Nurs 325 Test 1

Front 1

Nursing Process

Back 1

Assess - gather info about clients conditon
Diagnose - identify the clients problems
Plan - set goals, desired outcomes and identify appropriate nusing actions
Implement - perform nursing actions identified in the plan
Evaluate - determine if goals are met and outcome is achieved

Front 2

Banner
Novice to Expert

Back 2

Novice - beginning nursing student
Advanced beginner - some level of experience
competent - some clinical position 2-3 years
Proficient - greater than 2-3 years experience
Expert - Nurse with diverese experience who has intuitive grasp of existing or potential clinical problem

Front 3

Historical Perspective

Back 3

Prostitutes and Nuns were the only 2 types of nurses originally because they served intmately...Stereoptypes - Always a woman, Nurse Jackie, Nurse Rachet

Front 4

Florence Nightengale

Back 4

Lady with the Lamp
Crimean war 1835
Sanitation and nutrition were her contribution to health care
also wrote "notes on nursing"

Front 5

NLN
National League for Nursing
(core values)

Back 5

Caring
Integrity
Diversity
Excellence

Front 6

ANA
American Nurses Association Standards of Practice

Back 6

Nursing Practice
Assessment
Diagnosis
Outcome/Identification
Planning
Implementation
Evaluation

Front 7

Societal Influences on Nursing

Back 7

Demographic Changes
-population shift - multicultural
-rural areas to uban areas
-life span
-higher incidence of long-term, chronic illness
Womens' Health care - demographics, human rights movement, medically underserved, threat of bioterrorism

Front 8

Nursing As a Profession

Back 8

Art and Science
Art - laying on of the hands
Science - scientific basis
rational/reason why nurses do what they do

Front 9

Scope of Practice

Back 9

Standards of things nurses can do
legally
standards of care
standards of professional perfection
code of ethics

Front 10

ANA - standards of professional performance

Back 10

Professional Performance
Quality of Practice
Education
Professinal Practice Evaluation
Collegiality
Colaboration
Ethics
Reserch
research Utilization
Leadership

Front 11

Nurse Practice Act

Back 11

-dictated by each individual state
-what a licensed nurse can do
-KY board of nursing-nurse practice act
You can loose your license if you do anyting outside of the states nurse practice act you are performing nursing duties in

Front 12

Nursing Educaton

Back 12

ANA - BSN
Other=diploma nurses, ADN, RN, LPN (came along due to shortage of nurses)
-course work must be completed and NCLEX taken/passed

Front 13

NCLEX

Back 13

Standardized exam across the US - state-to-state...assures that all nurses have the minimum knowledge required for nursing

Front 14

Roles of Nursing

Back 14

Caregiver- help regain health
Advocate- protects clients human and legal rights
Educator- explains concepts and facts
Communicator- helps you know your clients needs and wants met
Manager- collaborative care to provide
Must speak three langauages: Nursing, Doctor, and Patient

Front 15

Health Service Pyramid

Back 15

Tertiatry health care
secondary health care
primary health care
clinical preventative services
population-based health care service

Front 16

Examples of Health Care Services

Back 16

Primary Care
Preventive Care
Secondary Acute Care
Tertiary Care
Restorative Care
Continued Care

Front 17

Primary Care

Back 17

Health Promotion-health for all
Prenatal Care
Well-baby care
Nutrition counsling
Family planning
Excercise classes
Education/Communication

Front 18

Preventive Care

Back 18

Blood Pressure and Cancer Screening
Immunizations
Poison control information
Mental Health Counseling and Crisis prevention
community legislation (seatbelts, airbags, bike helmets)

Front 19

Secondary Acute Care

Back 19

Emergency Care
Acute medical sergical care
Radiological procedures

Front 20

Tertiary Care

Back 20

Intensive Care
Subacute Care

Front 21

Restorative Care

Back 21

Cardio and pulmonary rehab sports medicine
spinal cord injruy programs
home care

Front 22

Globilization of Heath Care

Back 22

Because of the internet clients are more educated about helth care- physicians and helath care providers must make health care more accessible

Front 23

Continuing Care

Back 23

Assisted Living
Psychiatric and Older adult day care

Front 24

Community Based Heath Care

Back 24

-modle of care that reaches everyone in the community
-focus is on primary, rather than institutional or acute care
-provides knowledge about health and health promotion

Front 25

Community Based Nursing

Back 25

Care takes place oin community settings - home or clinics
-to provide healthcare close to where family lives

Front 26

Vulnerable Populations

Back 26

Clients more likely to develop health problems as a result of excess risks, who have limits to helthcare serveces, or who are dependent on others for care

Front 27

Community Assessment

Back 27

Structure
Population
Social System

Front 28

Community Assessment Structure

Back 28

-name of comm. or neigh.
-geographical boundries
-Emergency services
-water and sanitation
-housing
-economic status

Front 29

Community Assessment Population

Back 29

-age distribution
-sex distribution
-growth trends
-density
-education level
-ethnic groups
-religioius groups

