Midterm Lessons Flashcards
(89 cards)
21 Nursing Problems is a theory by
Faye Glenn Abdellah
Guide in giving nursing intervention and needs nursing process.
Nursing Care Plan
How many is Abdellah’s Typology of Nursing Problems?
21
Nursing Process
Assessment Diagnosis Planning Implementation/Intervention Evaluation
2 TYPES OF DATA IN NURSING ASSESSMENT
Subjective and Objective
Are information from the client’s point of view (“symptoms”), including feelings, perceptions, and concerns obtained through interviews.
Subjective
Are observable and measurable data (“signs”) obtained through the nurse’s observation, physical examination, and laboratory and diagnostic testing.
Objective
From the guardian’s point of view if the patient can’t talk about the symptoms.
Secondary subjective cue
4 Physical Assessment
Inspection, palpation, percussion, auscultation
Patient’s direct explanation of symptoms
Primary subjective cue
2 types of percussion
direct and indirect percussion
The use of stethoscope to hear lung sounds, heart sounds, etc.
auscultation
Visual examination of the patient
inspection
Tapping the patient’s bodily surfaces and hearing the resulting sounds to determine the presence of things like air and solid masses affecting internal organs.
Percussion
LEVELS OF INTERVENTION
independent, dependent, collaborative
Conclusion according to assessment
Diagnosis
Is done when the person doing the assessment places their fingers on the body to determine things like swelling, masses, and areas of pain
palpation
Theory of Virginia Henderson
Needs theory
3 Levels of Nurse-Patient Relationship of Henderson’s Needs Theory
The nurse acts as:
- Substitute for the patient
- A helper to the patient
- A partner with the patient
How many components are there in Safety needs?
1 (the 9th Basic Need)
How many are the basic needs in Henderson’s theory?
14
5 Levels of the Hierarchy of Needs in Henderson’s theory
Physiological needs, safety needs, love and belongingness, esteem, and self actualization
How many components are there in Love and Belongingness?
2 (the 10th and 11th Basic Needs)
How many components are there in Physiological needs?
8