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Nursing > Exam 3 > Flashcards

Exam 3 Flashcards

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1
Q

what is nursing?

A

t h e a r t
a n d s c i e n c e o f c a r i n g a n d
f o c u s e s o n t h e p r o t e c t i o n ,
p r o m o t i o n , a n d o p t i m i z a t i o n
o f h e a l t h a n d a b i l i t i e s ;
p r e v e n t i o n o f i l l n e s s a n d
i n j u r y ; f a c i l i t a t i o n o f h e a l i n g ;
a n d a l l e v i a t i o n o f s u f f e r i n g
t h r o u g h c o m p a s s i o n a t e
p r e s e n c e . N u r s i n g i s t h e
d i a g n o s i s a n d t r e a t m e n t o f
h u m a n r e s p o n s e , a n d
a d v o c a c y i n t h e c a r e o f
i n d i v i d u a l s , f a m i l i e s , g r o u p s ,
c o m m u n i t i e s , a n d
p o p u l a t i o n s i n r e c o g n i t i o n o f
t h e c o n n e c t i o n o f a l l
h u m a n i t y .

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2
Q

what does the caregiver role mean in nursing?

A

helping patietnts meet their needs physically, emotionally, and spiritually

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3
Q

what does the communicator role mean in nursing?

A

therapeutic communication leads to establishing and maintaining relationships in all healthcare settings

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4
Q

what does the teacher/educator role mean in nursing?

A

creating individualized teaching plans to meet the learning needs of the patients and family

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5
Q

what does the counselor role in nursing mean?

A

Facilitating the patient’s problem-solving and decision-making skills and providing information and making appropriate refferals`

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6
Q

what does leader mean in nursing?

A

Providing care, effecting
change, and functioning
with groups to lead
changes in the community
and health care settings

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7
Q

what does researcher mean in nursing?

A

Participate in or conduct
research to increase
nursing knowledge and
improve patient care.

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8
Q

what does advocate mean in nursin?

A

Protecting human and
legal rights and be the
voice for our patients.

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9
Q

what does collaborator mean in nursing?

A

Working with other
health care team
members to provide
patient care.

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10
Q

what are the nursing aims?

A

promote health, preventing illness, restoring health, and facilitating coping with diseases

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11
Q

what does promoting health mean?

A

help increase well being and health potential

physical, mental, and spiritual health

asses the patients ability, readiness, and want to get better

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12
Q

what does preventing illness mean?

A

reduce the illness

PPE, hand washing, cleaning equipment, and hygein

vaccines

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13
Q

what does restoring health mean?

A

recognize points for rehab

getting on meds before symptoms worsen

mental health counseling

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14
Q

what does facilitating coping with diseases

A

help the patient be comfortable in any changes in their life

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15
Q

when thinking about critical thinking what does purpose of thinking?

A

patient specific

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16
Q

when thinking about critical thinking what does adequacy of knowledge mean?

A

what do we know

have we seen this before

is this information accurate

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17
Q

when thinking about critical thinking what does potential problems mean?

A

knowing more helps you see problems before they arrise

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18
Q

when thinking about critical thinking what does helpful resources mean?

A

having resources that can help you withs something…..journals, writings, professors, co workers

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19
Q

when thinking about critical thinking what does critique of decision mean?

A

looking over your choices and picking one

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20
Q

when thinking about critical thinking what does avoiding potential errors mean?

A

knowing your weak points, biases, and holes in knowledge

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21
Q

what is qsen?

A

The Quality and Safety Education for Nurses (QSEN)

project is to meet the challenge of preparing future nurses who will have the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the quality and safety of the health care systems within which they work.

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22
Q

when thinking about QSEN what does patietn centered care mean?

A

keeping patients involved in plan of care and also keeping in mind their values and beliefs

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23
Q

when thinking about QSEN what does teamwork and collaboration mean?

A

working as a team with your patients and coworkes

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24
Q

when thinking about QSEN what does evidence-based practice?

A

being up to date on the newest research

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25
Q

when thinking about QSEN what does quality improvement mean?

