MS FALL FINAL

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sanchez
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MS FALL FINAL
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2011-12-08 00:32:55
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MS FALL FINAL
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  1. proficiency in a task; ability in an activity

    ex. Ability to administer own glucose test
    competence
  2. experiencing information by touching, feeling, doing
    kinesthetic learning
  3. these are examples of ______ type of learning

    Role playing, games, rewriting, short lecture to try new methods, workbooks, lab manuals etc.
    kinesthetic learning
  4. ________ identify assumptions, ask questions, evaluate evidence, examine alternatives, and seek to
    understand various points of views
    critical thinkers
  5. what are priorities of care for a client focused on?
    clients current health status
  6. state of complete physical, mental, and social well being, not merely the absence of disease or infirmity
    health
  7. Balance equilibrium; balance of stability that the body
    strives to achieve among these aspects of a persons life by continuous adaptation
    homeostasis
  8. lifestyle design that helps maintain the highest potential for personal health, a choice, responsibility
    wellness
  9. care of the whole person including physical, mental, emotional, and spiritual aspects
    holism
  10. when members of a minority group are absorbed by the dominant culture taking on characteristics of the
    dominant culture
    cultural assimilation
  11. assumption of cultural superiority and inability to accept another culture’s ways, results in oppression.
    ethnocentrism
  12. Responsibility of nurse if you suspect you co-worker is
    taking narcotics:
    *Board of nursing requires nurses to REPORT impaired coworkers.
  13. 3 things to do when a coworker is suspected of abusing drugs or alcohol the nurse should:
    1. Document dates and times and observed behavior

    2. Report it to the supervisor

    3. DO NOT approach or confront coworker yourself
  14. Integrated dynamic structure of knowledge, attitudes,
    behavior, beliefs, ideas, habits, customs, languages, values, symbols, rituals, and ceremonies unique to a particular group of people.
    culture
  15. Primary focus of interdisciplinary team in caring for a client:
    • Focus on the CLIENT and FAMILY is an essential
    • component of the rehabilitation process
  16. learning domain that involves attitudes, beliefs, and
    emotions; used in making judgments.

    Ex: client begins to accept lifestyle changes
    affective
  17. learning domain that involves intellectual
    understanding. learning involving facts and data. Used in decision-making and problem solving.
    Ex: client states possible complications
    cognitive
  18. learning domain that involves performance of motor skills. Used in physical application of
    knowledge. Ex: Client uses glucose monitor
    psychomotor/reflective
  19. What does Client education focus on:
    ability to practice healthy behaviors

    ability to care for self
  20. 4 things client education may do:
    1. Improve quality of care

    2. Improve compliance with treatment regimens

    3. Decrease length of hospital stay

    4. Decrease chance of hospital readmission
  21. aim, intent, or end
    goal
  22. Primary source of data:
    client
  23. secondary source of data
    family members, health care provider, medical record
  24. Steps of nursing process
    ADPIE

    assessment, diagnosis, Planning, Implementation, Evaluation
  25. systematic collection, verification, organization, interpretation, and documentation of data. involves data collection, validation, organization, interpretation,
    and documentation.
    Assessment
  26. PURPOSE OF ASSESSMENT:
    GIVE NURSE INFORMATION ABOUT:
  27. ABILITY, BEHAVIORS, STRENGTHS, AND SKILLS THE CLIENT CAN USE DURING TREATMENT AND RECOVERY PROCESS
  28. 3 types of assessment
    • comprehensive
    • focused
    • ongoing
  29. type of assessment that involves BASELINE DATA, HEALTH HISTORY, and CURRENT NEEDS ASSESSMENT
    comprehensive
  30. type of assessment that involves LIMITED TO POTENTIAL HEALTH CARE RISKS, PARTICULAR NEED OR HEALTH CONCERN
    focused
  31. type of assessment that involves SYSTEMATIC MONITORING OF SPECIFIC PROBLEMS.
    ongoing
  32. involves analysis (breaking down of parts) and synthesis (putting parts together) of collected data.
    diagnosis
  33. 3 types of nursing Dx, also explain.
    • 1. Actual: problem exists. (Ex. Acute pain R/T
    • surgical incision…..)

    2. Risk: potential problem. (Ex: Risk for…..)

    • 3. Wellness: desire to attain higher level of
    • wellness. (Ex: readiness for…..)
  34. outcome identification for proposed course of nursing action to resolve nursing Dx and developing plan of client care
    planning
  35. performance of nursing intervention identified during planning stage
    implementation
  36. determines weather client needs have been met, partially met, or not met.
    evaluation
  37. data from client’s (sometimes family) point of view that include perceptions, feelings, concerns.
    subjective
  38. Primary method of collecting subjective data?
    interview
  39. HA, nausea, Dizziness are examples of ______ data
    subjective
  40. observable and measurable data that are obtained through both standard and physical examine.
    objective
  41. Results from lab tests, flushed face, and ability to move arms are examples of ______ data
    objective
  42. Alfaro-Lefevre approach to prioritizing nursing diagnosis, what is the 1st focus?
    1st level priority problems (immediate)

    • Airway
    • Breathing
    • Signs (vital signs problems)
  43. Nonspecific response to any demand on the body
    stress
  44. any situation, event or agent that produces stress; Neutral.
    stressor
  45. type of stress resulting in positive outcomes
    eustress
  46. the way the body responds to stressors affecting the functioning of the body may involve the entire body
    (GAS) or only a specific area (LAS)
    internal stress
  47. stressors evoking an ineffective response
    distress
  48. inner force an individual uses to respond or adapt to stress
    adaptive energy
  49. what may result when a person uses all his adaptive energy?
    illness, disease, or death may result, as he is nolonger able to adapt
  50. 3 stages of General Adaptation Syndrome
    • 1. crises or alarm
    • 2. fight or flight
    • 3. exhaustion
  51. GAS stage that readies a person to handle itself
    from stress; cool, pale skin, sweating
    stage 1 = crises or alarm
  52. GAS stage when the body attempts to defend
    itself
    Stage 2 = fight or flight
  53. GAS stage involved with prolonged overwhelming
    stress
    stage 3 = exhaustion
  54. Stages of maslows hierarchy of needs from bottom to top
  55. What are some health problems that are considered to be stress related?
    • Arrhythmias
    • Asthma
    • Back pain
    • DM
    • Eating disorders
    • Eczema
    • Psoriasis
    • HA
    • Hives
    • Emphysema
    • Ulcers
    • Weight gain
    • Hypertension
  56. any situation potential, actual, or perceived, wherein a valued object or person is changed or not accessible to
    the individual.
    loss
  57. type of loss involving:

    a child is lost in the woods
    Theft of property
    Death of a loved one.
    actual loss
  58. type of loss example dealing with a DM client faced with
    having a foot amputated
    anticipatory loss
  59. type of loss involving a toddler who loses the bottle after learning to drink from a glass
    maturational
  60. loss that takes place in response to external events
    generally beyond the individuals control ex: job loss, stolen car
    situational loss
  61. what are the 3 stages of grief
    • shock
    • reality
    • recovery
  62. stage of grief that may last days – months.
    Feelings of emotional numbness rather than physical.
    shock
  63. painful experience begins when individual consciously
    realizes full meaning of loss such as anger, guilt, fear, best describes ______ stage of grief
    reality
  64. stage of grief when the loss is INTEGRATED into the
    reality of the individual’s life ex. Zumba, going to the beach
    recovery
  65. what are the 4 kinds of grief
    • uncomplicated
    • anticipatory
    • dysfunctional
    • disenfranchised
  66. normal grief. Greif reaction usually following a significant loss is ?
    uncomplicated grief
  67. Occurrence of Grief before an expected loss actually occurs. (ex. Client Dx with stage 4 cancer)
    anticipatory grief
  68. intense grief. Demonstration of persistent pattern of intense grief that does not result in reconciliation of feelings. May need professional counseling to reestablish routine.
    dysfunctional grief
  69. grief not openly acknowledged, socially sanctioned or publicly shared. (ex. Extreme sadness over the loss of a pet)
    disenfranchised grief
  70. Therapies used in conjunction with conventional medical therapies
    complimentary therapies
  71. Therapies used INSTEAD of conventional or mainstream medical modalities
    alternative therapies
  72. never attempt therapeutic massage on clients with?
    Never attempt massage in people with aneurysm, varicose veins, phlebitis, DVT, necrosis, inflammation, open wounds, recent surgery
  73. constructive process of metabolism, wherein new molecules are synthesized & new tissues are formed, as in growth and repair.
    anabolism
  74. destructive process of metabolism, wherein tissues or
    substances are broken
    catabolism
  75. taking food into the digestive tract
    ingestion
  76. (chewing) breaking food into fine particles and mixing into enzymes in saliva
    mastication
  77. (swallowing) peristaltic waves and mucus secretions that move food down the esophagus.
    deglutation
  78. coordinated rhythmic contractions of muscles, pushes the bolus through the esophagus.
    peristalsis
  79. 2/3 of body water is found in which fluid compartment?
    intracellular
  80. 1/3 of body water is found in which fluid compartment?
    extracellular
  81. Hypercholesterolemia results in what?
    • Atherosclerosis
    • (cardio disease wherein fatty deposits containing cholesterol and other
    • substances produce plaque build up)
  82. Nursing implications and dietary considerations for hypokalemia:
    Hypokalemia can cause cardiac arrest

    • Potassium Rich foods:
    • Banana
    • Orange
    • Apricot
    • Cantaloupe
    • Dried fruit
    • Avocado
    • Carrots
    • Baked potato
    • Spinach
    • Milk
    • Yogurt
    • Meat
    • fish
  83. What deficiencies might a vegan client who avoids all animal products (dairy & eggs) have?
    Calcium, vitamins A & D, B12, proteins
  84. At what sleep stage are your vitals higher
    than when you are awake?
    REM
  85. Required amount of sleep to function well =
    7-9 hrs
  86. period, during sleep, of not breathing following a period of loud snoring
    apnea
  87. medical approach for apnea
    CPAP (continuous positive airway pressure)
  88. Maintaining safety for your client is _______
    is Highest priority
  89. Non-harmful micro-organisms:
    resident flora
  90. refers to the ability of a microorganism to produce disease
    pathogenicity
  91. multiplication of microorganisms on or within a host that
    does not result in cellular injury
    colonization
  92. frequency with which a pathogen causes disease
    virulance
  93. organisms that only live inside cells and cannot get
    nourishment or produce outside cells
    virus
  94. To prevent the transmission of microorganisms:
    break chain of infection
  95. type of immunity that protects individuals from
    future invasion. Develops after birth
    acquired immunity
  96. 2 types of acquired immunity
    • active
    • passive
  97. immunity that results from exposure to
    disease or vaccine
    active
  98. immunity that utilizes antibodies produced by human being or animal
    passive
  99. body’s reaction to substances identified as nonself, neutralization of antigen
    immune response
  100. Client with extensive burns requires what type of precautions =
    reverse isolation
  101. Disease resulting from uncontrolled growth of cells, which causes malignant cellular tumors
    cancer
  102. term for cancer of the epithelial
    carcinoma
  103. cancer of connective tissue or bone
    sarcoma
  104. cancer of the blood; spleen and bone
    marrow
    leukemia
  105. cancer of the lymph nodes
    lymphoma

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