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proficiency in a task; ability in an activity
ex. Ability to administer own glucose test
experiencing information by touching, feeling, doing
these are examples of ______ type of learning
Role playing, games, rewriting, short lecture to try new methods, workbooks, lab manuals etc.
________ identify assumptions, ask questions, evaluate evidence, examine alternatives, and seek to
understand various points of views
what are priorities of care for a client focused on?
clients current health status
state of complete physical, mental, and social well being, not merely the absence of disease or infirmity
Balance equilibrium; balance of stability that the body
strives to achieve among these aspects of a persons life by continuous adaptation
lifestyle design that helps maintain the highest potential for personal health, a choice, responsibility
care of the whole person including physical, mental, emotional, and spiritual aspects
when members of a minority group are absorbed by the dominant culture taking on characteristics of the
assumption of cultural superiority and inability to accept another culture’s ways, results in oppression.
Responsibility of nurse if you suspect you co-worker is
*Board of nursing requires nurses to REPORT impaired coworkers.
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
Integrated dynamic structure of knowledge, attitudes,
behavior, beliefs, ideas, habits, customs, languages, values, symbols, rituals, and ceremonies unique to a particular group of people.
Primary focus of interdisciplinary team in caring for a client:
- Focus on the CLIENT and FAMILY is an essential
- component of the rehabilitation process
learning domain that involves attitudes, beliefs, and
emotions; used in making judgments.
Ex: client begins to accept lifestyle changes
learning domain that involves intellectual
understanding. learning involving facts and data. Used in decision-making and problem solving.
Ex: client states possible complications
learning domain that involves performance of motor skills. Used in physical application of
knowledge. Ex: Client uses glucose monitor
What does Client education focus on:
ability to practice healthy behaviors
ability to care for self
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
Primary source of data:
secondary source of data
family members, health care provider, medical record
Steps of nursing process
assessment, diagnosis, Planning, Implementation, Evaluation
systematic collection, verification, organization, interpretation, and documentation of data. involves data collection, validation, organization, interpretation,
PURPOSE OF ASSESSMENT:
GIVE NURSE INFORMATION ABOUT:
ABILITY, BEHAVIORS, STRENGTHS, AND SKILLS THE CLIENT CAN USE DURING TREATMENT AND RECOVERY PROCESS
3 types of assessment
type of assessment that involves BASELINE DATA, HEALTH HISTORY, and CURRENT NEEDS ASSESSMENT
type of assessment that involves LIMITED TO POTENTIAL HEALTH CARE RISKS, PARTICULAR NEED OR HEALTH CONCERN
type of assessment that involves SYSTEMATIC MONITORING OF SPECIFIC PROBLEMS.
involves analysis (breaking down of parts) and synthesis (putting parts together) of collected data.
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…..)
outcome identification for proposed course of nursing action to resolve nursing Dx and developing plan of client care
performance of nursing intervention identified during planning stage
determines weather client needs have been met, partially met, or not met.
data from client’s (sometimes family) point of view that include perceptions, feelings, concerns.
Primary method of collecting subjective data?
HA, nausea, Dizziness are examples of ______ data
observable and measurable data that are obtained through both standard and physical examine.
Results from lab tests, flushed face, and ability to move arms are examples of ______ data
Alfaro-Lefevre approach to prioritizing nursing diagnosis, what is the 1st focus?
1st level priority problems (immediate)
- Signs (vital signs problems)
Nonspecific response to any demand on the body
any situation, event or agent that produces stress; Neutral.
type of stress resulting in positive outcomes
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)
stressors evoking an ineffective response
inner force an individual uses to respond or adapt to stress
what may result when a person uses all his adaptive energy?
illness, disease, or death may result, as he is nolonger able to adapt
3 stages of General Adaptation Syndrome
- 1. crises or alarm
- 2. fight or flight
- 3. exhaustion
GAS stage that readies a person to handle itself
from stress; cool, pale skin, sweating
stage 1 = crises or alarm
GAS stage when the body attempts to defend
Stage 2 = fight or flight
GAS stage involved with prolonged overwhelming
stage 3 = exhaustion
Stages of maslows hierarchy of needs from bottom to top
What are some health problems that are considered to be stress related?
- Back pain
- Eating disorders
- Weight gain
any situation potential, actual, or perceived, wherein a valued object or person is changed or not accessible to
type of loss involving:
a child is lost in the woods
Theft of property
Death of a loved one.
type of loss example dealing with a DM client faced with
having a foot amputated
type of loss involving a toddler who loses the bottle after learning to drink from a glass
loss that takes place in response to external events
generally beyond the individuals control ex: job loss, stolen car
what are the 3 stages of grief
stage of grief that may last days – months.
Feelings of emotional numbness rather than physical.
painful experience begins when individual consciously
realizes full meaning of loss such as anger, guilt, fear, best describes ______ stage of grief
stage of grief when the loss is INTEGRATED into the
reality of the individual’s life ex. Zumba, going to the beach
what are the 4 kinds of grief
normal grief. Greif reaction usually following a significant loss is ?
Occurrence of Grief before an expected loss actually occurs. (ex. Client Dx with stage 4 cancer)
intense grief. Demonstration of persistent pattern of intense grief that does not result in reconciliation of feelings. May need professional counseling to reestablish routine.
grief not openly acknowledged, socially sanctioned or publicly shared. (ex. Extreme sadness over the loss of a pet)
Therapies used in conjunction with conventional medical therapies
Therapies used INSTEAD of conventional or mainstream medical modalities
never attempt therapeutic massage on clients with?
Never attempt massage in people with aneurysm, varicose veins, phlebitis, DVT, necrosis, inflammation, open wounds, recent surgery
constructive process of metabolism, wherein new molecules are synthesized & new tissues are formed, as in growth and repair.
destructive process of metabolism, wherein tissues or
substances are broken
taking food into the digestive tract
(chewing) breaking food into fine particles and mixing into enzymes in saliva
(swallowing) peristaltic waves and mucus secretions that move food down the esophagus.
coordinated rhythmic contractions of muscles, pushes the bolus through the esophagus.
2/3 of body water is found in which fluid compartment?
1/3 of body water is found in which fluid compartment?
Hypercholesterolemia results in what?
- (cardio disease wherein fatty deposits containing cholesterol and other
- substances produce plaque build up)
Nursing implications and dietary considerations for hypokalemia:
Hypokalemia can cause cardiac arrest
- Potassium Rich foods:
- Dried fruit
- Baked potato
What deficiencies might a vegan client who avoids all animal products (dairy & eggs) have?
Calcium, vitamins A & D, B12, proteins
At what sleep stage are your vitals higher
than when you are awake?
Required amount of sleep to function well =
period, during sleep, of not breathing following a period of loud snoring
medical approach for apnea
CPAP (continuous positive airway pressure)
Maintaining safety for your client is _______
is Highest priority
refers to the ability of a microorganism to produce disease
multiplication of microorganisms on or within a host that
does not result in cellular injury
frequency with which a pathogen causes disease
organisms that only live inside cells and cannot get
nourishment or produce outside cells
To prevent the transmission of microorganisms:
break chain of infection
type of immunity that protects individuals from
future invasion. Develops after birth
2 types of acquired immunity
immunity that results from exposure to
disease or vaccine
immunity that utilizes antibodies produced by human being or animal
body’s reaction to substances identified as nonself, neutralization of antigen
Client with extensive burns requires what type of precautions =
Disease resulting from uncontrolled growth of cells, which causes malignant cellular tumors
term for cancer of the epithelial
cancer of connective tissue or bone
cancer of the blood; spleen and bone
cancer of the lymph nodes