question

The ability to focus your thinking to get the results needed in various, making the difference between passing and failing

answer

Critical Thinking

question

1. Assessment 2. Diagnosis/Outcome 3. Planning 4. Implementation 5. Evaluation

answer

The nursing process

question

John visits his general physician on Monday because he was feeling sick over the weekend. When he is called back from the waiting room, the nurse on staff takes his temperature, heart rate, and blood pressure. She then asks John a series of questions about how he's been feeling lately. The nurse notes his responses when he says he's been having difficulty breathing and has been feeling very tired. She also sees on John's medical history that he has had previous problems with his cholesterol levels and blood pressure. John also has a blood sample taken during his doctor's visit.

answer

Assessment

question

The nurse looks over John's symptoms and notes that his heart-rate is higher than average and his blood pressure is elevated. She also considers that he's experienced fatigue and shortness of breath before when his cholesterol levels were very high. The nurse determines that John is experiencing Hyperlipidemia, also known as having high levels of fat within the blood. John's blood tests confirm this hypothesis. The nurse is also concerned that John is at risk for heart disease.

answer

Diagnosis

question

John returns on Tuesday for a follow-up visit. The nurse sits down with him in a closed room and explains his cholesterol levels and high blood pressure. She suggests that John be put on medication to help lower these numbers and recommends he exercise at least twice a week. The nurse also tells John he should stay away from salty foods and eat less red meat. John agrees with the nurse, and they setup a follow-up appointment two weeks later. The nurse reminds John to call if there are any changes in his condition, or if he starts to feel worse.

answer

Planning

question

John is prescribed the medication and takes it as recommended. One week later, he has a day where he feels especially sick and calls the doctor's office. The nurse explains that the medication could cause nausea as a side-effect and advises John to drink Ginger-Ale and avoid any foods that generally upset his stomach. John continues taking the medication and goes to the gym four times during the two-week period. Once the two weeks has passed, he returns to the doctor's office for his follow-up appointment.

answer

Implementation

question

When John returns, the nurse asks him a series of questions about how he's been feeling. John replies that he has been having an easier time breathing and feels significantly less tired since exercising and taking the medication. The nurse marks "Patient's Condition Improved" on his official medical records and congratulates John on his wellbeing. She then advises him to remain on the medication for one more month and to continue his exercise.

answer

Evaluation

question

Learn best by watching; Would rather watch someone give an injection before reading the procedure

answer

Observers

question

Learn best by moving, doing, experiencing, or experimenting; would rather play with a syringe and inject a dummy before reading the procedure

answer

Doers

question

Learn best by reading; would rather listen without worrying about taking notes

answer

Listeners

question

Visualize procedures in your mind's eye, rather then trying to follow individual steps

answer

Example of a visual learner

question

When taking notes, use arrows to show relationships. Draw boxes and circles around key concepts; use arrows when you make diagrams and maps

answer

Example of a kinesthetic learner

question

Study with a friend, so you talk about the information. Tape yourself as you read key information out loud, and then listen to the tapes

answer

Example of a auditory learner

question

Beginners who lack experience in specific situations

answer

Novice

question

Those with marginally acceptable performance based on a foundation of experience with real situations

answer

Advanced Beginners

question

Those with 2 or 3 years of experience in similar situations

answer

Competent

question

Those with broad experience that allows meaning to be understood in terms of the big picture rather than isolated observations

answer

Proficient

question

Those with extensive experiences that enable an intuitive grasp of situations and problems

answer

Expert

question

a new graduate with no experience in nursing or an experienced psychiatric nurse who is beginning to work in obstetric nursing

answer

Example of a Novice

question

a nurse who is in the first year of employment or the first year of a new clinical specialty

answer

Example of an advanced beginner

question

a nurse who has practiced emergency and intensive care nursing for 2 or 3 years

answer

Example of a competent

question

a nurse who is in charge of making patient assignments

answer

Example of a proficient

question

an experienced nurse who serves as a charge nurse, preceptor, or member of a committee

answer

Example of an expert

question

Set of interrelated constructs (concepts, definitions, or propositions) that presents a systematic view of phenomena by specifying relations among variables with the purpose of explaining and predicting phenomena. When attempting to explain apparent relationships between observed behaviors and their effects on a client's health.

