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Nursing Fall 2014 > Theory Exam 2 (Oxygenation, Ethics, Communication) > Flashcards

Theory Exam 2 (Oxygenation, Ethics, Communication) Flashcards

1
Q

Sender, Message, Receiver

A

Linear Comm Model

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2
Q

Meta-communication, Feedback, Validation

A

Circular Transactional Model

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3
Q

equal role relationships - the nurse is working with the client as a partner in developing mutually defined goals and the means to achieve them

A

symmetrical role relationships

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4
Q

role relationship where lead in process - nurse is working with client as clinical expert helping the client achieve mutually determined goals

A

Complementary role relationships

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5
Q

Theorist who believes:

1) Doing “to” or “for” patient medical treatments
2) doing “with” client relationship; active engagement assitance info encouragement
3) good comm with clients results in successful relationship with high client satisfactory outcomes

A

Dr. Hildegard Peplau, PhD, RN

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6
Q

Pre-Interaction
Orientation
Working/Identification/Exploitation
Termination

A

4 Phases of Therapeautic Relationship

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7
Q

Info gathering

Creating environment

A

Pre-interaction

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8
Q

Building trust
Begin assessment
Provides Support
Provide Structure

A

Orientation Phase

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9
Q 
Pacing
Develop realistic goals
Focus on client strengths
Anticipatory guidance
Alternative solutions
Challenging resistive behavior
Referral
A

Working Phase

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10
Q

Summarize/Evaluate
Expression of attidues and feelings as they relate to the specific health care conerns of the client
Follow up planning
Resources for continued support

A

Termination Phase

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11
Q

C=connect with client
A=appreciate client’s situation
R=respond to client needs
E=empower client to problem solve with you

A

CARE

Bridges to Therapeautic Comm

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12
Q

Anxiety
Stereotyping
Violation of Personal Space
Environmental

A

Barriers to Therapeutic Comm

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13
Q

use correct name
eye contact
open posture
responds to cues

A

Accepting Lev 1

Levels of Nursing Action

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14
Q

nods head
smiles
encourages response
therapeutic silence

A

Listening Lev 2

Levels of Nursing Action

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15
Q

Open ended questions
Restates problem
Validates perceptions
Acknowledges confusion

A

Clarifying Lev 3

Levels of Nursing Action

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16
Q

Honest, complete answers
Assess client’s knowledge
Summarizes

A

Informing Lev 4

Levels of Nursing Action

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17
Q

Idneitifies unk emotions
Interprets underlying meanings
Confronts conflict

A

Analyzing Lev 5

Levels of Nursing Action

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18
Q

spontaneous groups, linked to values (same values as you)

A

primary groups

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19
Q

not spontaneous groups, have a purpose, time limited strucutre

A

secondary communication groups

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20
Q 
Forming
Storming
Norming
Performing
Adjourning
A

