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335 Exam 1
335 Blueprint
| Term | Definition |
|---|---|
| autonomy | right to determine their destinies should always be respected |
| beneficence | benefit or promote the good of others |
| nonmaleficence | abstain from negative acts toward another |
| justice | equal and fair |
| veracity | duty to be truthful |
| kantianism | moral duty to be honest |
| HIPAA | individual right to access medical records, make changes and decide who to share with |
| assessment | systematic, dynamic process where the nurse collects and analyzes information through interactions with patient, family, groups |
| diagnosis | clinical judgments concerning human response to health conditions and life processes |
| outcome identification | patient behaviors that are collaboratively agreed upon, measurable, desired interventions |
| planning | selection of nursing interventions directed toward helping the patient reach outcomes |
| implementation | execution of identified intervention |
| education | determining patient's progress toward attainment of expected outcomes |
| SOLER therapeutic communication | allows client to express thought, feelings, behaviors and experiences |
| S | sit squarely facing the patient |
| O | observe an open posture |
| L | lean forward toward the patient |
| E | establish eye contact |
| R | relax |
| pre interaction | collect data, charts and examine self fears and feelings |
| orientation (introductory) | milieu for trust and rapport, collect assessment data, diagnosis |
| working | overcome resistance barriers, evaluate progress toward goal attainment |
| transition | progress made towards reaching goals, plan of action for coping with future |
| non therapeutic ocmmunication | false assurance, not listening, minimizing the problem, offering advice, judging, defending |
| suicide | a behavior, the act of taking one's life |
| marital status risk of suicide | widows |
| sex risk of suicide | more women attempt but more men are successful |
| age risk for suicide | highest white males over age 80 |
| mental illness risk for suicide | depression, bipolar, substance use disorder, anorexia, ADHD |
| IS PATH WARM | purposelessness, anger, trapped, hopelessness, withdrawal, anxiety, recklessness, mood |
| suicide assessment | identify and distinguish ideas, plans and attempts |
| prevention of suicide | warning signs to threaten or harm life, seek access to pills, weapons |
| psychological suicide theories | anger turned inward, hopelessness and depression, history of aggression and violence, shame and humiliation |
| sociological suicide therories | durkheim's theory, interpersonal, three step theory |
| egoistic suicide | response who feels separated from the mainstream of society |
| altruistic suicide | excessively integrated in the group, allegiance is so strong they make a sacrifice |
| anomic suicide | response to changes in life that disrupts feelings |
| interpersonal sociological suicide theory | lack of feeling of belonging |
| three step theory of suicide | pain when combined with hopelessness, pain and hopelessness exceed a sense of connectedness, active suicide attempt |
| child abuse | behaviors are inconsistent with developmental stage |
| signs of long term physical child abuse | poor language, cognitive and emotional development |
| signs of sexual child abuse | recurrent UTI's, bleeding and drainage from ears, intracranial trauma, long bone deformities, broken teeth; wets the bed, change in appetite |
| elder neglect | bedsores, untreated illness, soiled clothing, weight loss, constant hunger, dehydration |
| intimate partner violence | intentional sexual, emotional, physical abuse; psychological aggression, stalking |
| immediate feelings following rape | desire for revenge, intimidation, powerlessness |
| expressed rape response | survivor expresses feelings of fear, anxiety |
| controlled response pattern | feelings are master hidden; victim appears calm |
| compounded rape reaction | gain additional psychiatric symptoms of depression or suicidality |
| silent rape reaction | survivor tells no one about the assault |
| restraints assessment | every 15 minutes, basic needs attended to, skin and circulation, patient response; 1:1 sitter |
| restraint renewal | every 4 hours for adults and 2 hours for adolescents |
| first line interventions before restraints | verbal, de escalation and chemical restraints; PRN medications |
| disruptive childhood disorders | conduct disorder, ODD, ADHD |
| autism | withdrawal of child into a fantasy world manifested by impaired communication, social interaction |
| autism behavior | repetitive and restrictive, unable to respond to social cues, rigid and obsessive behavior, deficits in gesture use |
| autism medications | SNRI's risperidone and aripiprazole |
| ADHD | decreased attention span, increased motor activity, difficulty completing tasks, fidgeting, accident prone, low frustration tolerance |
| ADHD diagnosis criteria | inattention, hyperactivity, impulsivity |
| risk factors for ADHD | prenatal exposure, disorganized or chaotic family environment, maternal mental disorder, low socioeconomic status |
| ADHD treatment | Stimulants methylphenidate, dextroamphetamines |
| ADHD treatment SNRI | atmoxetine, helps with focus |
| conduct disorder | deceitfulness, aggression, destruction of property; violates the rights of others or rules of society |
| conduct disorder diagnosis criteria | non compliance with therapy, negative temper, denial of problem, hostility |
| oppositional defiant disorder | recurrent pattern of disruptive antisocial behaviors; stubborness, procrastination, testing limits |
| tourette's disorder | multiple tics and motor tics |
| tourette's tics | eye blinking, neck jerking, shrugging and grimacing |
| complex tourette's tics | squatting, hopping, skipping, |
| tourette's treatment | antipsychotics; haloperidol, pimozide |
| separation anxiety | separation creates severe anxiety resulting in tantrums, screaming, crying, clinging behavior |
| guanfacine | treatment for tourette's; alpha antagonist; do not drive, operate machinery |
| stimulants | treat ADHD, monitor patient's growth and development, suppress appetite |
| non stimulants, SNRI's | atmoxetine, antihypertensives; have antidepressant side effects |
| atypical antipsychotics | may cause weight gain, tardive dyskinesia |
Created by:
ahommel
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