Nursing Across Lifespans Final Exam Flashcards
When planning care for an 18 month old, what should be included in the nursing plan?
Start eating finger foods
what action shows that a preschooler has not yet mastered Erikson’s initiative v. guilt?
If the preschooler is following others
Which stage of development is most unstable and challenging regarding development of personal identity?
Adolescence
What is considered subjective data during a nursing assessment?
Information the patient tells you
What is an example of objective data?
Blood pressure reading
What should be included in a nursing teaching plan for toddlers?
Being consistent and setting behavioral limits
What does a problem focused nursing assessment focus on?
What the patient is complaining of
What is a nurse recommendation for importance of dental hygiene for toddlers?
Parents should schedule time to brush their teeth with their toddlers
Anticipatory guidance for parents of a toddler include which information?
Model good eating behaviors
Which basis of Gordon’s functional health patterns is asking a patient “how do you see yourself now”?
Self-perception self-concept pattern
Advice a nurse can give when a parent asks how they can help their 6 year old feel good about themselves?
Have them help around the house with easy tasks.
What are the emotional effects of puberty?
Mood swings, independence, self-conscious, tired
What statement by a patient indicates healthy coping by a widow?
Talking about “good time” before illness
Which age group of older adults has successfully navigated the stage of ego integrity v. despair?
80 year old who has planned funeral
What age group has the majority of new HIV/AIDs cases?
Middle adult
What are the defining characteristics manifested by the client?
Signs and symptoms
What is the age group for generativity v. stagnation?
40-65 years
What is the purpose of therapeutic communication?
to encourage expression of feelings
what is clarification?
asking for a definition or example
what do nightmares and night terrors have in common?
they both include fear in a scary episode
What is feedback?
Return message from receiver to sender
What is part of the evaluation step of the nursing process?
Deciding if goals were met
Whose framework provides a foundation for nursing assessments?
Gordons
Help to determine a child’s overall health and well-being; require precise measurements
growth patterns/growth charts
change and expansion of ability and advancement/qualitative change
development
Early developmental patterns- Cephalocaudal
head to toe
Early developmental patterns- Proximodistal
midline to periphery
Early developmental patterns- Differentiation
simple to complex or general to specific
monitors development from birth to age 6
Denver Developmental Screening Test
Autonomy v. Shame & Doubt
Toddler
Trust v. Mistrust
Infant
Initiative v. Guilt
Pre-schooler
Industry v. Inferiority
Grade-schooler
Identity v. Role Confusion
Teenager
Intimacy v. Isolation
Young Agult
Generativity v. Stagnation
Middle-age Adult
Ego Integrity v. Despair
Older Adult
focused on how the individual mind works v. what it does
Quantitative changes in cognitive function after 15 years
Development precedes learning
Piaget
Theory of Moral Development
Based on Piaget
School Age to Young Adult
Kohlberg
Prevention that involves health protection and health promotion
Primary
Prevention that involves screening and treating diseases
Secondary Prevention
Prevention that minimizes effects of disease and disability. Aims to return the affected individual to useful place in society
Tertiary Prevention
Review each of the 11 steps of Gordon’s Functional Health
It is the promotion of Health and Individual Responsibility
Nursing Role that is helping individuals attain what they are entitled to receive through the health care system
Spends great deal of time identifying and coordinating resources in complex cases
Nursing Role - Advocate
Nursing Role that assists in preventing duplication of services
Maintains quality and safety
Reduce costs
Nursing Role - Care Manager
Nursing Role that is made up of nurse specialists and works with company and community
Nursing Roles - Consultant
Nursing Role that is within the foundation of public health nursing
Combination of many roles: educator, provider, promoter
Nursing Role - Deliverer of Services
Nursing Role that is important in primary prevention
Lack of knowledge v. lack or application
Nursing Role - Educator
Nursing Role that must be able to read people to identify needs
What is important to that individual and how to incorporate insights into care plans
Holistic approach
Nursing Role - Healer
Nursing Role that integrates individual clinical experience with best available external clinical evidence
Scientific, systematic research
Nursing Role - Researcher
An organizing framework for professional nursing practice, a critical thinking process for the nurse to use to give the best possible care to the client
Nursing Process - ADPIE
Occurs at the end and throughout the nursing process
Evaluation
Collection of data Identify cues and make inferences Validating (verifying data) Organizing (clustering data) Identifying Patterns Reporting and recording data
Nursing Process - Assessment
Clinical judgement about an individual, family or community response to actual or potential health problems
Nursing Process - Nursing Diagnosis
Requires mutual participation
Formulate nursing activities to monitor, prevent, reduce or eliminate the alteration identified in the diagnosis
Nursing Process - Planning
“carrying out” of client specific outcomes
During this step, actual care is carried out. Nurse must possess the necessary knowledge and skills to implement the nursing interventions.
Nursing Process - Implementation
Focus on the needs of the individual
Knowing each other
Reciprocity, respect, confidence
Therapeutic Relationships
Imbedded in culture-family/social context
Evolve-affected by life events and social processes
Values
Application of one’s cognitions, perceptions, and behaviors to create interpersonal encounters that promote health
Therapeutic Use of Self
Nurse-Patient Relationships : where trust is built, mutual goals identified, roles & boundaries identified
Beginning or Orientation Phase
Nurse-Patient Relationships : where most of the work is done in nurse-patient interaction; trust continues to build
Working or Intervention Phase
Nurse-Patient Relationships : ending of the relationship so boundaries are recognized, sharing what each received out of the relationship
Termination Phase
