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med surg > exam 1 (chp 1-3) > Flashcards

exam 1 (chp 1-3) Flashcards

1
Q

American Nurses Association Social Policy Statement

A
  • relationship between society and nursing profession
  • nursing’s role in advocacy, health promotion and disease prevention
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2
Q

The nursing process

A

ADPIE
assessment
diagnosis
planning
implementation
evaluation

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3
Q

assessment

A

gather information on self care deficits

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4
Q

diagnosis

A

identify specific problems

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5
Q

planning

A

formulate goals and interventions

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6
Q

implementation

A

carry out interventions

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7
Q

evaluation

A

assess outcomes and adjust care plan

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8
Q

Medical Surgical nursing

A

provides nursing care in variety of inpatient and outpatient settings (hospitals, ICU, rehab)

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9
Q

the ANA (American Nurses Association) sets the

A

scopes and standards of med surg nursing practice

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10
Q

ADLS

A

activities of daily living

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11
Q

Katz index of Independence

A

measures ADL independence in 6 areas, can the patient perform these independently or do they need assistance?

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12
Q

Functional Capacity Assessment

A

ADLS and IADLS
bathing, grooming, dressing, feeding, toileting

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13
Q

rehabilitation goals

A

maximizing patients abilities to maintain optimal functions/health as defined by the patient

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14
Q

continuity of care in home health nursing

A

holistic, interdisciplinary and reimbursement nursing care

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15
Q

Functional Independence Measure (FIM) & Alpha FIM

A

minimum data set of 18 self care items and measured cognitive abilities in patients
assess ability to transfer, ambulate, communicate and climb stairs

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16
Q

Barthel Index

A

level of independence- DOES NOT assess any cumulative or cognitive abilities

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17
Q

rehabilitation goal

A

goal of rehab is to assist the patient to attain and maintain optimum health as defined by the patient

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18
Q

purpose of health education

A

promote, maintain and restore health
prevent illness
adapt to health challenges
promote adherence to therapeutic regimen

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19
Q

factors affecting adherence

A

demographic variables
illness variables
therapeutic regimen variable s
psychosocial variables
financial variables
health literacy

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20
Q

demographic variables

A

age, gender, socioeconomic status

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21
Q

illness variables

A

severity of illness

22
Q

therapeutic regimen variables

A

complexity and comfort

23
Q

psychosocial variables

A

motivation, beliefs, support systems

24
Q

financial variables

A

cost of medications/treatment

25
Q

health literacy

A

understanding health information

26
Q

gerontological considerations

A

chronic illnesses
polypharmacy
increased sensitivity
cognitive/sensory impairments
support systems
coordinated care

27
Q

chronic illnesses

A

management of multiple conditions

28
Q

polypharmacy

A

multiple medications and interactions

29
Q

increased sensitivity

A

susceptibility to side effects

30
Q

cognitive/sensory impairments

A

impacts on understanding and adherence

31
Q

support systems

A

importance of adequate support

32
Q

coordinated care

A

managing multiple conditions/ congruent and equal care

33
Q

teaching and learning in nursing

A

learning: act of acquiring knowledge, attitudes, skills
teaching: helping another person learn

34
Q

factors that affect learning

A

learning readiness (physical and emotional)
learning environment
teaching techniques (lecture, demos)
engagement and interpersonal reaction

35
Q

learning readiness may be affected by

A

culture
personal values
physical/emotional status
past experiences

36
Q

nursing process and patient education

A

assessment: evaluate readiness to learn
nursing diagnosis: identify knowledge deficits
planning: develop a teaching plan with goals
implementation: deliver education using strategies
evaluation: asses achievement of educational goals

37
Q

health promotion

A

common goal to encourage achievement of a high level of wellness designed to promote wellbeing

38
Q

health belief model

A

why some people engage in health lifestyle and other do not

39
Q

resource model of preventive health behavior

A

motivational factors for partaking in preventative health behaviors

40
Q

AMSO
awareness, motivation, skills & opportunity model

A

empowering individuals by addressing issues concerning access to healthcare

41
Q

transtheoretical model of change

A

stages of change people go through when becoming healthy or improving their health

42
Q

health promotion components

A

self responsibility
nutritional awareness
stress reduction and management
physical fitness

43
Q

self responsibility

A

personal accountability for one’s actions or behavior

44
Q

nutritional awareness

A

understanding the importance of a healthy diet; as well as the relationship between diet and disease

45
Q

stress reduction and management

A

behaviors, techniques used to strengthen person’s resources against stress

46
Q

physical fitness

A

condition of being physically healthy from proper, regular exercise

47
Q

health promotion throughout the lifespan

A

starts before birth and extends through old age
- health screenings
- counseling
- immunizations
- preventative medications
- lifestyle changes

48
Q

adolescents

A

focus on creating healthy habits early to prevent negative results of risky behaviors

49
Q

young middle aged adults

A

focus on healthy behaviors, pregnancy and family, cancer screening, smoking, chronic illnesses, drug abuse, activities offered in the workplace

50
Q

older adults

A

very health conscious, benefit from activities that help them maintain their independence and achieve optimal health

med surg (2 decks)

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