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Nurs 201
Exam 1
Question | Answer |
---|---|
promote health | optimal functioning, includes physical, social, and mental ex: vacillate access, promote health literacy & reduce health disparities |
prevent illness | action to prevent an occurrence of minimizing effects ex: depression screening, mammograms, stroke awareness |
restore health | physical care, collaborate with others ex: administer medications, teach dressing change |
facilitate | maximize function, strength and potential ex: end of life care, pain management, caregiver support |
progression of nursing through antiquity to current day with focus on the role of nursing during general periods | illness caused by supernatural causes, role of nurturer was usually by mom, nursing care shifts from home to hospital but by nuns and monks, 11-13th century deaconess, care by “common women” |
major contributions of florence nightingale to the profession of nursing | standards for hospitals, nursing education, nursing is distinct and seperate from medicine, maintains record, published books about nursing |
clara barton | started the American red cross because she saw the value of volunteers |
Lillian wald | learned about a mom who bled out in a kitchen from giving birth — she got a group of nurses that would go to houses to take care of patients |
mary mahoney | 1st licensed african american nurse |
explain how nursing qualifies as a profession utilizing the defining criteria for professions | well defined body of specific and unique knowledge, strong service orientation, recognized authority by a professional group, code of ethics, profession organization that sets standards, ongoing research |
role of ANA in the advancement of the profession of nursing | mission is to advance the profession of nursing and to improve health — high standards, safe work environment, advocate for issues impacting nursing |
practical and vocational RN | working under an RN |
registered nursing education ADN | after WWII generally community colleges and take the NCLEX |
BSN nursing | more chances for advancement |
graduate education in nursing DNP | masters and license exam |
graduate education in nursing PhD | more research and knowledge |
current trends impacting nursing practice | population, rapid advances, increasing health care costs, nursing shortage, complexity of care |
importance of self are in relation to the demands of the nursing profession | compassion fatigue, burnout, secondary traumatic stress |
traditional nursing knowledge | “we have always done it that way” |
authorative nursing knowledge | they say to do it that way |
scientific nursing knowledge | the evidence validates to do it that way |
health | state of complete physical, mental, and social well being, not merely the absence of disease or infinity |
wellness | an active state of being healthy, including living a lifestyle that promotes good physical, mental and emotional health |
disease | referring to pathological changes in the structure of function of the body or mind |
illness | response of a person to a disease; a process which the person’s level of functioning is changed when compared with a previous level |
6 dimensions of wellness | emotional, sociocultural, spiritual, environmental, intellectual, physical |
acute illness | a rapid onset of symptoms that lasts only a relatively short time, usually no medical treatment |
chronic illness | encompasses a number of different physical and mental alterations in health, either having 1 or more of the following: permanent change, special education for rehab, requires a long period of care of support |
remission | disease is present, but patient experiences no symptoms |
exacerbation | symptoms of disease reappear |
stages of illness behavior | experiencing symptoms, assuming sick role, assuming dependent role, achieving recovery and rehabilitation |
illness behavior: experiencing symptoms | usually couch, rash, fever, bleeding — if relieved by self care the person usually takes no further action |
illness behavior: assuming sick role | now defines as being sick, seeks validation of this experience from others, gives up normal activities — some do nothing, some buy otc drugs, some seek doctor |
illness behavior: assuming dependent role | characterized by patients decision to accept the diagnosis and follow treatment plans — patients response depends on variety of factors including seriousness or illness, support of others, patients degree of fear about disease |
illness behavior: achieving recovery and rehabilitation | might begin in hospital and conclude at home / resume normal activities and responsibility |
health equity | attainment of highest level of health for all people |
health disparities | particular type of health difference that is closely linked with social, economic and / or environmental disadvantage |
social determinants of health on wellness | conditions in the environments in which people are born, live, learn, work and play and age that affect a wide range of healthy functioning & quality of life outcomes and risks |
examples of economic stability | employment, income, expenses, debt, medical bills, support |
neighborhood and physical environment examples | housing, transportation, safety, walk ability, play grounds, parks |
education examples | literacy, language, early childhood education, vocational training, higher education |
community and social context examples | social integration, support system., community engagement, discrimination |
health care system examples | health coverage, provider availability, provider bias, quality of care |
social determinants of health impact health outcomes | mortality, morbidity, life expectancy, health care expenditures, health status, functional limitations |
primary preventing care | directed toward promoting health and preventing the development of disease processes of injury |
secondary preventive care | identifying an illness reverse or reduce its severity or provide a cure and thereby return the person to maximum health as quickly as possible |
tertiary preventive care | reducing disability and helping rehabilitate patients to a maximum level of functioning |
health - illness continuum model | one way to conceptualize a person’s health — constantly changing high level wellness and death at opposits |
risk factors for altered health — age | school aged children at high risk for communicable diseases |
maslow's hierarchy: love/ belonging | frienship, intimacy, family, sense of connection |
maslow's hierachy: esteem | respect, self -esteem, status, recognition, strength and freedom |
maslow's hiearchy: self acutalization | desire to become the most one can be |
maslow's hierachy of needs for family | including family in health decisions and care is vital |
define family | buffer between individual and community |
nuclear family | traditional family, composed of 2 parents and children |
single parent | usually be female: often have problems and needs and financial concerns and role shifts |
extended family | contemporary nuclear family often lives in close geographic proximity to relatives such as aunts, uncles, and grandparents |
blended family | another form of nuclear family, formed when parents bring unrelated children from previous relationships together to form a new family |
cohabiting family | people who choose to live together for a variety of reasons: relationships, financing need or changing values |
family functions: economically | provides financial aid to family members |
family functions: socialization | transmits beliefs, values, attitudes and coping mechanisms |
family functions: coping | emotional comfort to family members |
fidelity | keeping promises |
assault | a threat or an attempt to make bodily contact with another person without the persons consent |
battery | an assault that is carried out and includes willful, angry, and violent or negligent touching of another person's body or clothes or anything attached to or held by that other person |
fraud | willful and purposeful misrepresentation that could cause or has caused loss or harm to a person or property |
negligence | performing an act that a reasonably prudent person under similar circumstances would not do or, conversely, failing to perform an act that a reasonably prudent person under similar circumstances woud do |
fact witness | base testimony ONLY on first hand knowledge, NOT assumption |
expert witness | testify based off of patient record or opinion on whether acceptable standards met |
maslow's hierachy: safety needs | personal security, employment, resources, health & property |
community | share same geographic area under similar regulations and having common values, interests and needs |
family functions: physical | provides safe, comfortable environment necessary for growth, development and rest of recuperation |
autonomy | respect the rights of patients or their surrogates to make health care decisions |
nonmalefience | avoid causing harm |
benefience | benefit the patient and balance benefits against risks and harms |
accreditation | gives state responsibility for the public welfare- ensures nurses are meeting minimum standards |
licensure | each state regulates the practice of safe and competent practice through licensure process |
certification | validates special knowledge experiences and clinical judgement |
defamation of character | intentional tort in which one party makes derogatory remarks about another person without proper consent |
false imprisonment | unjustified retention or prevention of the movement of another person without proper consent |