Lecture 1 Flashcards
What is the first Principle of Client Care?
Maintain or achieve stability.
What is the most common reason for a child to be admitted to a hospital?
Respiratory issues!
Clinical Judgment Process - NCLEX
- Recognize cues (What do I see going on?)
- Analyze cues (What could these mean?)
- Prioritize hypotheses (I think ____ is going on)
- Generate solutions (How can I help?)
- Take action (Let’s fix this)
- Evaluate outcomes (Did it work?)
What are the two types of care plans a nurse should keep in their mind?
- Comprehensive
- Focused
What is a Comprehensive Care Plan?
- Broad - The big picture
- Covers multiple possible risk factors
What is a Focused Care Plan?
- Addresses a particular risk factor
- A nurse will likely create several focused care plans for each pt during the shift
How is a Focused Care Plan Beneficial to a Student?
- Moving your learning beyond experiential to concrete
- Revealing connections btwn data, problems, actions, and outcomes
- Building pattern recognition
- Reducing anxiety and providing safe care
- Allowing you to practice a deliberate thinking process to “chunk” data that builds patterns
What are the Three Levels of Lateral Violence (LV)?
- Incivility
–> Perception of the recipient
–> Actor/observer effect
–> Probably no intent to harm - Bullying - intentional, chronic
–> Intent to harm emotionally - Violence
Concepts r/t LV
- LV is said to exist when nurses adopt the “behaviors identified in oppressed groups” and direct their dissatisfaction toward:
–> Themselves
–> Each other
–> ALWAYS directed toward those of “less power”
Examples of LV
- Nonverbal innuendo (raising eyebrows, face making)
- Verbal affront (covert/overt, snide remarks, lack of openness, abrupt responses)
- Undermining activities (turning away, not available)
- Withholding information (practice or patient)
- Sabotage (deliberately setting up a negative situation)
What Three Things is LV About?
- Power
- Hierarchy
- Control
What Do You Do if You Are Being Bullied in Clinical?
Inform instructor or floor manager in charge and ask for assistance in handling this issue!
Suggested Response to Non-Verbal Innuendo
“I sense (I see from your facial expression) that there may be something you wanted to say to me. It’s okay to speak directly to me.”
Suggested Response to WIthholding Information
“It seems like there was more information available, regarding this situation? I believe if I had known that (more), it would have (will) affect how I learn or need to know.”
Milestones in Maternity Care
- 1847: Ether used in childbirth for the 1st time
- 1918: Condoms became legal in US
- 1941: PCN used for maternal infection
- 1953: Dr. Virginia Apgar designed the Apgar Score for
newborns - 1965: Supreme Court ruled that married couples could use
birth control - 1968: Rubella vaccine became available
- 1978: Louise Brown, first test-tube baby was born
