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NRS 112 > Exam 5 > Flashcards

Exam 5 Flashcards

1
Q

when something or someone of value is rendered inaccessible or drastically change

A

loss

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2
Q

loss that is identified and recognized by others, actual death of a loved one, item or status

A

actual loss

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3
Q

when an individual knows a loss is coming

A

Anticipatory loss

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4
Q

a loss related to change that is part of life. This type of loss can be replaced by something different or better

A

Necessary loss

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5
Q

any unanticipated loss caused by an external event

A

Situational loss

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6
Q

psychological, biological and behavioral responses to a loss

A

grief

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7
Q

grief is experienced before that event happens

A

Anticipatory grief

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8
Q

when individuals cannot acknowledge their grief to others because it is socially unacceptable

A

Disenfranchised grief

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9
Q

where individuals who are unable to process their grief to a point of resolution

A

Complicated grief

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10
Q

response to having lost another through death

A

Bereavement

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11
Q

processing and resolution of grief, sometimes through cultural and/or spiritual beliefs and practices

A

Mourning

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12
Q

1) denial
2) anger
3) bargaining
4) depression
5) acceptance

A

Kubler-Ross Stages of Grief

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13
Q

client has difficulty believing in expected or actual loss

A

denial

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14
Q

client directs anger toward the self, others, a deity, objects, or the current circumstance

A

anger

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15
Q

client negotiates for more time or a cure

A

bargaining

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16
Q

client is overwhelmingly saddened by the inability to change the situation

A

depression

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17
Q

client acknowledge what is happening and plans for the future by moving forward

A

acceptance

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18
Q

more than 6th months

A

complicated grief duration/when it is diagnosed

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19
Q
  • What is the goal? - the goal is to live fully with an incurable condition
  • What does it do? - improve quality of life through symptom relief
  • Can you still get treatment? - yes, receiving treatment for the illness or condition is acceptable
  • Who is involved? - interdisciplinary team
A

Palliative care

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20
Q
  • What is it? - It is delivered in variety of settings, it is implemented when the client is not expected to live more than 6 months
  • What happens to the medical care? - medical care is going to be stopped
  • What does it focus on? - focuses on peaceful and dignified death
A

Hospice care

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21
Q

System of moral principles or standards governing behaviors and relationships
- Standards of right and wrong

A

Ethics

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22
Q

○ Sadness
○ Guilt
○ Yearning
○ Anger
○ Regret
○ Sleep disturbances
○ Loss of appetite
○ Difficulty concentrating
○ Somatic complaints - where you will experience chest pain, palpitations, headaches, nausea, fatigue

A

signs of normal grief

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23
Q

○ Sadness
○ Anger
○ Loneliness
○ Guilt
○ Anxiety
○ Fear
○ Fatigue
○ Poor concentration

A

signs of anticipatory grief

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24
Q

○ Suicidal ideations
○ intense feelings of guilt, self-blame
○ Cannot accept the persons death
○ Persistent, need to find the deceased person
○ Anger
○ Difficulty participating in new and different activities
○ Self-isolation
○ Being distrustful to others
○ Experiencing auditory hallucinations
○ Thinking about the past excessively
○ Depression

A

signs of complicated grief

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25
Q

Abnormally lowered mood

A

Depression

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26
Q

Abnormally elevated mood

A

Mania

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27
Q

Immediate, observable emotions

A

Affect

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28
Q

Assisting the patient in development of:
- Self-efficacy
- Self-awareness
- Confidence
- Coping skills
- Health literacy

A

Advocacy empowers by…

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29
Q

the act or process of support, defending, or assisting in another’s cause

A

Advocacy

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30
Q

Personal beliefs about truth and worth of behaviors, thought, objects

A

Values

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31
Q

Interpretations or conclusion that one accepts as true

A

Beliefs

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32
Q

“a patient with heart disease who values hard work ignores the advice to exercise regularly” is an example of…

A

Ignoring health professional advice - behavior of unclear values

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33
Q

“a pregnant women says she wants a healthy baby but continues to drink alcohol and smoke tobacco” is an example of…

A

Inconsistent communication or behavior - behavior of unclear values

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34
Q

“a man with obesity repeatedly seeks help for back pain but does not lose weight” is an example of…

A

Numerous admissions to a health agency for the problem - behavior of unclear values

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35
Q

Concern for the welfare and wellbeing of others

A

Altruism

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36
Q

How will the nurse show altruism?

A

The nurse will show concern for the welfare of the patient’s, other nurses, and other healthcare providers

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37
Q

Right to self-determination

A

Autonomy

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38
Q

How will the nurse show Autonomy?

A

The nurse respects patient’s rights to make decisions about their healthcare

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39
Q

Inherent worth and uniqueness of individuals and populations

A

Human dignity

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40
Q

How will the nurse show human dignity?

