Week 6 Objectives

Question 1

Two views of the nursing process

Answer 1

Linear process, circular process

Question 2

Linear process

Answer 2

step by step depiction of nursing work, mirrors the scientific process, provides framework that helps nurses identify their contribution to care

Question 3

Circular process

Answer 3

the understanding that every step of the nursing process may be happening all at once and that the nurse may be addressing multiple client needs at the same time

Question 4

Standard nursing process

Answer 4

treatment of patients conditions or problems, scientific approach and designed for novice nurses, linear model, illness based and task based care

Question 5

Holistic caring process

Answer 5

derived from standard nursing process, centered around the whole person and holistic principles, health promotion, prevention, support, advocacy for patient, family, community, circular process, integrative and the whole person approach.

Question 6

The holistic care process includes

Answer 6

assessment, diagnosis, planning, implementation, evaluation, core values, and standards of practice for holistic nursing

Question 7

assessment

Answer 7

the holistic nurse collects comprehensive data pertinent to the person’s health and or the situation

Question 8

diagnosis

Answer 8

the holistic nurse analyzes assessment data to determine the diagnosis or issue expressed as actual or potential patterns, problems, needs, or health issues

Question 9

planning

Answer 9

develops a plan with strategies and alternatives to attain expected outcomes

Question 10

identification

Answer 10

the holistic nurse identifies expected outcomes for an individualized care plan for the person and or the situation

Question 11

intervention

Answer 11

the holistic nurse implements the identified plan in partnership with the person

Question 12

evaluation

Answer 12

the holistic nurse in partnership with the client evaluates progress toward attainment of outcomes while recognizing and honoring the dynamic and holistic nature of the healing process

Question 13

Reflective practice in holistic nursing

Answer 13

mindful process of self observation, helps nurse resolved values and nursing practice contradictions to gain new self insights and empowerment

Question 14

Relationship between psychosocial factors and overall health

Answer 14

social, spiritual, biological, psychological

Question 15

Biophsychosochial

Answer 15

view of health as a holistic approach to nursing

Question 16

what can play a role in your overall health

Answer 16

psychological state and social development

Question 17

Maslow’s hierarchy of needs

Answer 17

physiological, safety, love and belonging, esteem, self actualization

Question 18

Erikon’s 8 stages of psychosocial development

Answer 18

trust vs mistrust, autonomy vs shame and doubt, initiative vs guilt, industry vs inferiority, identity vs role confusion, intimacy vs isolation, generatively vs stagnation, integrity vs despair.

Question 19

Factors that affect a person’s self concept

Answer 19

overall view of oneself, who you think you are

Question 20

factors that affect a person’s dynamic self

Answer 20

subject to change through social and environmental factors

Question 21

Four components that contribute to self concept

Answer 21

personal identity, body image, self esteem, role performance

Question 22

role strain

Answer 22

mismatch between expectations and reality

Question 23

interpersonal role conflict

Answer 23

ideas of how to perform differ from another person

Question 24

interrole conflict

Answer 24

two roles have competing demands on a person

Question 25

Psychosocial assessment

Answer 25

what a person thinks and feels is equally important to their health

Question 26

Comprehensive psychosocial assessment

Answer 26

biological detail, recent life changes or stressors, history of mental health issues, family relationships.

Question 27

communication strategies

Answer 27

be aware of biases, use active listening, use open and positive voice and body language, keep focus on patient, be respectful to sensitive cultural and gender specific details, provide feedback

Question 28

techniques for communication

Answer 28

go from big to small, open ended questions, watch patients cue’s

Question 29

nursing plan of care

Answer 29

medical, nursing

Question 30

medical

Answer 30

describes a disease, illness, or injury

Question 31

nursing

Answer 31

human response to disease, injury, or stressors

Question 32

problem based

Answer 32

problem response with signs and symptoms present

Question 33

health promotion wellness

Answer 33

patient willingness to improve knowledge, coping, or promote health

Question 34

roles and relationships

Answer 34

roles within family and society, communication within these systems, responsibilities

Question 35

values/beliefs

Answer 35

standard of behavior and convictions they hold true, effect on health decisions and actions, impact overall well being

Question 36

coping and stress tolerance

Answer 36

coping patterns and the effectiveness of them in stress management, stress level, resilience, coping strategies, social networks, supports, problem solving ability

Question 37

activity and rest

Answer 37

planned exercise, recreation and leisure activities, normal everyday actives

Question 38

sleep and rest

Answer 38

quality and amount of sleep, feelings of restfullness

Question 39

Nurses role with patient’s

Answer 39

not diagnosis, but assessments on patients behavior

Question 40

risk factors nurses look for when it comes to anxiety and depression

Answer 40

family history, low self esteem, negative thinking, prior failure of coping mechanisms

Question 41

Symptoms nursing watch for when it comes to anxiety and depression

Answer 41

cognition, behaviors, lifestyle effects, physiological effects

Question 42

Nursing diagnoses

Answer 42

hopelessness, suicide risk, powerlessness, alerts that are warnings to suicide

Question 43

Signs nurses have to know

Answer 43

feeling burned, being isolated, increased anxiety, feeling trapped or in unbearable pain, increased substance use.

Question 44

Interventions you could take as a nurse

Answer 44

establish a bond, understanding, acceptance, promote activity, encourage good nutrition and hydration, build self esteem.

Question 45

mild anxiety

Answer 45

normal in day to day living

Question 46

moderate anxiety

Answer 46

perceptual field narrows, focus on self and need to relieve discomfort, distracted easily, more uncomfortable physical symptoms

Question 47

severe anxiety

Answer 47

can only focus on one detail or total focus on self, severally limited concentration, more obvious physical symptoms

Question 48

panic anxiety

Answer 48

unreasonable and irrational, may misperceive cues, lose contact with reality, withdraw, cannot function or communicate

Question 49

Anxiety with a nurses role

Answer 49

observe behavior, objective data, subjective data, cognitive changes

Question 50

Actions a nurse should make for patients with anxiety

Answer 50

help find a source, provide calm and safe environment, be present, stay with the client, establish trusting relationship, utilize therapeutic communication, assist with relaxation techniques