quiz 2 Hygiene and Nursing Process Flashcards
What are the phases of the Nursing Process?
Assess (gather info)
Diagnose (nursing diagnosis)
Plan (set goals of care and desired outcomes)
Implement (perform nursing actions from plan)
Evaluate (determine if goal/outcome was achieved)
example of Problem-Focused approach to data collection:
use of colderraa or other pain assessment.
Delegating to and managing assistive personnel
You will frequently communicate with other health care team members when gathering information about patients. In acute care settings the change-of-shift report or patient hand-off is the way for nurses to communicate the most recent information about patients to nurses or other health care providers on oncoming shifts
Chain of Infection
Infectious agent
reservoir
portal of exit
mode of transmission
port of entry
susceptible host
What can be a reservoir in the chain of infection?
food, oxygen, water, temperature, pH, light. holds infectious agent
Subjective data
what the subject (patient) tells you.
verbal description of their health problem.
objective data
what you observe. data you collect
What is the purpose of a health history?
The purpose of the complete health history is to collect Subjective Data, which is what the person says about himself or herself. By combining this Subjective Data with Objective Data from the physical examination and laboratory studies, you create a database to make a judgment or diagnosis about the individual’s health status.
cultural considerations to consider
Involves self-awareness, reflective practice, and knowledge of a patient’s core cultural background
Cultural humility
Requires you to recognize your own knowledge limitations and cultural perspective and thus be open to new perspectives
Show your patients respect and understand their individual needs and differences; do not impose your own attitudes, biases, and beliefs.
Assessing patient allergies
Asking patients whether they have had problems with medications or food clarifies the type and amount of agent, the specific reaction and whether a patient has required treatment. If the patient has an allergy, note the specific reaction and treatment on the assessment form and the special armband provided.
Assessing elderly patients with family present
Consult family members, when appropriate, to fill in any gaps in information.
Don’t shout at them, allow them time to answer, use short questions, and be patient
Performing hygiene care can
nfluences patients’ comfort, safety, and well-being
◦A variety of personal, social, financial, and cultural factors influence hygiene practices.
◦Use communication skills.
◦When providing hygiene, integrate other nursing activities, including patient assessment and interventions.
◦Always ensure privacy, convey respect, and foster a patient’s independence, safety, and comfort.
Accommodating patient preferences
In agency and home care settings, assess each patient’s ability to perform self–hygiene care according to individual needs and preferences. When making adaptations for hygiene techniques and approaches, always ensure privacy, convey respect, and foster a patient’s independence, safety, and comfort.
Critical thinking importance
Integrate nursing knowledge.
Consider developmental and cultural influences.
Think creatively.
Be non-judgmental and confident.
Draw on your own experiences.
Rely on professional standards.
Appropriate use of PPE
Health care workers protect themselves from contact with infectious material, sharps injury, and/or exposure to communicable diseases by applying knowledge of the infectious process and using appropriate personal protective equipment (PPE).
