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Shorter Nursing C2
Nursing Fundamental Chapter 2
| Question | Answer |
|---|---|
| How do a nurse from one state transfer their license to another state | Resoprosity |
| What is nursing Intervention? | Neccessary steps nurses take to bring pt back to normal health. You would priortize your interventions if their is more than one. |
| Team Nursing | Group or team works (collaborative) together with other members of the health care system. Ex. Nurse, Respiratory Therapist |
| What is Funtional Nurses | Each person in a group has an assigned task |
| If a nurse complains about a dr. "The Dr is so incompetant, he never does anything right" what is this called | Slander |
| 4 types of illness | Primary, Secondary, Terminal, and Idiopathic |
| Define Who is Responsible for their Health | You Are |
| Define Intergrated Delivery System | An area where you can get everything done under one roof. ex Kaiser |
| When a nurse takes on responsibility of pt's for the day...what is this call? | Nurse Duty *If you leave the floor or ignore your patients you are breaching your duty |
| What do you do if you think someone is stealing meds | Report it to your supervisor. |
| When a person is admitted to the hospital and they are terminal ...they get to decide on their... | Code Status |
| If a nurse has a pt's chart open for everyone to see...she is violating? | Pt Confidentiality |
| Describe the information that is documented in reference to the plan of care. | Nursing Orders (directions for a clients care) identify the what, when, where, and how for performing nursing interventions. |
| Discuss three outcomes that result from evaluation. | Client has reached the Goals client has made some progress client has made no progress |
| critical thinking | process of objective reasoning analyzing facts to reach a valid conclusion. |
| concept mapping | organizing information in a graphic or pictorial form |
| Planning | process of prioritizing nursing diagnosis and collaborative problems, identifying measurable goals or outcomes, selecting appropriate interventions and documenting the plan of care |
| Objective Data | Facts that are observable and measurable |
| Collaborative Problems | physiologic complication whose treatment requires both nurse and physician prescribed interventions |
| Long Term Goals | Desirable outcomes that takes weeks or months to accomplish. |
| Implementation | carrying out a plan of care |
| Nursing Orders | Directions for a Clients Care |
| Nursing Process | organized sequence of problem solving steps: Assessment Diagnosis Planning Implementation Evaluation |
| Subjective Data | Information that only the client feels and can describe |
| Symptoms | Subjective data that which only the client can identify |
| Evaluation | 5th and final Step Way in which nurses determine whether a client has reached a goal Evaluation helps to determine the effectiveness of nursing care |
| What are standards for Care? | Policies that indicate which activities will be provided to ensure quality client care. |
| Concept Mapping | also known as (care mapping) a method of organizing information in graphic or pictorial form. |
| Implementation | 4th Step in the Nursing Process Carrying out the Plan of Care The nurse implement medical orders as well as nursing orders. |
| What is a Collaborative Problem? | Collaborative Problems are physiologic complications that require both nurse and physician prescribed interventions. This represent and interdependent domain of nursing pratice. |
| Evaluation | Process of determining whether a goal has been reached. |
| Short Term Goals | outcomes that can be met in a few days to a week. |
| Standards for Care | Policies that ensure quality client care |
| Signs | Objective Data- Information that is observable and measurable |
| Describe four skills that all nurses use in clinical practice | Assessment Skills, Caring Skills, Comforting Skills, Counseling Skills |
| List three parts of a nursing diagnostic statement? | 1)Name of the health-related issue or problem as identified on the Nanda List 2)Etiology (Cause) 3. Signs and Symptoms (as manifested or evidenced by) |
| What is the nursing Process? | An organized sequence of problem-solving steps used to identify and to manage the health problems of clients |
| Discribe the characteristics of the nursing process? | *Within the legal scope of nursing *Based on knowledge *Planned *Client-Centered *Goal-Directed *Prioritized *Dynamic |
| 5 Steps of the Nursing Process | 1.Assessment 2.Diagnosis 3.Planning 4.Implementation 5.Evaluation |
| What are four sources for assessment data? | Primary Source --> client Secondary Source --> client's family Reports Test Results Info in current past medical records |
| What are the two types of assessments? | Data Base Assessment: initial info about the clients physical emotion, social, and spiritual health) is lengthy and comprehensive. Focus Assessments: info that provides more details about specific problems and expands the origanal data base. |
| Data Base Assessment | initial information about the clients physical, emotion, social and spiritual health. |
| What is the difference between a data base assessment and a focus assessment | data based is initial info collected from the client...focus assessment is info that provides more details about specific problems and expands the origanal data base. |
| Describe the rationale for setting priorities? | Not all client problems can be resolved in a brief time. therefore we must detemine which problems require the most immediate attention. Most nurses use Maslow Hieriochy of Human Needs. ranking from most serious or immediate to lesser importance. |
| What are short term goals/ long term goals | Stg: outcomes achievable in a few days to a week LTG: Disirable outcomes that take weeks or months to accomplish |
| Identify 4 ways of documenting the plan of care | *written by hand *Standardized forms *computer generated *based on agency written standards or clinical pathway |
| what are five groups of nursing diagnosis? | actual, risk, possible, syndrome, wellness |
| Wellness Diagnosis | Situation in which a healthy person obtains nursing assistance to maintain his or her health or to perform at a higher level. |
| Risk Diagnosis | A problem that client is uniquely at risk for developing. |
| Syndrome Diagnosis | Cluster of problems that are present due to an event or situation |
| Assessment | systemic collection of information |
| Nursing Diagnosis | Health problems that can be prevented, reduced, or resolved through independent nursing measures. |
| Possible Diagnosis | Problems that may be present, but more information is needed to rule out or confirm it's existence. |
| Actual Diagnosis | Problem that currently exist |
| What is a nursing Diagnosis? | A nursing diagnosis is a health issiue that can be prevented, reduced, or enhanced through independent nursing measures. It is an exclusive nursing responsibility |
| Diagnosis | Identification of Health Related Problems |
| Describe the process of concept mapping as a alternative learning stategy for student clinical experiences | Promotes learning by having the student gather data from the client and medical record or written case study, select significant info and organize related concepts on a 1 or 2 page working document. |
Created by:
shawandashorter
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