Nursing 120 – Flashcards

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Identify specific study techniques include: 1. Knowledge 2. Comprehension questions 3. Application questions 4. Analysis questions
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Knowledge: Use repetition, memorization.( ex. lists, flashcards, learning wheel, & alphabet que) Comprehension: must understand content in order to translate or paraphrase info, interpret, summarize, determine implications, consequences, of effects, how or why important. (ex. study group, understand significance) Application: higher level of understanding. Use info in actual or simulated scenario. (associate concepts w/known ones, use past experience, recognize commonalities in varied situations.) Analysis: Learn to interpret data and apply to situation. (learn to discriminate data)
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Describe general study techniques
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Establish a routine Set short and long term goals Suitable environment Control distractions Class preparation- read before class! Take notes
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Development of nursing during Civil War
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Harriet Tubman & Sojourner Truth provided care & safety to slaves fleeing to the North on the underground railroad. Dorothea Dix became union superintendent of female nurses - responsible for recruiting & supervising nurses in army hospitals
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Development of Nursing during WWI
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Arrival of WWI resulted in American, British and French women rushing to volunteer their nursing services. They endured harsh environments & treated injuries they had never seen before.
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Components of a multiple choice question
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STEM + OPTION = ITEM stem-problem or statement with details. --positive polarity-positive statement with answer related to statement. --negative polarity- asks what is false or not true...can be a complete or incomplete sentence. Options/Answers- -one is best & correct -others are incorrect & distractors -can be complete or incomplete sentences, words to complete the stem, single word.
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Development of nursing during WWII
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WWII casualties created an acute shortage of care-givers, and the cadet nurse corps was established. Auxilary health care workers became prominent: "Practical" nurses, aides & technicians provided much of the nursing care - under the instruction of a better pre-pared nurse. Medical Specialties Arose
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Development of Nursing during Vietnam War
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Youngest group of medical personnel - 11,000 American military women
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Scope of Nursing-Nurses provide care for 3 types of clients
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1.Individuals 2. Families 3. Communites
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Nursing Practice Involves 4 areas:
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4. Caring for the dying
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ANA Standards of Professional Performance Expected behaviors in professional Nursing role:
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1.Ethics-practice ethically 2.Education 3. Evidence based practice & research-integrate into their practice. 4.Quality of Practice 5.Communication-communicate effectively 6.Leadership 7. Collaboration-with healthcare consumer, family and others. 8.Professional Practice 9. Resource utilization-use appropriate resources to plan & provide safe & effective nursing services
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Discuss Florence Nightingale and her role in the development of modern nursing.
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Political pressure to improve conditions for injured soldiers. Her vision included public health and health promotion. She started her own school for nurses in 1860 & she became a model for future nursing schools.
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Florence Nightingale contribution to Nursing
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Political pressure to improve conditions for injured people. --vision included public health and health promotion --started her own school for nurses in 1860 --became model for future nursing schools
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Clara Barton (1821-1912)
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--founded american red cross & organized nursing services --school teacher who volunteered as a nurse during civil war --persuaded U.S congress to ratify treaty of Geneva in 1882 so that the red cross could perform humanitarian efforts in time of peace.
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Mary Breckinridge
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--founded frontier nursing services for rural America. 1st midwifery school --Practiced midwifery in England, Austrailia, and New Zealand
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Mary Mahoney
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1st African American professional nurse --Graduate of New England Hospital for women and children in 1879
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Linda Richards
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--1st American trained nurse in 1873 --created nurses notes/MD orders --initiated the practice of nurses wearing uniforms --Psychiatric & Industrial Nurse
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Lillian Wald
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--founder of VNA (visiting nurses association) and public health nursing in NY. --Worked in slums --Lived among the poor--Upper floor tennement Henry st. settlement.
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Dorthea Dix - contribution to nursing
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Civil war superintendent of female nurses. --responsible for recruiting and supervising the nursing care of all women nurses working in the army hospitals.
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Lavinia Dock - contribution to nursing
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Womens advocate for equal rights leading to vote in 1920. Friend of LillIan Wald advocating or nurses to have right to decide own practice
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Margaret Sanger - contribution to nursing
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Founded planned parenthood in 1916. --Imprisoned for birth control clinic --A public health nurse in NY
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Harriet Tubman - contribution to nursing
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Nursed sick in underground railroad - during the civil war
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History of the Hfcc nursing program
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Hfcc nursing program was the 1st associate degree nursing program in MI..1 of 7 pilot programs in the US. Began in 1953 with 21 students. Eleanor Tourtillot pioneered the hfcc program as assistant director from 1953-1974
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Define theory
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A system of ideas that is presumed to explain a given phenomenon. ...for now think of a theory as a major, very well articulated idea about something important. Theories are used to describe, predict, and control phenomena
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define philosophy
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is a belief system, often an early effort to define nursing phenomena, and serves as the basis for later theoretical formulations.
