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1204 Unit 1 Tyler
Ch. 1& 2 from DeWit "Foundations" for Exam 1
Question | Answer |
---|---|
The curriculum of the Nightingale training school for nurses was based on what core beliefs? | Proper Nutrition, fresh clean air, occupational and recreational therapy, personal and emotional needs and provide support for the patient, two conditions to be directed at: health and illness, Nurses should be taught by Nurses, Continuing Education |
How did the training in the Nightingale school vary from the nursing schools in the United States? | The Nightingale program was well organized, with classes held separately from practical experience. United States had apprenticeships and a less formal education. |
Regardless of the definition of nursing there are common goals. Name these. | promote wellness, prevent illness, facilitate coping, restore health |
On what do nursing theorists generally base their beliefs? | the relationships among humans,environment, heath and nursing |
Explain the practice of evidence-based nursing. | integration of best research evidence with clinical expertise and patient values to facilitate clinical decision making |
Evidence based nursing is used to help determine "best practices." What is meant by "best practices"? | optimal techniques, procedures, or programs identified by one or more organizations that improve care effectiveness or efficiency while providing positive patient outcomes |
Name the two levels of entry into nursing. | practical (or vocational) nursing and professional (registered) nursing |
What educational programs qualify graduates to take the registered nurse licensure exam? | a hospital-based diploma program, a 2-year associate degree, 4-year baccalaureate nursing program |
Explain the difference between total patient care and primary nursing. | total patient care-one nurse carried out all the nursing functions for the patient primary nursing- one nurse plans and directs care for a patient over a 24-hour period. |
Compare and contrast health maintenance organization (HMOs) and preferred provider organizations (PPOs). | HMOs- group practice, enroll members for a set fee each month, limited network of providers PPOs-offer a discount on fees in return for a large pool of potential patients, larger number of providers |
When nursing was taken out into the community, nursing education was essentially: | an apprenticeship |
The American Red Cross was founded by _______ _______, as an outgrowth of service during the ________ war. | Clara Barton, Civil |
Apprenticeship | learn by doing |
Theory | A belief, policy, or principle proposed or followed as a basis of action |
Nursing Process | A goal-directed series of activities whereby the practice of nursing accomplishes its goal of alleviating, minimizing or preventing real or potential health problems |
Aseptically | Without introducing infectious material |
Capitated Cost | a set fee is paid for every patient enrolled in the health network each year |
Diagnosis-Related Groups (DRGs) | Use of a system by which a hospital receives a set amount of money for a patient who is hospitalized with a certain diagnosis |
Health Maintenance Organizations (HMOs) | A type of group practice that enrolls patients for a set fee per month and provides a limited network of doctors, hospitals and other health care providers from which to choose. |
Implement | to put into action |
Integrated delivery network | a set of providers and services organized to deliver coordinated care to promote wellness, care for illness, and promote rehabilitation |
Interventions | Nursing actions taken to improve, maintain, or restore health or prevent illness |
Invasive procedures | Procedures that require entry into the body |
Practice Act | defines activities in which Nurses may engage, states the legal requirements and titles for nursing licensure, and establishes the education needed for licensure |
Preferred Provider Organizations (PPOs) | An organization that offers discounted insurance fees in return for a large pool of potential patients who choose from a doctor from the list of those associated with the PPO |
The lady who took volunteers into the field hospitals to care for soldiers of both armies during the Civil war was | Clara Barton |
In the United States in the early schools of nursing, education was achieved by: | working directly on the hospital units |
There were several prominent nurses instrumental in the progression of nursing in the United States. Which nurse began community health? | Lillian Wald |
Best practices in nursing are based upon | scientific evidence of success |
A nursing theory is a.... | statement about relationships among concepts or facts based on existing knowledge |
Practical nursing arose to.... | fill a gap left by nurses who enlisted in the military |
Under the DRG system, the hospital | receives a set amount of money for each patient with a particular diagnosis |
HMOs have become a prominent part of health care in the United States. HMOs....... | enroll patients for a set fee per month |
Managed care has brought several changes to the practice of medicine. Effects of managed care are... | less continuity of care; attention to delivery of cost effective care. |
Acute illness | Illness that develops suddenly |
Asymptomatic | without symptoms |
Chronic illness | Illness that persists for a long time |
Maladaptation | lack of adjustment |
etiology | cause of disease |
health | absence of disease and complete physical, mental and social well being |
stress | Biologic reactions to an adverse stimulus |
homeostasis | tendency to maintain stability of the internal biologic environment |
idiopathic | unknown etiology |
illness | disease of body or mind |
holistic | considers the biologic, psychological, sociologic, and spiritual aspects |
adaptation | adjustment in structure or habits |
autonomic | not subject to voluntary control |
convalescence | the process of recovering after an illness and regaining health |
coping | adjusting to or solving challenges |
defense mechanisms | strategies used to protect us from increasing anxiety |
disease | a pathologic process with a definite set of signs and symptoms (S/S); disease causes illness |
hierarchy | the arrangement of objects, elements, or values in a graduated series |
Primary Illness | illness that develops without being caused by another health problem |
Secondary illness | illness that results from or is caused by a primary illness |
Self-actualization | Reaching one's full potential. |
stressor | adverse stimulus |
terminal illness | illness for which no cure is available; it ends in death, usually within a short period of time |
wellness | a dynamic and active movement toward fulfillment of one's potential |
List 3 examples of health behavior: | 1)promote health 2)prevent disease 3)detect disease in an early asymptomatic stage |
One main difference between a licensed practical nurse and a registered nurse is that the licensed practical nurse: | is required to work in a supervised setting |
What is an example of collaborative practice? | Speaking with the social worker about the patient's insurance problems |
An advantage to the patient of a managed health care system is: | paying lower health insurance costs and smaller copayments |
An example of illness prevention is | performing vision screenings |
Self actualization (qualities) | self-knowledge and acceptance, achievement, openness/flexibility, universal knowledge, Aesthetics (artistic appreciation, talent) |
Physiologic (base line) needs | Oxygenation (tissue perfusion),Nutrition(food&water), Elimination, Safety(protection from injury), Rest & Comfort(relief from pain) Hygiene, Activity(movement, mental stimulation) Sexual procreation |
Safety and security needs (2nd priority) | psychological comfort, assistance in meeting needs, comfortable environment |
Love and belonging needs (3rd level) | Loving:giving and receiving, affection, intimacy, sexual expression Belonging: social interaction, communication, human caring, family community |
Self-esteem (4th level) | Independence, competence, exploration, roles, motivation, learning, leisure, spiritual beliefs |
Health is: | a relative state of being |
taking on the sick role occurs when the patient: | buying and taking a couple of aspirin |
Current views of health include the concept of: | expressing the full range of one's potentialities |
The ability of a person to function at an optimum level is primarily dependent on: | inner resources of the person |
It is important to assess a patient's actual cultural beliefs because: | a patient may not adhere to the usual health beliefs of her culture |
The effect of stress on a person partially depend on | the perception of the stressor |
Selye's theory of general adaptation states that homeostasis will be regained: | unless adaptive mechanisms are overwhelmed |
What are the stages in Selye's general adaptation syndrome (GAS)? (long term exposure to stress) | 1)alarm stage 2)stage of resistance 3)stage of exhaustion |
An English woman, who felt God had called her to be a nurse. Based her curriculum on beliefs that are still used today. | Florence Nightingale |
The Union government appointed social worker, organized women volunteers to provide nursing care for the soldiers. | Dorthea Dix |