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NRSG 225- Intro > Final > Flashcards

Final Flashcards

1
Q

pandemic

A

new strain or virus effects greater number people on larger geographic scale
can cause- social disruption, economic loss and general hardship

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2
Q

epidemic

A

rapid spike # infected indivi in a localized area

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3
Q

outbreak

A

sudden rise # cases of an identified dis

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4
Q

R0 value

A

basic reproductive number

rate dis spreads through susceptible population

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5
Q

covid 19 incubation period

A

2-14 days

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6
Q

covid 19 symptoms

A

dry cough, SOB, loss taste or smell, myalgia, fatigue and fever

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7
Q

swiss cheese model of pandemic defense

A

each slice = guideline
if enough guidelines are in place most of all the holes will be covered
=reduce overall risk

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8
Q

covid 19 quarantine v isolation

A

quarantine- slows spread if you came into contact with an infected person
isolation= if you have the virus

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9
Q

hypothermia/hyperthermia

A

<95 and >104

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10
Q

bradycardia v tachycardia

A

< 60 bpm

> 100 bpm

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11
Q

hypo v hypertension

A

< 90/60

> 130/80

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12
Q

oxygenation measure of

A

arterial blood

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13
Q

hypoxemia

A

< 90%

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14
Q

when take vitals

A 
admission
change in pat condition
LOC
after fall
b/d/a invasive procedures and opiods
orthostatic hypotension
~ every 4 hours
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15
Q

vitals

A

blood pressure, o2 sat, pulse, respir rate, temp, pain

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16
Q

orthostatic hypotension

A

laying-5 min
sitting- 1 min
standing- 3 min
take it first time in morning when get up
have = if S dec. 20 points and D dec. 10 points w/in 3 min position change

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17
Q

norm o2 levels

A

> 90 ok > 95 ideal

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18
Q

nasal cannula

A

low flow
1-2 L = 24-28%
3-5 L= 32/40%
6L= 44%

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19
Q

simple mask

A

5-8 L= 40-60%

5L lowest setting

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20
Q

partial rebreather mask

A

8-11L= 50-75%

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21
Q

nonrebreather mask

A

10-15L= 80-95%

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22
Q

venturi mask

A

4-6L= 24-40%

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23
Q

PPE steps

A

personal protective equipment
hand hygiene
gown, mask/ face shield, goggles, gloves

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24
Q

hand hygiene times

A

b/a touching pat.
after touching pat surface
fluid exposure
before clean procedure

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25
Q

hand hygiene with soap

A

if hands visibly soiled
bodily exposure
a bathroom
before eating

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26
Q

airborne precautions

A 
keep door closed
neg room pressure
wash hands b/a
n-95 mask
ex. covid, chickenpox, TB
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27
Q

droplet precautions

A

gown, mask, eyewear, gloves

ex. influenza

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28
Q

contact precautions

A

ex mrsa
pat has specific equip
gown and gloves

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29
Q

enteric/special precautions

A

ex c-diff
pat. specific equip
gown and gloves

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30
Q

med v sterile tech

A 
med= clean (regular)
sterile= cath, nicu, invasive procedures
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31
Q

HAI

A

ssi- surgical site infection
clabsi- central line ass. bloodstream infection
vap- ventilator ass pneumonia

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32
Q

only fluid gloves are not needed for

A

sweat

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33
Q

aseptic tech

A

all act. that prevent or break chain of infection

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34
Q

factors affecting personal hygiene

A

cult, socioeconomic class, spiritual practices, dev lvl, health state, personal pref

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35
Q

methods of hygiene

A

feeding, bathing, dressing/ grooming, toileting

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36
Q

oral care concerns

A

observe for dental caries, periodontal dis

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37
Q

oral care steps

A

toothbrush 45 degree angle, brush from gum line to crown, brush biting surfaces
floss- 18 in, 1-1.5 btw fingers

