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week 2 Flashcards

1
Q

what influences how a nurse applies the nursing process

A

level and time of experience

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2
Q

what guides a novice nurse for the nursing process

A

no experience and use rules to guide them

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3
Q

what guides a proficient nurse for the nursing process

A

more time and experience
understand a patients situation

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4
Q

what guides an expert nurse for the nursing process

A

arrive at a clinical judgement…grasp of a clinical situation and find the solution

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5
Q

significance of assessment in nursing practice

A
  • info abt health state of a person
  • techniques and legal obligations for trust and confidentiality
  • objective and subjective data gathered
  • informs, replenishes or updates a patient’s database
  • diagnostic reasoning
  • foundational to nursing diagnosis
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6
Q

nursing in the context of health models

A

biomedical model
behavioural model
socioenvironmental model
relational approach

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7
Q

what is the biomedical model

A

-assessment and diagnosis focus on treating the pathogen. (disease causing pathogen)

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8
Q

what is the behavioural model

A

assessment and intervention aim at changing human behaviours considered risky

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9
Q

what is the socioenvironmental model

A

-health is looked at broadly as a resource for life
- combines biomedical, behavioural with sociological and environmental factors

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10
Q

what is the relational approach

A

-health is the sum of an individual within their context
- shaped by an interaction of social, cultural, environmental, historical, family and geographical context

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11
Q

systematic health assessments

A
  • comprehensive head-to-toe assessments are done when a patient is admitted at the beginning of each shift
  • brief physical assessments are done as necessary
  • powerful tool for detecting subtle and obvious changed to a patients health
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12
Q

what is episodic assessment

A

-for a limited or short term problem
- concerns one problem, one cue complex or one body system

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13
Q

what is health assessment commonly referred to as

A

health history

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14
Q

what is health history…what are you gathering

A

-overview of the clients current and past health and illness state

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15
Q

what is subjective data provided by

A

-client (primary source)
- clients chart, family members, friends, co-workers, care partners or interpreters (secondary sources)

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16
Q

the nursing process

A

ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation

17
Q

A in the nursing process

A

Assessment
-collect data
review of the clinical record
health history
physical examination
risk assessment
review of literature
-document relevant data

18
Q

D in the nursing process

A

Diagnosis
-compare clinical findings with normal and abnormal variations and developmental events
- interpret data
ID clusters of clues
makes hypotheses
test hypotheses
document diagnosis

19
Q

P in nursing process

A

Planning
-establish priorities
-develop outcomes
-set timelines
-document plan of care
- ID intervention

20
Q

I in nursing process

A

Intervention
- implement in a safe and timely manner
- use community resources
- use evidence based interventions
- document implementation and any modification
- coordinate care delivery

21
Q

e in nursing process

A

evaluation
- progress toward outcome
- conduct systematic, ongoing, criteria-based evaluation
- use ongoing assessment to revise diagnoses, outcomes, plan
-disseminate results to patient and family

22
Q

what is the starting point of diagnostic reasoning

A

organized assessment bc all health care diagnoses, decisions and treatments are based on this info

23
Q

evidence informed clinical decision making includes

A

-physical examination and assessment of patient
- clinical expertise
- patient preferences and values
- evidence from research and evidence informed theories

24
Q

what is an influencing factor

A

situational issues that can arise during a subjective data assessment
-CONSIDER factors that may influence how you ask questions
ex. if withholding info…emphasize confidentiality

25
if a client is hyperaware of the situation and asking why you are asking questions about it....
- share with the clients why you are asking these questions - normalize sensitive questions - encourage the client to ask me questions if they are uncertain as to why this info needs to be shared
26
if a client is downplaying or exaggerating
-seek clarification -reframe the questions i ask - paraphrase what the client said to make sure you understood it
27
if a client is withholding info bc dont like sharing info, feel judged or have a condition that is often stigmatized
- emphasize confidentiality - introduce sensitive questions later in the interview once the therapeutic and trusting relationship is there
28
if clients may not be fully conscious or oriented due to a physical injury, a mental condition, traumatic event or substance use
-be patient and give clients time to think and answer the questions - delay asking some questions until they are recovering - if appropriate, ask other ppl who ca share info about the client to corroborate it -remain nonjudgemental and treat them with respect
29
if a client functions at a developmental age
-tailor your language and tone of voice to the clients' developmental age - use a respectful and professional tone - create safe for others to be involved and/or invite a care partner to be present
30
some cultural and social considerations in nursing assessment are
-rapidly diversifying population - health inequities are on the rise (rich/poor divide is growing) - not all citizens access resources for everyday living equally - some groups are already disadvantaged -being alert to the intergroup differences is a nursing imperative-prepares adequately and explores ill-health causes
31
health promotion tiers
primary prevention-ex sanitation and immunization secondary prevention- ex early disease detection tertiary prevention- ex prevention of complications when a condition or dieases has progressed all these factors impact a nurses ability to understand the natural history of a disease
32
define health promotion
the process of enabling people to increase control over and to improve their health
33
examples of social determinants of health and what part of health history it affects
-socioeconomic environment...biographical data and functional assessment - physical environment...functional assessment - health childhood development...developmental history - personal health practices...health promotion and harm reduction approaches - individual capacity and coping skills...functional assessment - biology and genetics...family history - health services...most recent examination - gender...biographical data - culture and social considerations...biographical data and perception of health
34
what is ethnicity
complex concept that implies geographical and national affiliation -encompasses "race", origin or ancestry, identity language and religion
35
what is cultural sensitivity
health care providers should be aware of and accommodate peoples values, beliefs, customs and practices
36
what is cultural competence
application of knowledge, skills, attitudes or personal attributes required by nurses to maximize respectful relationships with diverse populations of clients and co workers
37
how have policies affected indigenous peoples in canada
-lack of employment opportunities - limited access to educatinoal programs -inadequate and crowded housings - high levels of poverty
38
relative poverty
situation in which individuals are unable to carry out or participate in the activities expected in a wealthy developed nation such as canada ex. access to food, clothes, other amenities -womens poverty is very worrying here
39
how is active listening beneficial
-establishes trust so that you can obtain a deeper understanding of the explanatory model...assessing pateints culturally based undersatngins - some of it is cues

health assessment (4 decks)

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