answer

Theory

question

help explain and direct nursing actions by using a systematic and structured approach, is one of the key elements that raises nursing from a task-oriented job to the level of a profession that uses judgment and knowledge to make informed decisions about client care

answer

Theories that are used in nursing

question

central to all nursing models because it is the client who is the primary recipient of nursing care

answer

Concept of client

question

a continuum, ranging from a completely healthy state is which there is no disease to a completely unhealthy state which results in death.

answer

Concept of health

question

used most often to broaden the concept of environment from the simple physical environment to elements such as living conditions, public sanitation, and air and water quality. Factors such as interpersonal relationships and social interactions are also included.

answer

Concept of environment

question

delineates the function and role of nurses in their relationships with clients that affect the client's health.

answer

Concept of Nursing

question

an outgrowth of an innate intellectual process, it acts as the unacknowledged conceptual framework for many educational programs, and an understanding of the mechanisms and terminology of general systems theory is helpful in providing an orientation to understanding nursing models

answer

General systems theory

question

those in which relatively free movement of information, matter, and energy into and out of the system exists

answer

Open System

question

a person who is able to carry out few or no self-care activities

answer

Wholly Compensated Care

question

a person who can meet some to most of their self-care needs but still have certain self-care deficits that require nursing intervention

answer

Partially compensated care

question

clients who are able to meet all of their basic self-care needs require very few or no nursing interventions

answer

Supportive developmental care

question

Widely accepted practice of establishing health care goals for clients, and directing client care to meet these goals

answer

Focus of the King Model of Goal Attainment

question

Imogene M. King

answer

Creator of the King Model of Goal Attainment

question

An open system that exchanges energy and information with the environment; A personal system with physical, emotional, and intellectual needs that change and grow during the course of life

answer

Client in the King Model of Goal Attainment

question

The personal and interpersonal systems of groups

answer

Environment in the King Model of Goal Attainment

question

Viewed a dynamic process that involves a range of human life experiences

answer

Health in the King Model of Goal Attainment

question

The Dynamic process and a type of personal system based on interactions between the nurse and the client

answer

Nurses in the King Model of Goal Attainment

question

Personal, Interactional, and Social

answer

The three systems in the King Model of Goal Attainment

question

Teaching clients about stress management, giving immunizations, and encouraging aerobic exercise to prevent heart disease

answer

Example of Primary Intervention

question

Giving pain medications or teaching a client with cardiac disease about the benefits of a low-sodium diet

answer

Example of Secondary Intervention

question

Teaching a client how to care for a colostomy bag at home after discharge from the hospital is an example of a nursing activity

answer

Example of Tertiary Intervention

question

a set of relatively concrete concepts or propositions that lie between a minor working hypothesis found in everyday nursing research and a well-developed major nursing theory

answer

Middle-range theory

question

Preventing possible symptoms that could be caused by environmental stressors

answer

Primary Intervention

question

Aimed at treating symptoms that have already been produced by stressors

answer

Secondary Intervention

question

Seeks to restore the client's system to an optimal state of balance by adapting to negative environmental stressors

answer

Tertiary Intervention

question

Presented as general statements and thus do not give specific answers to every possible ethical dilemma that might arise; purpose is to offer guidance

answer

Nursing Code of Ethics

question

Wrote the Nursing Code of Ethics

answer

Florence Nightingale

question

a systems of value behaviors and beliefs; they serve the purpose of governing conduct to ensure the protection of an individual's rights.

answer

System of Morals

question

State of being self-directed or independent; the ability to make decisions about one's future.