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38
Q

dysphagia

A

swallowing disorder incl oral cavity, pharynx, esophagus,or gastroesophageal junction

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39
Q

cause of dysphagia

A

always secondary to another dis
neuro event (stroke, injury spinal cord/ brain, ALS, parkinsons, multiple sclerosis
cancer, chemorad, meds, GERD, elderly

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40
Q

dysphagia symptoms

A

drooling, poor secretion management, fluid leaking from oral or nasal cavity, complaints food is “sticking”, pain when swallowing, gurgly sounding voice after eating, difficulty coordinating breathing and swallowing, extra time need to chew, weight loss/ dehydration, recurrent aspiration pneumonia

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41
Q

chin tuck or oral care

A

chin tuck not always work!

oral care important bc bac enters into lungs

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42
Q

dysphagia- common tip-offs

A

coughing, trouble swallowing, choking, drooling, frequent lung infections

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43
Q

oral care considerations- specific

A

chemo agents cause lesions, poor nutrit, diet, self care abilities, comatose, paralyzed, oral surgery

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44
Q

oral care- comatose

A

patient on side, head tilted forward, open mouth w/ pressure on bottom jaw

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45
Q

nutrition- considerations

A

swallowing ability, dev lvl, age, pregnancy, mental health, trauma, chronic dis, meds, religion/preference, economic factors, culture

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46
Q

nutrition- measuring intake types

A

24 hour recall, food diaries, food frequency, diet history

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47
Q

incentive spir-purpose

A 
before surgery
inc lung vol and venous return
visual reinfor for deep b
sustain max inspiration
prevent/reduce atelectasis
clear secretions, inc gas exchange
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48
Q

incentive spir- how

A

sit patient up, assess for pain, admin meds if needed, hold mouth piece and container w/ diff hands, inhale completely with mouth on hose, exhale normally without lips connected

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49
Q

sterile def

A

all path and microo destoyed

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50
Q

sterile fields

A

1inch around not sterile, pinch from center, fold over hands if moving, do not bend/ reach over

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51
Q

examples sterile procedures

A

cath, preparation inject meds, dressing changes

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52
Q

sterile gloving steps

A

cuffed end closest to self, unfold top crease then bottom crease, pinch under middle creases and pull out to expose gloves, use nondominant hand to grab cuff of dominant hand glove, pull on, use gloved hand to slide under folded cuff and put on non-dominant hand

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53
Q

measuring urine output- continent

A

have pat. pee in specimen hat, urinal or bed pan

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54
Q

measuring urine output- incontinent

A

drain urine into measuring device, do not touch spout to bag, wipe spout w/ alcohol before replacing

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55
Q

urinary catheters- types

A 
intermittent urethral cath- (straight cath, used for short time to drain), indwelling urethral cath (continuous bladder drainage)
suprapubic cath (long-term contin drainage) (surgically inserted, diverts urine from urethra)
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56
Q

foly cath- care

A

wash hands, clean area, encourage fluid intake, chart input and output every 8 hours, look for signs of infection (cloudy urine, chills), keep bag lower than bladder, educate self care and hygiene, change leg bags every 5-7 days

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57
Q

urinary diversion

A 
creation of stoma, (sm intestine to skin)
ileal conduit
cutaneous ureterostomy (ureters attached to skin)
continent urinary divers. (CUD)(pouch created in sm intestine)
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58
Q

posterior hip replacement precautions

A

no bending beyond 90 hip flexion, no crossing legs, turning toes in

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59
Q

anterior hip replacement precautions

A

no crossing legs, no turning toes out when leg is behind

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60
Q

total knee replacement precautions

A

no pillow directly under knees, bed locked flat, weight bearing as tolerat.

