Fundamentals Exam 3 Flashcards
What is a nursing diagnosis?
a statement of client health that a nurse can identify, prevent, and treat independently. has ZERO medical diagnosis in it
What is the nursing process?
a systematic problem solving process that guides all nursing actions
What is a medical diagnosis?
describes a disease, illness, or injury. only doctors can prescribe and use a medical diagnosis.
What is the role of the home health nurse?
What is a goal at the beginning of a visit?
Home health provider, educator, advocate, care coordinator.
Describe changes in clients health status that you hope to achieve. Ensure safety of client and self
What is the time frame for a short-term goal?
a few hours or days
Name the 4 pioneers of community health nursing and their contribution.
Florence Nightingale- patients benefit from a cleaner environment
Margaret Singer- founder of Planned Parenthood
Lillian Wald- first community health nurse
Clara Barton- founder of Red Cross
What is the first stage of the nursing process and what happens in this stage?
assessment. gather data, recognize cues related to the physical, mental, spiritual, cultural, and social economic status
PERRLA
Pupil, Equal, Round, Reactive, Light, Accomadation
7 Rights of Medication
Right Patient, Right Drug, Right Dosage, Right Time, Right Reason, Right Documentation, Right Route
What does ADPIE stand for?
assessment, diagnosis, planning, implementation (interventions and outcome), and evaluation.
What is a SMART goal?
specific, measurable, achievable, relevant, and time-bound.
What is the time frame for a long-term goal?
a week, month, or more
What are the 5 Rights of Delegation?
right task, right circumstances, right person, right direction or communication, right supervision
What is subjective data?
What is objective data?
subjective date- what the patient tells you
objective data- facts. vitals signs
What is primary data?
What is secondary data?
primary data- from the patient
secondary- Family members or other support persons, other health professionals, records and reports, laboratory and diagnostic analyses, and relevant literature
What is a comprehensive assessment?
a tool used by nurses to evaluate a patient’s complete health status. This includes the patient’s physical, mental, lifestyle, and socioeconomic condition. The assessment is the first step in developing a plan of care.
When do you complete an initial assessment?
When is an ongoing assessment completed?
initial- very first assessment
ongoing assessment- a continuing process of assessment of the patient and the patient’s family as a means of clarifying the status of the patient
Name 3 types of special needs assessments.
braden scale assessment, fall assessment, emergency assessment
What type of questions are used in an interview? Explain each.
open ended and closed ended. open ended is patient can go further in explaining and closed ended is yes and no questions
When do you validate data?
every time.
How do you prioritize problems?
order of importance or urgency. Use the ABCs or Maslow’s Hierarchy of Needs
Explain Maslow’s Hierarchy of Needs
Maslow’s hierarchy of needs is a theory of motivation which states that five categories of human needs dictate an individual’s behavior. Those needs are physiological needs, safety needs, love and belonging needs, esteem needs, and self-actualization needs.
What are characteristics of critical thinking?
felxible, non-judgemental, purposeful, and
What information is included in writing a goal or expected outcome?
What is the purpose of an outcome?
Subject, action, performance criteria, special conditions, target time
