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