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54 Cards in this Set
- Front
- Back
What are caring skills ? |
Nursing interventions that restore or maintain a person's health Example -Assisting with ADL's |
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What is a nursing diagnosis? |
A health issue that can be prevented, reduced, or enhanced through independent nursing measures. Five categories- Actual, Risk, Possible, Syndrome, Wellness |
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What is a diagnosis? |
The identification of health-related problems |
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What is sympathy? |
Feeling as emotionally distraught as the client |
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What is empathy? |
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. |
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What is an assessment? |
First step in Nursing Process-Acts that involve collecting data |
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What is an actual diagnosis versus risk diagnosis? |
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 |
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What is the Good Samaritan law and how can a nurse not be protected? |
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 |
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What is a legal tort? |
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. |
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What is an intentional tort? |
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 |
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What is unintentional tort? |
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 |
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The components of Maslow's Hierarchy of Needs |
Physiologic Safety and Security Love and Belonging Esteem and Self Esteem Self Actualization |
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What is primary illness?
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One that develops independently of any other disease
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What is Primary Care? |
Health services provided by the first health care provider Example- Family practice physician |
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what is secondary Care? |
Health services to which primary caregivers refer consultation and additional testing Example-the referral of a client to a cardiac catheterization lab |
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What is tertiary care? |
Health services provided at a hospital or medical center where complex technology and specialist are available Example Cardiac Specialist |
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What is Diagnosis? |
Second step in nursing diagnosis, the identification of one or more nursing diagnoses
five categories- actual, risk, possible, syndrome and wellness |
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What is planning? |
The third step in the nursing process, prioritizing nursing diagnoses and collaborative problems Ex. Setting goals, selecting nursing interventions |
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What is Implementation? |
Fourth step in the nursing process means carrying out the plan of care |
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What is Evaluation? |
The fifth step in the nursing process, the way by which nurses determine whether a client reached a goal. |
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Stages of physiologic stress response? |
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 |
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What is Invasion of privacy? |
Failure to leave people and their belongings alone |
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What is defamation? |
AN act in which untrue information harms a person's reputation |
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What are restraints? |
Devices or chemicals that restrict movement |
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What do you do before using restraints? |
Try alternate methods |
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When restraints are applied what must you do? |
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 |
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What are the types of restraints? |
Sedative drugs, bed rails, chairs with locking lap trays, limb restraints |
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What are Coping mechanism? |
Ways in which you cope with stressors |
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What are coping strategies? |
Stress reduction activities selected unconsciously Example- professional assistance in a crisis |
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What is a living will?
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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
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What's an incident report? |
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, |
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What is ethics? |
Moral or philosophical principles |
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What are common laws? |
Decisions based on prior similar cases |
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What are criminal laws? |
Penal codes that protect all citizens from people who pose a threat to the public good |
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What is a DRG? |
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 |
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What is medicaid? |
A state administered program designed to meet the needs of low income residents |
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What is medicare? |
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 |
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What is extended care? |
Services that meet the health needs of clients who no longer require acute hospital care |
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What is secondary illness? |
Disorder that develops from a preexisting condition |
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What is an acute illness? |
One that comes on suddenly and lasts a short time For example- Influenza |
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What is a chronic illness? |
One that comes on slowly and lasts a long time For example- arthritis |
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The goal of the nursing team? |
Personnel who care for clients directly such as respiratory therapists, physical therapist and technicians |
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What is functional nursing? |
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 |
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What is primary nursing? |
A pattern in which the admitting nurse assumes responsibility for planning client care and evaluating the client's progress |
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What is narrative charting? |
(The style of documentation generally used in source-oriented records) involves writing information about the client and client care in chronologic order |
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What is soapier charting? |
( 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 |
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What is Bid, Tid, Qd |
twice a day, three times a day, everyday |
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Acronym for Race |
R=Rescue A=Alarm C=Confine(the fire) E=Extinguish |
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Acronym for Pass |
P=Pull A=Aim S=Squeeze S= |
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What are some nutrition services for the elderly? |
Meals on wheels |
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What do you do when feeding someone with dysphagia? |
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 |
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How do you use a spirometer? |
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 |
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Pain assessment tool? |
Word scale, numeric scale and linear scale |
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Pain assessment for children ? |
Wong-Baker Faces scale is best |