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NURS320 > Module 5 > Flashcards

Module 5 Flashcards

1
Q

People’s behaviors, feelings about self and others, values, and priorities are all related to …

A

physiologic and psychosocial needs

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2
Q

Meeting ____ is essential for the health and survival of all people

A

needs

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3
Q

A person can meet some needs independently, but …

A

most needs require relationships and interactions with others for partial or complete fulfillment

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4
Q

Satisfying one’s needs often depends on …

A

the physical and social environment, especially one’s family and community

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5
Q

Characteristics of Maslows’ Need Hierarchy / Basic Needs

A
  • Fulfillment will help prevent illness or signal health, while lack of it leads to illness
  • meeting basic needs restores health
  • fulfillment of basic needs (lower hierarchy) take priority over other satisfactions if they are not met
  • Feelings like something is missing if a need is unmet
  • A person feels satisfaction when a need is met
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6
Q

Maslow’s Hierarchy of Human Needs

A 
Self Actualization
Self Esteem
Love and Belonging
Safety and Security
Physiologic (Basic)
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7
Q

Physiologic Needs

A
  • Stage 1 Needs

This includes things needed to sustain life:

oxygen (most essential)
water
food
elimination of waste
temperature
sexuality
physical acitivity
rest
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8
Q

Safety and Security Needs

A

-Stage 2 Needs

This includes both physical and emotional components of being protected from potential or actual harm.

Examples of interventions to meet this:

  • Using proper hand hygiene to prevent infection
  • using electrical equipment properly
  • administering medication knowledgeably
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9
Q

Love and Belonging Needs

A

-Stage 3 Needs

This includes higher level needs; understanding and acceptance of others in both living and receiving loves

The feeling of belonging to groups like families, peers, friends, neighborhood, community

If unmet, loneliness and isolation can occur so it is important to include family and friends in patient care and to establish a trusting nurse-patient relationship

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10
Q

Self Esteem Needs

A

-Stage 4 Needs

Need for a person to feel good about oneself, to feel pride and a sense of accomplishment, and believe that others also respect and appreciate those accomplishments

Factors that affect self esteem are role changes and body image changes, and positive self esteem facilitates the persons confidence and independence

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11
Q

Self Actualization Needs

A

-Stage 5 Needs

Acceptance of self and others as they are

Focus on interest of problems outside oneself

Ability to be objective

Feelings of happiness and affection for others

Respect for all people

Ability to Discriminate between good and evil

Creativity as a guideline for solving problems and pursuing interests

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12
Q

Family

A

any group of people who live together and depends on one another for physical, emotional, and financial support

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13
Q

Nuclear Familiy

A

Traditional family; two parents and their children

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14
Q

Extended Family

A

Includes aunts, uncles, grandparents, etc

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15
Q

Blended Family

A

two parents and their unrelated children from previous relationships

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16
Q

Single-Parent Family

A

Maybe separated, divorced, widowed, or never married

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17
Q

What are the 5 Family Functions?

A
  1. Physical
  2. Economic
  3. Reproductive
  4. Affective and Coping
  5. Socialization
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18
Q

Family Stages

A
  1. Couple and Family with Children
  2. Family with Adolescents and Young Adults
  3. Family with Middle Aged Adults
  4. Family with Older Adults
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19
Q

Risk Factors that can Alter Family Health

A 
Lifestyle Risk Factors
Psychosocial Risk Factors
Environmental Risk Factors
Developmental Risk Factors
Biologic Risk Factors
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20
Q

Community Factors that can Affect Family Health/Health

A

Social Support Systems
Community Health Care Structure
Economic Resources
Environmental Factors

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21
Q

Characteristics of a Community that Influences the Health of a Member

A

Prevailing Values and Beliefs
Education and Recreation Programs
Healthcare Resources
Production of Services and Goods
Transportation and Communication Facilities
Protection, Safety, and Aesthetic Concerns

*missing one of these can seriously impact a member

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22
Q

What is nursing according to the ANA?

A
  • Provision of a caring relationship to facilitate health
  • Attention to the range of human exp and responses to health/illness in the patients environment
  • Integration of objective data with knowledge from the patients subjective exp
  • Application of sci knowledge to the diagnosis and treatment through the use of judgment and critical thinking
  • Advancement of professional nursing practice knowledge thru scholarly inquiry
  • Influence on social and public policy to promote social justice
  • Assurance of a safe, quality, and Evidence based practice
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23
Q

Thoughtful Person-Centered Practice

A

Relationship between the professional nurse and the person, with a focus on that person/patient

It involves reflective practice learning to personal learning, clinical reasoning, judgment, and decision making

The nurse’s action should be in response to the individual clinical need, and be done in a way to help the patient make the decision

It is PERSON CENTERED

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24
Q

Thoughtful Person-Centered Practice should involve giving the patient…

A

information in order to help them make a decision on their health

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25
Q

Dynamics of Thoughtful Person-Centered Care

A
  1. Reflective Practice leading to Personal Learning
  2. Patient Centered Nursing Process (ADPIE)
  3. Clinical Reasoning, judgment and decision making
  4. The nurse’s: Personal attributes, knowledge base, clinical exp (QSEN and Blended competencies)

