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Fundamentals Of Nursing > Fundamentals exam1 chp1-6 > Flashcards

Fundamentals exam1 chp1-6 Flashcards

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1
Q

Common signs and symptoms of stress

A 
Dry mouth, 
rapid pulse, 
rapid shallow breathing
sweaty palms
shakiness and tremors
increase blood pressure, 
frequent urination, 
muscle tension, 
inability to sit still, (tapping fingers on table, pumping leg up and down), 
talking rapidly, 
butterflies in stomach, 
dizziness or feeling lightheaded, 
inability to control tears anxiety, 
confusion, 
labile moods, 
depression 
quick to anger
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2
Q

Stress related diseases and disorders

A 
Headaches
gastritis 
asthma 
low back pain 
connective tissue disease 
ulcerative colitis 
irritable bowel syndrome 
allergies 
hypertension 
cancer 
sexual dysfunction 
Crohn disease 
eating disorder 
infection
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3
Q

Advanced directive

A

Written statement expressing the patient’s wishes regarding future consent for or refusal of treatment if the patient is incapable of participating in decision-making.

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4
Q

Appeal

A

Challenge to a court decision

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5
Q

Civil rights, civil law

A

Personal or individual conditions guaranteed by the Constitution Bill of Rights and federal or regulatory law

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6
Q

Defendant

A

Person accused of violation of public law (crime) or civil law (tort)

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7
Q

Statute

A

Legal term for law

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8
Q

Emancipated minor

A

Person under 18 years of age who is legally considered an adult usually because of marriage,parenthood, or enlistment in the armed services.

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9
Q

Damages

A

The monetary award to an injured plaintiff when the defendant is found responsible for the injury

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10
Q

Felony

A

A serious crime that may result in a prison time of more than one year

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11
Q

Liability

A

Responsibility to pay or compensate for the loss, or injury resulting from one’s negligence

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12
Q

Privileged relationship

A

One that requires confidentiality trust that information gained in the relationship will not be made public

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13
Q

Precedent

A

A judicial decision that is used as a guide in interpreting the law in deciding cases afterwards

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14
Q

Litigation

A

Lawsuit, legal process to prove facts of a dispute

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15
Q

Malpractice insurance

A

Policy that protects a nurse from the expense of defending herself from lawsuit, will pay the amount awarded up to the the policy limits if a nurse is found guilty of malpractice

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16
Q

Medical power of attorney

A

Legal assignment of ability to make healthcare decisions for another person similar to a health care agent

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17
Q

Power of attorney

A

Legal action to allow person to conduct business matters for another

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18
Q

Health care agent

A

Person designated by the patient to make healthcare decisions when the patient is incapacitated. Usually part of an advance directive

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19
Q

Nurse practice act

A

Laws that defined the scope of nursing practice and provide for the regulation of the profession by the state board of nursing

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20
Q

What to expect during your hospital stay

A

High-quality hospital care
A clean and safe environment involvement in your care
protection of your privacy
help preparing you and your family for when you leave the hospital
help with your bill and filing insurance claims

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21
Q

Reciprocity

A

Recognition of one state nursing license by another state

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22
Q

Joint commission goals

A

To provide evidence in expert base solutions to areas they have caused problems with patient safety

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23
Q

QSEN

A

Purpose; to educate future nurses in developing the knowledge, skills, and attitudes needed to improve the quality and safety of our future healthcare systems.

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24
Q

Hospital national patient safety goals

A 
Identify patients correctly
Improve staff communication 
Use medicine safely 
Prevent infection 
Identify patients safety risk
Prevent mistakes in surgery
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25
Q

Rights provided by HIPPA

A 
Consent
Notice 
Access
Amendment 
Accounting for disclosures 
Restriction of disclosures
26
Q

Types of consent

A 
Admission agreement 
Operative of consent
Consent to receive blood
Research consent
Consent to release information
Other consent (special consents are required to perform an autopsy, donate organs after death, or to  be photographed, and for disposal of body parts doing surgery)
27
Q

Consent

A

Permission given by the patient or his legal representative

28
Q

Three elements of informed consent for surgery

A
  1. The patient must be told the risk and benefits of the proposed treatment
  2. The possible consequences of not having the procedure done
  3. The name of the healthcare professional who will perform the procedure
29
Q

Defamation

A

When one person makes remarks about another person that were untrue and the remarks damage that other person’s reputation

30
Q

Two forms of defamation

A

Slander (oral)

Libel (written)

31
Q

Duty

A

The obligation to use due care, example; a nurse has a duty to monitor the condition of the patient for whom she’s caring.
An element of malpractice

32
Q

Breach of duty

A

An element of malpractice

Failure to use due care; example; I know it feels to check the vital signs or condition of the patient after surgery

33
Q

Causation

A

An element of malpractice

The nurses actions or in actions causes injury or harm to the patient

34
Q

Injury or damages

A

An element of malpractice
The actual harm or disorder that result from the negligence. Injury or damage may be physical emotional or financial. Pain and suffering, loss of ability to continue in a job, physical or emotional disability, extended hospitalization, or death would all be considered injury or damage and I negligence action.

