Core Concepts of Nursing Care Exam 1 (Module 1)

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ANA
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advocates for the nurses and is open to RNS
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TNA
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goes hand in hand with ANA
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ANA
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our friend and came up with the code of ethics
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the patient
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who is the nurses primary commitment to?
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beneficence
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this should outweigh non-maleficence
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my moral values
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what should I be aware of that may conflict with ethical principles?
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caring
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this is not an ethical principle but it is a bed rock of professionalism
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kindness
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the expression of caring
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percussion, inspection, palpating, auscultation
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what are the 4 methods of examining
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infants & children
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assessment of who? requires a different assessment approach that requires extra steps to gain trust & understanding
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older adults
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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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holistic
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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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palpation
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to assess a patient for skin temperature what technique would you use?
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open ended
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“tell me more about your home life” is a what kind of question
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leading question
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what kind of question leads you to the answer you want
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sitting in a chair near the patient
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what is the best way to talk to a patient in an interview
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subjective
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something the patient tells you
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objective
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blood pressure is what kind of data
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close ended questions
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these questions have yes or no answers
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nutrition, developmental milestones, caregiver issues, and well visits include health screens
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what 4 common things do you want to document for all age groups?
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older adults
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they have decreased liver & kidney function, hearing and vision impairments, weaker bones, mobility issues, etc.
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health
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a state of complete physical, mental, and social well-being
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health assessment
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interview, health history, focused interview, physical assessment, documentation, interpretation of findings
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patient
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who is the primary source for subjective data
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percussion
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tapping skin with finger. 4 types of sounds are heard
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objective data
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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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documentation
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client record, communicating information. all of this must be accurate, confidential, appropriate, complete, and detailed
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primary healthcare services
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focus on health promotion and illness prevention. Healthy people 2020
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secondary 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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tertiary 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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primary
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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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secondary
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what kind of care is delivered in hospital, outpatient surgical center, specialist
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tertiary
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what kind of care is delivered in hospital, rehab center, extended care facility
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managed care
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cost effective and high quality care
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case management
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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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client focused care
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based on expressed physical, emotional needs of client.
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functional nursing
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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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team nursing
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nursing care delivery systems- most frequently used today
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primary nursing
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one nurse has 24/7 authority, responsibility for care of a group of clients.
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patient-centered care, quality improvement, evidence-based practice, teamwork and collaboration, safety, informatics
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what are the 6 competencies of patient safety initiatives
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joint commission program
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who put together the patient safety goals
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occupational safety and health administration (OSHA)
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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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SCOOP (never hold the cap in your hand and try to stick it together)
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what technique should you use to recap needles
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disaster
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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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red
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what color are allergy wristbands
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yellow
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what color are fall risk writsbands
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time out before surgery
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what is universal protocol
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SCDs (sleeves wrapped around legs)
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how do you prevent blood clots in the hospital
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rapid response team
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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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2; name and date of birth
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how many patient identifiers do you use
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every 24 hours
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physician must rewrite restraint use orders how often?
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yes
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in an emergency can physicians give a verbal order for a restraint?
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51
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incorporate lifting assistances for objects heavier than how many pounds?
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comfort
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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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pain
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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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end of life care
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provided to the client who is dying or near death
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sleep hygiene
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includes things to promote sleep.
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psychosocial well-being
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can be improved by laughter and interaction w/ family and friends
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relaxation therapy
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breathing exercises to increase oxygen intake and delivery.
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nonpharmacologic
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acupuncture, herbal supplements, etc.
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nociceptive pain
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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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neuropathic pain
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abnormal. diabetic nerve pain
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acute pain
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sudden onset and temporary and localized.
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somatic pain
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nerve receptors close to surface of bod
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visceral 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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chronic pain
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prolonged pain lasting longer than 6 months. does not always have a known cause
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breakthrough pain
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sudden flare ups
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central 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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phantom pain
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occurs in missing limbs following an amputation
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psychogenic pain
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associated with psychological factors. emotional needs may prompt pain that is real…like muscle tension
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provokes, quality, radiation, severity, timing
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what does PQRST stand for
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neuropathic pain
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abnormal. diabetic nerve pain
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acute pain
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sudden onset and temporary and localized.
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somatic pain
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