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Nursing 209 > Exam 1 > Flashcards

Exam 1 Flashcards

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1
Q

What are the levels of health care?

A
  1. Primary
  2. Secondary
  3. Tertiary
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2
Q

Primary level

A

preventative with health promotion

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3
Q

Secondary level

A

the diagnosis of an illness

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4
Q

Tertiary level

A

rehab or the end of life care

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5
Q

What is Palliative care?

A

Making the patient as comfortable as possible.

ie: if in pain making them feel better, dying; at ease, not worried

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6
Q

Models of Nursing Care Delivery

A
  1. Primary
  2. Total client care
  3. Team Nursing care
  4. Modular Nursing care
  5. Case Management
  6. Client centered care
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7
Q

Primary Nursing Care

A

One nurse who is responsible for a whole load of patients 24 hrs

EX: home health aide

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8
Q

Total Client Care

A

When the nurse is responsible for all care of a patient during a shift

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9
Q

Team Nursing Care

A

When a group of healthcare workers work together to perform tasks needed for a patient

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10
Q

Modular Nursing

A

When 2 nurses are responsible for a load of patients

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11
Q

Case manager

A

Is one who follows up with patient while in a facility and sometimes has to follow up after discharged. Deals with patients well being and insurance information.

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12
Q

Client Centered Care

A

everything is located in one location

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13
Q

Leadership Styles of Nursing:

A
  1. Autocratic
  2. Democratic
  3. Laissez Faire
  4. Bureaucratic
  5. Situational
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14
Q

Autocratic

A

Dictator/ makes all decision: works best in emergency situations

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15
Q

Democratic

A

Group discussion to make a decision

  • Very effective except in emergency situations
  • Most members are internally motivated
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16
Q

Laissez Faire

A

Leader lets the people do what they want

  • must have strong foundation and trust within the group
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17
Q

Bureaucratic

A

Strict rules and policies

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18
Q

Management and Delegation

A

As an RN you are responsible for any deletion (order you give) you make

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19
Q

How often should ROM be completed?

A

Every 2 hrs

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20
Q

How often to restraints need to be assessed?

A

every 15 minutes

  • Restraints are the last resort for a patient
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21
Q

Levels of space:

A
  1. Intimate (0-18 in)
  2. Personal (18 in. - 3ft.)
  3. Social/ Public (3- 6 ft.)
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22
Q

Cardiovascular Mobility :

A
  • helps strengthen cardia muscles
  • Increases cardiac output
  • Decreases resting heart rate
  • Increases venous return
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23
Q

Musculoskeletal Mobility:

A
  • Increases joint flexibility & ROM
  • Maintains and improves muscle tone strength
  • Maintains bone density through weight
24
Q

GI Mobility:

A
  • Improves appetite
  • Increases GI tract tone
  • Improves digestion and elimination
25
Q

Metabolic Mobility:

A
  • Elevates basal metabolic rate
  • Reduces triglycerides and cholesterol levels
  • Increases glucose
  • Increases production of body heat
  • Burns excess fat
26
Q

Urinary System Mobility:

A
  • Promotes excretion of waste

- Prevents urine stasis in the bladder

27
Q

Activity Tolerance

A
  • Reduces fatigue

- Improves activity tolerance

28
Q

Psychosocial Factors:

A
  • Improves stress tolerance
  • Produces a sense of well being
  • Reduces depression
  • Improves body image
  • Enhances quality of sleep
  • Increases energy levels
29
Q

Semi- Fowlers

A

30- 45 degrees

30
Q

Fowlers

A

60- 90 degrees

31
Q

Assessment of the abdomen:

A

Inspect, auscultate, percuss, then palpate

  • different from every other part because you don’t want to disrupt the bowel sounds
32
Q

Assessment

A

Inspect, palpate, percuss, then auscultate

33
Q

Eyes: PERRLA

A 
P: Pupils should be clear
E: Pupils should be equal in size and between 2-3mm 
R: Round in shape
RL: Reactive to light 
A: Accommodation
34
Q

Types of hearing loss:

A
  1. Sensory neural
  2. Conductive
  3. Presbycusis
35
Q

Sensoneural:

A

due to a problem with the inner ear or auditory nerve

36
Q

Conductive:

A

due to a problem with the external or middle ear

ex: wax buildup, foreign body, infection

37
Q

Presbycusis:

A

hearing loss due to aging

38
Q

Does ones sense of taste decrease with age?

A

No it does not

39
Q

Tonsils: +1

A

Barely visible

40
Q

Tonsils: +2

A

Between entonsillar pillars and uvula

41
Q

Tonsils: +3

A

Touching the uvula

42
Q

Tonsils: +4

A

Tonsils are touching each other: called kissing tonsils

43
Q

Objective Data:

A
  • Factual data observed by the nurse

- No conclusions or interpretations made

44
Q

Subjective Data:

A
  • Information given verbally by the client

- Captures the clients point of view

45
Q

Objective Data:

A
  • Factual data observed by the nurse

- No conclusions or interpretations made

46
Q

Subjective Data:

A
  • Information given verbally by the client

- Captures the clients point of view

47
Q

Myopia

A

nearsightedness

48
Q

Hyperopia

A

farsightedness

49
Q

Astigmatism

A

irregularity of the cornea which causes blurred vision

50
Q

Presbyopia

A

decreased elasticity of the lens with a decrease in accommodation

51
Q

If eyeballs appear to be sunken what could you assume is wrong with the patient?

A

they are dehydrated or emaciated

52
Q

what is hardness of the eye caused by?

A

glaucoma

53
Q

what is softness of the eye caused by?

A

dehydration

54
Q

5 rights of delegation

A
  • the right task
  • the right circumstance
  • the right person
  • the right communication
  • the right evaluation
55
Q

Maslow’s Hiearchy of Needs: most important to least important

A
  1. Physiological needs:
    • need for air, nutrition, water, elimination, rest, and sleep
  2. Safety Needs:
    • Need for shelter and freedom from harm and danger
  3. Love Needs:
    • Need for affection, feeling of belongingness, and meaningful relationships with people
  4. Esteem Needs:
    • Need to be well thought of by oneself as well by others
  5. Self- Actualization Needs:
    • Need to be self- fulfilled, learn, create, understand, and experience ones potential

Nursing 209 (1 decks)

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