Exam 1 Flashcards
What is palliative support?
Dealing w/ cause of condition (root source)
What can also interfere with correct message transmission?
Message barriers
What is interpersonal communication?
A continual social process in which at least two people exchange ideas with the intent to influence the behavior or actions of the others
What is the linear model of communication?
Focuses only on the sending and receiving of the message, usually used in emergency situations, and very clear cut
What is transactions communication model?
Interpersonal communication as a reciprocal interaction in which both senders and receiver influence each others messages
What is the nursing metaparadigm?
A model that represents the most abstract form of nursing knowledge
What is the nursing metapadiagram composed of?
H, P, E, N
Health, person, envoirmental, nursing
What is the concept of person in HPEN?
The recipient of nursing care
What are the attributes of person in HPEN?
G, L, CS, H, CV
Gender, lifestyles, coping styles, habits, and cultural values
What is the concept of envoirmental in HPEN?
Envoirment can’t be separated from care
What is the concept of health in HPEN?
Culture religious beliefs and previous life experiences influence how a person perceives and interprets health and illness
What is Maslow’s hierarchy?
P, S, L/B, E, SA
Physiological, safety, love/ belonging, esteem, self-actualization
What is the four level healthcare system?
The pt is at the center, primary mission is to promote, maintain, or restore health, and communication focuses on interrelationships across agencies
What is the development of self concept and self esteem?
Life experiences, challenges, responses, social environment, role of the nurse
What are the self- concept in interpersonal relationships negative attributes?
Microagressions, microassults, microinsults, microinvalidations
What invalidates the legality of consent?
The patient doesn’t fully understand the meaning
What is the responsibility of the nurse when it comes to consent?
Verifying the competency of a patient to give consent
What is the CRM model?
Correct mistakes
Equivalent o SBAR and standardize communication between health professionals
what does CRM stand for?
- crew
-resources
-management
what are the risk factors for safety?
- inadequate break
- work more than 12 hours consecutively
- burnout
-improper pt care
What are the three c’s?
Cooperation
Collaboration
Common clarity
What are the diffrent barrier to safe communication?
- lack of patient identifier number
- fragmentation
- underreporting of errors
What is the purpose of the SHARE tool?
To standardize report tools, allow opportunity for questions, reinforce current goals, and educate the team
What are the four fundamentals for the code of ethics for nurses?
- promote health
-prevent illness
-restore health - alleviate suffering
What are civil laws?
Court decisions which are created through precedents, rather than written statues
What is a tort?
Malpractice
Private civil action that causes personal injury to a private party
What is criminal law?
Renewal of license
Intentional misconduct or a serious violation of professional standards of care
What is the nursing process?
A systemic tool directing the sequence planning, implementation and evaluation of nursing care to achieve specific health goals
What are the five components of the nursing process?
PID/D, OID/P, I/E
- problem ID/ diagnosis
- outcome of ID/ planning
- implementation/ eval
When does the nursing process begin and end?
The first encounter with a patient and family and ends when discharged
what is a requirement for HIPAA?
- provide patients with written notice of their privacy practices and procedures
What are the pt rights when it comes to HIPPA?
- access to their medical records
- request copies of health record
- request amendments
What information can’t be shared with family?
Family or other interested parties without pt written consent
When or who can someone else sign for the patient?
- legal guardian/ personal healthcare agent
- adults who lack the capacity to consent on their own behalf
What is self concept?
Total of each person’s beliefs about their inner self
What are factors that influence self concept?
- physical appearance
- body image
- self esteem
-self clarity
What is situation in SBAR?
ID yourself, the patient and the problems the pt came in for, include pt’s name, DOB, and verification of consent forms
What is background in SBAR?
RC
Relevant context and brief history ( diagnosis list, allergies, relevant vital signs, medications that have been administered, and lab results)
What is assessment in SBAR?
PL, MC, LOC, Pw/IO, EBL
State conclusion of health assessment, list your opinion about patients current status ( pain level, medical complications, LOC, problems with I and O’s, estimate blood lose)
What is recommendation in SBAR?
State informed suggestions for continued care of patient
What does role performance require?
Self efficacy
How is personal identity constructed?
Through cognitive process of perception and cognition
What is the correct technique for hand washing?
Rubbing from the palms to the back of the hands with fingers interlocked
When is hand hygiene preformed?
Before and after direct contact with a patient
When should hand hygiene be preformed during care for the same patient?
Contained body site to a clean body site
What percent of alcohol should be in hand sanitizer at minimum?
60%
What percent of alcohol should be in hand sanitizer at maximum?
95%
What is the normal range for temperature?
96.4- 99.1 degrees
What is the stable core temperature?
98.6
When is temperature the lowest?
Early morning
When is temp the highest?
Late afternoon and early evening
When does can temperature be slightly high in women?
During their menstrual cycle
Where does the sublingual pocket get blood supply from?
Carotid artery
If you are taking a temporal artery temperature where should you place the probe?
Center of the pt forehead
What is the temp more commonly used in children but inaccurate in adults?
Axillary
What is the difference between men and women when they breathe?
Men usually breathe from the abdomen while women are chest breathers
What is cardiac output?
Volume of blood ejected from the heart EACH minute
What is normal HR in children?
Infant, toddler, and school aged
Higher (75-160)
Should respiratory rate be higher in children?
Yes
Should blood pressure be higher or lower in children?
Lower
What can cause a false low blood pressure?
- positioning the pt’s arm above the heart level
- cuff is too wide
- not inflating cuff enough
-deflating too fast - pressing diaphragm firmly on brachial artery
What can cause a high blood pressure?
- crossed legs
- below the level of the heart
- using a cuff to narrow
- cuff is loose or uneven
- deflating cuff too slowly
- reinflation before deflation
What does a health history consist of?
Subjective data collected during an interview
Wha does a health history include?
CH, CM, PI, PS, FH, PH, PSH, ROS
Current health
Current medications
Past illnesses
Past surgeries
Family history
Personal health
Psychosocial health
Review of systems
What are symptoms?
Subjective data (what the pt reports)
What is primary source data?
Subjective (symptoms) data acquired directly from the patient
What is secondary source data?
Subjective data acquired from another individual/ pt family
What’s are signs?
Objective data ( data observed or measured)