A

looking for ways to improve proccesses

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26
Q

when thinking about QSEN what does safety mean?

A

bedside reports….hygein…protocols

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27
Q

when thinking about QSEN what does informatics mean?

A

messaging…..EMR

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28
Q

what are the parts of the nursing process?

A

Assess, diagnose, planning, implementing, and evaluating

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29
Q

when thinking about the nursing process what does assess mean?

A

basic assessment, report, vitals, what the patient says, and tests

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30
Q

when thinking about the nursing process what does diagnose mean?

A

take the data from assessment and find potential issues……NOT ACTUALLY DIAGNOSING PATIENT

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31
Q

when thinking about the nursing process what does planning mean?

A

the act of creating a plan basses on issues that you found

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32
Q

when thinking about the nursing process what does implementing mean?

A

putting forth the plan to help the patient….DOCUMENT WHAT WAS DONE

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33
Q

when thinking about the nursing process what does evaluating mean?

A

see if the implemented action helped the patient…….ask yourself if something could have been done better

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34
Q

what are the steps of tanners clinical judgment model?

A

Notice….intepret….respond…reflect

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35
Q

what is the big side of the stethoscope called/

A

diaphragm

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36
Q

what is the smaller side of the stethoscope called?

A

bell

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37
Q

what is included in the health assessment?

A

health history and physical history

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38
Q

how long should a health assessment take?

A

45 minutes

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39
Q

what are the types of health assessments?

A

comprehensive…on going…focused….emergency

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40
Q

what is a comprehensive health assessment?

A

broad and complete health history and physical assessment…..done when a patient first enters a facility

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41
Q

what is a ongoing assessment?

A

brief assessment addressing positive and negative changes….could be done every shift

42
Q

what is a focused assessment?

A

used to address a specific problem…pain assessment

43
Q

what is an emergency assessment?

A

addresses a life-threating or unstable situation……airway assessment of a trauma client

44
Q

when thinking about a health history what is biographical data?

A

Name….DOB….insurance

45
Q

when thinking about a health history what is the present concern?

A

what is currently wrong

46
Q

when thinking about a health history what is history of present concern?

A

when did the problem start…..what makes it better or worse….what were you doing when it started

47
Q

when thinking about a health history what is past health history?

A

what have they had trouble with in the past

48
Q

when thinking about a health history what is family history?

A

what does your family have

49
Q

when thinking about a health history what is a functional health assessment?

A

what can they do in their day to day life

50
Q

when thinking about a health history what is review of systems?

A

actual assessment

51
Q

when thinking about a health history what is psychosocial factors / life style?

A

sexuality….spirituality

52
Q

what are the rules of physical assessment?

A

perform hand hygeine……use 2 patient identifiers…..head to toe approach…compare left and right….least invasive to most invasive….touching the patient

53
Q

what is the order of assessment techniques?

A

inspection…auscilation…palpation….percussion

54
Q

what position is the body in supine?

A

flat on back

55
Q

what position is the body in sim position?

A

on side with legs over

56
Q

what position is the body in lithotomy?

A

flat on back with legs up and open on leg holders

57
Q

what position is the body in the dorsal recumbent?

A

flat on back legs bent infront of you

58
Q

what position is the body in knee chest

A

face down ass up

59
Q

what are you inspecting in hair skin and nail assessment?

A

skin color, hair density, scalp, nail quality

60
Q

what are you palpating for in hair skin and nail assessment?

A

skin temp, mouisture, and turgor

61
Q

what is the turgor test?

A

pinching the skin looking for dehydration…if skin does not return in 2 second the person is probably dehydrated

62
Q

what are you looking for in head to neck physical assessment?

A

eyes…pearl
ears….symmetrical….drainage….pain
nose….midline….straight…septum intact
mouth….moist….teeth…color…decay
neck….trachea….carotid…lymph nodes…swallowing

63
Q

what are you looking for in lungs physical assessment?

A

inspection…zig zag lung check….listen for sound

64
Q

what are you looking for in cardiovascular inspection physical assessment?