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define conceptual framework
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is a group of related ideas, statements, or concepts.
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define practice discipline
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is used for fields of study in which the central focus is performance of a professional role, (e.g. nursing, teaching, management, music)
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Identify the philosophy & conceptual framework for hfcc nursing program.
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In accordance with the mission of hfcc, the nursing program is comitted to prepare associate degree nurses for employment in a rapidly changing health care system. The nursing faculty has adopted Dorthea Orems self-care deficit theory of nursing as the conceptual framework on which the curriculum is based
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Identify 4 essential components of the metaparadigm of nursing
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1. the person or the client-is the recipient of nursing care (includes: individuals, families, groups, and communities) 2. The environment-is the internal and external surroundings that affect the client. This includes people in the physical environment, such as families, friends, and significant others. 3. Health- is the degree of wellness or well-being that the client experiences. 4. Nursing- is the attributes, characteristics, and actions of the nurse providing care on behalf of , or in conjunction with, the client.
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Theoretical framework of Florence Nightingale
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Linked health with 5 environmental factors: 1.) pure or fresh air. 2.) pure water 3.) efficient drainage. 4.) cleanliness. 5.) Light, especially direct sunlight. --Deficiencies in these 5 factors produced lack of health or illness.
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Theoretical framework of Orem
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Theory, includes 3 related concepts: 1.) self-care 2.) self-care deficit. 3.) and nursing systems
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Orems self care theory is based on 4 concepts
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1.) Describes responsibilities of nursing. 2.) Roles of nurse and patient 3.) Rationales for relationship 4.) Actions needed to meet patient demands
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3 types of nursing systems
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1.) wholly compensatory system-- for individual who are unable to control their environment & process info. 2.) Partly compensatory-- for individuals who are able to perform some. 3.) supportive-educative--(developmental) systems are designed for persons who need to learn to perform self-care & need assistance to do so.
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3 subsystems of nursing practice
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1. Social- society understands nursing role 2. Interpersonal- Your relationship with your patient 3. Technological - Activities we do to help patients reach their goals.
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Theoretical framework of Neuman
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developed a model based on the individuals relationship to stress, the reaction to it, and reconstitution factors that are dynamic in nature. Reconstitution is the state of adaption to stressors.
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Theoretical framework of Watson
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believes the practice of caring is central to nursing, it is the unifying focus for practice.
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describe the physiological response to stress using the general Adaptation Syndrome (GAS). Include stages.
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Selye proposed that GAS has 3 stages: 1.)Alarm reaction, 2.) Resistance 3.) & Exhaustion. (1.Alarm reaction)-which alerts the bodies defenses..the initial reaction of the body --divided into 2 stages:a.)the shock phase and b.) the counter-shock phase...a.)the shock phase --stimulates sympathetic nervous system leads to increases in blood flow and heart rate, O2 intake, blood clotting, cellular metabolism, and fat mobilization....b.)the countershock phase-reverses effect of shock. (Resistance)- adaptation to stress. (Exhaustion/Recovery)- The body either rests, or returns to normal..or death may be the ultimate consequence.
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Purpose of a systems theory
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Systems theory is a way of thinking about things or a way of viewing our world in an organized manner. Systems thinking allows us to predict better what is going to happen. When we look to the whole, its parts, and relationships between parts, we can better organize our thoughts and better judge what the outcome will be.
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Define system
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A system is a set of things, including their characteristics and relationships inside a boundary. Systems have structure and function. The structure is the purpose and content. Purpose gives direction to the system and content is the sum of the parts of the system. The functions of the system are the operations or processes which system parts do to attain the purpose. Critical to the understanding of the concept of systems is the dynamic quality of interrelationships between all aspects of a system and the environment. To view a system, the underlying principle that the whole is greater than the sum of its parts must be remembered.
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define subsystem
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A system does not exist alone. Subsystems are systems within another system. For example, human beings have biological subsystems (organ systems such as circulatory, respiratory, urinary, digestive, reproductive, nervous, muscoloskeletal, integumentary and metabolic). People also have a self system (self concept and energy level) which accounts for the individual's uniqueness.
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define suprasystem
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Suprasystems exist beyond the boundary of a system and interact with it. For example, a person system may part of a neighborhood, a community, a state, and so forth.
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define Open/closed systems
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There are two kinds of sytems: open and closed sytems. Human beings are open systems. An open system is one that exchanges matter, energy and information with the environment. Every living organism is essentially an open system. Closed systems unlike open systems, do not interact with the environment.
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define boundary
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the boundary is where the interaction between everything outside the system and the system occurs. There are differences in boundary permeability enabling the system to filter amount, rate, and flow of inputs, and outputs to control for system overload and underload.
