BN Final Flashcards
The first real school of nursing was located in :
germany
Who was the pupil in the school in germany?
florence nightingale
(know) The emergence of modern nursing is attributed to florence nightingale
…
When is an LPN allowed to perform basic LPN skills that were not taught in the program
under RN supervision
Know about the first state to pass a law licensing practical nurses
mississippi
Who developed the first chapter of the red cross
clara barton
used to resolve problems and find ways to make improvements, even when no problem exists
critical thinking
multiple short scenes and thoughts come and go through the mind and have no particular purpose or goal
random thoughts
this type of thinking involves any routine we do that is important but does not require us to think hard about how to do it
habitual thinking
the same situation or scene is replayed in the mind over and over, without reaching an outcome
ruminative thinking
purposeful and outcome - oriented
directed (or focused) thinking
refers to the ability to recall and repeat information you have memorized
knowledge
refers to the ability to basically understand information, recall it, and identify examples of that information
comprehension
means being able to use learned material in new situations
application
means to be able to break down complex information into its basic parts and relate those parts to the whole picture
analysis
intellectual level of functioning
cognitive level
Factors that influence critical thinking (3)
#1 upbringing and culture #2 motivation #3 attitude
assigned to an idea or action. Freely chosen and affected by age, experience, and maturity
values
one of four elements needed to prove negligence. refers to a nurses responsibility to provide care in an acceptable way. as used in the test, responsibilities directly related to nursing licensure and scope of practice. Usually not delegated to someone with less education and nursing skill
duty
in nursing, to be faithful to the charge of acting in the patient’s best interest when the capacity to make free choice is no longer available
fidelity
rules or principles that govern correct conducts
ethics
A major change in medical ethics
individual rights and autonomy
Know what it means to be accountable
Obligation to answer for personal actions
doing good
beneficence
Know how to practice fidelity to a patient
honor their wishes, want them to be apart of the planning for their care
Know what an example would be of a criminal action committed by a nurse
discontinuing a ventilator without a physician’s order even if they died
(know) Student practical nurses are held too the level performance of an LPN
…
(know) When you’re documenting about a patient’s behavior you want to be sure to record all interventions you performed and the instruction you’ve given
…
(know) Know that HIPAA each agency might have a different interpretation
…
written directive stating personal wishes regarding future health care. Not recognized as a legal document in every state or other countries
living will
obtained by a physician for invasive procedures after physician has provided patient with facts about effects, side effects, alternative treatments, prognosis, and so on. May be revoked verbally at any time up to time of procedure
informed consent
identifies who will make decisions regarding future care, extent of treatment, and kinds of treatment if the person is unable to make his or her on decisions. Written while the person is mentally competent
durable medical power of attorney
Involves persons and society as a wjp;e, for example, murder
civil action
Know what to do when you receive an improper medical order
go directly to the physician and if they dont change it refuse
causing acute physical harm to someone
battery
damage to someone’s reputation through written communication or pictures
libel
damage to someone’s reputation by verbalizing untrue or confidential information
slander
(know) Develop a trusting relationship and foster it. Don’t come in hot, knock on the door, introduce yourself, explain why you are there, develop a rapport
…
You need to know about a focused assessment
ask about their pain on a level of 1 to 10
feeling tone
affective state
refers to repeating in a slightly different way what the patient has said
restating
is asking a closed-ended question in response to a patient’s statement to be sure you understand
clarifying
is putting into words the information you are receiving from the patient at an effective communication level
reflecting
refers to expressing in your own words what you think the patient means
paraphrasing
Be able to identify early signs of potential violence in coworkers
no respect for authority, doesn’t care about consequences, being insubordinate
Patients angry, you need to know how to handle them
make sure you leave them in a safe situation because their safety is first then report it immediately
(know) Reduce patient violence against nurses. Developing rapport and showing respect helps with that, people want to feel listened to too. Good communication is very important. Give off the impression that you know what you are doing when you are taking care of them
…
(know) Be careful to avoid stereotyping when you are dealing with someone of a different culture
…
You need to know about the hot and cold foods
hot foods for cold illness, cold food for hot illness
A cultural competent care plan is different than a standard care plan, which ways can that happen
you can adapt to some of their cultures
(know) Physicians cure disease based on the biomedical health belief system
…
Who will benefit the least from reading the new testament
orthodox jews
(know) Muslims refer to god as allah
…
(know) Implement baptism for baby not expected to live for catholic
…
Who observes sabbath
jews
Church of latter day saints, know about the restrictions with them
they don’t consume things that alter their mental capacity, anything caffeine or fermented is a no go.
Know about patients going to the OR and them wanting to keep on a necklace
leave it on and inform the surgeon
(know) Exercise 30 minutes a day 5 times a week
…
(know) An older adult is more likely to have a successful suicide
…
Healthy people objectives for older adults
develop and implement strategies to prevent pressure ulcer formation
People with renal failure, watch out for certain medications that cause toxicity.
demerol = meperidine
(know) Elderly patient complains of heartburn because of lessened sphincter tone
…
You’re filling out a dietary menu for a jewish patient, what do you avoid?
milk and meat
You’re visiting an older adult patient who lives alone and you’re trying to help improve the patient’s nutrition
Cook and freeze their food for easily warmed up food later
A patient has a new order for removal of NG tube, what do you do initially
explain procedure
Someone’s dysphagic, how do you prevent aspiration
sit up right, tuck chin when swallowing
(know) If someone is taking aricept you need to worry about how that drug is absorbed and metabolised and broken down. Assess lab reports. Watch out for toxicity.
…
Why are we experiencing a recent nursing shortage
patient safety, high patient acuity, high stress among nurses, high nurse-patient ratios
What are the names used to call nurses
midwife, attendant nurses, so on
Increase your Reading effectiveness as a student, how do you do that
read outloud, underline unfamiliar words
(know) Make a personal commitment to prevent violence in the workplace
…
You’re going to lead successful negotiation between pt and provider to develop a treatment plan of someone whos from a different culture, you need to have an idea about how your going to go about doing this
encourage pt to explain their views, explain our viewpoint on biomedical health, let them do what they want
know about patient diagnosed with aids and their nutritional plan
protein
You are a home health nurse helping family of cognitively impaired man, how do you teach them to help best with his care
precise direct communication, enroll them in older adult activity program, monitor nutrition, door alarm
the process by which members of a culture change their lifeways to become totally integrated into another culture
assimilation
neurologic condition chacterized by the following cognitive defects; impaired memory, disturbed intellectual function, and inability to problem solve
dementia
abnormal pain during sexual intercourse
dyspareunia
postmortem care in order
#1 hand hygiene #2 elevate head in supine position, close eyes #3 replace dentures #4 remove jewelry #5 wash body #6 comb hair #7 deflate balloons and remove tubes #8 change soiled dressings and remove adhesive #9 dress body in clean gown #10 tag #11 place padded ties around ankles, crisscross wrists and feet
Which patient is at risk for a fluid imbalance
Hemorrhage and burns