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61
Q

sternal precautions

A

no pushing/pulling w/ both arms, no arms above shoulders, no lifting

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62
Q

back precautions

A

no bending, lifting or twisting

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63
Q

WBAT
NWB
TTWB

A

weight bearing as tolerated
non weight bearing
toe touch of touch down weight bearing

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64
Q

five steps in nursing process

A 
ADPIE
asessing
diagnosing
planning
implementing
evaluating
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65
Q

characteristics of nursing process (SDIOU)

A 
systematic
dynamic
interpersonal
outcome oriented
universally applicable
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66
Q

systematic

A

ordered sequence of act

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67
Q

dynamic

A

interaction and overlap of five steps

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68
Q

interpersonal

A

comm/ interaction with pat

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69
Q

outcome-oriented

A

nurse and pat work together to id outcomes

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70
Q

characteristics of assessment

A

ppcsfrr

purposeful, priorit, complete, systematic, factual, relevant, recorded standard manner

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71
Q

purpose of assessment

A

create database
id health problems, health status
makes diagn and planning easier

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72
Q

implementing

A

carrying out plan

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73
Q

evaluating

A

measuring extend outcomes achieved

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74
Q

diagnosing process explanation

A

analyzing pat data to id strengths, problems

*diff. than usual med diagnosis

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75
Q

assessing in relation to data

A

collecting, validating, and comm w/ pat

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76
Q

planning

A

id pat outcomes and plan interventions

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77
Q

nursing diag. format

A

problem, “related to”, etiology/cause, “as evidenced by”, defining characteristics

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78
Q

wound characteristics- open or closed

A

is the dermis visible?

ex. closed= hematoma (bleeding underneath skin)

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79
Q

wound characteristics- acute v chronic

A

chronic wounds take longer to heal

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80
Q

wound definition

A

integrity of skin or mucous mem. is broken/ no longer intact

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81
Q

asepsis used for wound care

A

clean/ medical and surgical (sterile)

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82
Q

nutrients needed for wound healing

A

protein and adeq. blood supply

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83
Q

wound healing- first phase I

A 
hemostasis
constriction followed by dilation
immediately after tissue/skin injury
platelets attract o/ cells
exudate is formed= pain and swelling
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84
Q

wound healing- second phase II

A

inflammatory
lasts 4-6 days
macrophages present, ingest debris and attract fibroblasts
acute inflammatory response = pain, heat, erythema and edema
fatigue is common*

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85
Q

wound healing- third phase III

A 
proliferation
starts w/in 2-3 days of injury
capillaries grow across wound
thing layer epith cells forms
new tissue growth (granulation) and scar formation
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86
Q

wound healing- fourth phase IV

A

maturation
begins 3-6 weeks after injury
collegen tissue dev.
wound remodeling

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87
Q

wound site factors that affect healing

A

pressure (interferes w/ blood supply)
desiccation (too dry)
Maceration (too moist)- inc bac. growth
edema (disrupts normal o2 and blood flow to wound)
infection (energy is diverted to immune response, not wound healing)
necrosis (tissue slough and eschar)
* dictate the difference btw a chronic and acute wound

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88
Q

general factors that affect healing

A

circulation and oxygenation
nutritional status- presence of protein, hydration
addit. chronic illnesses- alter immunes response
wound chara- baseline condition
immunosuppression- ex. aids, or autoimmune reaction

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89
Q

wound assessment- inspection

A

inspection

edges, location, size, depth, surr. tissue, drainage, type of closure

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90
Q

wound assessment- exudate types

A

type
serous- watery
sanguineous- bloody
serosanguineous- watery and bloody

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91
Q

wound assessment- signs of complications

A

odor, pus (purulent), excessive heat, pain w/ palpation

92
Q

wound complications- infection

A 
edema, surr. color hot and painful 
erythema
drainage inc (maybe purulent)
wound edges could be seperated w/ dehiscence
inc WBC count
febrile temperature 100.5> 101
93
Q

wound complications- hemorrhage, dehiscence, evisceration, fistula

A

excessive bleeding at wound site
skin pulls apart at suture line
tissue layer seperation
opening created by infection