35
Q

False imprisonment

A

Preventing a person from leaving, or restricting his movements in the facility

36
Q

Guidelines to reduce legal risk

How to stop a lawsuit from happening

A 
Maintain competence (learn skills thoroughly,know states nurse practice act
Document Fully
Establish rapport 
Communicate effectively
Take care of yourself
37
Q

Ethics

A

Rules of conduct that have been agreed to by a particular group

38
Q

NAPNES standards of practice for licensed practical/vocational nurses

A

Professional behaviors
Communication communicate effectively
Assessment collect holistic assessment data communicate the date it’s a healthcare providers and evaluate the patient responsive to interventions
Caring demonstrate a caring and empathic approach to patient care
Managing under supervision implement patient care

39
Q

Nursing process

A

A way of thinking and acting based on the scientific method

40
Q

The nursing process includes

A 
Assessment/data collection
Nursing diagnosis
Planning
Implementation
Evaluation
41
Q

Clinical reasoning

A

Skills that result in sonic clinical judgment

42
Q

Clinical judgment

A

Out the outcome of clinical reasoning

43
Q

Gordon’s 11 health patterns

A 
Health perception – health management pattern
Nutritional – metabolic pattern
Elimination pattern
Activity – exercise pattern
Cognitive – perceptual pattern
Sleep – rest pattern
Self perception – self concept pattern
Role relationship pattern
Sexuality – reproductive pattern
Coping – stress – tolerance Pattern 
Value-belief pattern
44
Q

Face sheet

A

Age, sex, martial status/significant other, religion, occupation, residents, next of kin and address, allergies, insurance status

45
Q

Physicians orders

A

Admitting diagnosis, date of admission; current orders regarding diet, activity, frequency sea of vital signs measurements, daily weight, treatments, medications, diagnostic test order, IV fluids, therapies order

46
Q

Quick chart review

A

Facesheet physicians orders nurses notes physician’s progress notes medication administration record positions patient history and physical surgery operative report pathology report current dog Gnostic test nursing admission history and assessment fall risk assessment skin assessment nursing care plan or problem list

47
Q

Physical examination

A 
Conducted by an RN
Using techniques of inspection(looking) 
Auscultation (listening)
Palpation(touching)
Percussion (thumping)
48
Q

Quick head to toe assessment

A 
Initial observation
head 
vital signs 
heart and lung assessment 
neurology check 
abdomen 
extremities 
tubes and equipment present 
pain status
49
Q

Cues

A

Pieces of data or information that influence decisions

50
Q

Nursing diagnosis

A

Indicates the patients actual health status or the risk of a problem developing

51
Q

Defining characteristics

A

Signs and symptoms that must be present for particular nursing diagnosis still be appropriate for the patient

52
Q

Signs

A

Abnormalities that can be verified by repeat examination and are objective data

53
Q

Symptoms

A

Factors the patient has said are occurring that cannot be verified by examination. symptoms are subjective data

54
Q

Construction of a nursing diagnosis

A

Signs and symptoms+ Etiology(cause) + Problem = Nursing Diagnosis

55
Q

Interdependent action

A

Actions that come from collaborative care planning

56
Q

Clinical pathway, CareMap

A

A step-by-step approach to the total care of a patient

57
Q

Standard steps for all nursing procedures

A

Step A; perform the task according to protocol
Step B; check the order, collect the equipment and supplies, and perform hand hygiene
Step C; identify a prepared the patient
Step D; provide privacy and institute safety precautions; arrange the supplies and equipment
DURING THE PROCEDURE
Step E; use standard precautions and aseptic technique as appropriate
AT THE END OF THE PROCEDURE
Step X; remove gloves and other protective equipment
Step Y; Restore the unit. Collect the use equipment; dispose of, clean, or store items in the proper places
Step Z; Records and report the procedure

58
Q

Evaluation

A

The fifth and final steps of the nursing process

59
Q

Steps for construction of a nursing care plan

A
  1. Collect data for a database on a patient
  2. Analyze the data base to determine current and potential problems
  3. Choose appropriate nursing diagnoses based on when defining characteristics of the patients problems
  4. Rank the nursing diagnoses in order of priority
  5. Plan the nursing care by defining goals and writing expected outcomes
  6. Plan nursing care by choosing appropriate nursing interventions that will assist in achieving the outcomes
  7. Implement the nursing interventions
  8. Evaluate the actual outcomes of each nursing intervention; determine whether progress toward achieving the expected outcome has been made
60
Q

Stages of illness

A

Transition state
Acceptance stage
Convalescence stage

Fundamentals Of Nursing (1 decks)

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