Front 30

Community Assessment
Social System

Back 30

-education system
-government
-communication system
-welfare system
-volunteer programs
-health system

Front 31

Changing Clients Heath (Project)

Back 31

Becoming familiar with a community practice setting. Will help you learn and identify the unique needs of individual clients

Front 32

Components of a Theory

Back 32

Theory= set of concepts, definitions, and assumptions or propositions to explain a phenomenon

Front 33

Types of Theries

Back 33

Grand Theories
Middle Range Theories
Descriptive Theories
Prescriptive Theories

Front 34

Grand Theories

Back 34

broad is scope, complex, and therefore require further specificaiton through research

Front 35

Middle-Range Theories

Back 35

More limited in scope and less abstract

Front 36

Descriptive Theories

Back 36

First level of theory development

Front 37

Prescriptive Theories

Back 37

Address nursing interventions and predict outcome of nursing action

Front 38

Nursing Theories

Back 38

an interpretation of some portion of nursing communicated for the purpose of describing, explaining, predicting, and/or prescribing nursing care

Front 39

Maslow's Hierarchy of Needs

Back 39

self actualization needs
esteem needs
belongingness and love needs
safety needs
biological/physiological needs

Front 40

Maslow's Hierarchy of Needs
Self-Actualization

Back 40

self fulfillment and realization of one's potential

Front 41

Maslow's Hierarchy of Needs
Esteem Needs

Back 41

Fullfillment of approval of others - recognition

Front 42

Maslow's Hierarchy of Needs
Belongingness and Love Needs

Back 42

fullfillment of acceptance of others to belong

Front 43

Maslow's Hierarchy of Needs
Safety Needs

Back 43

fullfillment of security and safety

Front 44

Maslow's Hierarchy of Needs
Biological Needs

Back 44

fullfillment of basic needs ie, water, food, shelter.

Front 45

Erickson's Develpmental Stages

Back 45

Hope
Will
Purpose
comptence
fidelity
love
care
wisdom

Front 46

Erickson's Develpmental Stages
Hope

Back 46

Trust vs. Mistrust (Birth - 12/18 mos)

Front 47

Erickson's Develpmental Stages
Will

Back 47

Autonomy vs Shame and Doubt (toddlers 18 mos - 3 yrs)

Front 48

Erickson's Develpmental Stages
Purpose

Back 48

Initiative vs Guilt (preschool - 3-6 yrs)

Front 49

Erickson's Develpmental Stages
Competence

Back 49

Industry vs. Inferiority (Child 6-12 yrs)

Front 50

Erickson's Develpmental Stages
Fidelity

Back 50

Infidelity Vs. Role Confusion (adolecents 12-18 yrs)

Front 51

Erickson's Develpmental Stages
Love

Back 51

Intimacy vs. Isolation (19 yrs-40 yrs)

Front 52

Erickson's Develpmental Stages
Care

Back 52

Generativity vs. Stagnation (40 yrs - 65 yrs)

Front 53

Erickson's Develpmental Stages
Wisdom

Back 53

Egointegrity vs. Despair (65 yrs and up)

Front 54

Why Evidence Based Practice?

Back 54

This gives you rationale/ reason for what you are doing

Front 55

Evidence Based Practice
Rationale

Back 55

is a problem solving approach to clinical practice that intergrates conscientious use of best evidence in combination with a clinician's expertise and client preference nad values in decision making about client care

Front 56

Case for Evidence

Back 56

because clients are more medically knwoledgeable EBP is important to avoid health care approches that do not work. EBP is a guide for nurses to structure how to make accurate, timely, and appropriate clinical decisions.

Front 57

Steps for Evidence Based Practice

Back 57

Ask a question
collect the most relevent and best evidence
critically appraise the evidence you gather
intergrate all evidences w/ one's clinical expertise and client preference and values in makind a practice decsion or change
Evaluate the practice decision ofr change.

Front 58

Informed Consent

Back 58

Inform patient of what is going to happen - must ask if you ccan study them - develp theory - surgery- signing concent proves/verifys Dr. has come and told them everything about surgery

Front 59

Data Collection

Back 59

General
Observation overvies
look for cues (client crying)
Make inference (interpretation of cue)
Assessment cues -
specific
Ask more focused questions about specific cues

Front 60

Objective Data

Back 60

Observations or measurements of a clients health status
BP
Temp
CBC

Front 61

Subjective Data

Back 61

What the patient tells you
pain
dizzyness

Front 62

Methods for Data Collection

Back 62

Interview and Nursing Health
History - physical exam
results of lab work
all lead to client assessment database

Front 63

Phases of the Nurse-Client Relationship

Back 63

Orientation Phase-indtroduction
Working Phase-gathering info
Termnination Phase-ending interview
Nonverbal-client directed gaze-affirmative head nods - smiling- forward leaning- touch

Front 64

Culture Related to Asssessment

Back 64

Learning and understanding cultural differences is important to gain an accurate assessment for clients with different cultural beliefs