94
Q

pressure ulcer factors

A 
immobility
chronic illnesses
aging skin
malnutrition
fecal, urinary incontin
altered lvl consciousness
95
Q

pressure ulcer - stage 1

A

red and non-blanchable

96
Q

pressure ulcer - stage 2

A

missing top layer of skin

97
Q

pressure ulcer - stage 3

A

subcutaneous tissue visible

98
Q

pressure ulcer - stage 4

A

bone and tendon visible

99
Q

pressure ulcer - “unstageable”

A

ulcer w/ slough or eschar

100
Q

pressure ulcer - “deep”

A

closed w/ skin intact

dark purple color

101
Q

braden scale categories

A 
23 points possible
less than 16 = at risk
sensory perception
moisture
activity
mobility
nutrition
friction and shearing
102
Q

wound dressings- purpose

A 
remove necrotic tissue and exudate
prevent and control infection
maintain moist environment
protect surrounding skin + wound from further injury
provide physical comfort
103
Q

penrose drain

A

passive, no reservoir

104
Q

JP, hemovac or wound vac drain

A

active

used neg pressure to pull out exudate

105
Q

cold application effects

A

15 min at time
vasoconstriction
reduces spasms

106
Q

heat application effects

A

vasodilation
inc cap perm
red. muscle tension
relieves pain

107
Q

nursing v medical diagnosis

A

nursing- analyzes pat. response “risk for”

medical- actual pathophysiology

108
Q

diagnosis purpose-

A 
rule out similar problems
determine risk factors
list suspected problems/ symptom patterns
identify resources for health promotion
used to select nursing interventions
109
Q

data interpretation- 4 steps

A

rec. sig. data- compare to standards
rec. patterns (ex. pain, swelling, redness, exudate could indicate an infection)
id strengths and potential problems
reach conclusions (point where make final decision)

110
Q

4 diagnosis components

A

label
definition
defining charac
related factor

111
Q

types of nursing diagnosis

A

problem-focused or actual (3 parts)
risk- (2 parts)
health promotion or “readiness for education”

112
Q

validation of diagnosis

A

have pattern, accurate data, objective data and based on scientific knowledge
need have >50% confidence o/ get same result

113
Q

nursing diag. errors

A

making legally inadvisable statements
identifying a patient’s etiology when it cannot be changed
identifying environmental problems and not patient problems
revere clause
“imbal. nutr. related to insuf. funds in meal budget”
versus
“deficient knowledge related to alteration in diet”

inc. value judgements (“pat. is lazy”)
inc. medical diagnosis in nurse diag. statement
diag. with no evidence or data
faulty data analysis
non-specific or individualized diagnosis

114
Q

outcome id and planning- purpose

A

design PoC w/ pat.

to prevent, reduce or resolve problems

115
Q

plan of care- allows nurse to

A 
indivi care maximizes outcome achievement
set priorities
comm w/ colleagues/ healthcare providers
promote continuity high-quality + cost effective care
coordinate care
evaluate response to care
create record for reimbursement
promote own professional dev
116
Q

outcome id and planning- clinical reasoning

A

know standards for care plan, interventions, and pat outcomes
keep big picture in mind (discharge goals) (how effects interventions and choices)
respect intuition
recg. personal bias
make sure research supports plan before id outcomes

117
Q

comprehensive planning- parts

A

initial
ongoing
discharge

118
Q

comprehensive planning- initial

A

dev. by nurse who records history
id e/ problem in prioritized nursing diag
id pat goals

119
Q

comprehensive planning- ongoing

A 
done by nurse who has contact w pat
manages risk factors and keeps plan up to date
states diag more clearly
dev new diag
makes outcomes more realistic
id nursing inteventions
120
Q

comprehensive planning- discharge

A

done by nurse w/ closest relationship
begins upon admission
uses teaching skills make sure pat is successful at home
(can incl family educ)

