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NURS 202 Premidterm > Unit 1 > Flashcards

Unit 1 Flashcards

1
Q

Problem-focused dx

A

Describes existing problem

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2
Q

Risk dx

A

Describes potential prob that pt is vulnerable to

Risk for _____ r/t _________

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3
Q

Health Promotion dx

A

Describes pt’s, family’s or community’s desire to realize human health potential. Focus = being as healthy as possible.
Ex: Effective breastfeeding

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4
Q

Syndrome dx

A

Group of S&S that occur together

Ex: Sleep deprivation

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5
Q

Characteristics of Critical Thinkers

A
  1. Raise Q’s
  2. Willingness to search for answers
  3. Inquisitive
  4. Eager to acquire new knowledge
  5. Consider multiple perspectives
  6. Explore ideas/problems in new ways
  7. open-minded
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6
Q

What is Critical Thinking

A

character + knowledge + skills

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7
Q

What is the Nursing Process

A

Problem-solving process

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8
Q

ADPIE

A 
Assessment
Diagnosis
Planning
Implementation
Evaluation
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9
Q

2 Types of data

A

Subjective (what a pt “says”)

Objective (measurable)

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10
Q

Secondary sources of data

A

Family, friends, caregivers, pt records, literature

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11
Q

Steps after assessment

A
  1. Cluster (like info together)
  2. Validate
  3. organize
  4. Document
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12
Q

What is etiology

A

problem + reason

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13
Q

Nursing diagnosis format?

A

Diagnostic label + related factors

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14
Q

Diagnosis formula =

A

problem + r/t + reason

impaired comfort r/t bld glucose testing

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15
Q

Planning:

A

1) initial
2) Ongoing
3) Discharge

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16
Q

Planning has what priority settings:

A

ABC’S
Airways, breathing, circulation, & safety
High, med, low

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17
Q

Characteristics of pt-centered goals (PLANNING)

A

Singular; observable; measurable; time-limited; mutual; realistic.
Short-term / long-term.
Simple

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18
Q

Word formula for planning

A

Combine verb with condition and criterion:

Ex: Patient will demonstrate minimal episodes of agitation
as evidenced by a calm demeanor over 48 hours

19
Q

What do you always use with implementation

A

scholarly resources

20
Q

During implementation when do you initiate interventions…after:

A
  1. Reassessing the pt
  2. Organize resources
  3. Anticipate/prevent complications
21
Q

What is the evaluation focused on?

A

ONLY Pt and Plan

22
Q

What is the evaluation NOT focused on

A

Nurses action

23
Q

What part do you refer to during evaluation step?

A

The goal

24
Q

What are the 3 Outcomes of goal?

A
  1. Goal met
  2. Goal partially met
  3. Goal not met
25
Q

1.
According to the biomedical model, a narrow definition of health is:
a) an optimal functioning of mind, body, and spirit within the environment.
b) the absence of disease.
c) the response of the whole person to actual or potential problems.
d) prevention of disease.

A

B

26
Q 
2.
What type of database is most appropriate when a rapid collection of data is required and is often compiled concurrently with life-saving measures?
  A. Episodic
  B. Follow-up
  C. Emergency
  D. Complete
A

C

27
Q
  1. A medical diagnosis is used to evaluate:
    A. a person’s state of health.
    B. the response of the whole person to actual or potential health problems.
    C. a person’s culture.
    D. the cause of disease.
A

D

28
Q
  1. Which of the following is considered an example of subjective data?
    A. Decreased range of motion
    B. Crepitation in the left knee joint
    C. Left knee has been swollen and hot for the past 3 days
    D. Arthritis
A

C

29
Q 
5. What type of database is most appropriate for an individual who is admitted to a long-term care facility?
  A. Episodic
 B.  Follow-up
 C.  Emergency
 D.  Complete
A

D

30
Q 
6. Which of the following is considered an example of objective data?
 A.  Alert and oriented
 B.  Dizziness
 C. An earache
  D. A sore throat
A

A

31
Q
  1. An example of objective data is:
    A. complaint of left knee pain.
    B. crepitation in the left knee joint.
    C. left knee has been swollen and hot for the past 3 days.
    D. report of impaired mobility from left knee pain as evidenced by an inability to walk, swelling, and pain on passive range of motion.
A

B

32
Q
  1. A nursing diagnosis is best described as:
    A. a determination of the etiology of disease.
    B. a pattern of coping.
    C. an individual’s perception of health.
    D. a concise statement of actual or potential health concerns or level of wellness.
A

D

33
Q
  1. A complete database is:
    A. used to rapidly collect data and is often compiled concurrently with life-saving measures.
    B. used for a limited or short-term problem usually consisting of one problem, one cue complex, or one body system.
    C. used to evaluate cause and etiology of disease.
    D. used to perform a thorough or comprehensive health history and physical examination.
A

D

34
Q
  1. A patient admitted to the hospital with asthma has the following problems identified, based on an admission health history and physical assessment. Which problem is a first-level priority?
    A. Ineffective self-health management
    B. Risk for infection
    C. Impaired gas exchange
    D. Readiness for enhanced spiritual well-being
A

C

35
Q

Which of the following statements about nursing diagnoses is true? Nursing diagnoses:
A. Evaluate the reason for a disease.
B. Are a process based on medical diagnosis alone.
C. Evaluate the response of the patient to actual or potential health problems.
D. Focus on the function and malfunction of a specific organ system in response to disease

A

C

36
Q

What are the SMART Outcomes

A 
Specific
Measurable 
Attainable 
Realistic
Time
37
Q

4 major components of diagnostic reasoning

A
  1. Attending to cues (S&S, info, lab data)
  2. Formulating diagnostic hypotheses
  3. Gather data
  4. Evaluate hypothesis …leads to final diagnosis
38
Q

Evidence-informed practice uses: (3) _______ to make decisions about care & treatment

A
  1. best evidence
  2. Clinician’s experience
  3. Pt’s preferences & values
39
Q

Biomedical health model

A

Absence of disease

40
Q

Behavioral Model

A

include primary and secondary prevention with emphasis on changing behaviour and lifestyle.

41
Q

Socioenvironmental Model

A

biomedical + behavioural models + sociological and environmental aspects of health.

42
Q

Social determinants of health

A

social, economic, and political conditions that shape the health of individuals, families, and communities.

43
Q

Relational Approach to Nursing Practice

A

considers health and illness and the meaning they hold as being shaped by social, cultural, family, historical, and geographical as well as by the patient’s gender, age, ability, and other individual contexts.

44
Q

Steps to setting priorities

A
  1. 1st level (ABC’S + V[vital sign concerns])
  2. 2nd level (mental status, acute pain, irregular lab, ect)
  3. 3rd level (lack of knowledge, rest, coping)
  4. Collaborative problems

NURS 202 Premidterm (8 decks)

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