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369 Cards in this Set

  • Front
  • Back
enthrocentrism
the view that the beliefs and values of one's culture are superiour to those of other cultures
cultural ignorance
lack of awereness of the differences between cultural groups
stereotyping
assumption that all members of a group act alike
bias & prejudice
strongly held negative opinion about a group of people
discrimination
treating others differently based on race, etc
cultural competence
use of effective and sensitive care based on undersanding of the culture of others
culture
a collection of learned, adaptive, & transmitted social values & beliefs that form the context from which a group interprets the human experience
Primary prevention
(To prevent worsening) First contact in a given episode of illness that leads to a decision regarding a course of action to prevent worsening of the health problem.
Secondary prevention
Focusing on early diagnosis; stop developing complications and progress of disease. Directed at dx and intervention
Teritary prevention
minimizing the effects of long-term disease or disability; preventing complications & deterioration. Defect or Disability peermanet & irreversible
Utilization
Ethic that proposes that the value of something is dertermined by its usefulness. Greatest Good for the Greatest Number of people
Prospective payment system (PPS)
Predetermined rate of payment set for inpatient treatment of specific illness
Preferred Provider Organization (PPO)
an insurance organization which limits which health care providers may be used
Diagnosis-related grouping (DRG)
A group of inpatient services with a set amount of reimbursement; 468
Capitation
payment mechanism; health care provider receives a fixed aount of money per enrollee
restorative care
recovering
code of ethics
sets standard or expectations for professionals to achieve
Values
personal belief about the worth of a given idea or behavior
ethics
principles or standards that govern proper conduct
denotology
theory of ethics that proposes to define actions as right or wrong based on promises, truthfulness, & justice
Functional Nursing
Task Focused
Lead Nurse assigns specific/single task
Team Nursing
RN leads team; care distributed among members
Primary Nursing (total pt. care)
pt. care by RN whom provides total care;
preventative care
( To resolve health Problem) First contact in a given episode of illness that leads to a decision regarding a course of action to resolve the health problem; preventing and promoting health; more disease-oriented & focused on reducing & controlling risk factors (ex. immunization)
nonmaleficence
ethical agreement to do no harm
Identity involves
the sense of individuality and completness of a person over time & in various circumstances.

Identity implies being distinct & seperate from others
Body Image involves
attitudes related to the body, including physical appearance, feminity, & masculinity, youthfulness, health, and strength.
Role performance is
the way in which a person views his or her ability to carry out significant role.

example - mother, son, daughter
Self-esteem is
an individuals overall sense of self-worth or the emotional evaluation of self-concept.

It represents the overall judgment of personal worth or value.
Self-Concept
How a person perceives and define self. Your view of who you are. How you think of yourself.
agnostic
individual who believes that any ultimate reality is unknown or unknowable
connectedness
having close spiriual relatonships with oneself, others & god or another spirtual being
faith
set of beliefs and a way of relating to self, others, and supreme being
holistic
pertaining to the whole; considering all factors
hope
confident, yet uncertain, expectation of achieving a future goal
self-transcendence
an awareness of that which cannot be seen or known in ordinary, physical ways
spirtual distress
state of being out of harmony with a system of beliefs
spirtual well being
individuals spirtuality that enables a person to love, have faith & hope, seek meaning in life, & nuture relationships
spirtuality
spiritual dimension of a person, including the relationship with humanity, nature, and supreme being
medicare
federally funded 65 and over
medicaid
state & fed assistance to the poor
Inductive
moving from the specific to the general
Deductive
moving from the general to the specific
Assessment
collecting and examining data
Diagnosis
Analyzing data and identifying health problems and strengths
Planning
developing the plan
Implementation
putting the plan into action
Evaluation
determining how well the plan has worked.
WHO definition of health
Health is a state of complete physical, mental, and social well-being, and not merely the absence of disease or Infirmity
Health Promotion
Positive dynamic state; behavior motivated by the desire to increase well-being and actualize human health potential
illness
diminshed or impaired state compared to previous health
illness prevention
activities that protect pt. from acual or potential threat
risk factors
variable making more vulnerable to illness or unhealthy
wellness
Dynamic state of health/progress toward higher level of function
Managed Care
health care systems with administrative control over the service provided
Medicare
federally funded national health insurance for all citizens 65 & over
Medicad
State & federally funded health care assistance for the poor.
Florence Nightgale (lady w/ lamp)
Developed system for collecting stats; started training school for nurses
Dorthea Dix
Champion for the mentally ill
Walt Whitman
Civil war nurse
Nursing, counselor, psychic wound dresser.
Linda Richardson
Considered first American trained nurse
Mary Elza Mahoney
Black Lady
Clara Barton
American Red Cross
civil war
Esther Lucille Brown
Nursing school in colleges & universities
Goldmark
Make nursing into a profession
lysault report
research; increased financial support
Adventist church started
1860's
Ellen White & Kellogg
Western Health Reform Institute; battle creek michigan
continuing care
service for a prolonged period
advocacy
objectively provides info and support
autonomy
ability to function independent; self-determination; self-reliance
beneficence
doing good or active promotion of doing good; principle of ethical theory of deonotolgy
Code of Ethics
is a set of ethical principles that all members of a profession generally accept.
morals
Personal conviction that something is absolutely right or wrong in all situations
fidelty
agreement to keep promise
living will
documents by which a person makes wishes know
malpractice
unprofessional actions that harmed another
slander
spoken defamation
misdameanor
an offense that is punishable but less than a felony
advance directives
persons wishes for care if they become ill
lieble
cause of action (writen words)
assualt
threating or carrying out threat against a person
battery
tentional touching without consent
incident report
confidential report; details incident
defendant
who the plantiff files suit on
criminal law
acts that threaten society
civil law
concerned with protecting a persons right
Nurse practice acts
to protect public
state legislature have made rules on how & what situations a nurse can practice
informed consent
providing all info so pt. can make good decision
common law
judicial law not legislative
invason of privacy
intrusion into ones life without cause
crime
breaking a law
tort
injury was caused & injured party files civil action
defamation of character
accusations (dregatory statement)
accountability
answerable for ones actions
authority
acts on and accepts responsibilty
interdisciplinary
multiple departments come together to make decision
servant leadership
priority; hands on;
Autocratic Leadership style
Good w/ emergencies; dsnt believe people r self motivated
Democratic Leadership style
Groupd Discussions & Decisions; believes people are self motivated
Laissez Leadership style
"hands off" people internally motivated & self regulated

non-directive
Charismatic Leadership style
Emotional Relationships (many self absorbed)
Transactional Leadership style
Focus on day to day; provides incentive & promotes loyalty
Transformation Leadership style
Fosters Risk, creativity, empowering
illness behavior
People have different attitudes and reactions to illness.
health is defined as
State of being relation to ones how values, prersonality, and lifestyle
health beliefs
persons ideas, conviction, & attitude about health and illness
What woulld be a genetic risk factor?
Birth defects; predisposition to an illness
What would be a physiological risk factor?
physical function such as pregnant, overweight, place increased stress on pysiological system.
What would be a age risk factor?
more susceptable to some disease as one gets older; risk of birth defects or complications while pregnant.
What would be a physical environment risk factor?
work; lead paints, campus flu, home - (heat/cold), unclean, overcrowded
What would be a lifestyle risk factor?
poor nutrition, insufficient sleep, poor personal hygiene; alcohol, tobacco, drugs, hobbies (sky diving etc)
Compliance
The extent to which an idividual's behavior coincides with provider
Justice
Fairness or equity
Nursing defined as
Profession concerned with the services essential to the maintenance & restoration of health by attending to the needs of sick persons
NPA
National Practice Act
JCAHO
Joint Commission on Accrediation of Health Care Organizations
1946
Walla Walla Nursing Portland
Ethical Dilemia
When the right thing to do is not clear
Arena
known by self / known by others
Facade
known by self / unknown by others
blindspot
unknown by self / known by others
unknown
unknown by self and others
isometric exercises
involve muscle tension w/ out muscle shortening
joint contracture
abnormality that may result in permanent condition of a joint (flexion & fixation)
negative nitrogen balance
body secrets more nitrogen than it takes in
pathological fracture
from weakend bone tissue
Disuse Syndrome is
Physiologic & Psycholgical dysfunctions that occur in all body organs & systems as a result of immobility; no system is immune to immobility
Shearing Force is (Immobility)
Combination of pressure and friction
abduction
movement of limb away from body
adduction
movement of limb toward body
body mechanics
musculoskeletal & nervous maintan proper balance, posture, and body alignment
dorsiflexion
flexion toward the back
gait
manner/style of walking including rhythm, cadence, and speed
plantar flexion
toe down motion of the foot at ankle
proprioception
body ability to sense it's position & movement and space
flexion
bending - less degree (angle)
Instrumental ADL (IADL)
Activities that are necessary to be independent in society apart from ADL
diversional activity deficient
pt. experiences decreased stimulation from/interst/engagement in recreational/leisure
diffusion
movement of o2 & carbon di between alveoli and the red blood cells
another name for pain receptor
nociceptor
A-delta fibers
fast; transmit sharp, localized, & distinct pain
C fibers
slow fibers; transmit visceral, chronic, diffuse pain.
grief
emotional response to loss
mourning
outward expression to the loss
hydrotherapy
involves the use of water for pain-relief and treating illness
aromatherapy
is a form of alternative medicine that uses oils & other aromatic compounds for the purpose of affecting a person's mood or health.
neurosensory impairment
unable to perceive discomfort
sensory deprivation
decrease in or lack of meaningful stimuli
confusion
pt. bewildered
disorientation
disorientated to person, time, place
hallucination
sense stimuli that doesn't exist
illusions
false interperations of stimuli
effleurage
french for skimming the surface (long strokes)
pertrissage
skin is lifted & squeezed (kneading)
tapotement
karate chop - sides of hand or top of fingers
percussion
hitting back to get fluids out of lungs
buccal cavity
consist of lips surrounding opening mouth, checks running along the side walls of the cavity, the tongue & its muscles, & hard soft palate
dental caries
destructive condition in tooth caused by complex interaction of food, especially sugars & starches
gingivae
gums of the mouth; a mucous membrane
oral hygiene
trying to maintain the tissues and structures of the mouth.
partial bed bath
body parts that might cause the pt discomfort if left unbathed (axillary, face, hands, back, peri) are washed in bed
binders
bandages made of large pieces of material to fit specific body parts
compress
soft pad of gauze or cloth used to apply heat, cold, or medicaiton to the surface of a body part.
drainage evacuators
a vaccum that is conected to tubes that uses pressure to remove fluids
friction
rubbing one object against another

effects of rubbing or the resistance that a moving body meets from the surface on which it moves
presssure ulcer
inflammation, sore, or ulcer in the skin over a bony prominence.
primary intention
primary union of the edges of a wound, progressing to complete scar formation without granulation
secondary intention
wound closure in which the edges are sperated, granulation tissue develops to fill the gap, and finally epithelium grows in over the granulation, producing a larger scar than results with primary intention
shear
force exerted against the skin while the skin remains stationary and the bony structure move
sitz bath
bath in which only the hips or buttocks are immursed in fluid
wound culture
speciman collected from a wound to determine the specific organism that is causing infection
catherization
Introduction of a catheter into a body cavity or organ to inject or remove fluid
hematuria
abnormal presence of blood in the urine
ureterostomy
diversion of urine away from a diseased or defective bladder throught an artificial opening in the skin
urinary incontinence
inability to control urination
polyuria
passage of large volumes of urine
urinary frequency
urination to often, at too frequent intervals
colostomy
surgical creation of an artificial anus on the abdominal wall by incising the colon & bringing it out to the surface
constipation
condition characterized by difficulty in passing stool or an infrequent passage of hard stool
diarrhea
increase inn the number of stools and passage of liquid unformed feces
fecal incontinence
inability to control passage of feces and gas from anus
flatus
Intestinal gas
flatulence
the presence of an excessive amount of ai or gas in the stomach & intestinal tract, causing distension. sometimes pain
fecal occult blood test (FOBT)
measures microscopic amounts of blood in the feces
fecal impaction
collection of hardened feces wedged in the rectum that the patient is unable to expel
diffusion
In lungs; o2 & carbon dioxide get exchanged

