Unit III Exam 2 Flashcards

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1
Q

What is a disciplin specific, reflective, reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns?

A

Critical thinking

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2
Q

Critical analysis

A

Determining essential information

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3
Q

Socratic questioning

A

Differentiate between truth & assumptions

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4
Q

Inductive reasoning

A

Specific example to generalized conclusion

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5
Q

Deductive reasoning

A

From generalized to specific conclusion

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6
Q

What level of anxiety is the best to learn something at?

A

Mild

Stimulates learning

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7
Q

Relativism

A

Knowledge is relevant

When you are older

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8
Q

Assumes there is only one right answer

A

Dualism
Best way is to memorize
When you are young

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9
Q

Collect data, analyze, formulate solutions, implement action & evaluate

A

Problem solving process

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10
Q

Approach that enables nurses to manage explosion of new literature & knowledge
Allows nurses to search for, assess & apply best practices to care

A

Evidenced based practice

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11
Q

Three main elements of evidenced based practice

A

Best evidence from well designed research studies
Clinicians expertise
Pt’s values & preferences

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12
Q

PICO

A

P- pt

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13
Q

Which is the fastest growing subgroup of the late adulthood population?

A

85-99 years old

The old old

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14
Q

What is the current % of individuals older than 65 years old?

A

13%

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15
Q

During as dement you suspect the pt may be depressed, your next action is to?

A

Administer the geriatric depression scale short form

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16
Q

What is thought to be the primary cause of aging?

A

Genetic theory

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17
Q

Safety issues with the elderly

A

Side rails up
Bed lowest position
dangle @ bedside b4 standing
Shoes with non skid soles

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18
Q

When can restraints be used? What do the prevent?

A

Only as a last resort & by MD order

Helps with preventing falls, pulling out iv’s

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19
Q

Reality orientation

A
Aware of:
Person
Place
Time
Circumstance
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20
Q

Turn non ambulatory pt’s every?

A

Every 2 hours

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21
Q

Slow insidious progressive loss of cognitive function, chronic state

A

Dementia

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22
Q

Usually transient condition characterized by difficult concentration, disorganized thinking, sensory misperceptions, acute state

A

Delirium

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23
Q

Are adult day care centers acceptable?

A

Yes

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24
Q

What is the purpose of teaching?

A

Promote health
Prevent illness/injury
Restoration of health
Adapting to altered Heath & function

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25
Q

Process of activities intended to produce learning

Dynamic interaction between teacher & student

A

Teaching

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26
Q

Manipulated environment for intended response

Pavlov’s dog

A

Behaviorism

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27
Q

Refers to rational thought

Teach from simple to complex

A

Cognitive

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28
Q

Difficult to measure learning in this domain

A

Affective domain

29
Q

Learn skills that require integration of knowledge with muscular activity

A

Psychomotor domain

30
Q

Learning is self motivated, self initiated & evaluated

A

Humanism

Uses both cognitive & affective domains

31
Q

Name some factors that effect learning.

A

Motivation

Active involvement

32
Q

What domain of learning does learning take place?

A

Cognitive
Affective
Psychomotor

33
Q

What are key factors in cognitivism?

A

Developmental & individual readiness

34
Q

Geragogy

A

Teaching older adults

Takes longer to process information

35
Q

Subjective, non specific feeling of uneasiness, tension, apprehension or impending doom

A

Anxiety

36
Q

T/F

Anxiety is not the same as stress

A

True

37
Q

Symptoms of anxiety

A
Increase: B/P, heart rate
Palpations
Nausea
Wringing of hands
Confusion 
Sweating
38
Q

Nursing process components

A
A- assess
D-diagnosis
P-planning
I-implement 
E-evaluate
39
Q

NANDA

A

Develop, revise nursing diagnosis terminology

40
Q

Pt benefits of the nursing process

A

Helps to provide continuous care, pt centered

41
Q

Nurse benefits of nursing process

A

Enhancing professional creative care, helps effectiveness in daily care
Helps collaborate with other team members & pts

42
Q

Professional benefits of the nursing process

A

Define scope of nursing practice

43
Q

Methods of data collection

A

Observe pt
Interview with pt, family
Physical exam
Chart review

44
Q

Pt’s perception of his/her health problems
Involves feelings “ my leg hurts”
Pt is only one who can provide this data
Symptoms

A

Subjective

45
Q

Observations or measurements made by data collector
Sources include physical exam, diagnostic results, pt records
Signs

A

Objective

46
Q

Who is the primary & best source of data

A

Pt

47
Q

Data validation

A

Double check your data

Ensure accuracy of info

48
Q

Data that is acquired through the 5 senses

A

Cues

49
Q

Nurses judgement or interpretation of cues

A

Inferences

50
Q

A clinical judgement about individuals, family or community responses to actual or potential health or life processes

A

Nursing diagnosis

51
Q

Types of nursing disgnoses

A

Actual
Risk
Wellness

52
Q

Steps in developing a nursing diagnosis

A
Identify problem (NANDA list)
Identify etiology (related to factors)
Identify the defining characteristics (signs & symptoms)
53
Q

Actual nursing diagnosis

A

Statement comes from NANDA list

54
Q

Risk nursing diagnosis

A

2 part statement
No signs & symptoms
Ex.
Risk for falls r/t fatigue and altered gait

55
Q

A clinical judgement about a individual, family or community in transition from a specific level of wellness to a higher level of wellness

A

Wellness diagnosis

56
Q

Medical diagnosis

A

Goal - cure disease

57
Q

Nursing diagnosis goal

A

Treat human response not disease

Caring for mind, body, spirit

58
Q

Physiological problems that nurses monitor & collaborate with medicine for co-treatment

A

Collaborative problems

59
Q

Descriptive statements about what the pt’s state will be after the nursing interventions are carried out

A

Expected outcomes

60
Q

Criteria for writing expected outcomes

A
Clear concise
Specific (be able to measure)
Realistic for pt
What the pt will accomplish
Includes a time frame
61
Q

The # 1 intervention is?

A

Assess

62
Q

Types of nursing interventions

A

Independent- things done without MD order
Dependent-require MD order
Interdependent-standing orders, protocols

63
Q

Cognitive NI

A

Teach

Education

64
Q

Interpersonal NI

A

Use therapeutic communication

65
Q

Technical NI

A

Perform routine nursing activities

66
Q

Monitoring NI

A

Ongoing assessment of pt

67
Q

Carrying out the proposed plan of care to resolve the problem

A

Implementing

68
Q

Determine the pt’s response to the MI’s & the extent to which the EO’s have been achieved

A

Evaluating

69
Q

Metacognition

A

Thinking about thinking