NUR 210 - Exam 1 Flashcards

1
Q

Nightingale’s contributions to nursing:

A
  • documentation
  • hand-hygeine
  • evidence based practice
  • data collection
  • started nursing schools
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2
Q

Clara Barton:

A
  • started American Red Cross
  • formalized nursing education
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3
Q

Dorothea Dix:

A
  • Mental health awareness
  • indigenous rights
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4
Q

Eddie Bernice Johnson:

A
  • Rep. in Congress
  • STEM Education Act
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5
Q

Ildaura Murillo-Rohde:

A
  • National Association of Hispanic Nurses
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6
Q

what is the purpose of a simulation?

A

to create a safe learning environment

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7
Q

who described the transition from novice to expert?

A

benner

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8
Q

problem with stage 1 novice:

A

struggles to decide which tasks are more relevant in real-life situation

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9
Q

problem with stage 2 advanced beginner:

A

remembering and following guidelines and setting priorities

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10
Q

what does case manager nurse do?

A

work with client, family, and health care team to make sure client gets needed services

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11
Q

what is patient adherence?

A

patients ready and willing to follow instructions

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12
Q

what is a standing order?

A

preprinted document with medical orders no need to consult w doctor before enacting

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13
Q

what is included in implementation process?

A
  • avoid adverse effects
  • reassess a patient
  • review and revise exisitng plan of care
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14
Q

what is patient acuity?

A

what the patient needs, higher acuity= patient needs more

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15
Q

two methods for prioritizing patients:

A
  • high, intermediate, low - based on ABC’s
  • maslows hierarchy
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16
Q

common question asked when assessing actual vs. potential problem:

A

“is the potential problem greater than the actual problem?”

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17
Q

which is priority: acute or chronic?

A

acute

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18
Q

when do you do invasive procedure?

A

toward end

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19
Q

what does THIN stand for

A

T top three
H help quick
I identify risk to safety
N nursing process

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20
Q

what does NADPIE stand for?

A

N nursing process
A assessment
D diagnosis
P planning
I implementation
E evaluation

21
Q

whats the difference between generalized outcomes vs. nurse sensitive outcomes

A

generalized outcomes is the overall goal for the patient while the nursing outcomes is what we control

22
Q

direct care

A

direct care to patient hands on

23
Q

indirect care

A
  • delegating
  • supervising
  • evaluating other nurses
24
Q

independent intervention

A

no Dr needed

25
dependent intervention
Dr needed
26
hand off reporting
collaboration between other nurses and physician
27
critical pathways:
set of guidelines to follow to reach a certain goal already made for you
28
what is ISBAR
I identify S situation B background A assessment R recommendation
29
time frame for "now" medication order
90 minutes
30
what med name is non commercial/ non proprietary?
generic
31
parental vs. non parental
parental is invasive (ex. intravenous) while non parental is not (ex. oral, rectal, sublingual)
32
idiosyncratic effect:
uncommon medication response usually due to genetics
33
synergistic effect:
two meds combined
34
what oral medications cannot be crushed?
- enteric coated tablets - sustained release SR - sustained action SA - extended release XL - controlled release CR/CRT
35
3 types of NANDA-I:
- problem-focused - risk diagnosis - health promotion
36
what is ICNP
positive or negative nursing diagnosis with associated outcome
37
critical thinking
broad; includes reasoning outside and inside of clinical setting
38
clinical reasoning
specific process used to think about issues at the point of care
39
clinical judgment
conclusion, decision, or opinion
40
giving medication assessment
- educate patient - ask allergies and if they can swallow
41
giving medication analysis + nursing diagnosis
- patient nonadherence - adverse effects - polypharmacy
42
internal variables that influence illness behavior
- developmental stage - intellecutal background - perception - emotional + spiritual factors
43
external variables that influence illness behavior
- family role + practices - social determinants of health - culture
44
PRN order
give med as needed
45
STAT order
give immediately
46
parts of a full prescription order
name, dose, route, when
47
what kind of medications require special handling?
- controlled substances - chemotherapy meds
48
7 rights
right medication right dose right patient right route right time right documentation right indication