BN Final Flashcards by Brianna Williams

The first real school of nursing was located in :

germany

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Who was the pupil in the school in germany?

florence nightingale

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(know) The emergence of modern nursing is attributed to florence nightingale

…

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When is an LPN allowed to perform basic LPN skills that were not taught in the program

under RN supervision

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Know about the first state to pass a law licensing practical nurses

mississippi

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Who developed the first chapter of the red cross

clara barton

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used to resolve problems and find ways to make improvements, even when no problem exists

critical thinking

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multiple short scenes and thoughts come and go through the mind and have no particular purpose or goal

random thoughts

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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

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the same situation or scene is replayed in the mind over and over, without reaching an outcome

ruminative thinking

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purposeful and outcome - oriented

directed (or focused) thinking

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refers to the ability to recall and repeat information you have memorized

knowledge

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refers to the ability to basically understand information, recall it, and identify examples of that information

comprehension

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means being able to use learned material in new situations

application

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means to be able to break down complex information into its basic parts and relate those parts to the whole picture

analysis

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intellectual level of functioning

cognitive level

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Factors that influence critical thinking (3)

#1 upbringing and culture
#2 motivation
#3 attitude

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assigned to an idea or action. Freely chosen and affected by age, experience, and maturity

values

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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

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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

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rules or principles that govern correct conducts

ethics

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A major change in medical ethics

individual rights and autonomy

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Know what it means to be accountable

Obligation to answer for personal actions

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doing good

beneficence

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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

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(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

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(know) Know that HIPAA each agency might have a different interpretation

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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

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(know) Be careful to avoid stereotyping when you are dealing with someone of a different culture

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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

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Who will benefit the least from reading the new testament

orthodox jews

(know) Muslims refer to god as allah

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(know) Implement baptism for baby not expected to live for catholic

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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

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(know) An older adult is more likely to have a successful suicide

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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

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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