A

looking for vein distention

65
Q

what are you looking for in cardiovascular auscilation?

A

BP…heart sounds…Lub S1 and Dub s2

66
Q

what are you looking in palpation of cardiovascular?

A

feeling arteries and capillary refill

67
Q

what is the head pulsite?

A

carotid

68
Q

what is the upper extremity pulse sites?

A

radial…brachial….ulnar

69
Q

what are the lower extremity pulse sites?

A

femoral….popliteail….dorsalis pedis….posterior tibialis

70
Q

what are you inspecting for in a abdomen assessment?

A

flat and not bloated

71
Q

what are you auscultate for in an abdomen assessment?

A

RLQ….RUQ….LUQ…..LLQ

72
Q

what are you palpating for in the abdomen assessment?

A

hardiness, massess, enlarged organs

73
Q

what does hyperactive bowel sound mean?

A

overactive…usually hungry or have diarhea

74
Q

what does hypoactive bowel sound mean?

A

underactive

75
Q

what does absent bowel sound mean?

A

none

76
Q

how long should you listen in each quadrant for bowel sounds?

A

1 minute

77
Q

how long should you listen for bowel sounds if one is not heard in the first minute?

A

5 minutes

78
Q

what are you looking for in a PA of the musculoskeletal system?

A

muscle strength….dont movements…spinal curve

79
Q

what is culture?

A

is a shared system of beliefs, values, and behavioral expectations that provides social structure for daily living based on location

80
Q

what is cultural diversity?

A

is the coexistence of different ethnic, sex assigned at birth, racial, and socioeconomic groups within one social unit.

81
Q

what is ethnicity?

A

sense of identity-based on heritage….latino vs african

82
Q

what is race?

A

based on physical apperance…..white vs black

83
Q

what is sterotyping?

A

making assumptions about someone based on look

84
Q

do different cultures show pain differently?

A

yes

85
Q

what culture doesn’t believe in mental health?

A

asians

86
Q

what culture does not spread family bussiness to healthcare providers?

A

latin

87
Q

what does orientation to space and time mean in relation to cultures?

A

some cultures show up early, late, on time

some culture just focus on the present while others focus on the future and the past

88
Q

what are common health problems in native Americans?

A

Heart disease

Cirrhosis of the liver

Diabetes mellitus

Fetal alcohol syndrome

89
Q

what are common health problems in african Americans?

A

Heart disease

Cirrhosis of the liver

Diabetes mellitus

Fetal alcohol syndrome

90
Q

what are common health problems in white?

A

Breast cancer

Heart disease

Hypertension

Diabetes mellitus

Obesity

91
Q

what are common health problems in asains?

A

Hypertension

Cancer of the liver

Lactose intolerance

Thalassemia

92
Q

what are common health problems in latinos?

A

Diabetes mellitus

Lactose intolerance

93
Q

what are common health problems in jews?

A

Cystic fibrosis

Gaucher disease

Spinal muscular atrophy

Tay-Sachs disease

94
Q

what is the ESFT model?

A

The ESFT model guides providers in understanding a patient’s explanatory model (a patient’s conception of their illness), social and environmental factors, and fears and concerns, and also guides providers in contracting for therapeutic approaches

95
Q

what are sexual dysfunctions of a man?

A

Erectile dysfunction….premature ejac….delayed ejac

96
Q

what are sexual dysfunctions of a woman?

A

inhibited sexual desire…..dyspareunie…vaginsmus….vulvodynie

97
Q

what is dyspareunia?

A

painful intercourse

98
Q

what is vaginismus?

A

vagina closes and prevent penetration

99
Q

what is vulvodynia?

A

chronic discomfort of vagina including burn, stinging, irritation, and rawnes

100
Q

what is spirituality?

A

relationship with something of a higher power

101
Q

what is faith?

A

believing` in something that you can not see

102
Q

what is religion?

A

organized system about a high power includes worship, practice and codes of conduct

Nursing (18 decks)

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