121
Q

nursing diag- problem statement- purpose

A

suggests pat goals/ outcomes

122
Q

nursing diag- etiology- purpose

A

suggests nursing interventions

123
Q

high priority interventions

A

impaired gas exchange
risk for powerlessness
act. intolerance (if not related to condition)

124
Q

low priority interventions

A

not related to specific health problem

125
Q

maslows hierarchy of human needs

A

physiologic needs-

safety, love + belonging, self esteem, self actualization

126
Q

categories of outcomes- cognitive

A

inc pat knowledge/ intellec beh

“why infection prevention is important”

127
Q

categories of outcomes- affective

A

changes values, beliefs and attitudes of pat

128
Q

categories of outcomes- clinical- general

A

desc expected status of health issues after treatment complete

129
Q

errors writing outcomes

A

includ more than 1 manifestation in short-term outcomes
vagueness
use verbs that are non-measurable

130
Q

outcome parts- measureable

A 
subject- patient
verb
conditions
performance criteria
target time
smart goals (specific, measurable, achiev, relevant, timely)
131
Q

implementing-purpose

A

4th step of process

help pat achieve goals, prevent dis, and restore health

132
Q

types nursing interventions

A

direct v indirect
indivi v family v community
nurse initiated v provider initiated

133
Q

nurse initiated interventions

A 
not need provider order
monitor health status
redu. risks
resolve and manage problem
assist w/ ADL
promote emotional and physical well-being
134
Q

implementation- components

A

carry out plan
cont. data collection (modify as needed)
document care

135
Q

patient var. influence pat goals

A

dev. stage

psychosocial backgrnd

136
Q

nurse var. influence pat goals

A

resources
curr standards of care
research findings
ethical and legal guides to practice

137
Q

reasons for noncompl w/ interventions

A 
lack family supp
low value for outcomes
lack understanding abt beliefs
emotion/phys effects of trtmnt
inabil afford trtmnt
limited access trtmnt
138
Q

evaluating- allows nurse to

A

measure pat achievem outcome
directs nurse intervent
id factors for achiev
modify plan if necess

139
Q

eval- criteria

A

measurable qualit. that specify skills, or health status

ex. performance accept. lvl for state

140
Q

statement eval- met v partially v not met

A

term PoC, continue w/ modification (make more realistic), start over

141
Q

improving performance (4)

A

step 1- id problem
plan strategy
implement change
if outcomes not met, assess achievement

142
Q

evidence-based p- purpose

A

support interventions and clinical decision making

and is the science of nursing

143
Q

evidence-based practice- what

A

back/ scientific justification for actions

144
Q

national institute goals research w/ evidence-based

A

prevent dis, build scientific foundation, manage symptoms

145
Q

evidence-based goals- people v nursing process

A

education, policy dev, ethics, nursing history

146
Q

health

A

state complete physical, mental, and social wellbeing in addition to absence of disease or infirmity (weakness)

147
Q

illness

A

response to dis, abnorm process involving changed lvl of funct

148
Q

wellness

A

state being healthy by living lifestyle promoting good physical, mental and emotional health

149
Q

health dimensions-physical, environ, intellectual

A

physic- genetics, age, dev lvl
environ- housing, sanitation, climate, nutritional access
intellect- cog abilities, education

150
Q

dimensions of health- sociocul, emotional, spiritual

A

socio- economic lvl, lifestyle, family cul
emotional- body responce to changing conditions
spiritual- beliefs/values

151
Q

acute illness

A

rapid onset
brief length
ex. flu, gi bleed, pancreatitis, food poisoning, pneumonia

152
Q

chronic illness

A

permanent, irreversible changes
2-3 months, long time
ex. heart dis, lung dis, diabetes, kidney dis, arthritis

153
Q

remission

A

pat have dis but sympt not present

154
Q

illness beh- stage 1

A

symptoms appear- do not affect ADLs

155
Q

illness beh- stage 2

A

sick role
decide if need to take action
go to doctor
impede norm activity func.