5 phases of group process

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21
Q

members join, trust develops

A

Forming

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22
Q

try to understand other members, bouundaries develop conflicts w/members arise

A

Storming

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23
Q

behavioral standards emerge, more cohesiveness

A

Norming

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24
Q

group accomplishes task - work together well

A

Performing

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25
group meets their goals and disbands
adjourning
26
Belief about the worth of something - given idea, attitude, or custom - set of standards - help decision making - can change over time - influence behavior - reflect cultural and social influences
Values
27
developed from life experiences vs. from professional socialization
personal and professional values
28
``` altruism autonomy human dignity social justice integrity ```
nursing values
29
a systematic inquiry into principles of right and wrong - describe professional conduct - used to interpret and analyze situations in decision making - cost containment, end-of-life, breaches of patient confidentiality, illegal practices of colleagues
Ethics
30
``` autonomy beneficence nonmaleficence justice veracity fidelity confidentiality ```
principles of health care ethics
31
implies the freedom to make choices and decisions about one's own care without interference
autonomy
32
Duty to Actively Do Good for Patients
Beneficence
33
Duty to Prevent or Avoid Doing Harm, Whether Intentional or Unintentional
Nonmaleficence
34
The Duty to be Faithful to Commitments; Protecting confidential info; Maintaining privacy and trust
Fidelity
35
Duty to Treat All Patients Fairly, Without Regard to Status | -ALlocation of Health care resources
Justice
36
Duty to Tell the Truth
Veracity
37
Duty to keep patient health info private and protected
Confidentiality
38
Founded in 1800s - Est standards of practice - Encourages research for Advanced Practice Nurses - Represents nursing for legislative action - Supports STudent Nurses - Makes decision about fxns, activities and goals of nursing profession - goals are to improve standards and promote the professional development of nurses
American Nurses Association
39
Blueprint for professional goals and values Nurses accept responsibliy Provide guidance for conduct
American Nurses Association
40
- Inform public about minimum standards of the profession - Helps public understand professional nursing conduct - Provides a sign of the profession’s commitment to the public - Outlines the major ethical considerations of the profession - Provides general guidelines for professional behavior - Guides the profession in self regulation
ANA Code of Ethics Functions
41
- Tech advancements - Reproductive medicine - Quality of life - Futile Care - Organ Procurement - Genetic engineering - Physician assisted suicide - Abortion - Allocation of scarce resources
Ethics in this milllennium
42
- Involves "Correct behavior" - Deals with human interactions that involve the integrity of life or health - Refers to personal or community standards of right and wrong - What you think is "Right or Wrong" based on your personal beliefs and values
Morals
43
Nurses are governed by ___ of Washington which is determined by the state legislature and enforced by the Washiington Nursing Care Quality Commision
Nurse Practice Act of Washington
44
Statutory Regulatory/Administrative Common Law
Sources of Law
45
Nurse Practice Act | ADA
Statutory
46
State board of Nursing
Regulatory/Administrative
47
Informed consent
Common Law
48
Violation punishable by state | -result in prison term or fine
Crime (Criminal Law)
49
Results in civil trial | Compensation for damages
Tort (civil law)
50
An action or omission that harms someone
Tort
51
Failure to use such care as a reasonably prudent and careful person would use under similar circumstances
Negligence | Unintentional Tort
52
Improper or unethical conduct or unreasonable lack of skill by a holder of a professional or official position
Malpractice | Unintentional Tort
53
Assessment errors Planning Errors Intervention Errors
Neglience: Basic Errors | Unintentional Torts
54
Duty Breach of Duty Causation Damages
4 elements to prove malpractice
55
Failure to: - observe changes in condition - provide for pt safety - assess pt - question orders - perform procedure according to proper standard of care - properly give meds - document pts condition, treatment, and response to treatment
7 Common reasons for law suits filed against nurses
56
Legal responsibility to pay damages
Liability
57
client relationship documentation use of protective devices for residents/clients use of restraints for residents/clients
Minimizing liability
58
General consent Informed consent Implied consent Emergency consent
Types of Consent for Care
59
Abuse: Physical, Verbal, Sexual, Emotional Neglect Abandonment
Legal Reporting Obligations
60
How often to assess medical restraint?
q24 hours (trying to pull out tube or IV line)
61
How often to assess behavioral restraint?
Q4 hrs (threat to themselves or other person)
62
National Committee for Quality Assurance Audits client records regularly Reimbursement for health care
Joint Commission of Accreditation of Healthcare Organizations (JCAHO)
63
sudden awakening due to SOB. Fluid shifts into lungs when they lay down, suddenly get SOB. Have to sit up in order to breathe.
paoxysmal nocturnal dypsnea
64
difficult breathing
dyspnea
65
difficulty breathing lying down
orthopnea
66
normal breathing
eupnea
67
fast breathing
tachypnea
68
slow breathing
bradypnea
69
stop breathing
apnea
70
periods where they don't breathe
cheyne stokes
71
When someone in diabetic ketoacidosis. respiratory system willt ry to get rid of Co2. Picks up RR (40) to compensate
Kussmal
72
Normal pH ABGs
7.35-7.45
73
Normal PaO2
80-100mmHg
74
PaCO2
35-45 mmHg
75
HCO2
22-26
76
persons inspiration and expiration does not provide adequate ventilation. Dx?
Ineffective Breathing Pattern
77
Unable to clear secretions or obstructions. Dx?
Ineffective Airway Clearance
78
Decreased exchange of oxygen and carbon dioxide. Dx?
Impaired Gas Exchange.
79
``` Hydration Positioning Ambulation Deep Breathing IS Pursed Lip Breathing Coughing ```
Respiratory Interventions
80
Decrease in nutrition and oxygen at the cell level (decreased coronary) @ specified area. Dx?
Altered tissue perfusion (specify area)
81
Inadequate amount of blood pumped. Dx?
Decreased cardiac output
82
Dx for? Insufficient physiological or psychological energy to endure or complete ADLs
Activity Intolerance
83
Dx for? The state in which one experiences increased fluid retention and edema
Fluid volume excess
84
Drugs: improve contractility
Inotrophic drugs
85
Drugs: Lasix, help you lose fluid volume
Diuretics
86
Drugs: slow down the heart rate (heart won't have to work as hard)
Beta blockers
87
Drugs: end in "pril," work on kidneys to block aldosterone production so you don't retain water.
ACE inhibitors
88
Drugs: bring more blood flow, but can cause hypotension
Vasodilators

Nursing Fall 2014 (5 decks)

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