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nurse fundamentals15
Question | Answer |
---|---|
Clinical Decision Making | A problem solving activity that focuses on defining client problems and selecting appropriate treatment |
Critical thinking | An active organized, cognitive process Used to carefully examine ones thinking and the thinking of others |
Critical thinking involves | Recognizing an issue exists, analyzing information, evaluating data, making conclusions |
Nursing Practice applications (6) | Interpretation, analysis, inference, evaluation, explanation, self regulation |
Interpretation | Look for patterns, clarify data |
Critical thinking behavior (7) | Truth seeking, open mindedness, analycity, systemicity, self confidence, inquisitiveness, maturity |
Levels of critical thinking (3) | Basic, complex, commitment |
Basic Critical thinking | Follow rules, procedures, supervisory advice |
Complex critical thinking | Analyze options, think outside the box, |
Committed critical thinking | Making choices without assistance and take responsibility |
Critical thinking competencies | Cognitive processes a nurse uses to make judgments about the clinical care of clients |
Components of critical thinking | Specific knowledge base, experience , competencies, attitudes, Standards |
evidence based knowledge | Knowledge base on research or clinical experience |
Scientific method | Systematic, ordered approach to gathering data and solving problems |
Culture | a learned set of values, beliefs, customs shared by interacting individuals |
Family | basic human social system that involves commitment and interaction between its members |
Responses to divorce by age group | 1) preschool; regression 2) school age; open grieving 3) adolescent: worry about self 4) adult: increased dependence on oldest child 5) geriatric: depression |
Cultural Assimilation | process of one cultural group adapting and adopting the practices of another group |
Cultural Competence | cultural awareness and inclusion |
Cultural relatavism | relating values to one culture that may not be intrinsic to another |
Developmental stage | a period in life marked by the mastery of a set of skills or competencies that occur in sequence |
Developmental theorists | 1) Erickson; psychosocial, 2) Havighurst; sequential learning 3) Neuman; nursing theorist-total care to family; 4) Duvall: family theorist |
Dysfunctional Family | a family that does not offer consistency of members or rules, poor relationships |
Family systems theory | theory based on understanding that family functions are inter-related |
Theory | a group of concepts that forms the basis for undderstanding observations, logical, cinsistent, integrates past and present research |
Family APGAR | Adaptaion, Partnership, Growth, Affection, Resolve |
Stages of family growth and development (6) | 1) Marriage,2) Childbearing, 3) Childrearing, 4) Child launching,5) Contractiong Family,6) Aging Family |
Childrearing Styles | autocratic, democratic, laisez faire |
What established Role of Federal Govt in re healthcare | Constitution Article 1 section 8 -spending power to promote general health and welfare |
Hill Burton Act of 1946 | provided funding for new hospital's |
first state to establish Patients Bill Of Rights | Minnesota |
Social Security Act | Passed Title VI to assist staes in providing public health |
Medicare | established by Title VII Social Security Act amandment 1965 payed into |
Medicaid | established by Title XIV Social Security Act amandment 1965 care for poor (Welfare style) |
Local govts establish Nurse Practice acts | |
Omnibus Bill | provided funding for nursing homes, skilled nursing facilities, home health agencies |
scope of practice | identification o fand legl limitations to usual and customary skill practices of a proffession |
Childrens Bureau | established WIC |
TEFRA | Tax Equiety fiscal responsibility Act: establishe DRG (Diagnostic related group) system |
COBRA | extension of insurance benefits |
HIPPA | 1990, privacy and confidentiality |
Atchley | Retirement phase |
Bandura | Social learning |
Bronfenbrenner | Socio-economic influences on development |
Cooley | Meade |
Erickson | psychosocial |
Freud | psychosexual |
Havighurst | Developmental tasks in older adults |
Jung | Extended Freud into Adult development -actualized man |
Kegan | Constructive development |
Kohlberg | Moral development |
Levinson | expanded erickson interactions "fabric of life" Structure in life |
Loevenger | Cognitive theory Piaget extended |
Maslow | Hierarchy of needs |
Peck | Developmental tasks in older adults |
Piaget | cognitive |
Skinner | Behavior learning |
Vygotsky | Language and Culture |
Watson | Father of Behaviorism |
Erickson stage #1 | Trust Vs. Mistrust |AGE: 0-1|stage: infant|trait:Hope |
Erickson stage #2 | Autonomy vs. Shame and doubt |AGE: "2-3"|stage: toddler|trait:WILL |
Erickson stage #3 | Initiative vs. guilt |AGE: "4-5"|stage: preschool|trait:PURPOSE |
Erickson stage #4 | Industry vs. inferiority |AGE: "6-11"|stage: School age|trait:COMPETENCY |
Erickson stage #5 | Identity vs. role confusion |AGE: "11-18"|stage: adolescent|trait:FIDELITY |
Erickson stage #6 | Intimacy vs.,. Isolation |AGE: 18-25|stage: Young adult|trait:LOVE |
Erickson stage #7 | Generativity vs. self absorption |AGE: 25-64|stage: Middle adult|trait:CARE |
Erickson stage #8 | Integrity vs. despair |AGE: 65--|stage: Older adult|trait:WISDOM |
ERICKSON PARENTING #1 | Parental Image |: Picture oneself |
ERICKSON PARENTING #2 | Authority |: Questioning skills as child becomes more autonomous |
ERICKSON PARENTING #3 | Integrative |: Motivating independence seeking child |
ERICKSON PARENTING #4 | Independent Teen |: Support w |
ERICKSON PARENTING #5 | Departure |: Empty nest |
Kohlberg | Stages of Moral Development |
Kohlbergs Stages | Preconventional, conventional, post conventional |
Piaget | Cognitive Stages of development(4) |
Piagets stages | sensori motor, pre-operational, concrete operational, formal operational |
object permanence | sensori motor, Abirth to 2 |
pretend play | pre-operational, age 2-7 |
present time multi task | concrete operational, age 7-11 |
Abstract thought | formal operational, adolescent |
infant reflexes evident at birth | Moro,Tonic Neck, Babinski, palmar grip, blinking, sound, rooting (awake and sleeping) sucking, spontaeneous stepping |