156
Q

illness beh- stage 3

A

dependent role

take prescrip or hospitalized

157
Q

illness beh- stage 4

A

IV recovery and rehab

158
Q

purpose health illness continuum

A

measure lvl of health
stages range frm death to high lvl wellness
illustrates dynamic state of health

159
Q

primary health promotion

A

weight loss
diet, exercise, smoking cessation
(modifiable, used to prevent dis)
most important

160
Q

secondary health promotion

A

screenings, exam, family counseling
(ID illness early on)
performing stage

161
Q

tertiary health promotion

A

intervention based

ex. meds, surgery, OT/PT

162
Q

nursing care goals for older

A 
promote indep. func
support indiv. strengths
prevent complications of illness
secure safe/comfort environ
promot return health
163
Q

five prts communication (berlo)

A

stimulus of referent (why need comm in first place)
sender/ source message (encoder)
message itself (content)
medium or channel of comm (verbal v visual)
receiver (decoder)

164
Q

four lvls comm

A

intrapersonal (self talk)
interpersonal (btw 2+ ppl w/ goal exchange info)
group- e.i. family
small group, organizational communication, group dynamics

165
Q

factors influc comm

A

dev lvl, gender, sociocul differences, roles/ responsibilities (charge nurse v cna), space and territory, physical, mental and emotional state, values, environ

166
Q

phases helping relationship

A

orientation
working
termination (end shift or goal met)

167
Q

orientation phase goals- comm

A

pat descr participants in relationship (name, role and purpose)
pat and nurse agree goals relationship, location, freq, duration of contact, and duration of relationship

168
Q

goals working phase- comm

A

pat actively particip in relationship
pat coop in act to achieve goals
pat express feelings and concerns to nurse

169
Q

goals termination phase- comm

A

pat particip in id goals accomplished or progress made
pat express feelings abt termination of relationship
*bed side report important
as if pat has anything to add

170
Q

rapport builders

A

privac and confiden, optimal pacing, comfortable environ, patient v task focus (asure care abt well being and remember purpose of task

171
Q

SBAR purpose

A 
hand off comm
used if calling provider
situation (why calling)
background
assessment (what think issue is)
recommendation
172
Q

communication blocks

A

not listen, use closed questions, nontherapeutic comments, judgemental, false assurance, disruptive interpersonal beh, gossip, changing subject

173
Q

factors affecting patient learning

A 
age, dev lvl
family support
financial resources
cul influences
lang deficiet (don't use family as translator)
health literacy lvl (don't assume know)
174
Q

critical dev areas

A 
physical maturation/abilities
psychosocial
cog capacity
emotional maturity
moral/spiritual dev
175
Q

four assumptions abt adult learners (knowles)

A

inc independence w age
previous experiences alter perceptions
readiness to learn depends on dev lvl
most only want to learn material that is useful

176
Q

teaching plans for older adults

A 
id learning barriers (hearing and vision)
allow extra time
plan short teaching sessions
reduce environ distractions
relate new info to familiar activities
177
Q

teaching strategies

A

audiovisual, written mat, discussion, lecture, demonstration, discovery, role-playing

178
Q

types counseling

A

short term- situational (pain)

long term- developmental crisis (ambulation)

179
Q

culture

A

group w shared beh patterns learned through socialization

inc- location, sexual orientation, religion, race

180
Q

cultural humility

A

subjective- ongoing

181
Q

cultural competence

A

objective view, you are the expert

182
Q

cultural assimilation

A

minorities lose characteristics to dominant group

183
Q

culture shock

A

discomfort when placed in alt culture

184
Q

cultural imposition

A

belief everyone should conform to majority belief

185
Q

cultural conflict

A

ppl aware of cul differences and feel threatened

186
Q

ethnicity

A

based on heritage
share beh, and beliefs
dev through day to day life

187
Q

ethnocentrism

A

belief that ideas are superior to all o/

188
Q

cul influences on healthcare

A

reactions to pain, mental health, gender roles, language, family supp, nutrition, socioeconomic

