Rnur 131

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dorothy
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101595
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Rnur 131
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2011-09-14 13:36:29
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Rnur 131 Exam
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Chap 1,2,3,4,18,46
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  1. What are Maslow's Hiearchy of basic human needs?
  2. Definition of nursing:
    • -Nutrix, nourish
    • - Care of others
    • - Promotion of health, prevention of illness, collaborative care
    • - Social policy statement
  3. Nursing is a blend of both __ and __ .
    Science: the knowledge base for the care that is given.

    Art: skilled application of that knowledge to help others reach maximum health and quality of life
  4. The definition of health:
    The state of complete physical, mental, and social well-being, not merely the absence of disease or informity.
  5. Florence Nightingale
    • - The lady with the lamp
    • - Organized nursing care during Crimean War
    • - Began the 1st formal school of nursing
  6. Contributions of Florence Nightingale include:
    • 1. Patient needs and role of nurse
    • 2. Standards for hospital mgmt
    • 3. Nursing education & continuing ed.
    • 4. Respectable occupation for women
    • 5. 2 components of nursing- health & illness
    • 6. Nursing is separate & distinct from medicine.
    • 7. Occupational & recreational therapy for ill.
    • 8. Maintained accurate records--nursing research
  7. Important People in Nursing History:
    -Clara Barton
    -Dorothea Dix
    -Linda Richards
    -Lillian Wald
    -Mary Elizabeth Mahoney
    • -Clara Barton: Red Cross
    • -Dorothea Dix: Civil war crusades for mentally ill
    • -Linda Richards: 1st trained nurse; Records/Orders
    • -Lillian Wald: Public health nursing
    • -Mary Elizabeth Mahoney: 1st Black nurse to grad
  8. Important People in Nursing History
    -Harriet Tubman
    -Sojourner Truth
    -Isabel Hampton Robb
    -Lavinia Dock
    -Mary Breckenridge
    • -Harriet Tubman: Underground railroad, Union army
    • -Sojourner Truth: Civil War; Women's Movement
    • -Isabel Hampton Robb: American Nurses Assoc.
    • -Lavinia Dock: Right to vote
    • -Mary Breckenridge: 1st School of Midwifery
  9. Nursing is recognized as a profession based on:
    • 1. Well-defined body of spcific and unique knowledge
    • 2. Strong service orientation
    • 3. Recognition by professional group
    • 4. Code of ethics
    • 5. Prof'l org that sets standards
    • 6. Ongoing research
    • 7. Autonomy
  10. Degrees of Nursing:
    • Vocational
    • -LPN

    • RN
    • - Associate Degree in Nursing
    • - Baccalaureate in Nursing

    • Graduate Level
    • - Masters: CNS, PRN, NP, sup, CRNA,
    • - PhD: educator, organizational mgmt
  11. Expanding Role of the Nurse
    • CNS (Clinical Nurse Specialist)
    • NP (Nurse Practitioner)
    • CRNA (Nurse Anesthetist)
    • Midwife
    • Educator
    • Administrator
    • Researcher
    • Entrepeneur
  12. Professional Nursing Organizations
    • 1. International Nursing Organization
    • 2. National Nursing Organizations
    • - ANA American Nurses Organization
    • - NLN National League for Nursing
    • - AACN American Assoc of Colleges in Nursing
    • - NSNA Nat'l Student Nurses' Association
    • - specialy practice/special interest orgs
  13. Nurse Practice Act
    • Laws in each state that regulate practice of nursing
    • - Protect public by excluding untrained people
    • -Create State Board
    • -Define legal scope
    • -Establish criteria for licensure
  14. Nursing Process
    • -Major guideline for nursing practice
    • -Helps nurses implement their roles
    • -Integrates science & art of nursing
    • -Allows nurses to critically think
    • -Defines the areas of care that are within the domain of nursing
  15. Erik Erikson

    Believed development is a continuous process, divided in eight stages from birth to death.
    • Trust vs. Mistrust Infancy
    • Autonomy vs Shame & Doubt Toddler
    • Initiative vs Guilt Preschool
    • Industry vs Inferiority School-aged children
    • Identity vs Role Confusion Adolescence
    • Intimacy vs Isolation Young Adulthood
    • Generativity vs. Stagnation Middle Adulthood
    • Ego Integrity vs Despair Later Adulthood
  16. Maslow's Theory in Nursing
    • - Recognize unmet needs before they become healthcare needs.
    • - Levels are interrelated & multiple levels may require intervention at one time.
  17. Family Defined
    • - any group of people who live together
    • - 2 or more people related thru blood, marriage, adoption or birth
    • - 2 or more people emotionally involved and living together
  18. Family Functions
    • - Physical
    • - Economic
    • - Reproductive
    • - Affective and coping
    • - Socialization
  19. Community Defined
    Specific population or group of people living in the same geographic area under similar regulations and having common values, interests and needs.

