nursing 208 lecture- exam 1 Flashcards
what is the diagnosis and treatment of human responses to actual or potential health care problems?
nursing
What type of process is the nursing process?
solving and thinking
Who’s policy statement is this?
“nursing is the protection, promotion, and optimization of health and abilities, preventions of illness and injury, alleviation of suffering through the diagnosis and treatment of human responses, and advocacy, in the care of individuals, families, communities, and populations”
ANA
what has the “distinction of being responsible for the caring that clients recieve in the health care system”?
nursing
who developed the philosophy in science of caring?
jean watson
Where was Jean Watson a professor at ?
university of colorado nursing program
who believed caring was essential for nursing?
jean watson
watson’s theory is ______ and often used as a basis of nursing practice in schools/ hospitals.
holistic
what did watson feel threatened the care in nursing?
technology, and different levels of practice
A fever of 104 is?
pyrexia
What is the one thing to remember about restraints?
make sure they are not visible
a nurse who takes responsibility for their personal performance displays:
conscientiousness
a patient who has a wound caused by an accident displays clean wound and free of redness. if not properly taken care of by the nurse, the wound can get infected. what is appropriate nursing diagnosis for this problem:
risk/high risk nursing diagnosis
what said caring is ___ to nursing?
central
Caring is a ____ idea rather than a behavior.
moral
caring is _____ inherited according to watson
not
caring is the preservation of _________ and ________
human dignity and humanity
Why does watson say technology is a threat to nursing?
because our patient’s need to be touched and feel as though they are the only ones in the hospital.
why does watson feel different levels of nursing practice is a threat to nursing?
a nurse may be asked to do something outside of their scope of practice
what are watson’s 10 carative factors?
- altruistic values
- sensitivity to others
- a warm, genuine, and empathetic feeling
- interpersonal teaching
- scientific problem solving
- acceptance of your own feelings
- acceptance of other’s feelings
- providing a comfortable, private, and safe environment
- assist the patient with attaining lower and higher order of needs
- phenomenology of existential psychology
what should all 10 of watson’s carative factors do?
preserve human dignity of the patient
Which one of watson’s values am i explaining?: you have to be a nurse for the right reason, because you want to help and care for people, not because of the money or anyother reason?
altruistic
Which one of watson’s values am I explaining: you need to be able to look at people and sense what they are feeling, be able to care about other people; you can’t just use your own morals, values, beliefs, or ideas and not think about your patients.
sensitivity to others
which one of the 10 carative factors from watson is this explaining: patients can tell immediately if you are faking your feelings; you need to really want to be there and want to help them; you need to be empathetic.
a warm, genuine and empathetic helping
which watson’s 10 carative factors is this one: you should always be willing to teach as you go along as well as learning from your patient’s shoes.
interpersonal teaching-learning
Which one of watson’s 10 carative factors uses the nursing process?
scientific problem solving
What of the 10 carative factors does this explain? you need to look inside and ask yourself how you feel about certain things; you need to put your feelings aside and give everything you can to the patient
acceptance of your own feelings
which one of watson’s carative factors is this describing: patients may be hostile, angry, ill, on medications, etc. that may cause them to lash out on you and you can’t take it personally
acceptance of other’s feelings
What are the lower needs we need to assist the patient with according to watson is:
air, food, water (things we need to survive)
what are the higher needs of our patients according to watson?
spirituality, or self esteem
What carative factor from Watson is this describing: you should take things for face value, you should at least realize that there are other beliefs out there; you don’t have to change what you believe, but you should be aware of it.
phenomenology of existential psychology
critical thinking is essential for _______________
good decision making
what is critical thinking also called?
clinical reasoning
what is an intellectual process that involves developing a rational, justifiable response to situations where there are no definitive answers and where not all- relevant information is available?
critical thinking
What requires knowledge but is more than gathering and stating facts or concepts. it is the ability to use that knowledge in situations of ambiguity, uncertainty and risk?
critical thinking
what are the characteristics of critical thinking?
rational/reflective, constructively skeptical, autonomous, creative thinking, fair thinking, and focuses on what to believe and do
what is based on logic, thinking before acting, take time?
rational/ reflexive
what inspires questions, don’t mindlessly follow rules.
ex: when a doctor gives you an order, you should look at it and see if it’s appropriate for your patient
constructively skeptical
think for yourself, not lead by a group or accept beliefs of others
autonomous
creates original ideas; come up with new solutions for things
creative thinking
not biased or one-sided, seeks all views before taking a stand
fair thinking
try to find a course of action, draw a conclusion, or solve the problem. Don’t just take a stand and not look at other options to try to find another way around it
focuses on what to believe and do
problems that can be analyzed and approached from more than one perspective, often from conflicting points of view or frames of reference
mulitlogical problems
requires knowledge of more than one fact to logically and systematically apply concepts to a clinical problem
mulitlogical thinking
how we manage ourselves
personal competence
What is self awareness and self regulation parts of ?
personal competence
our motivation, self- awareness, and self-regulation
personal competence
knowing ones internal states, preferences, resources, and intuitions
self awareness
recognizing one’s emotions and their effects
emotional awarness
managing ones internal states, impulses, and resources
self-regulation
keeping disruptive emotions and impulses in check
self-control
maintaining standards of honesty and integrity
trustworthiness
taking responsibility for personal performance
conscientiouness
how we handle relationships
social competence
our empathy, social skills, and communication
social competence
putting yourself in your patient’s position and feeling what they’re feeling
empathy
adeptness at inducing desirable responses in others
social skills
listening openly and sending convincing messages
comunication
Quality and Safety Education in Nursing
QSEN
Institute for Healthcare Improvement
(IHI)
what is the initiative started by IHI?
5 million lives; trying to save 5 million lives in 5 years
all roles of the nurse are present in every specialties
roles of nurses
primary role for nurses
caregiver
what role get and give information; modification to be therapeutic
communicator
what role of nurses is for the family and patient
counselor
Does not blindly follow doctor’s orders; the RN is the patient’s last line of defense
advocate
does not accept things that are not right/ safe
change agent
what are the possible roles a nurse could have?
caregiver, communicator, counselor, advocate, leader, change agent, teacher, manager
starting point for whatever this patient nursing diagnosis will be.
health care problems (HCP)
dysfunction in a body system or health problem
HCP
HCP’s are _______ diagnosis
medical
___ can cause the patient to react in specific ways
HCPs
HCPs are also unmet ____
needs
who take care of HCP?
doctor’s
Who treats health care problems?
doctors
who treats human responses?
nurses
Where does the nursing diagnosis come from?
patient’s response
Where does response come from?
medical diagnosis
Responses are reactions to a stimulus, the HCPs are the ____1___, and the responses are the ___2___that come from them
- stimuli
2. reactions
the actual HCP can cause ____ or ____ responses
actual or potential
the potential HCP can cause ____ or ____ responses
actual or potential
“A systematic, circular framework for planning and providing individualized nursing care to patients”
nursing process
series of planned actions directed toward particular results or series of events that follow sequence to conclusion
process
what are the characteristics of the nursing process?
cyclic or circular dynamic, always changing patient centered interpersonal and collaborative universally used
What are the parts of the nursing process?
assessment diagnosis planning interventions evaluation
part of nursing process: data gathering (most important)
assessment
part of nursing process: clinical judgements (analysis)
diagnosis
part of nursing process: setting nursing goals, patient outcome
planning
part of nursing process: what the nurse will do to accomplish the goal
interventions
part of nursing process: assessing to see if goals have been met
evaluation
north american nursing diagnosis association
NANDA
who are the ones that come up with the nursing diagnoses; has approved certain risks with these diagnoses
NANDA
nursing diagnosis
ND or NDx
Nursing diagnostic statement
NDS
Nursing Diagnostic Category
NDC
Risk for complications: either collaborative problem or potential complication
RC
standardized classification of interventions that nurses perform. They’re very vague
nursing interventions classification (NIC)
standardized classification of patient/ client outcomes developed to evaluate the effects of nursing interventions
Nursing Outcomes Classification (NOC)
What is the first part of the nursing process and most important?
* important to get enough data to make a clinical judgement
Assessment
a way to communicate between nurses for insurance; it’s basically putting a label on what we’ve seen the patient is experiencing so that we can take care of it
diagnosis
if the problem exists in the patient and it can be treated independently by the nurse
ex: impaired physical mobility
actual nursing diagnosis
is the problem does not exist and it can be independently prevented by the nurse, it is RISK or HIGH RISK
risk diagnosis
RC
risk for complications
