Unit 5 Nursing Exam If you had a teenager who came in for an exam, who would you talk to? o You would talk to the teenager like an adult and ask parents to leave What might you say to him about maturity? Tell him everything is normal but there is a difference in how you develop and not everyone grows at the same pace Bullying o Seen a lot with middle school girls --- verbal violence Punking o Like bullying but to a verbal and physical degree o Humiliation and shaming o Done with crowd around o Public place Gross motor skills o 1 yr. old – pull their self-up & stand o 2 yr. old – push and pull, pull self-up on playground “No” o Preschool child – pretend to blow out light Interviewing patient about violence – 1 st thing o Assure physical & emotional safety Universal view: do in private area, do without significant other Palliative care o Nonverbal communication expected at end of life: 80% Mindful presence o Being there with patient and using nonverbal communication Listening and not speaking Nonverbal communication o must be in the moment/here and now o Show empathy o Active listening & silence – intuition Talking to family a lot during end of life o Health assessment focuses on patient’s comfort o Give patient good hygiene, treat symptoms as needed o Pay attention to spiritual and cultural practices of dying process o Education for family Mental health o Asking why pt. is here & they say she’s here to examine patients Poor orientation What to ask when patient is suicidal?
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- Fall '18
- Linda Shroyer