301 chap 2, 3 , 4, and 21 Flashcards
More than one health problem occurring at the same time
Comorbitidity
A set of interrelated concepts that represents a certain way of thinking about something
Model
Five steps of the nursing process
Assessment Diagnosis Planning Implementation Evaluation
The nursing interview AND physical assessment become part of the
Patient database
Nurse assistants are allowed to collect data such as
Temperature, height, weight
Data gathered by a physical assessment or laboratory tests
Objective data
Assessment tool for figuring out if someone can do the more sophisticated tasks like shopping
Lawton scale
Assessment tool used mostly in palliative care
Karnofsky
Form for data collection that is especially useful for identifying medical problems
Body systems (medical) framework
Includes vital signs such as blood pressure, pulse so trends over time can be seen clearly
Graphic flow sheet
primary vs secondary data: patient’s chart
secondary
primary vs secondary data: another healthcare provider
secondary
primary vs secondary data: something the patient says
primary
primary vs secondary data: something you find on the patient
primary
the first step in the process of analyzing and interpreting data?
Identify significant data
the __ phase begins when you meet the client and introduce yourself and your role in the relationship
orientation phase
The goal of this phase is to establish rapport and trust through the use of verbal and nonverbal communication
orientation phase
kind of interviewing, which is used to obtain factual, easily categorized information
directive interviewing
During a physical examination, you take a client’s pulse and blood pressure, auscultate his lungs, and palpate his neck. Which zone of the client’s personal space have you entered while performing these assessments?
intimate
“Problem r/t ___ as manifested by (AMB) signs or symptoms.”
etiology
“Problem r/t etiology ___ signs or symptoms.”
AMB
“___ r/t etiology as manifested by (AMB) signs or symptoms.”
Problem
To ___ the message, instead of just requesting further explanation from the client regarding a statement, go ahead and suggest your interpretation and ask whether it is correct
validate
___ means using your own words to summarize the message you received from the client
Restating
___ messages helps ensure that you have accurately interpreted the information. It involves expressing a lack of understanding of the client’s statement and requesting further explanation
Clarifying
Record cues, not ___
inferences
Performance scale is used primarily in palliative care settings to assess functional abilities at the end of life
Karnofsky
What are the two components of “caring” in the full-spectrum nursing concepts
Self-knowledge and ethical knowledge
what is typically left out of a collaborative problem
etiology
___ status would be assessed in a comprehensive assessment but not in an initial assessment
Emotional
A client’s marital status would be recorded as part of the ___ assessment, which focuses on static data—data that are not likely to change often—such as demographic data (marital status, occupation)
initial
A normal resting heart rate for adults ranges from __ to 100 beats a minute
60
The Joint Commission requires that agencies designate when each patient is to be ____
reassessed
The component of care “___” is striving to understand what an event (e.g., an illness) means in the life of the patient
Knowing
The component of care “__ __” is doing what the patient would do for himself if he could (e.g., bathing)
Doing for
The component of care “___” is supporting the patient through coping with life changes and unfamiliar events, such as hospitalization
enabling
The component of care “___” is being emotionally present for the patient (e.g., making eye contact, actively listening)
being with
___ is a technique whereby you acknowledge that there may be some truth to a criticism but you remain the judge of your own action
Fogging
When you use ___ inquiry, you request clarification of one’s criticism of you
negative
full spectrum nursing involves 3 things: t___, d___, and c___ and ___ situation
thinking doing caring and patient situation
cognitive processes used in complex thinking operations such as problem-solving are critical thinking ___
skills
different than critical thinking skills, ___s are more like feelings
attitudes
critical thinking attitude: dont believe everything you’re told
independent thinking
critical thinking attitude: love to learn new things
intellectual curiosity
critical thinking attitude: are that you don’t know everything
humility
critical thinking attitude: try to understand the feelings of others
empathy
critical thinking attitude: examine things even when it’s uncomfortable
courage
critical thinking attitude: don’t settle for quick easy answers
perseverance
critical thinking attitude: make impartial judgements
fair-mindedness
reflective, creative thinking about patient care
clinical reasoning
critical thinking model: awareness of the total situation
contextual awareness
critical thinking model: applying standards of good reasoning to your thinking
inquiry based on credible sources
critical thinking model: imagining alternatives
considering alternatives
critical thinking model: recognizing assumptions
analyzing assumptions
critical thinking model: questioning your rationale
reflecting skeptically
knowledge that enables you to apply your theoretical knowledge to patients
practical knowledge
component of caring: striving to understand what an event means in the life of the patient
knowing
component of caring: being EMOTIONALLY present for patient
being with