189
Q

care considerations for pain

A

not assume
respect right to response of pain
respect beliefs about pain
sensitive to nonverbal cues

190
Q

purpose of documentation

A

legal, reimbursement, education, research, performance improvement, diag, comm, care planning

191
Q

documentation components-ctfac

A

content, timing, format, accountability, confidentiality

192
Q

policy for verbal orders

A

record in chart, read back to verify accuracy, date/ time, record physicians name

193
Q

methods of documenting

A

chart (focus, exception, pie), source/problem oriented, case management, electronic health record

194
Q

flow sheet types

A

24 input/output
MAR
acuity record
24hr pt care record

195
Q

ISBARR

A

hand off communication

intro, situation, bckgrnd, assessment, recommendation, read back orders

196
Q

what is apa

A

format for sciences

clear, concise, organized manner

197
Q

general apa paper format

A

title page
abstract
intro, lit review, methods, results/findings, discussion
references

198
Q

intext citations

A

1-2- jones & kim, 2019

3+- jones et al., 2019

199
Q

SOAP

A

subjective, objective, assessment, plan

200
Q

PIE

A

problem, intervention, evaluation

201
Q

IPASS

A

patient handoff
illness severity
patient summary
action list (orders need to be completed)
situation awareness
synthesis by receiver (what you interpret from o nurse)

202
Q

nursing incivility

A

one or more rude, discourteous, or disrespectful actions
may or may not have neg. intent
step below bullying

203
Q

nursing diag format

A

actual- problem r/t etiology aeb defining characteristics

risk- problem r/t etiology

204
Q

nurse practice acts

A

state standards- board of nursing

205
Q

licensure v certification

A

certification is add. lvl knowledge

206
Q

reasons revoking license

A

deceptive practice, criminal acts, drug abuse, fraud, physical/mental impairments including age

207
Q

considerations for legal applications

A

practice within scope- incl practice acts and standards of care
timely charting

208
Q

roles in legal proceedings

A

defendant, fact witness and expert witness

209
Q

components informed consent- DCCV

A

disclosure, comprehension, competence, voluntariness

210
Q

purpose incident report

A

review situation

not intended as form punishment

211
Q

nursing process purpose

A

create database
id health problems, health status
makes diagn and planning easier

212
Q

collaborative diag v med diagnosis

A

med is only physician

collab is physician and nurse

213
Q

reason for critical thinking

A

determ credibility
analyze norm from abnorm
distinguish relevant data from irrel
id bias, assumptions or inconsis

214
Q

traditional, scientific and authoritative care

A

traditional- way always done it
scientific- if backed by objective data/ research
authoritative- told to do by expert

215
Q

definition health-illness continuum

A

cannot be divided, continuous process

216
Q

steps in infection cycle

A

organism, reservoir, portal of exit, transm., portal of entry, vulnerable hosts

217
Q

incubation stage

A

time from infection till appearance of sympt

218
Q

prodromal stage

A

non-specific sympt.

* most infectious

219
Q

full stage

A

recogniz and specific sympt

220
Q

convalenscence

A

final recovery stage of infection

221
Q

bed bath procedures

A

wipe inside eye to out w/out soap

change water at the end

222
Q

standards of nursing practice

A

dev by ANA guidelines for nursing performance

definition of what means to provide competent care

223
Q

outcome - goals

A 
est. priorities
id and write expected pat. outcomes
use evidence-based interventions
communicate the PoC
keep pat and pat interests / preferences in mind
(not going to do something they hate)
224
Q

outcome format categories

A

cognitive- intellectual beh
psychomotor
affective- attitude

225
Q

alfaro’s rule

A

assess, reassess, revise and record

NRSG 225- Intro (5 decks)

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