Nursing Fundamentals Pn Midterm Exam 1

Front 1

What are caring skills ?

Back 1

Nursing interventions that restore or maintain a person's health

Example -Assisting with ADL's

Front 2

What is a nursing diagnosis?

Back 2

A health issue that can be prevented, reduced, or enhanced through independent nursing measures.

Five categories- Actual, Risk, Possible, Syndrome, Wellness

Front 3

What is a diagnosis?

Back 3

The identification of health-related problems

Front 4

What is sympathy?

Back 4

Feeling as emotionally distraught as the client

Front 5

What is empathy?

Back 5

Intuitive awareness of what the client is experiencing.

Example- Empathy helps the nurse become effective at providing for the client's needs while remaining compassionately detached.

Front 6

What is an assessment?

Back 6

First step in Nursing Process-Acts that involve collecting data

Front 7

What is an actual diagnosis versus risk diagnosis?

Back 7

Actual diagnosis a problem that currently exist

Example-Impaired Physical Mobility related to pain as evidenced by limited range of motion, reluctance to move

Risk diagnosis is a problem the client is uniquely at risk for developing

Front 8

What is the Good Samaritan law and how can a nurse not be protected?

Back 8

Provides legal immunity to passerbys who provide emergency first aid to victims of accidents. Doesn't provide absolute exemption from prosecution in the event of injury

Front 9

What is a legal tort?

Back 9

Litigation in which one person asserts that a physical, emotional, or financial injury was a consequence of another person's actions or failure to act.

Front 10

What is an intentional tort?

Back 10

Lawsuits in which a plaintiff charges that a defendant committed a deliberately aggressive act

Example is

Assault-the threat of bodily harm

Battery -the act, the harm

Front 11

What is unintentional tort?

Back 11

Harm that results in an injury, although the person did not mean to cause the harm

Example-Negligence-Harm that results because a person did not act responsibly

Front 12

The components of Maslow's Hierarchy of Needs

Back 12

Physiologic

Safety and Security

Love and Belonging

Esteem and Self Esteem

Self Actualization

Front 13

What is primary illness?

Back 13

One that develops independently of any other disease

Front 14

What is Primary Care?

Back 14

Health services provided by the first health care provider

Example- Family practice physician

Front 15

what is secondary Care?

Back 15

Health services to which primary caregivers refer consultation and additional testing

Example-the referral of a client to a cardiac catheterization lab

Front 16

What is tertiary care?

Back 16

Health services provided at a hospital or medical center where complex technology and specialist are available

Example Cardiac Specialist

Front 17

What is Diagnosis?

Back 17

Second step in nursing diagnosis, the identification of one or more nursing diagnoses
five categories- actual, risk, possible, syndrome and wellness

Front 18

What is planning?

Back 18

The third step in the nursing process, prioritizing nursing diagnoses and collaborative problems

Ex. Setting goals, selecting nursing interventions

Front 19

What is Implementation?

Back 19

Fourth step in the nursing process means carrying out the plan of care

Front 20

What is Evaluation?

Back 20

The fifth step in the nursing process, the way by which nurses determine whether a client reached a goal.

Front 21

Stages of physiologic stress response?

Back 21

Alarm stage- immediate physiologic response to a stressor

Stage of resistance-second stage, characterized by physiologic changes designed to restore homeostasis

Stage of exhaustion- Last stage Occurs when one or more adaptive or resistive mechanism are no longer able to protect the person experiencing the stressor

Front 22

What is Invasion of privacy?

Back 22

Failure to leave people and their belongings alone

Front 23

What is defamation?

Back 23

AN act in which untrue information harms a person's reputation

Front 24

What are restraints?

Back 24

Devices or chemicals that restrict movement

Front 25

What do you do before using restraints?

Back 25

Try alternate methods

Front 26

When restraints are applied what must you do?

Back 26

Charting must indicate regular client assessment, provisions for fluid, nourishment, and bowel bladder elimination, and attempts to release the client from the restraints for a trial period

Front 27

What are the types of restraints?

