FUNDA Flashcards
Four Major Concepts of Nursing
P-H-E-N
PERSON
HEALTH
ENVIRONMENT
NURSING
Role of a Nurse:
Primarily concerned with the client’s NEEDS
CAREGIVER/CARE PROVIDER
Role of a Nurse:
COMMUNICATES with the client, support person and colleagues
COMMUNICATOR
Role of a Nurse:
Provides HEALTH TEACHING to affect behavior change which focuses on ACQUIRING NEW KNOWLEDGE OR SKILLS
TEACHER
Role of a Nurse:
Helps client RECOGNIZE and COPE with stressful psychological or social problems to develop improved personal relationships
COUNSELOR
Role of a Nurse:
Ensures that the client’s needs are met and protects the client’s RIGHTS
CLIENT ADVOCATE
Role of a Nurse:
INITIATES CHANGES and assists the client make modifications in lifestyle to promote health
CHANGE AGENT
Role of a Nurse:
The nurse through interpersonal INFLUENCE helps the client make decisions in establishing and achieving goals to improve his wellbeing
LEADER
Role of a Nurse:
PLANS, gives DIRECTIONS, develops STAFF, gives REWARDS fairly, MONITORS operations and represents both staff members and administrators as needed
MANAGER
Role of a Nurse:
Participates in SCIENTIFIC INVESTIGATION and uses research findings in practice
RESEARCHER
Role of a Nurse:
Initiates nursing actions WITHIN the health team
COLLABORATOR
Expanded Career Role of Nurses:
Has an advanced education and usually deals with NON-EMERGENCY acute or chronic illness and provides PRIMARY AMBULATORY CARE
(usually in hx care agencies or community based settings)
NURSE PRACTITIONER
Expanded Career Role of Nurses:
Has an advanced degree or expertise and is considered to be an EXPERT in a specialized area of practice (ex. gerontology, oncology, etc.)
CLINICAL NURSE SPECIALIST
Expanded Career Role of Nurses:
Has completed advanced education in accredited program in ANESTHESIOLOGY
NURSE ANESTHETIST
What does a Nurse Anesthetist do?
- Carry out pre op visits and assessments
- Gives anesthesia during surgery
- Post visits and assessment
Expanded Career Role of Nurses:
An RN who has completed a program in midwifery
NURSE MIDWIFE
What procedures can a Nurse Midwife perform?
- NORMAL DELIVERIES
- FAMILY PLANNING
- PRENATAL CHECKUPS
- BREAST EXAM AND PAP SMEAR
Expanded Career Role of Nurses:
Employed in nursing programs, at EDUCATIONAL institutions, and in hospital staff education
NURSE EDUCATOR
Expanded Career Role of Nurses:
Usually has an advanced degree and manages a health-related BUSINESS
NURSE ENTREPRENEUR
Nursing Theory:
Focuses on Patient and ENVIRONMENT
Florence Nightingale’s ENVIRONMENTAL THEORY
Nursing Theory:
InterPERSONal Theory
HILDEGARD PEPLAU
interPERSONal = PEOPLE = PEPLAU
Nursing Theory:
TransCULTURAL Nursing Model
MADELINE LEININGER
I’m MADELINE from FRANCE
Defined Health as:
“The state of complete physical, mental, and social well-being, and NOT MERELY THE ABSENCE of disease or infirmity”
WORLD HEALTH ORGANIZATION (WHO)
Defined Health as:
“The ability to maintain HOMEOSTASIS…”
WALTER CANNON
Defined Health as:
“The ability to maintain INTERNAL MILIEU”
CLAUDE BERNARD
A state in which a person’s PHYSICAL, EMOTIONAL, INTELLECTUAL, SOCIAL, SPIRITUAL functioning is diminished or impaired
ILLNESS
ILLNESS is not synonymous with DISEASE
Alteration in BODY FUNCTION resulting in reduction of capacities or shortening of life
DISEASE
Classification of Diseases According to Etiologic Factors:
D/t defect in the GENES of one or the other parent which is transmitted to the offspring
HEREDITARY
Classification of Diseases According to Etiologic Factors:
D/t defect in the DEVELOPMENT or prenatal infection
CONGENITAL
Classification of Diseases According to Etiologic Factors:
D/t disturbances or abnormality in the intricate process of METABOLISM
METABOLIC
Classification of Diseases According to Etiologic Factors:
Results from INADEQUATE intake or absorption of essential dietary factor
DEFICIENCY
Classification of Diseases According to Etiologic Factors:
D/t INJURY
TRAUMATIC
Classification of Diseases According to Etiologic Factors:
D/t ABNORMAL GROWTH of cell
NEOPLASTIC
Classification of Diseases According to Etiologic Factors:
Cause is UNKNOWN
IDIOPATHIC
Classification of Diseases According to Etiologic Factors:
Results from DEGENERATIVE CHANGES that occur in tissues and organs; Occur as we grow older
DEGENERATIVE
Classification of Diseases According to Etiologic Factors:
Results from TREATMENT of the disease
IATROGENIC
Something that is desirable, useful, or NECESSARY
NEED
Maslow’s Hierarchy of Needs:
We cannot LIVE or SURVIVE without it
PHYSIOLOGIC
Maslow’s Hierarchy of Needs:
The need for SHELTER and FREEDOM FROM HARM or danger
SAFETY AND SECURITY
Maslow’s Hierarchy of Needs:
The need to LOVE and BE LOVED
LOVE AND BELONGINGNESS
Mode of Communication:
Use of SPOKEN or WRITTEN WORDS
VERBAL COMMUNICATION
Mode of Communication:
Use of GESTURES, FACIAL EXPRESSIONS, POSTURE, BODY MOVEMENTS
NON-VERBAL COMMUNICATION
ORAL, WRITTEN, or AUDIOTAPED exchanges of information between caregivers
REPORTS
Change-in-shift Report
Telephone Report
Transfer Report
Incident Report
Bonus Question: Are Nursing Aides allowed to receive a TELEPHONE report?
It is anything written or printed that is relied on as RECORD or PROOF in case of legal situations
DOCUMENTATION
Who has legitimate access to the client’s chart?
Only members of the health team that are DIRECTLY INVOLVED in the client’s care and the CLIENT himself
Can other nurses or healthcare professionals have access to the client’s records?
Yes, ONLY if there is a legitimate reason (ex. DATA GATHERING, RESEARCH, CONTINUING EDUCATION)
However, APPROPRIATE AUTHORIZATION must be obtained according to agency policy
