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28 Cards in this Set
- Front
- Back
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Working phase
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problems are addressed in the working phase of the nurse patient relationship includes exploration of thoughts, feelings and actions
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Implementation
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initiating and completing nursing actions/ interventions
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*****sment
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phase of gathering and organizing data in relation to the patient's health status
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Evaluation
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*****sing the patients response to nursing care including progress toward the expected outcome
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Planning
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Involves stating the expected outcomes of planned nursing interventions such as patient teaching
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Time lapsed *****sment
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Compare a patients current health status with data obtained some time ago
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Under stress
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Blood sugar increases
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Tertiary prevention
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focuses on restoration and rehabilitation to promote optimal functioning
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Effects of anxiety on the autonomic nervous system
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A dry mouth is a typical response to stress and anxiety
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Removing restraints every 2hrs
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helps to encourage joint mobility
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To minimize sensory overload to pts in ICU
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decrease the amount of human touch
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Hydrocolloid dressing
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have an inner absorbent layer that forms a moist gel and promotes granulation
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Natural passive immunity
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Maternal to fetus
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Primary goal of the working phase of the relationship
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To promote patient change
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Abdomen physical exam
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OAPP observation, auscultation, percussion, palpation
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Ongoing *****sment
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Ongoing or problem focused *****sment happens repeatedly
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Preferred site of injection for children under three
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Vastus lateralis
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Highest serum concentration of the drug occurs
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when absorption of the drug ceases
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Ear gtts safety for child
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pull pinnea down & back
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Forms of communication
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Verbal/ nonverbal/ symbolic/ metacommunication
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Stages in data collection
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orientation phase/ working phase/ termination phase
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5 steps of nursing process
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*****sment/ diagnosis/ planning/ implementation/ evaluation
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Nursing process
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A variation of scientific reasoning that allows one to organize and systematize nursing pratice
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Diagnostic reasoning
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process of determining a clients health status after you assign meanings to the behavior, physical signs and symptoms presented by the client
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Decision making
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Define the problem/ *****s all the options/ weigh the options/ consider the consequences of the decision/ make a final decision
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Critical thinking levels
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Basic/ complex/ commitment
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PIE
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"P" problem statement/ " I" Intervention statement/
" E" evaluation of effectiveness |
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4 components of problem oriented medical record
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Database/ problem list/ plan of care/ progress notes
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