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define energy
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The ablility to do work. Energy can neither be created nor destroyed; it can only be converted from one form into another or transported from one place to another.
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define processes of sytem
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The four system processes are input, output, throughput and feedback
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define input
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Input is matter, energy, and information which is imported into the system. It is everything outside of the system that comes in contact with it and gets past the boundary.
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define throughput
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throughput is the name given to processes of what goes on in the system as a result of the input.
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define output
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Output is matter, energy, or information that is exported from the system
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define feedback
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Feedback is the process where output from the system comes back into the system as input. Feedback provides the system with information about its output so the system can adjust itself or make changes dictated by the feedback.
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define Environment
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environment consists of all factors that affect the system and also all factors that are affected by the system. for example, consider the learning environment of a student nurse.
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define resources
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resources are inside the system. Resources are used by the system to achieve its goal/purpose. Resources are things the system can change, including time.
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Discuss the integration of stress theory into the nursing knowledge base.
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--allows for recognition of normal response and adaptation or inability to adapt. --recognition of stress enables nurse to provide interventions to prevent exhaustion and aid healing.
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Differentiate between the three domains of learning;
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Cognitive- thinking domain Affective/Feeling domain-...Is it important?...does it apply to me? Psychomotor--doing domain
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Identify the basic principles of learning and review how they relate to nursing
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-;Motivation -Readiness Active Involvement -Relevence -Feedback -Non judgemental support -Simple to complex -Repetitiion -Timing -Environment -Emotions -Physiological events -cultural aspects -psychomotor ability
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Define nursing process
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A systemized, scientific process used by nurses to provide care. Includes the steps of assessment, diagnosis, planning, implementation, and evaluation. The labels given to the various steps of the nursing process may differ depending on the author.
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define therapeutic self-care demand
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A summary statement of all actions that need to be taken to meet one's self-care requisites.
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define self care agency
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the power, abilities, or knowledge to meet one's self care needs.
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define dependent care
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actions performed by someone else to meet all needs of care.
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define self care agent
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yourself
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define dependent care agent
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the person who meets all the needs of care of another person
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Power components: Human power or attributes that enable a person to meet their own self care needs.
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1. Attention span and vigilance 2. control of physical energy 3. control of body movements 4. ablility to reason 5. motivation for action 6. decision-making skills 7. knowledge 8. repertoire of skills 9. ability to order self-care actions 10. ability to integrate self-care actions late patterns of living.
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characteristics of self care
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a.deliberate b. purposeful c. ego process i. self-oriented ii. self-directed iii. self-produced
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basic conditioning factors
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1. age 2. gender 3. developmental state 4. health state. 5. health care systems 6. socio, cultural, spiritual orientation 7. family systems elements 8. patterns of living 9. environment (conditions of living) 10. available resources
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TSCD
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the sum of all the self - care actions needed to meet self-care requisites . TSCD>SCA=need for nursing TSCD<SCA=able to care for self TSCD=SCA=able to care for self
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define nurse agency
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special education and training to practice nursing
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define nurse agency
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a complexset of specialized abilities acquired through specialized study and experience in nursing situations. Abilities that enable nurses to diagnose, prescribe, and provide care that compensates for self-care deficits in order to meet therapeutic self-care demands of clients.
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OREMS 5 methods of helping
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1. acting or doing for 2. guiding 3. teaching 4. supporting 5. providing and environment that promotes person's ability to meet current and future demands.
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Orems describes 7 nursing situations:
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Group one - Health promotion throughout the life cycle. Group two - Recovery Group three - Illness of undetermined origin Group four - genetic and developmental defects and biological immaturity Group Five - Cure or regulation Group six - stabilization of integrated functioning Group seven - terminal illness
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Identify 3 types of self care requisites and give examples of each
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1. Universal self-care requisites are common to all people and include:(1.intaining intake and elimination of air, water, food.2)Balancing rest, solitude, and social interactions.3.)Preventing hazards to life and well being.4.) Promoting normal human functioning) 2.Developmental self - care requisites that result from the process of maturation and are related to a stage of development, or are associated with conditions or events (such as adjusting to a change in body image or loss of job/spouse). 3. Health deviation self-care requisites result from illness, injury, or disease and it's treatment.(they include: seeking health care, carrying out prescribed therapies, &Learning to live with the effects of illness or treatment)
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State the relationship between self - care agency and nurse agency
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1. Both rely on experiences learned and developed. 2. Patients and nurses have different abilities. 3. Basic conditioning factors and power components are examined to determine type of nurse agency needed 4. Lack of SCA = nurse needed!!
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Identify the process for selecting the appropriate nursing system
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1. Determine patient ability to perform intervention 2. Determine environment. 3. Choose what makes sense.
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