movement of molecules from an area of high concentration to area of lower concentration
incentive spirometry
device so patient can visual the inspiratory volume they achieve by deep breathing
nasal cannula
oxygen delivered by two small tubes inserted in the nose
oxygen hood
a device places over the head of a patient to deliver high concentrations of oxygen
oxygen mask
fits snugly over mouth and nose delivers oxygen
carbon dioxide is transporated
back to lungs and is excreted
cardiopulmonary
cardiac output & conduction system important to oxygenation
tidal volume (TV)
the amount of air we breath in & out during a normal breath (approx. 500ml)
inspiratory reserve volume (IRV)
the amount we can breath in over and above tidayl volume, about 3000ml
expiratory reserve volume (ERV)
the amount we can breathe out beyond normal exhalation about 1100ml
residual volume (RV)
the amount of air that is left in the lung even after we try our best to get everything out (about 1200ml)
Inspiratory capacity (IC)
tidal volume + IRV
vital capacity (VC)
TV + ERV; this is the maxium amount of air that can be expelled from the lungs after first taking in as much air as u can
total lung capacity
vc + rv; the total volume that the lung can contain after a maxium inspiration
functional residual capacity (FRC)
ERV+RV; the amount left in the lungs after normal expiration. this about 2300ml
pursed lip breathing
deep breath in, pursed lips & slow out. to prevent alveolar collapse.
cascade cough
slow deep breath & holds for 2 seconds while contracting expiratory muscles. then pt. opens mouth & perfoms series of coughs throughout exhlation. Promotes airway clerance
huff cough
stimulates natural cough reflex. pt says word huff while exhaling. for clearing centra airways
quad cough
pt without abdominal muscle control. breaths out with maximal effort, push inward & upward on abdomen causing cough. spinal cord injuries
abosorption
passage of drug molecules into the blood
dietary reference intakes (DRI)
info on vitamin & mineral; range of min to max that avert dificiency or toxicity
digestion
breakdown of nutrients
Medical asepsis
Procedures used to reduce the number of microorganism & prevent their spread
Microorganisms
microscopic entities, such as bacteria, viruses, & fungi, capable of carrying on the living process
reservoir
a place where microorganisms survive, multiply, and await transfer to susceptible host
standard precautions
guidelines recommended by CDC to reduce risk of transmission of blood-borne and other pathogens in hospitals
sterilization
technique for destroying microorganism using, heat, chemicals, gases;
surgical asepsis
procedure used to eliminate any microorganisms from an area
aseptic technique
Any health Care procedure in which added precautions are used to prevent contamination of a person, object, or area by microorganisms
immunity
the quality of being unsusceptible to or unaffected by a particular disease or condition
inflammation
protective response of body tissue to irritation or injury
abd
abdomen
ac
before meals
ADL
Activities of daily living
ad lib
as desired
AM
morning
amb
ambulatory
amt
amount
bid
twice daily
BM
bowel movement
BP
Blood pressure
BR
bed rest
BRP
bathroom privileges
c
with
C
celsius
c/o
complaint off
DAT
diet as tolerated
dc
discontinue
drsg
dressing
Dx
diagnosis
ECG (EKG)
electrocardiogram
F
Fahrenheit
FBS
fastin blood sugar
GI
gastrointestinal
gtt
drops
H20
water
Hx
history
IV
intravenous
Lab
laboratory
LMP
last menstrual period
mL
milliliter
mod
moderate
NKA
no know allergies
NKDA
no know drug allergies
NPO
nothing by mouth
O2
oxygen
OOB
out of bed
os
mouth
oz
ounce
pc
after meals
per
by or through
PM
afternoon
po
by mouth
postop
postoperative
preop
preoperative
prep
preparation
prn
when necessary
pt
patient
q
every
qid
four times a day
S
without
stat
at once, immediately
tid
three times a day
TPR
temperature, pulse, respirations
VO
verbal order
VS (vs)
vital signs
WNL
within normal limits
wt
weight
I & O
Intake & Output
source record documentation
pt chart is organized so that each discipline has a sperate section in which to record the date.
Problem-oriented medical record
structured documentation that emphasizes and arranged by pt. problems
database
contains assesment info
problem list
priority is established and listed in chronological order. after resolved draw line through
care plan
develop care plan for each problem listed
progress notes
to monitor and record prgress
focus charting
focuses less on pt problems; instead focuses on pt conerns; each entry includes data, actions, and pt. responses
narrative recording
uses storylike format to document info specific to pt. conditions and nursing care
contraction
wound starts to close; reduction in size
epitheliazation
new epithelia buds
braden scale is
a tool used for pressure ulcer prevention & treatment;
Define referent in the communication process
motivates one person to communicate with another
define sender in the communication process
the person who delivers the message
define message in the communication process
content of the conversation
define channel in the communication process
means of conveying and receiving the message through visual, auditory, & tactile senses
define receiver in the communication process
where the message is sent
define envoronment in the communication process
the physical & emotional climate in which the ineraction takes place
define feedback in the communication process
the message the receiver sends to the orgianl sender.
anteimbolism stockings
promotes venous return by compression of small veins & capillaries of the lower extremitites
conscious sedation
admin CNS depressant drug or analgesics. to relax pt
general anesthesia
intravenous or inhale medications that cause the patients to lose all sensation & consciousness
NG tube
passed through nose into stomach; emptying stomach or providing meds or feeding
operating bed
table for surgery
operating room
where surgical procedures are done
outpatient
pt. not admitted but receives treatment in hosp or facility associated with hosp.
perioperative nursing
role of the operating room nurse during preop, intraop, postop phases of surgery
postanesthesia care unit PACU
area adjoining the OR to which surgical pt. are taken while still under anesthesia
preoperative teaching
instruction regarding pt. surgery & recovery.
presurgical care unit PSCU
area outside the OR where preoperative preparations are completed
pulmonary hygiene
more freq. turning, deep breathing, coughing, use of incentive spirometry, & chest physical therapy if ordered
recovery
a period of time immediately postop when the pt is closely observed for effects of anesthesia, changes in vital signs, & bleeding.

