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30 Cards in this Set
- Front
- Back
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Medicaid program designation-who is it for, who regulates it pg 18
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For low-income families, low-income people with LTC disabilities, supplemental coverage and LTC assistance to older adults and Medicare beneficiaries in nursing homes
Federally funded, state-operated |
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What is Medicare for and how do they reimburse healthcare providers pg 27
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Quality standards for health care facilities
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Wtason's theory of caring looks like what-"knowing" looks like what pg 97-98 (If a nurse wants to change staff behavior/practice what is the best method to do that)
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Watson's theory of caring: holistic approach that says a conscious intention to care promotes healing and wholeness
Knowing: striving to understand an event as it has meaning in the life of another |
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Ideas for communicating with clients who are not fluent in English pg 113
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Know population demographic changes(distribution of groups, education, occupatoin, and incidence of most common illnesses)
Ask open-ended questions to facilitate values, beliefs, and practices significant to care Use an interpreter(of same gender) |
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Nursing Process-what does each step look like when the nurse is executing that step pg 221-224 (Assess, nursing diagnosis, plan, implement, evaluate)
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(assess)identify a client's healthcare needs--->(nursing dx)clearly define a nursing dx--->determine priorities of care and set goals and expected outcomes of care--->(plan)develop and communicate a client-centered plan of care--->(implement)deliver nursing interventions--->(evaluate)evaluate the effects of your care
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What is clustering data and what does it accomplish pg 234
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groups "like" data together to form emerging patterns and problems
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Nursing Diagnosis-what do they guide, who develops them, whose scope do they encompass pg 248
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guides nursing interventions; developed by nurses; encompasses the scope of nurses
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Goals pg 265
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client-centered: specific, measurable behavior or response that reflects a client's highest possible level of wellness and independence
Is realistic and based on client needs and resources Represents predicted resolution of a diagnosis or problem (short-term vs long-term) |
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Interventions pg 279-284
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Determine if intervention is correct and appropriate for clinical situation
Review the set of all possible nursing interventions for the client's problem, review all possible consequences associated with each possible nursing action, determine the probability of all possible consequences, make a judgment of the value of that consequence to the client Apply intellectual standards(guidelines for rational thought and responsible action) Clinical guideline/protocol(a document that guides decisions and interventions for specific health care problems or conditions) Standing orders(a pre-printed document containing orders for the conduct of routine therapies, monitoring guidelines, and/or diagnostic procedures for specific clients with identified clinical problems) NIC interventions(a level of standardization to enhance communication of nursing care across settings and to compare outcomes) |
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Therapeutic manipulation of patient's environment pg 282
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Needs to be safe and conducive to the implementation of therapies.
Arrange the environment to prevent injury. Client benefits most from nursing interventions when surroundings are compatible with care activities. |
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Objective evaluation of goal attainment pg 294
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Examine the outcome criteria to identify the exact desired client behavior or response
Assess the client's actual behavior or response Compare the established outcome criteria with the actual behavior or response Judge the degree of agreement between outcome criteria and the actual behavior or response If there is no agreement(or only partial agreement) between the outcome criteria and the actual behavior or response, what is/are the barriers? Why did they not agree? |
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Modification of a care plans takes what? pg 297
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Complete reassessment of all client factors relating to the nursing diagnosis and etiology is necessary when modifying a paln
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Evaluation of outcomes pg 294
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To determine if the known problems have remained the same, improved, worsened, or otherwise changed
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Informed consent process pg 332-334
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Person's agreement to allow something to happen, based on full disclosure of risks, benefits, alternatives, and consequences of refusal
Obtained and witnessed only when the client is not under the influence of medication, such as narcotics Nurse's signature witnessing the consent means that the client voluntarily gave consent, that the client's signature is authentic, and that the client appears to be competent to give consent Nurses must ask the clients if they understand the procedure for which they are giving consent; rejection needs to be written, signed, and witnessed |
