Exam 1 Flashcards
NPSG
1) Identify Pt
2) Improve Communication
3) Use meds safely
4) Use alarms safely
5) Prevent Infection
6) Identify Safety Risks
7) Improve health care quality
8) Prevent Mistakes in Surgery
SBAR
Situation
Background
Assessment
Recommendation
Interpersonal: Communication
Verbal and nonverbal among ppl.
Intrapersonal Communication is
Inner self talk. Can be positive or negative.
Five Pt rights
Right tasks
Tasks
Circumstance
Person
Direction/Communication
Don’t delegate what you can…
EAT:
Eval
Assess
Teach
What does the OBN defines as part of the RN scope of practice??
Teaching patients
Supervising PT care
Delegating to nursing staff
Assessing PT status
HR values and what they mean?
+1 is weak- thready barely
+2 is normal
+3 is little more force behind it
+4 is bounding
What are systolic and diastolic measured for?
Systolic- heart at work
Diastolic- heart at rest
How do we measure pain?
PQRST
P- provokes
Q- quality
R- radiates
S- severity
T- time
Metacommunication
Factors that comprise context of message. Mood and environmental. Context clues.
Types of nursing errors?
Diagnostic Errors
Treatment Errors
Preventative Errors
Communication Errors
Latent
Active
Adverse
Near miss
Sentinel Event
3 areas of Competency:
Knowledge
Skills
Attitudes
Morse Fall Risk levels
High Risk: 45 higher
Moderate: 25-44
Low-0-24
Self-management
Day to day tasks an individual must undertake to control or reduce the impact of disease on physical health status.
Parkinsons S&S
Stooped posture, short shuffling steps, masked face, tremors, and rigidity
Functional Ability:
Ability to perform normal ADLS required to meet basic needs
Logan Tiernay Model- 12 ADLs of life
Maintain safe environment
Elimination
Breathing
Personal cleansing/dressing
Communication
Body temp
Mobilization
Working/playing
Eating/drinking
Sleeping
Expressing sexuality
Dying
Subjective Information:
Objective information:
Subjective- Pt says or feels
Objective-What we observe
Primary Diagnosis/Disease
Early Onset/Directly affect Functional ability
EX:
Autism
Cerebral Palsy
Down Syndrome
Secondary Diagnosis/Disease
Late onset/usually due a primary disease
Ex:
Alzheimer’s
Brain Injury
Chronic Pain
Autism Disorder
Broad category
Effecting children in early childhood and lasts throughout life
Social and repetitive behaviors
Effects Basic/instrumental ADLs
More common in males
Cause is not well understood
Cerebral Palsy:
Group neuro disorders
Effect body movement posture and muscle coordination
Caused by abnormal development or occurring development of brain
Impaired movement or muscle coordination
Alzheimer’s (secondary)
Irreversible
Progressive
Cased by Dementia in older adults
Loss of cognitive functioning
Behavioral changes with decline in functional ability
Parkinson’s Disease
Neurological loss of dopamine cells in brain
Symptoms: Tremor, rigidity, bradykinesia, impaired balance and coordination.
More common in men
Guillain Barre Syndrome
Neuro muscle weakness and thinking starts lower extremities and moves up
Immune System attacks nervous system
Can recover
Muscle Weakness can turn into paralysis
Cause is unknown
Multiple Sclerosis
Neuro degenerative disease effecting the CNS
Wide array of Nero symptoms
Visual disturbances muscle weaknesses fatigue bowel difficulty
May be a result of an auto immune disorder between ages 20 to 40.
