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FUNDAMENTALS OF NURSING > FON THEORY REVIEW > Flashcards

FON THEORY REVIEW Flashcards

1
Q
  • Systematic, rational method of planning and providing individual
    nursing care
  • problem identification & solving (GORDON)
  • determine client’s health status (YURA & WALSH)
A

NURSING PROCESS

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2
Q
  • PURPOSE
A

help nurse manage each pt’s nursing care
intelligently, judicially, and scientifically

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3
Q

● intelligently (4 ways of knowing):

A

ersonal, empirical,
practical, ethical

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4
Q
  • first introduce Nursing Process
A
  • Lydia Hall
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5
Q
  • assessing client’s behavioral system
A

Dorothy Johnson

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6
Q

concepts identification of needed help

A
  • Ernestine Weidenbach
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7
Q

5-steps nursing process

A
  • Ida Jean Orlando
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8
Q

use of the 6th Carative Factor

A

Jean Watson

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9
Q
  • N.P CHARACTERISTICS
A
  1. Interpersonal process
  2. Cyclic & dynamic
  3. Client centeredness
  4. Use of critical thinking
  5. Universal applicability
  6. Focus on problem solving
  7. Goal oriented
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10
Q

A.N.A (2010)

A

Assessment
Ndx
Outcome identification
Planning Implementation Evaluation

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11
Q
  • systematic and continuous COVD
A

ASSESSMENT

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12
Q

Purpose of Assessment

A

To establish baseline data

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13
Q

Initial -

A

after admission

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14
Q

Problem-focused -

A

Ongoing process

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15
Q

physiological or psychological crisis of the
client.

A

Emergency

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16
Q

compare the client’s current status to baseline
data previously obtained

A

Time-lapse

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17
Q

what is COVD

A
  1. Collection of data
  2. Organize data
    ➔ Gordon’s 11 FHP
    ➔ R.A.M
    ➔ Orem’s universal requisite
  3. Validate data
  4. Document data
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18
Q

parag. form

A

Narrative notes

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19
Q

“fill in the blanks”

A

Open ended notes

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20
Q
  • A clinical judgment
A

. DIAGNOSIS

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21
Q

DIAGNOSIS PURPOSE

A

identify client strengths and health problems

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22
Q

1953

A
  • virginia fry & louise mcmanus
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23
Q

1973 -

A
  • 1st development of ndx
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24
Q

1977

A

1st canadian conference

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25
Q

1992

A
  • NANDA acceptance
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26
Q

1987

A

international nursing conference

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27
Q

2002 -

A
  • NANDA-I
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28
Q

define, refine and promote a
taxonomy of nursing diagnostic terminology for general use of
professional
nurses

A

PURPOSE OF NANDA-INT

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29
Q

A
➔ Compare data against standard
➔ Custer data
➔ Identify gaps

A

ANALYZE THE DATA

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30
Q

I

A

Identify Health problems

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31
Q

F

A

. Formulate diagnostic statement

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32
Q

client problem that is present at the time of diagnosis;

A

Actual -

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33
Q

3 parts (PES);

A

client’s signs and symptoms

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34
Q

client’s preparedness to improve their
health condition: 1 part (problem)

A

Health Promotion

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35
Q

k - no subjective and objective data; 2 parts (PE)

36
Q
  • cluster of ndx that have similar interventions; 2
    parts (PE)
37
Q

diagnostic label

38
Q
  • incomplete
A

. Deficient -

39
Q
  • made worse, weakened, damaged
40
Q

lesser in size/degree

A

. Decreased

41
Q
  • not producing the desired effect
A

Ineffective-

42
Q

probable causes/related factors; gives direction

43
Q
  • defining characteristics
A

Signs and Symptoms

44
Q

specific pathophysiological response

A
  • MEDICAL DX
45
Q

nursing judgment to human responses to actual
or potential health problem

A

NURSING DX

46
Q

deliberate process of identifying nursing
interventions

47
Q

types of planning

A
  1. Initial
  2. Ongoing
  3. Discharge
48
Q
  • Activities:
    1. Prioritize problems
A

➔ Life-threatening
➔ Health threatening
➔ developmental

49
Q

general statement

50
Q

specific

51
Q

“the client will”

52
Q

action to perform

53
Q

explaining

A

Modifier (measurement

54
Q

evaluation of performance

A

. Criterion

55
Q

Verbs to use:

A

apply, assemble, describe, administer,
enumerate, etc.

56
Q
  1. Write nursing interventions on care plans
A
  • Verb, modifier, criterion
57
Q

written/computerized

58
Q
  • in mind
59
Q

formal plan that specifies the nursing care for
a group of clients with common needs.

A

STANDARDIZED

60
Q

unique needs of a specific client- needs that
are not addressed by the standardized plan

A
  1. INDIVIDUALIZED
61
Q
  • PARTS OF NCP:
A
  1. ASSESSMENT
  2. DIAGNOSIS
  3. NDX RATIONALE - reason for that problem
  4. PLAN - objective
  5. INTERVENTION
62
Q

nurses are licensed to initiate

A

Dependent -

63
Q
  • under the orders
A

➔ Independent

64
Q

Diet, Rehab, etc

A

Collaborative -

65
Q
  • reason to nursing intervention
66
Q
  • conclusion & decision
A

. EVALUATION

67
Q

the action phase

A
  1. IMPLEMENTATION
68
Q
  • include problem solving
69
Q
  • communication
A

Interpersonal -

70
Q

manual

71
Q
  • Process of Implementing - RDIS
A
  1. Reassessing the client
  2. Determining the nurse’s need for assistance
  3. Implement the NI
  4. Supervise the delegated care
72
Q

Document the

A

e interventions performed

73
Q

Collecting data related to the desired outcome.

A

EVALUATION

74
Q

t- the client response is the same as the desired
outcome.

A

a. Goal was met

75
Q

the goal was incompletely attained.

A

Goal was partially met

76
Q

the goal was incompletely attained.

A

Goal was partially met

77
Q

the client’s response did not meet the
desired outcome

A

Goal was not me

78
Q

Comparing the data with the desired outcome

A

Conclusion and
supporting data

79
Q

. Relating nursing activities

A

TO OUTCOME

80
Q
  1. Drawing conclusions about
A

problem status

81
Q

. Deciding on the

A

next action

82
Q
  • partially met
A

Continue the plan

83
Q
  • goal is not met
A

Modify the plan of car

84
Q
  • goal is met
A

c. Terminate the plan

85
Q
  • goal is met
A

c. Terminate the plan

FUNDAMENTALS OF NURSING (32 decks)

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