12341
The person/patient is at the center of this all

26
Q

10 Guiding Principles of Person-Centered Care

A
  1. ALL team members are caregivers (not just nurse)
  2. Care is based on CONTINUOUS HEALING RELATIONSHIP
  3. Care is CUSTOMIZED AND REFLECTED in patient needs, values, and choices
  4. KNOWLEDGE/INFO FREELY SHARED between and among patients, caregivers, physicians, and other care partners
  5. Care given in a HEALING ENVIRONMENT of comfort, peace, and support
  6. FAMILIES AND FRIENDS ARE ESSENTIAL as a part of the care team
  7. PATIENT SAFETY is a visible priority
  8. TRANSPARENCY to the rule in the care of the patient
  9. All caregivers cooperate with one another through a COMMON FOCUS on the best interested and personal goals of the patient
  10. The PATIENT IS THE SOURCE of control for their care
27
Q

According to the IAHC (International Association of Human Caring), Caring is…

A
  1. the human mode of being
  2. the essence of nursing and the moral imperative that guides nursing practice
  3. both spiritual and human consciousness that connects and transforms everything in the universe
  4. in nursing, action and competencies that aim toward the good and welfare of others
  5. in nursing, a special way of being/knowing/doing with the goal of protection/enhancement/preservation of human dignity
  6. culturally diverse and universal, and provides the broadest and most important means to study and explain nursing knowledge and nursing care practice
28
Q

The Professional Nurse possesses what 3 things?

A
  1. Personal Attributes (what you bring to the table)
  2. Knowledge Base
  3. Blended Competencies
29
Q

What competencies are developed/included in Blended Competencies?

A
  1. Cognitive
  2. Technical
  3. Interpersonal
  4. Ethical/Legal
30
Q

Cognitive Competencies

A
  • Competencies that develop the method of critical thinking (purpose of thinking, knowledge adequacy, potential problems, helpful resources, critique of judgment/decisions)
  • These are skills/developing the personal attributes OT THINK CRITICALLY
31
Q

Technical Competencies

A

Skills

ex: assessments, VS, changing, etc

32
Q

Interpersonal Competencies

A

Developing communication skills in a professional way (can be difficult for some to achieve)

Includes:

  • Promoting human dignity and respect
  • establishing caring relationships
  • enjoying the rewards of mutual exchange
33
Q

Ethical/Legal Competencies

A

Skills in regard to ethical and legal considerations

ex: The Native American Gangrene Foot Story

34
Q

QSEN Competencies

A

-components and skills needed to provide high quality healthcare on the part of the nurse

Includes:

  1. Patient Centered Base
  2. Teamwork and Collaboration
  3. EBP
  4. Quality Improvement
  5. Safety Informatics
35
Q

Problem Solving Methods in the Nursing Process1

A
  1. Trial and Error
  2. Scientific
  3. Intuitive
  4. Critical Thinking
36
Q

Trial and Error Problem Solving

A

understanding not to do the same mistake again

37
Q

Scientific Problem Solving

A

Solving via known and tested methods

38
Q

Intuitive Problem Solving

A

Comparing experiences / patient stories to solve the problem

39
Q

Critical Thinking

A

Using Intuition, Logic, or Both to solve a problem

40
Q

Potential Errors in Decision Making / Problem Solving

A
  1. Bias
  2. Failure to consider the total situation
  3. Impatience
41
Q

5 Steps of the nursing Process

A 
Assessing
Diagnosing
Planning
Implementing
Evaluating
42
Q

Assessing

A

collective, validating, and communicating patient data

43
Q

Diagnosis

A

analyzing patient data to identify patient strengths and problems

44
Q

Planning

A

specifying patient outcomes and related nursing interventions

45
Q

Implementing

A

carrying out the care plan

46
Q

Evaluating

A

measuring extent to which patient achieved outcomes

47
Q

Characteristics of the Nursing Process

A 
Systematic
Dynamic
Interpersonal
Outcome Oriented
Universally Applicable
48
Q

What does the nursing process as systematic mean?

A

it is part of an ordered sequence of activities

49
Q

What does the nursing process as dynamic mean?

A

there is great interaction and overlap among the five steps

50
Q

What does the nursing process as interpersonal mean?

A

human being is always at the heart of nursing and the nursing process

51
Q

What does the nursing process as outcome oriented mean?

A

nurses and patients work together to identify outcomes

52
Q

What does the nursing process as Universally Applicable mean?

A

A framework for all nursing activities

53
Q

Benefits of the Nursing Process for the Patient

A
  • it is scientifically based, holistic, and individualized patient care allowing
  • allows for continuity of care
  • it makes a clear, efficient, cost-effective plan of action
54
Q

Benefits of the Nursing Process for the Nurse

A
  • gives opportunity to work collaboratively with other healthcare workers
  • gives satisfaction of making a difference in the lives of patients
  • gives the opportunity to grow professionally
55
Q

Concept Mapping

A

mapping out patient information and its connections to different factors to map out their health and come up with an eventual nursing diagnosis

56
Q

Steps in concept Mapping

A
  1. collect patient problems and concerns on a list
  2. connect and analyze relationships
  3. Create a diagram
  • while doing all this keep in mind key concepts of the nursing process, holism, safety, and advocacy
57
Q

Reflective Practice

A

Reflecting on experience in practice to aid critical thinking and person centered care

58
Q

Reflection IN action

A

happens in the here and now of the activity and is also known as “thinking on your feet/ in the moment”

59
Q

Reflection ON action

A

occurs after the fact and involves thinking through a situation that has occurred in the past

60
Q

Reflection FOR action

A

helps the person to think about how future actions might change as a result of the reflection

NURS320 (12 decks)

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