A

The nurse will respect and value all patients and colleagues and show respect to human dignity

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41
Q

acting in accordance with an appropriate code of ethics and accepted standards of practice

A

integrity

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42
Q

How will the nurse show integrity?

A

The nurse will be honest and provide care based on the ethical framework that is accepted in the profession

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43
Q

Upholding of justice or what is a fair on a social scale

A

Social Justice

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44
Q

How will the nurse show social justice?

A

The nurse will act according to the social justice by treating all patients equally without regard to economic status, ethnicity, age, gender, religion, citizenship, disability, or sexual orientation

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45
Q

Holding yourself and other accountable

A

Accountability

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46
Q

The actions one takes should promote good; it is the basic obligation to assist others

A

Beneficence

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47
Q

Do no harm

A

Non-maleficence

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48
Q

All patients treated fairly in accordance with honor, standards or law

A

Justice

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49
Q

Always be truthful

A

Veracity

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50
Q

Being faithful to agreements and promises

A

Fidelity

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51
Q

Guide for profession’s memberships, social contract with public that is serves

A

Code of ethics

52
Q
  • American Nurses Association (ANA) Code of Ethics for Nurses
  • International Council of Nurses (ICN) Code of Ethics
A

Two types of nursing code of ethic organizations

53
Q

Service that focuses on health promotion and illness prevention

A

Primary prevention

54
Q

the process of enabling people to increase control over and to improve their health

A

Health Promotion

55
Q

it is more cost effective to promote health in order prevent disease than to treat disease

A

benefit of health promotion

56
Q
  • provide education
  • evaluate/screen patients to identify prevention opportunities (immunizations)
  • promoting wellness
A

how nurses can promote health

57
Q

“Community day that promotes healthy eating and exercise” is an example of…

A

Primary prevention

58
Q

Service that focuses diagnosis and treatment of disease

A

Secondary prevention

59
Q

“Dental and vision screenings” are example of…

A

Secondary prevention

60
Q

Service that focuses on the restoration of health following an illness or accident

A

Tertiary Prevention

61
Q

Rehab and palliative care is services part of….

A

Tertiary prevention

62
Q

“Rehabilitation after orthopedic surgery” is an example of

A

tertiary prevention

63
Q
  1. Gaining entry into healthcare system
  2. Getting access to sites of care where client can receive needed services
  3. Finding providers with whom client can communicate, develop trusting relationship, have individual needs met
A

Healthy people 2020 3 steps in accessing healthcare

64
Q

individuals that does not have any healthcare coverage

A

Uninsured

65
Q
  • someone who does not qualify for public health insurance programs
  • someone who cannot afford to buy health insurance
  • someone who’s cannot afford to buy health insurance through their job
A

Reasons people are uninsured

66
Q

individuals who are covered but their insurance plan is insufficient to meet their needs

A

Underinsured

67
Q

allows a nurse the legal privilege to practice nursing as defined in each states Nurse Practice Act

A

Licensure

68
Q

allows a nurse to have single license that confers the privilege to practice in other states

A

Nurse compact licensure

69
Q

sum total of the rules and regulations by which a society is governed

A

Law

70
Q

made by any legislative branch of the government

A

Statutory Law

71
Q

policies and procedures created by administrative agencies to implement and enforce statutory laws

A

Administrative laws

72
Q

defines conduct that is harmful to another individual or society as a whole

A

Criminal law

73
Q

deals with rights and duties of private individuals

A

Civil Law

74
Q

civil wrong committed against an individual or an individual’s property

A

Tort

75
Q

the action of creating an apprehension of offensive, insulting or physically injurious teaching

A

Assault

76
Q

willful touching of another individual that is unwanted, embarrassing or unwarranted

A

Battery

77
Q

unjustifiable detention of a person without legal warrant to confine the person

A

False imprisonment

78
Q

information concerning clients is confidential and may not be disclosed without authorization

A

Invasion of privacy

79
Q

defamatory statement that is written

A

Libel

80
Q

defamatory statement that is spoken

A

Slander

81
Q

conduct that deviates from what a reasonable person would do in a particular circumstance

A

Negligence

82
Q

an individual who engages in an activity requiring special skills, education, training or licensure, the standard by which his or her conduct is measured is the conduct of a reasonably skilled, competent and experienced individual who is a qualified member of the group authorized to engage in that activity

A

Professional negligence or malpractice

83
Q
  • Malpractice is conduct that deviates from the standard of practice.
  • Client must be owed a duty
  • Breach of duty by omission or commission
  • Element of foreseeability must be present
  • Client must have been harmed
  • Causation of harm is linked to breach of duty
A

Elements of malpractice

84
Q

Immobile client cannot turn and reposition themselves. We have a duty to turn and reposition the client. If we breach that duty, or fail to perform the action, we can foresee the client getting tissue injuries. The tissue injury is directly linked to the breach of duty by us not turning and repositioning the client.

