Core Concepts of Nursing Care Exam 1 (Module 1) – Flashcards
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advocates for the nurses and is open to RNS
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ANA
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goes hand in hand with ANA
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TNA
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our friend and came up with the code of ethics
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ANA
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who is the nurses primary commitment to?
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the patient
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this should outweigh non-maleficence
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beneficence
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what should I be aware of that may conflict with ethical principles?
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my moral values
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this is not an ethical principle but it is a bed rock of professionalism
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caring
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the expression of caring
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kindness
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what are the 4 methods of examining
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percussion, inspection, palpating, auscultation
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assessment of who? requires a different assessment approach that requires extra steps to gain trust & understanding
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infants & children
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assessment of who? requires a comprehensive understanding of the factors aging plays in social, mental and emotional health
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older adults
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what kind of assessment includes AIDET, gain trust/rapport, complete health history, cultural assessment, comprehensive physical assessment, and comprehensive psychosocial assessment
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holistic
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to assess a patient for skin temperature what technique would you use?
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palpation
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"tell me more about your home life" is a what kind of question
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open ended
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what kind of question leads you to the answer you want
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leading question
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what is the best way to talk to a patient in an interview
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sitting in a chair near the patient
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something the patient tells you
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subjective
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blood pressure is what kind of data
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objective
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these questions have yes or no answers
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close ended questions
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what 4 common things do you want to document for all age groups?
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nutrition, developmental milestones, caregiver issues, and well visits include health screens
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they have decreased liver & kidney function, hearing and vision impairments, weaker bones, mobility issues, etc.
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older adults
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a state of complete physical, mental, and social well-being
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health
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interview, health history, focused interview, physical assessment, documentation, interpretation of findings
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health assessment
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who is the primary source for subjective data
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patient
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tapping skin with finger. 4 types of sounds are heard
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percussion
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clarifies clients symptoms, such as vital signs. provides a sound data base from which care planning can proceed
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objective data
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client record, communicating information. all of this must be accurate, confidential, appropriate, complete, and detailed
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documentation
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focus on health promotion and illness prevention. Healthy people 2020
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primary healthcare services
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focus on early disease detection, treatment to prevent progression of disease, and early detection provided through screening
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secondary healthcare services
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restoring function, decreasing disease-related complications of already established disease and includes rehab and palliative care
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tertiary healthcare services
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what kind of care is delivered in physicians offices, hospital based clinics, community health centers, public health organizations
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primary
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what kind of care is delivered in hospital, outpatient surgical center, specialist
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secondary
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what kind of care is delivered in hospital, rehab center, extended care facility
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tertiary
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cost effective and high quality care
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managed care
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essential for collaborative processes with multidisciplinary teams and enables continuity of client care. such as social workers.
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case management
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based on expressed physical, emotional needs of client.
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client focused care
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task-oriented, but yet cost effective. you are in charge of giving meds to every patient on that unit that day. not ideal. unlicensed assistive personnel (UAP) these people are not licensed but they are certified. risks of becoming depersonalized, we don't take care of the patient as a whole.
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functional nursing
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nursing care delivery systems- most frequently used today
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team nursing
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one nurse has 24/7 authority, responsibility for care of a group of clients.
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primary nursing
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what are the 6 competencies of patient safety initiatives
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patient-centered care, quality improvement, evidence-based practice, teamwork and collaboration, safety, informatics
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who put together the patient safety goals
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joint commission program
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mandatory reporting of work-related injuries within 8 hours if injury results in days off, treatment beyond first aid is required, loss of consciousness, death
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occupational safety and health administration (OSHA)
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what technique should you use to recap needles
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SCOOP (never hold the cap in your hand and try to stick it together)
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has to interrupt normal flow of services or has to overwhelm the services. internal is inside the facility. external is outside the facility but can also cause an internal.
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disaster
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what color are allergy wristbands
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red
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what color are fall risk writsbands
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yellow
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what is universal protocol
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time out before surgery
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how do you prevent blood clots in the hospital
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SCDs (sleeves wrapped around legs)
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group of staff who can be called to bed side at any time to recognize and prevent serious situations
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rapid response team
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how many patient identifiers do you use
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2; name and date of birth
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physician must rewrite restraint use orders how often?
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every 24 hours
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in an emergency can physicians give a verbal order for a restraint?
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yes
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incorporate lifting assistances for objects heavier than how many pounds?
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51
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provides healing, counteracts stress, restores a sense of self and self-esteem.
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comfort
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the concept is objective; note expression of general calmness
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comfort
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subjective; understand the normal for each individual client
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comfort
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the opposite of comfort. it is a subjective response.
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pain
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what is the 5th vital sign.
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pain
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a distinct personal experience. whatever the person says it is.
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pain
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provided to the client who is dying or near death
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end of life care
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includes things to promote sleep.
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sleep hygiene
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can be improved by laughter and interaction w/ family and friends
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psychosocial well-being
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breathing exercises to increase oxygen intake and delivery.
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relaxation therapy
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acupuncture, herbal supplements, etc.
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nonpharmacologic
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experienced when nervous system sends signals to damaged tissue. once healing occurs the pain goes away; such as a cut or broken bone
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nociceptive pain
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abnormal. diabetic nerve pain
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neuropathic pain
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sudden onset and temporary and localized.
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acute pain
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nerve receptors close to surface of bod
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somatic pain
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body organs and is dull poorly localized, include things like inflammation to the bowel, cramping, colicky pain
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visceral pain
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prolonged pain lasting longer than 6 months. does not always have a known cause
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chronic pain
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sudden flare ups
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breakthrough pain
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caused by damage to nerves in CNS due to stroke, trauma, etc... may experience constant pain as well as other symptoms like burning, pins and needles, aching
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central pain
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occurs in missing limbs following an amputation
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phantom pain
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associated with psychological factors. emotional needs may prompt pain that is real...like muscle tension
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psychogenic pain
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what does PQRST stand for
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provokes, quality, radiation, severity, timing
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abnormal. diabetic nerve pain
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neuropathic pain
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sudden onset and temporary and localized.
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acute pain