the area is usally in the postanesthesia care unit
homeostasis
state of relative constancy in the internal environment of the body, maintained naturally by physiological adaptive mechanisms
alarm reaction
mibilization of the defense mechanisms of the body and mind to cope with a stressor.

First stage of general adaption syndrome
resistance stage
3rd stage of the stress response, when the person attempts to adapt to the stressor. The body stabilizes, hormone levels stablize, and heart rate, BP, and cardia output return to normal
stress
physiological or psychological tension that threatens homeostasis or a person's psychological equilbrium
exhaustion stage
phase that occurs when the body no longer resist the stress; when the energy necessary to maintain adaptation is depleted
stressor
any event, situation, or other stimulus encountered in a person's external or internal environment that necessitates change or adaptation by the person.
advanced sleep phase syndrome
disturbance in sleep manifested as early waking in the morning with an inability to get back to sleep
biological clock
cyclial nature of body functions; functions controlled within the body r synchronized w/ environmental factors; same meaning as biorythm
circadian rhythm
repeition of certain physiological phenomena within a 24-hour cycle.
excessive daytime sleepiness
extreme fatigue felt during the day.

signs of this is falling asleep at inappropriate time
hypnotics
class of drug that causes insensibility to pain & induces sleep.
insomia
condition characterized by chronic inability to sleep or remain asleep through the night
narcolepsy
syndrome invoving sudden sleep attacks that a person cannont inhibit; uncontrollable desire to sleep may occur several times a day
nocturia
urination at night;
NREM
sleep that occurs durig the first four stages of normal sleep.
REM
stage of sleep in which dreaming & rapid eye movement are prominent; important for mental restoration
sedatives
meds that produce a calming effect by decreasing functional activity, diminshing irritability, & allaying ecitement
sleep
reduced consciousness, diminshed activity of the skeletal muscles, & depressed metabolism
sleep apnea
not breathing briefly for a time during sleep.
sleep deprivation
condition resulting from a decrease in the amount, quality, & consistency of sleep
maturational loss is
loss, usually of an aspect of self, resulting from the normal changes of growth & developement.