A

Example of Malpractice

85
Q

rights of individuals to keep their personal information from being disclosed

A

Privacy

86
Q

assurance that the client’s private information will not be disclosed without the client’s consent

A

Confidentiality

87
Q

Appropriate

A

moderate affect

88
Q

extreme reactions to a situation

A

reactive affect

89
Q

reduced or minimal response

A

blunted affect

90
Q

no visible cues to emotion

A

flat affect

91
Q

culture determines…

A

appropriateness of mood

92
Q
  • Depressed mood
  • Anxiety
  • Fatigue/changes in sleep
  • psychomotor retardation
  • Loss of interest (anhedonia)
  • feels worthless, hopeless, guilt, apathy
A

Signs and symptoms of depression

93
Q
  • loss of energy
  • lack of appetite
  • Poor hygiene
A

Physical symptoms of depression

94
Q

Reynolds child depression scale is used for…

A

Detection of depression in children

95
Q

Client safety is #1 intervention for….

A

Clients with depression

96
Q
  • Talking about killing or harming one’s self
  • Calling or visiting people to say goodbye
  • Expressing strong feelings of hopelessness or being trapped
A

Warning signs of suicide

97
Q
  • suicide prevention measures
  • let patient express their feelings
  • use calm reassuring approach
  • teach calming measures like deep breathing
A

interventions to help a client with depression

98
Q

eustress

A

another way to say positive stress

99
Q

distress

A

another way to say negative stress

100
Q

aimed at managing or alternating the stressor, event, or circumstance

A

problem-focused coping

101
Q

directed at the emotional response to the distress

A

emotional-focused coping

102
Q

use both behaviors and cognitive processes to avoid the stressor

A

avoidance coping

103
Q

confronting and trying to change the stressor by taking direct action

A

approach coping

104
Q

involves re-evaluation to reduce the appraisal of a threat

A

meaning-focused coping

105
Q
  • headaches
  • heartburn
  • rapid breathing/pounding heart/shaking
  • teeth grinding
  • High blood pressure/increase risk of a heart attack
  • High blood sugar
  • tense muscles
  • stomach ache
  • insomnia
  • weakens immune system
A

Sign and symptoms of stress

106
Q
  • fertility issues
  • erectile dysfunction
  • low sex drive
  • missed periods
A

Stress effects on reproductive system

107
Q
  • exercise
  • mediation
  • writing feelings down in a journal/talk about feelings
  • deep breathing exercises
  • healthy diet
A

Coping strategies

108
Q
  • Ability to calming yourself down and cheering yourself up
  • ability to manage emotions in a healthy way
  • skills to help face your fears
A

coping skills

109
Q
  • Mood swings
  • irritability
  • feeling overwhelmed
A

emotional stress sign and symptoms

110
Q

Excessive use of force against other individuals of oneself, often resulting in physical or psychological injuries or death

A

Trauma

111
Q

intimate partner uses threatening, manipulative, aggressive, or violent behavior to maintain power and control over another person

A

Domestic abuse

112
Q
  • elder abuse
  • domestic abuse (intimate partner abuse)
  • Physical
  • sexual
  • emotional
  • neglect
  • abandonment
  • financial
A

Trauma risk for older adults

113
Q

Physical, neglect, sexual abuse, emotional abuse

A

Trauma risk for newborns to adult

114
Q

Report to child protective services

A

When you have suspicion of a child being abused

115
Q

Report to adult protective services

A

When you have suspicion of a elderly person being abused

116
Q

You cannot report this without consent, you can however assess it

A

Domestic violence

117
Q
  • Malnutrition/constant hunger
  • unattended medical/hygiene needs
  • Bruises/welts/burns
  • constant falls/pain with an unknown reason
  • giving money to a random person #scammer
A

Signs of elder abuse

118
Q
  • chronic fatigue
  • injuries due to an unknown cause
  • depression
  • fear of partner/automatic submission
  • poor self-esteem
A

signs of domestic violence

119
Q
  • extreme behavior (behavioral/emotional problems)
  • fractures in different healing stages
  • bruises/welts
  • wary of physical contact w adults
A

Signs of child abuse

120
Q
  • untreated diaper rash
  • fractures in different healing stages
  • shaken baby syndrome
A

signs of infant abuse

121
Q

physiological process of dependence as well as psychological need to seek substance

A

Addiction

122
Q

physiological need for substance that client cannot control resulting in tolerance

A

Dependence

123
Q
  • Impulsive risk taking in adolescents
  • Low tolerance for frustration, pain of developmental, situational stressors
  • Engaging in antisocial, risky behaviors
  • Tendency toward anxiety, anger, low-self-esteem
A

Common behaviors of addicts

124
Q

Benzos and alcohol

A

2 substances that must be monitored by healthcare professionals

125
Q
  • slowed/no breaking (dyspnea)
  • constricted pupils
  • bradycardia (slow hr)
  • sleepy
A

Signs and symptoms of opioid overdose

126
Q

give them naproxen

A

how can you correct opioid overdose

NRS 112 (8 decks)

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