Front 65

Nursing Health History

Back 65

Gathering information about client
biographical infor, reason for seeking care, client expectations,
present illness or health concerns, health history, family history, environmental history,
psychosocial history, spirtual health,
review of systems
documentation of history finding

Front 66

Medical Diagnosis

Back 66

The identification of a disease condition based on specific evaluation of physical signs, symptoms, the clients medical history, and the results of diagnotic tests and procedures

Front 67

Nursign Diagnosis

Back 67

Clinical judgement about individual, fmaily, or community responses to actual or potential health problems or life processes

Front 68

History of Nursing Diagnosis

Back 68

First introduced in 1950
emphasized nurses independent practice compared to dependent practive driven by DR.
Defined client centered problems
classifications for nursing diagnosis NANDA in 1982

Front 69

Safety

Back 69

What is going to kill them first?
Prioritize ABCs - Airway, Breathing and Circulation.

Front 70

NANDA

Back 70

to develp, refine, and promote a taxonomy of nursing diagnostic terminology of general use for professional nurses

Front 71

Formulation of a Nursing Diagnosis

Back 71

NANDA supports this diagnostic judgement also supports assessment data
Risk diagnosis - posible will develop in a vulnerable individual
Health promotion- to increase well being
Wellness nursing - readiness for enhancement

Front 72

Components of a Nursing Diagnosis

Back 72

Diagnostic Label
Related Factors
Defintion
Risk factors
Support of Diagnstic statment

Front 73

Components of a Nursing Diagnosis Diagnostic Label

Back 73

name of nursing diagnosis (NANDA)

Front 74

Components of a Nursing Diagnosis
Related Factors

Back 74

condition or cause of disease identifed from assessment

Front 75

Components of a Nursing Diagnosis
Defenition

Back 75

NANDA approves and defines each diagnosis

Front 76

Components of a Nursing Diagnosis
Risk Factors

Back 76

Elements that increase the vulnerbility of a client

Front 77

Components of a Nursing Diagnosis
Support of the Diagnostic Statment

Back 77

Nursing assessment data needs to support the diagnostic lables - as evidenced by and ambulates

Front 78

Priorities in Practice

Back 78

Can be affected by health care environment - interuptions, available resources, policy and procedures, supply access.
Cognitive shifts attention from one client to another during conduct of the nursing process

Front 79

Goals of Care

Back 79

Client centered goals sould be specific and measureable behavior or response that reflects clients highest level of wellness and independence in function "Client will..."
short term and long term goals

Front 80

Guidelines for Writing a Goal

Back 80

Client Centerd, Singular gola or outcome, observable, measureable, time-limited, mutual factors, realistic

Front 81

Types of Intervention

Back 81

Indenpendent nursing interventions, dependent nursing interventions, collaborative interventions...when choosing consider...characaristic of nursing diagnosis, goals expected, evidence base, fasability, acceptability to client, your compencey

Front 82

Examples of Interventions

Back 82

Cerate a calm and supportive environment
provide a safe and clean environment
adujst room temp to that most comfortable for individual
avoid unnecessary exposure, drafts, over heating, or chilling
etc.

Front 83

consulting other Healthcare Providers

Back 83

consultation is the process of seekign the expertise of a specialist. You should seek help when you are unable to solve a problem. Identify problem and direct problem to correct proessional provide relevent info.

Front 84

Standing Orders

Back 84

Preprinted document containing orders for the conduct of routine therapies, monitoring and/or diagnostic procedures...they are provided by licensed prescribing physicians or helth care providers in charge of care at thime of implimentation...common in critical care...they give nurse ability/protection to interviene appropriately in clients best interest

Front 85

Implementation Process

Back 85

Reassessin the client reviewing and revisiting the existing health care plan...organizing resources nad care delivery equipment- personnel, environment, client

Front 86

Reassessing the Client

Back 86

a continuing process which occurs each time you interact with a client...new inforation gained from assessment should modify the careplan

Front 87

Reviewing and Revising Plan of Care

Back 87

After reassessment
revise data in the assessement
revise the nursing diagnosis
revise specific interventions
determine the method of evaluation for determining if achieved outcome

Front 88

Direct Care

Back 88

ADL
Physical Care Techinques
Life Saveing Measures
Counseling
Teaching
Controlling for Adverse Reactions
Preventivie Measures

Front 89

Indirect Care

Back 89

comminicating nusing interventions
documentation, delegation of care, medical order transcription, infection control, environmental safesy management, computer data entry, telephone consults, change of shifts, collecting specimens, transporting patients to procedural areas

Front 90

Communiciating Nursing Interventions

Back 90

Will be comminicated in a written and/or oral format
written are nursing careplans
will communicate

Front 91

Interdisciplinary Care Plans

Back 91

Plans representing the contributions of all disciplines caring for a client

Front 92

Delegating

Back 92

An RN delegates components of care but not the nursing process itself

Front 93

Evaluation

Back 93

Ongoing process whereever you have contact with a client