question

domains of nursing practice

answer

acute care facilities long term care home care primary and preventive care ambulatory clinic community health

question

definitions of nursing

answer

- putting the pt in the best condition for nature to act -to assist the individual, sick or well, in the performance of activities contributing to health and its recovery -protection, promotion and optimization of health

question

nursings view of humanity

answer

widespread agreement among nursing theorists that an individual has physiologic, psychologic, spiritual and environmental components

question

entry level-

answer

associate or BSN degrees are prepared to function as generalists

question

advanced practiced nurse

answer

nurse with at least a masters, advanced education in patho, pharm and health assessment -expertise in a specialized area of practice

question

medicare-

answer

instituted prospective payment systems, hospitals are no longer reimbursed for all costs -payment is based on flat fees

question

QSEN-

answer

quality and safety education for nurses

question

6 core competencies of QSEN-

answer

1. patient centered care 2. informatics and technology 3. evidence-based practice 4. quality improvement 5. safety 6. teamwork and collaboration

question

patient safety goals-

answer

worksheet

question

SBAR-

answer

situation background assessment recommendation

question

NEVER delegate

answer

assessment teaching and evaluation

question

age identity-

answer

how people perceive their own age

question

complex health care environments-

answer

-expanding knowledge and technology -diverse populations -consumerisms

question

health care is a consumer focused

answer

business

question

HMO=

answer

health maintenance organizations

question

PPO

answer

preferred provider organizations

question

Healthy People-

answer

an initiative started by the US government, includes goals for promoting health

question

healthy people 2020 goals-

answer

-attain high quality lives free of disease -achieve health equity -create social and physical environments -promote quality of life

question

primary professional nursing organization

answer

ANA

question

critical thinking-

answer

knowing how to learn, reason think creatively, generate ideas and solve problems

question

clinical reasoning

answer

problem solving activity in which critical thinking is used to examine pt care issues

question

nursing process-

answer

problem solving approach to the identification and treatment of pt problems

question

nursing process phases-

answer

Assessment Diagnosis Planning Implementation Evaluation

question

NIC nursing interventions classification

answer

independent and collaborative interventions that you can carry out on behalf of pts

question

NOC nursing outcomes classification

answer

a list of concepts, definitions and measures that describe pt outcomes influenced by nursing

question

collaborative problems-

answer

potential or actual complications of disease or treatment that nurses treat with other health care providers

question

concept map care plan-

answer

the nursing process is recorded in a visual diagram of patient problems and interventions that illustrates the relationships among clinical data

question

telehealth

answer

the use of videoconferencing to provide care when pts and health care providers are separated

question

evidenced based practice EBP

answer

a problem solving approach to clinical decision making

question

The Joint Commission

answer

accrediting agency of health care organizations issues the national patient safety goals

question

coordination of care includes-

answer

effective communication, case management, use of clinical pathways and appropriately delegating pts

question

case management-

answer

managing the pts care across multiple care settings

question

you will delegate-

answer

nursing care supervise others to deliver care

question

5 rights of nursing delegation-

answer

1. risk task 2. under right circumstances 3. right person 4. right direction and communication 5. right supervision and evaluation

question

A nurse teaches a student nurse about evidence-based nursing practice guidelines. Which statement, if made by the student nurse, indicates understanding of the teaching?

answer

nursing care provided is based on the best evidence for quality care and desired outcomes

question

A patient has a nursing diagnosis of ineffective airway clearance related to retained secretions, excessive mucus, and ineffective cough as evidenced by adventitious breath sounds. What should the nurse include in the NCP as an appropriate NOC outcome and NIC intervention for this nursing diagnosis?

answer

Respiratory status: airway patency and airway management

question

young-old

answer

60-74 yrs

question

old-old

answer

75-100 yrs

question

centarians

answer

over 100 yrs

question

age identity-

answer

how people perceive their own age

question

what can reveal more about priorities than chronological age?

answer

behavior, function and self image

question

medicare-

answer

health insureance

question

medicare part A-

answer

hospital and physician services with very limited skilled home health and nursing home services

question

medicare part B-

answer

purchased to supplement basic coverage which includes physician and nursing services, x-rays, labs, diagnostic tests, flu and PN vaccines

question

medicare part C-

answer

gives people the option of purchasing coverage through private insurances to cover benefits not provided through parts A and B

question

medicare part D-

answer

medicare advantage prescription drug plan

question

chronic illness-

answer

major problem for older pop

question

comorbidity-

answer

more than one chronic illness

question

the older person is the greater the likelihood of difficult iwth

answer

self care and independent loving

question

leading chronic conditions

answer

1. arthritis 2. high bp 3. hearing impairments 4. heart conditions 5. visual impairment

question

leading causes of death for those 65 years or older

answer

-heart disease -malignant neoplasms -chronic lower respiratory disease -Alzheimers -diabetes -influenza/ pneumonia

question

baby boomer impact-

answer

-better education -2 family income -casual dress code -enamored with high tech products -leisure time is scarcer -inventors of fitness movement

question

boomers-

answer

informed consumers of health, desire an active role in their own care

question

erikson's stages of older life

answer

1. adjusting to decreasing physical strength and health 2. coping with physical changes of aging 3. adjusting to retirement and reduced income 4. adjusting to the death of a spouse 5. redirecting energy to new roles and activities 6. establishing living arrangements 7. establishing association with ones age group 8. accepting ones own life 9.adapting to social roles 10. developing a point of view about death

question

maslows need hierarchy

answer

self actualization esteem belongings, social, love safety and security physiological

question

gerotranscendence-

answer

as people age they are less concerned with their bodies and possessions and desire a life of more significance and greater connection with others

question

loss of social role affects individuals

answer

sense of purpose and speeds physical decline

question

an example of a nursing activity that reflects the american nursing associations definitions

answer

diagnosing a pt with a feeding tube as being a risk for aspiration

question

a nurse working on the med surg unit at an urban hospital would like to become certified in a medical surg specialty. the nurse knows that this process would most likely require:

answer

experience for a specific period in med surg nursing

question

a nurse is providing care to a pt after right hip surgery. Within a pay-for-performance system, a critical role of the nurse is to-

answer

implement measures to decrease the risk of the pt acquiring an infection

question

the linkages among NANDA-I nursing diagnoses, NOC pt outcomes and NIC nursing interventions can be used to

answer

provide guides for planning care

question

the nurse is assigned to care for a newly admitted pt. Number in order the steps to prioritize

answer

1. collect pt info 2. identify health problems 3. determine a plan of action 4. carry out the plan 5. evaluate whether the plan was effective

question

advantages of the use of informatics in health care delivery are:

answer

-the ability to achieve and maintain high standards of care -improved communication of the pts health status to the health care team -access to standardized plans of care that are available for most types of health problems

question

when using evidenced based practice, the nurse

answer

uses clinical decision making and judgement to determine what evidence is appropriate for a specific clinical situation

question

the nurse's role in addressing the National Patient Safety Goals established by The Joint Commission includes=

answer

-using side rails and alarm systems are necessary to prevent pt falls -verifying telephone and verbal orders using the "write down and read back" method -obtaining a complete list of pts meds and monitoring their use throughout the continuum of care

question

the nurse is caring for a diabetic pt in the ambulatory surg unit who has just undergone debridement of an infected toe. Which task is most appropriate for the nurse to delegate to unlicensed assistive personnel?

answer

check the pts vital signs

nursing chapter 1 gerontology – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards