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Funds Nursing > Nursing Process and Mobility > Flashcards

Nursing Process and Mobility Flashcards

1
Q

he framework nurses use to apply critical thinking in nursing practice for making clinical decisions

A

nursing process

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2
Q

The nursing process is 5 essential elements:

A

Assessment, Diagnosis/problem, planning, implementation, and evaluation (ADPIE)

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3
Q

collects pertinent data and information relative to healthcare consumer’s health or situation

A

Assessment of RN

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4
Q

analyzes the assessment data to determine actual or potential diagnoses,
problems, and issues

A

Diagnosis

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5
Q

is the systematic gathering of information related to internal and external environments using observation, interview, and physical examination as appropriate to the situation

A

assessment

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6
Q

is the identification of the person’s responses to health and illness

A

Diagnosis

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7
Q

patient’s response, determined by the nurse’s clinical reasoning/judgment

A

nursing diagnosis

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8
Q

is the identification of a disease condition based on a
specific evaluation of physical signs and symptoms, or patient’s medical history, or results of diagnostic tests or procedures. It remains constant as the condition remains

A

medical diagnosis

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9
Q

A vulnerable person is at higher risk for developing a problem

A

risk factor

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10
Q

Identifies one or more probable causes of the health problem. Gives direction to the required nursing therapy

A

Etiology

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11
Q

Appropriate when a person’s internal or external resources are inadequate or diminished

A

health restoration goals

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12
Q

Appropriate when the person wants to increase the existing internal or external resources or continue using those resources

A

Health Maintenance Goals

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13
Q

Making Goals (SMART)

A

Specific
Measurable
Attainable
Realistic
Timed

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14
Q

are any treatments based upon clinical judgment and
knowledge, that a nurse performs to enhance outcomes

A

Nursing interventions

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15
Q

Activities that nurses are licensed to initiate based on their knowledge and skill

A

Independent Interventions

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16
Q

Activities conducted under the physician’s orders or supervision or according to specified routines

A

Dependent Interventions

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17
Q

includes activities such as teaching, monitoring, providing,
counseling, delegating, and coordinating

A

implementation

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18
Q

four phases of implementation

A

Reassessing the person, Determining the need for nursing assistance, Implementing the nursing interventions, recording & documenting

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19
Q

the nurse performs the activities

A

Direct care

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20
Q

the nurse delegates the activities

A

Indirect care

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21
Q

if the patient was able to achieve the smart goal

A

Evaluation

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22
Q

Overlapping responsibilities of and collegial relationships between health personnel

A

collaborative Interventions

23
Q

Used to prevent venous stasis and thrombi in the lower extremities. Come in knee-high and thigh-high types

A

Graded Compression Stocking

24
Q

Plastic sleeves containing air bladders that inflate and deflate once
they are connected to an electric air pump.

A

Sequential (pneumatic) Compression Devices (SCDs)

25
Q

Tensing muscle and “holding” or applying pressure against an unyielding object. There is no motion around the joint-the muscle is tensed but does not

A

Isometric/Resistive

25
Q

The muscle contracts and shortens. Most gym-type
exercises involve weights or strength machines and aerobic activities (such as running, biking, or swimming)

A

Isotonic

25
Q

Unused joints tend to “freeze” in the flexed position forming
contractures. Some patients with altered mobility’don’t have contractures yet but the joints are very stiff. Do NOT force the joint past the point of comfort

A

Preserve range of motion (ROM)

25
Q

moving from a flexed to a straight or neutral position

A

Extension

26
Q

bending a joint in the natural position of movement

A

Flexion

27
Q

pivoting on axis. External rotation: away from midline of body; Internal rotation: toward midline of body

A

Rotation

27
Q

movement of a limb away from the midline of the body

A

Abduction

28
Q

movement of a limb toward the midline of the body

A

Adduction

29
Q

rotation of palm anterior (facing upward)

A

Supination

30
Q

rotation of palm posterior (facing downward)

A

Pronation

31
Q

flexion of ankle toward floor

A

Plantar flexion

32
Q

flexion of ankle toward knee

A

Dorsiflexion

33
Q

movement of ankle away from the midline or laterally

A

Eversion

34
Q

movement of ankle toward the midline or medially

A

inversion

35
Q

to move in a circle

A

Circumduction

36
Q

supper important part in data collection for assessment

A

Validating

37
Q

a state of decreased or absent use of an organ or body part

A

Disuse

38
Q

inability to move the whole body or a body part

A

immobility

39
Q

involves comparing data with other sources for accuracy

A

validate the data

40
Q

Actual or imminent life-threatening

A

High priority

41
Q

Actual or potential health-threatening

A

Medium priority

42
Q

Arises from normal developmental changes

A

Low priority

43
Q

after surgery or after a bone break in your foot or leg. It can also can help if you have balance problems, arthritis, leg weakness, or leg instability.

A

walker

44
Q

if you have minor problems with balance or stability, some weakness in your leg or trunk, an injury, or a pain

A

cane

45
Q

are medical devices designed to aid in ambulation, by transferring body weight from the legs to the torso and arms. They are mainly used to assist individuals with lower extremity injuries and/or neurological impairment

A

Crutches

46
Q

if you struggle to walk or you’re disabled.

A

wheelchair

47
Q

Prolonged periods of immobility, such as bed rest or extended travel, can also contribute to the development of this. The consequences of this include an elevated risk of blood clots, tissue damage, and impaired delivery of nutrients and oxygen to vital organs.

A

stasis

48
Q

are the chronic loss of joint mobility caused by structural changes in non-bony tissue, including muscles, ligaments, fascia, and tendons. They develop when these normally elastic tissues are replaced by inelastic tissues.

A

Contractures

49
Q

Immobility can lead to an increased______ ______. When we are inactive, the body can experience changes such as increases in blood viscosity (the thickness of the blood) and changes in the vascular system. This can mean that the heart needs to exert more force to circulate blood throughout the body effectively.

A

Cardiovascular effect

Funds Nursing (5 decks)

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