answer

Autonomy

question

Fairness; giving people their due.

answer

Justice

question

The obligation of an individual to be faithful to commitments made to self and others.

answer

Fidelity

question

Ethical principle based on the beliefs that the health-care provider should do no harm, prevent harm, remove existing harm, and promote the good and well-being of the client.

answer

Beneficence

question

Ethical principle that requires the professional to do no harm to the client.

answer

Nonmaleficence

question

The principle of truthfulness. It requires the health-care provider to tell the truth and not intentionally deceive or mislead clients

answer

Veracity

question

describes a type of decision made about a client's health care when the client is unable to make the informed decision themselves, and is used on the basis of what health-care providers and the family decides is best for that individual.

answer

Standard of best interest

question

demands made on an individual, a profession, a society, or a government to fulfill and honor the rights of others

answer

Obligations

question

1. Collect, Analyze, and Interpret the Data 2. State the Dilemma 3. Consider the Choices of Action 4. Analyze the Advantages and Disadvantages of Each Course of Action 5. Make the Decision and Act on it

answer

Ethical decision-making process

question

Right of he client to expect the communication with a professional to remain unshared with any other person unless a medical reason exists or unless the safety of the public is threatened

answer

Confidentiality

question

A child younger than 18 years of age cannot give informed consent to such a procedure, but it can be argued that ethically the donor child, as a participant, should have input in making such a decision

answer

When the donor is a child

question

describes the practice of hastening an individual's death through some act or procedure

answer

Active euthanasia

question

the practice of allowing an individual to die without any extraordinary intervention

answer

Passive euthanasia

question

A client who is mentally competent can make decisions about what care to accept and what care to refuse

answer

Self-determination

question

Disclosure of information to family members violates HIPAA regulations unless the client is under 18 years of age or gives permission for the disclosure is considered a violation of HIPAA regulations. Hospital personnel are required by law to report suspected child abuse, and illegal drugs in the circulatory system of a newborn are one of the indicators for mandatory reporting. On the basis of this finding, the nurses in the newborn nursery filed a report with the local Child Protective Services (CPS), which investigated the case

answer

What happens when child abuse is reported

question

generally deal with the violation of one's individual's rights by another individual

answer

Civil law

question

generally defined as a wrongful act committed against a person or his or her property independently of a contract

answer

Tort Law

question

omission of an expected action or commission of an inappropriate action resulting in damages to another party; not doing what a reasonable and prudent professional of the same rank would have done in the same situation

answer

Malpractice

question

an overt threat to violate a person's right to self-determination or an overt threat of bodily harm coupled with an apparent, present ability to cause the harm

answer

Assault

question

Nonconsensual touching of another person that does not necessarily cause harm or injury

answer

Battery

question

occurs when a competent client is confined or restrained with intent to prevent him or her from leaving the hospital

answer

False Imprisonment

question

occurs when there is a unilateral severance of the professional relationship with the client without adequate notice and while the requirement for care still exists

answer

Abandonment

question

(1) the conduct exceeds what is usually accepted by society, (2) the health-care provider's conduct is intended to cause mental distress, and (3) the conduct actually does produce mental distress (causation).

answer

Intentional Infliction of Emotional Distress

question

Nurses can become involved when they provide the information but are not performing the procedure, but some physicians habitually give the nurse the consent form and request him or her to "get the client to sign this." Nurses can reinforce the information given by the physician and even supplement the material but should not be the primary or only source of information for this

answer

Nurse's duty with informed consents

question

expressed desires about future medical care

answer

Advance directives

question

Designates another person to make health-care decisions for a person if the client becomes incompetent or unable to make such decisions

answer

Durable Power of Attorney for Health Care

question

law that protects health-care providers from being charged with contributory negligence when they provide emergency care to persons in need of immediate treatment

answer

Good Samaritan Act

Dimensions of Nursing Practice Exam #2 – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards