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NUR 3200 FOUNDATIONS > Exam 1 Study Guide > Flashcards

Exam 1 Study Guide Flashcards

1
Q

Describe the process of evaluation of patient outcomes

A
  1. Examine outcome criteria to identify exact, desired patient behavior/response
  2. Evaluate actual behavior/response
  3. Compare 1 & 2 results
  4. Judge agreement btwn 1 & 2
  5. What is the reason for 1 vs 2? What is the next action?
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2
Q

Intellectual Stage

A

A person’s beliefs about health are shaped by knowledge or misinformation
Cognitive abilities shape the way a person thinks

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3
Q

Analyze Cues

A
  • 2nd in CJM
  • Organizing & linking recognized cues, identify needs, concerns, or problems
  • Determine why certain cues are more concerning than others
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4
Q

Emotional Factors

A

Degree of stress, depression, or fear influences health beliefs & practices
Being very calm about diagnosis or unable to cope, deny symptoms, or not take therapeutic actions

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5
Q

Primary Care

A

Diagnosis & treatment of common illnesses, management of chronic problems, prenatal care, well-baby, family planning, health promotion
EX: physician’s office

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6
Q

Partial Thromboplastin Time

A

60 - 70 sec
LOW: risk of clot
HIGH: risk of bleeding

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7
Q

Recognize Cues

A
  • 1st in CJM
  • Filtering info from diff. sources
  • Basically assessment data
  • Relevant vs irrelevant
  • Decide what data is most important and of immediate concern
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8
Q

Planning (nursing process)

A
  • Setting priorities
  • Identifying patient-centered goals & expected outcomes
  • Individualized nurse interventions
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9
Q

Spiritual Factors

A

The values & beliefs exercised, the relationships established w/ friends & family, and the ability to find hope & meaning in life

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10
Q

Dependent (intervention)

A
  • Actions that require an order from physician / other professionals
  • EX: administering medication
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11
Q

Prothrombin Time

A

11 - 12.5 sec
LOW: risk of clot
HIGH: risk of bleeding

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12
Q

Assessment (nursing process)

A
  • Gathering the data
  • Primary source (patient)
  • Secondary source (family, health profs, med record)
  • Subjective & objective data
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13
Q

Continuing Care

A

Health, personal, and social services provided over a prolonged period
EX: assisted living

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14
Q

International Normalized Ratio

A

0.76 - 1.27
LOW: risk of clot
HIGH: risk of bleeding

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15
Q

Glucose

A

70 - 110 mg/dL
LOW: inadequate glucose intake
HIGH: diabetes mellitus

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16
Q

Preventative Care

A

Focuses on health outcomes for entire population; adult & peds screenings, wellness visits, immunization
EX: primary care provider

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17
Q

Perception of Functioning

A

Collecting subjective data; how the patient perceives their physical functioning
Objective data about actual functioning

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18
Q

Developing a Nursing Diagnosis

A
  • Diagnosis label
  • “related to”
  • “as evidenced by”
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19
Q

White Blood Cell Count

A

5,000 - 10,000 mm3
LOW: decreased ability to fight infection
HIGH: infection

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20
Q

Components of Critical Thinking in Nursing

A
  1. Specific knowledge base in nursing
  2. Experience
  3. Critical thinking competencies: general, specific, nursing process
  4. Attitudes for critical thinking: confidence, independence, responsibility, discipline, integrity
  5. Standards for critical thinking: intellectual & professional
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21
Q

Sodium

A

136 - 145 mEq/L
LOW: fluid overload
HIGH: dehydration

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22
Q

Internal Factors

A
  • Developmental stage
  • Intellectual stage
  • Perception of Functioning
  • Emotional factors
  • Spiritual factors
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23
Q

Social Determinants of Health

A

Economic stability, education, health and health care, social and community context, neighborhood and built environment

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24
Q

Restorative Care

A

Regain functional status and enhance quality of life through independence and self-care
EX: rehabilitation center