    Formed by the characteristics of the people in it.
  20. Community Factors Affecting Health
    • - Social and support systems
    • - Community healthcare structure
    • - Economic resources
    • - Environmental factors
    • - Nursing in the community
  21. Culture Defined
    • Shared system of beliefs, values, and behavioral expectations that provide social structure for daily living.
    • - Subcultures
    • - Dominant & Minority Groups
    • - Cultural Assimilation or Acculturation
    • - Culture shock
  22. Ethnicity Defined
    The sense of identification with a cultural group, based on common heritage.

    Share unique cultural & social beliefs, behav'l patterns, language/dialect, religion, literature, folklore, music, food, employment patterns.
  23. Race Defined
    Based on physical characteristics: skin, facial features, hair texture, etc.

    Race and Ethnicity are NOT the same.

    • 3 Basic racial groups:
    • - Caucasian
    • - Negroid
    • - Mongolian
  24. Cultural Compentent Healthcare
    • - Healthcare system is a culture itself
    • - Sensitivity to patient diversity
    • - Nursing is the largest subculture
  25. Illness:
    unique response of a person to a disease

    There are 2 types:
    Acute illness: rapid onsent of symptoms and lasting a short time

    • Chronic illness:
    • A permanent change.
    • Irreversible alterations in anatomy & physiology
    • Requires special education for rehab
    • Requires long period of care or support
  26. Stages of Illness Behavior
    • 1. Experiencing symptoms
    • 2. Assuming the sick role
    • 3. Assuming a dependent role
    • 4. Achieving recovery and rehabilitation
  27. MODELS OF HEALTH & ILLNESS

    1. Agent-Host-Environment
    2. Health-Illness Continuum
    3. High-level Wellness Model
    4. Heatlh Belief Model
    5. The Health Promotion Model
    • Agent-Host-Environment
    • Useful in examining causes of disease.
    • All 3 interact to create risk factors.
  28. MODELS OF HEALTH & ILLNESS

    1. Agent-Host-Environment
    2. Health-Illness Continuum
    3. High-level Wellness Model
    4. Heatlh Belief Model
    5. The Health Promotion Model
    • Health-Illness Continuum
    • Constantly changing state with high wellness & death on opposite ends.
  29. MODELS OF HEALTH & ILLNESS

    1. Agent-Host-Environment
    2. Health-Illness Continuum
    3. High-level Wellness Model
    4. Heatlh Belief Model
    5. The Health Promotion Model
    • High-level Wellness Model
    • Wellness as an active state.
    • Caring for the total person.
    • Incorporates Being, Belonging, Becoming, Befitting
  30. MODELS OF HEALTH & ILLNESS

    1. Agent-Host-Environment
    2. Health-Illness Continuum
    3. High-level Wellness Model
    4. Health Belief Model
    5. The Health Promotion Model
    • Health Belief Model
    • - Used for health teaching
    • - Perception of what is true about self in relation to own health.
    • - Factors impacting health beliefs include: age, race, culture, etc.

  31. MODELS OF HEALTH & ILLNESS

    1. Agent-Host-Environment
    2. Health-Illness Continuum
    3. High-level Wellness Model
    4. Heatlh Belief Model

    5. The Health Promotion Model
    • Health Promotion Model
    • Multidimensional nature of persons interacting with their environment as they pursue health.
  32. Factors Affecting Health
    • Risk factors for illness
    • Factors in the human dimensions
    • Beliefs and practice
    • Basic human needs
    • Self-concept
  33. Human Dimensions
    Factors influencing a person's health-illness status, beliefs and practice relate to the person's human dimensions.
  34. Levels of Preventative Care
    1. Primary
    2. Secondary
    3. Tertiary
    • 1. Primary: diet, excercise, immunizations
    • 2. Secondary: screenings, mammograms, family counseling
    • 3. Tertiary: medications, surgical treatment, rehabilitation
  35. Principles of Growth & Development
    • Predetermined genetic base
    • Environmental factors
    • Psychosocial factors
    • Orderly and sequential
    • Continuous and complex

    18.361
  36. Spirituality
    anything that pertains to a person's relationsihp with a nonmaterial life force or higher power

    There are 3 spiritual needs:
    • 1. meaning and purpose
    • 2. love and relatedness
    • 3. forgiveness

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