any change in the developmental process that is normally expected during a lifetime. part of life normal transitions (child going off to school)
situational loss is
loss of a person, thing, or quality resulting from a change in a life situation, including changes related to illness, body image, environment, & death

any sudden, unpredictable, external event. (accidents; often includes multiple loss)
bereavement is
A response to loss through death; subjective experiences that a person suffers after losing a person.

includes grief and mourning- inner feelings & outward reactions of a survivor
anticipatory grief
grief response in which the person begins the grieving process before an actual loss.

the process of letting go that occurs before an actual loss or death has occured
acute pain
Pain that comes on quickly, can be severe, but lasts a relatively short time.

appears restless, pain usually related to tissue injury & will abate healing
localized pain
localized pain
pain
subjective, unpleasant sensation caused by noxious stimulation of sensory nerve endings
perception
person's mental image or concept of elements in their environment, including information gained through the senses
chronic pain
pain that persists longer than the temporal course of natural healing, associated with a particular type of injury or disease process
placebo
dosage form that contains no pharmacologically active ingredients but may relieve pain through psyhological effects
radiating pain
Radiating means spreading outward. Radiating pain is pain that starts in one area and spreads until a larger area hurts.
referred pain
(sometimes referred to as reflective pain[1]) is a term used to describe the phenomenon of pain perceived at a site adjacent to or at a distance from the site of an injury's origin

believing pain is somewhere its not
remission
partial or complete disappearances of the clinical & subjective characteristics of chronic or malignant disease
threshold
point at which a person first perceives a painful stimulus as being painful
tolerance
point at which a person is not willing to accept pain of greater severity or duration
accommodation
responding to something through new thinking and or activity
age-related macular degeneration
disorder where the macula of the retina degenerates as a result of aging.
auditory
related to hearing
cataracts
abnormal progressive condition of the lens of eye; loss of transparency
diabetic retinopathy
a disorder of retinal blood vessels. patho changes 2ndary to increase pressure in blood vessels of the retina. decreased vision or vision loss due to hemorrhage & macular edema
menier's disease
a chronic disease of the inner ear characterized by recurrent episodes of vertigo, progressive sensorineural hearing loss
otoxic
having a harmful effect on the eighth cranial (auditory) nerve or the organs of hearing & balance
presbycusis
hearing loss associated with age
presbyopia
gradual decline of lens of eye to focus on close objects
refractive errors
defect in the ability of the lens of the eye to focus light; as in nearsightedness & farsightedness
sensory deficits
defects in the function of one or more of the senses
sensory deprivation
state in which stimulation to one or mre of the senses is lacking, resulting in impaired sensory perception
sensory overload
state in which stimulation to oner or more of the senses is so excessive that the brain disregards or doesn't meaningully respond to stimuli
tactile
sense of touch
tinnitus
ringing heard in one or both ears
visual
related to or experiencing through vision
proprioception
body's ability to sense it's position & movement
Heat Loss Radiation is
Transfer of heat between two objects w/ out physical contact.
Conduction is
The transfer of heat from one object to another with direct contact.
Convection is
The transfer of heat away by air movement.
electric fan
Pulse Oximeter
Measure Saturation levels 90-100
sphygomomanometer
measures arteial blood pressure
pulse deficit
the difference between apical pulse & radial pulse
malignant hyperthermia
syndrome affecting pt. undergoing general anesthesia, marked by
Cardiac Output (CO)
The volume of blood pumped by the heart during one minute, the product of heart rate & ventricles
Stroke Volume
amount of blood ejected by the ventricles with each contraction
oxygen saturation
the amount of o2 bound to hemoglobin in the blood
tachycardia
elevated heart rate