25
Developmental Stage
A person's perception of health, illness, and health behaviors that change over time
26
Family Role & Practices
The role & organization of a family influences how the members define health & illness and values health practices
27
pH
7.35 - 7.45 LOW: acidosis HIGH: alkalosis
28
Blood Urea Nitrogen
10 - 20 mg/dL LOW: liver disease, fluid overload HIGH: renal disease/dehydration
29
pO2
80 - 100 mmHg LOW: hypoxemia HIGH: hyperoxia
30
Discuss sexuality and sexual health as a basic human need
Sex is a basic physiological need. Sexual health is a state of physical, emotional, mental, and social well-being
31
Generate Solutions
- 4th step in CJM - Identify expected outcomes & using hypotheses, define a set of interventions to achieve outcomes
32
Creatinine
F: 0.5 - 1.1 mg/dL M: 0.6 - 1.2 mg/dL LOW: malnutrition HIGH: renal disease
33
Tertiary Care
Specialized consultative care, referral from secondary provider EX: cardiac surgeon
34
Take Action
- 5th step in CJM - Implementing the actions that addresses the highest priorities - Determine in what priority these actions will be implemented
35
Implementation (nursing process)
- "doing for" our patients - Initiates interventions/actions that are designed to achieve goals & expected outcomes needed to support or improve health status
36
Nonverbal Communication
- Posture - Appearance - Facial expressions - Eye contact - Gestures - Sounds - Personal space
37
SMART Planning
- Specific - Measurable - Attainable - Relevant - Time Focused / Time Limited
38
Collaborative (intervention)
- Therapies that require combined knowledge, skill, & expertise of multiple professionals - EX: consult w/ dietician
39
Platelet Count
150,000 - 400,000 mm3 LOW: decreased clotting HIGH: increased risk of blood clot
40
Evaluate Outcomes
- Comparing observed outcomes to expected outcomes - Determine what client assess. findings indicate improvement, decline, or no change in condition - Decide if selected nursing actions were effective, ineffective, or made no difference
41
_______ is a lifelong learning process
Communication
42
Calcium
8.4 - 10.5 mg/dL LOW: hypoparathyroidism HIGH: hyperparathyroidism
43
Hematocrit
F: 37% - 47% M: 42% - 52% LOW: fluid overload HIGH: dehydration
44
Hemoglobin
F: 12 - 16 g/dL M: 14 - 18 g/dL LOW: anemia HIGH: polycythemia - elevated RBC count
45
Independent (intervention)
- Actions that the nurse initiates, does not require an order - EX: turning patient
46
Levels of Care
1. Primary Care 2. Preventative Care 3. Secondary Care 4. Tertiary Care 5. Restorative Care 6. Continuing Care
47
The Nursing Process
- Assessment - Diagnosis/Analysis - Planning - Implementation - Evaluation ADPIE/AAPIE
48
Potassium
3.5 - 5.0 mEq/L LOW: cardiac rhythm irregularities; vomiting, diarrhea, nasogastric HIGH: cardiac rhythm irregularities; kidney disease, adrenal disease
49
Prioritize Hypotheses
- Consider all possibilities abt what is occurring - Evaluate & rank hypotheses according to priority - Determine which explanations are most likely, most serious, and why
50
pCO2
35 - 45 mmHg LOW: alkalosis HIGH: acidosis
51
Indirect (intervention)
- Activities performed away from patient, but on behalf of patient - EX: delegation of care, infection control, supply management
52
External Factors
- Family Role & Practices - Social Determinants of Health
53
Evaluation (nursing process)
- Determines if goals were met & outcomes were achieved - NOT if nursing interventions/actions were completed
54
HCO3
21 - 28 mEq/L LOW: acidosis HIGH: alkalosis
55
Nursing Diagnosis / Analysis (nursing process)
- Identify the patient's specific responses to their alterations in health
56
Direct (intervention)
- Activities that nurse performs through patient interactions - EX: med. admin., IV insertion, assisting w/ ADLs
57
Maslow's Hierarchy of Human Needs
1. Physiological Needs: food, water, shelter 2. Safety Needs: security, employment, resources 3. Love & Belonging: friendship, intimacy, family 4. Esteem Needs: respect, self-esteem, status 5. Self-Actualization: morality, acceptance, inner potential
58
Secondary Care
Acute care, provided by a specialist upon referral EX: cardiologist

NUR 3200 FOUNDATIONS (6 decks)

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