Back 27

Sedative drugs, bed rails, chairs with locking lap trays, limb restraints

Front 28

What are Coping mechanism?

Back 28

Ways in which you cope with stressors

Front 29

What are coping strategies?

Back 29

Stress reduction activities selected unconsciously

Example- professional assistance in a crisis

Front 30

What is a living will?

Back 30

An instructive form of an advance directive: that is, it is a written document that identifies a person's preferences regarding medical intervention to use or not use

Front 31

What's an incident report?

Back 31

A written account of an unusual potentially injurious event involving a client, employee, or visitor.

It is kept separate from the medical record

Must include: when, where who, what happened and what actions were taken

In medical records-Only identify that an event took place, that's all that should be noted

for example-client fail, dizzy,

Front 32

What is ethics?

Back 32

Moral or philosophical principles

Front 33

What are common laws?

Back 33

Decisions based on prior similar cases

Front 34

What are criminal laws?

Back 34

Penal codes that protect all citizens from people who pose a threat to the public good

Front 35

What is a DRG?

Back 35

A classification system used to group clients with similar diagnoses

For example, all clients receiving a hip, knee, or shoulder replacement fall into DRG 209

Front 36

What is medicaid?

Back 36

A state administered program designed to meet the needs of low income residents

Front 37

What is medicare?

Back 37

A federal program that finances health care costs of persons aged 65 years and older, permanently disabled workers of any age and their dependents, and those with end stage renal disease

Front 38

What is extended care?

Back 38

Services that meet the health needs of clients who no longer require acute hospital care

Front 39

What is secondary illness?

Back 39

Disorder that develops from a preexisting condition

Front 40

What is an acute illness?

Back 40

One that comes on suddenly and lasts a short time

For example- Influenza

Front 41

What is a chronic illness?

Back 41

One that comes on slowly and lasts a long time

For example- arthritis

Front 42

The goal of the nursing team?

Back 42

Personnel who care for clients directly such as respiratory therapists, physical therapist and technicians

Front 43

What is functional nursing?

Back 43

A pattern in which each nurse is assigned specific task. For example- one is assigned to give all the medication, another performs all the treatments

Front 44

What is primary nursing?

Back 44

A pattern in which the admitting nurse assumes responsibility for planning client care and

evaluating the client's progress

Front 45

What is narrative charting?

Back 45

(The style of documentation generally used in source-oriented records) involves writing information about the client and client care in chronologic order

Front 46

What is soapier charting?

Back 46

( The documentation style more likely to be used in a problem-oriented record) acquired its name the four essential components included in a progress note:

S=subjective data

O=objective data

A=analysis data

P=plan of care

++

I=interventions

E= evaluation

R=revision

Front 47

What is Bid, Tid, Qd

Back 47

twice a day, three times a day, everyday

Front 48

Acronym for Race

Back 48

R=Rescue

A=Alarm

C=Confine(the fire)

E=Extinguish

Front 49

Acronym for Pass

Back 49

P=Pull

A=Aim

S=Squeeze

S=

Front 50

What are some nutrition services for the elderly?

Back 50

Meals on wheels

Front 51

What do you do when feeding someone with dysphagia?

Back 51

Always have equipment for oral and pharyngeal suctioning at bedside

Remain with the client while eating

Place the client in a sitting position

Make sure client has swallowed previous food before offering another

Front 52

How do you use a spirometer?

Back 52

Sit upright unless contraindicated

Identify the mark indicating the goal for inhalation

Exhale normally

Insert the mouthpiece, sealing it between the lips

Inhale slowly and deeply until the predetermined volume has been reached

Hold the breath for 3-6 seconds

Remove the mouthpiece and exhale normally

Relax and breathe normally before the next breath with the spirometer

Repeat the exercise 10-20 times per hour while awake or prescribed by the physician

Front 53

Pain assessment tool?

Back 53

Word scale, numeric scale and linear scale

Front 54

Pain assessment for children ?

Back 54

Wong-Baker Faces scale is best