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HIPPA pg 329
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federal statutory acts providing rights to clients and protects employees
Protects individuals from losing their health insurance when changing jobs by providing portability Privacy section has standards regarding accountability in the health care setting Create client rights to consent to use and disclose protected health information, to insepct and copy one's medical record, and to amend mistaken or incomplete information Limits who is able to access a client's record Establishes the basis for privacy and confidentiality concerns |
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Nursing misconduct-civil, criminal, administrative pg 326
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Civil: protect the rights of individual presons within our society and encourage fair and equitable treatment among people
Criminal: prevent harm to society and provide punishment for crimes Administrative: reflects decisions made by administrative bodies such as State Boards of Nursing when they pass rules and regulations. |
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Styles of learning-cognitive, affective, and psychomotor pg 366
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Cognitive: all intellectual behaviors and requires thinking
Affective: expression of feelings and acceptance of attitudes, opinions, or values Psychomotor: acquiring skills that require the integration of mental and muscular activity, such as the ability to walk or to use an eating utensil. |
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Vital signs norms pg 504
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Temp: 36-38 degrees C(96.8-100.4 degrees F)
Pulse: 60-100 BPM Respirations: 12-20 breaths per minute Blood Pressure: average=<120/80; pulse pressure=30-50 mm Hg |
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Orthostatic BP interventions pg 538
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Measure BP before administering medications that cause orthostatic hypotension
Assess for orthostatic hypotension during vital sign measurements by obtaining BP and pulse with the client supine, sitting, standing Obtain BP readings 1-3 minutes after the client changes position |
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Patient teaching regarding prognosis of disease processes pg 202
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Assess both nature of psychosocial changes and loss and adaptations to changes
Assess retirement, social isolation, sexuality, housing and environment, and death |
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Interventions for dementia behavior-alternatives for nurses to choose pg 832
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orient clients, provide companionship, offer activities, assign confused or disoriented clients close to nurses station, reassess physical status, evaluate all medications, camouflage IV lines, institute exercise and ambulation schedules, promote relaxation, remove cues that promote leaving, provide appropriate visual and auditory stimuli, use de-escalation, time-out, and other verbal intervention techniques, use calm, simple statements
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Open ended questions, assessment, parts of the pt hx, subjective, objective data pg 233-241
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Open ended questions: facilitate answers from pt that are not direct yes or no
Assessment: moves from general to specific Pt Hx: problematic areas Subjective: client's verbal description of health problems Objective: observed or measured of a client's health status |
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Problem focused assessment-how does nurse gather data pg 236
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subjective info, objective info based on client's specific health problem
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Sterile wound dressing technique, and infection control pg 669
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1. A sterile object remains sterile only when touched by another sterile object
2. Only sterile objects may be placed on a sterile field 3. A sterile object or field out of the range of vision or an object held below a person's waist is contaminated 4. A sterile object or field becomes contaminated by prolonged exposure to air 5. When a sterile surface comes in contact with a wet, contaminated surface, the sterile object or field becomes contaminated by capillary action 6. Fluid flows in the direction of gravity 7. The edges of a sterile field or container are considered to be contaminated |
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Z-track technique pg 753
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When administering IM injections-minimizes local skin irritation by sealing the medication in muscle tissue
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Locating IM sites-land marks pg 751
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Vastus lateralis: knee, greater trochanter
Ventrogluteal: anterosuperior iliac spine Deltoid: Scapula, acromion process, humerus |
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Primary reason for medication errors pg 705
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not following routine policies
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Interventions for impaired patient-visually, hearing pg 819
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How client normally conducts daily activities
Inspect bathroom, kitchen, and areas with stairs Assess risk of food infection or poisoning by dietary assessment for the past week, GI and CNS exam, observing for fever, and analyzing results of culture of feces and vomitus Assess environmental comfort of a client's home |
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Contributing factors to impaired skin integrity pg 855
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Reduced sensation, vascular insufficiency, and immobility
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Pain assessment components pg 1063
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COLDSPAA
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