the age of 70, the nurse understands that she must be able to differentiate skin changes associated with aging from those that might be related to trauma or pressure.
1. In completing the admission history on newly admitted clients, what types of questions should the nurse ask related to medications, nutrition, and past history that affect current skin assessment?
2. Describe normal age-related skin changes.
3. How do age-related changes of the skin affect wound healing in the older adult?
4. The nurse notes a client has very dry skin and the vessels in her hands are very prominent. What is nurse’s assessment of these findings?
Joe Davis, a 62-year-old client, is admitted to the hospital with chest injuries after a motor vehicle crash. The client has a history of type 1 diabetes. While assessing the client, the nurse notes that the client has several clusters of dull red bumps, smaller than a pencil eraser, spreading to an area the size of a quarter on each lower anterior leg. The skin in the lower extremities is thick; leathery; and has waxy, yellow coloration.
1. What skin eruptions associated with the client’s systemic disease does the clientmost likely have?
2. What is the underlying cause for the skin eruptions?
3. What potential complications are associated with the skin eruptions?
Pre-Clinical Preparation Questions
1. What are nonparenteral medication routes? Parenteral?
2. What is the nurses’ role and responsibility in safe medication administration?
3. What are the National Patient Safety Goals for medication administration? (brief
summary).
4. What are factors that contribute to medication errors?
5. What are the six rights of medication administration? What is the 7th right?
6. What are guidelines for safe administration of medications?
7. What are nursing actions to prevent medication errors?
8. What are examples of topical medication routes?
What are methods for preventing infection when administering injections?
9. How can nurses prevent needlestick injuries?
10. Explain needle sizes and gauges.
11. What are recommendations for mixing medications in one syringe (insulin)?
12. What are general guidelines for administering insulin?
13. What are special considerations for administering heparin?
14. What are the muscles available for intramuscular injections? How should the nurse
determine which muscle to use?