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230 exam 1

QuestionAnswer
What is a paradigm? A pattern of shared understandings and assumptions about reality and the world. (how an individual looks at the world)
What are the building blocks of theories? Concepts.
What are the 4 major concepts of nursing meta paradigm? Person (client/ patient), environment, health, and nursing.
What does the concept "person" of meta paradigm mean? refers to the the inclusion of families, groups, and communities that receive nursing care .
What does the concept "environment" of meta paradigm mean? refers to the Internal & external surroundings that affect the patient.
What does the concept "health" of meta paradigm mean? refers to the degree of wellness/ well being that the client experiences.
What does the concept "Nursing" of meta paradigm mean? refers to attributes, characteristics, and of the nurse.
What is holism? Keeping the whole person (mind, body, & soul) in mind, to understand how one concern relates to the whole person.
Whats the difference between a patient and a client ? One is more active and is seeking info / advice. The other is ill and passive
What is physiologic homeostasis? Internal environment of the body are stable.
What is psychologic homeostasis? State of mental well being.
Define ABC. Airway, breathing, & circulation.
Who is Maslow and what's his theory? A needs theorist. He developed a ranking of human needs
What are Maslow's 5 levels of human need (bottom to top)? physiological, safety & security, love & belong, self esteem (self respect), and self actualization (reaching your potential).
What is the World Health Organization's definition of health? a state of complete physical, mental, & social well being and not merely the absence of disease .
What is the traditional definition of health? the absence of illness.
What is "wellness" defined as? The state of well-being. Includes self responsibility, emotional health, physical fitness, and etc.
What is "well-being" defined as? subjective perception of vitality and feeling well. Experienced on a continuum.
What is the Agent host environment model by Leavell & Clark? It is used to predict illness through identifying risk factors from interactions of agents (bacteria), hosts, and environment.
`What are the 3 levels of prevention by Leavell & Clark ? Primary (generalized health promo & specific protections), secondary (early identification & prompt intervention), and Tertiary prevention (rehabilitation for the optimal level of functioning).
Healthy people 2020 is ? Provides objectives to guide national health promotion and disease prevention in the U.S.
What is the role of nurses in health promotions ? Disseminating info, health risk appraisal / wellness assessment, lifestyle / behavior change, and environmental control programs .
What are the internal variables influencing health, status, belief, and practices? biological (gender), psychological (self concept), and cognitive dimensions (ability to think).
What are the external variables influencing the health, status, belief, and practices? Environment, standards of living, family & cultural beliefs, social support network.
What word should be used instead of compliance? Adherence.
What is adherence? Extent to which an individuals behavior coincide with medical/ health advice.
What does etiology mean? the causation of a disease/ condition.
Define illness. Physical, emotional, intellectual, social, developmental, or spiritual functioning is thought to be diminished. (general/ holistic)
Define disease. Alteration in body functioning resulting in reduced capacities/ shortened lifespan. (specific)
Define acute illness. symptoms that last short term.
Define chronic illness. Symptoms last an extended period of time.
What is the period of time called when symptoms disappear? Remission.
What is the period of time when symptoms reappear? Exacerbation.
What are Suchman's 5 stages of illness behaviors? Symptom experiences, assumption of the sick role (acceptance), medical care contact, dependent client role (on doc),and recovery/ rehabilitation.
Who are the recipients of nursing? Consumers, patients, and clients.
What does HIPAA stand for? Health insurance portability and accountability act.
Define interprofessional collaboration. Working with other healthcare workers so there is no confusion caused in a patient's care.
What is Florence Nightingale's definition of nursing? The act of utilizing the environment of the patient to assist him in his recovery.
What is Virginia Henderson's definition of Nursing? To assist in the performance activities contributing to health or its recovery that would be perform unaided if they had the necessary strength, will, or knowledge, and to do this in such a way as to help him gain independence as rapidly as possible.
What is the American Nurses Association's definition of Nursing? Nursing is the protection, promotion, and optimization of health and abilities, prevention's of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals families communitie
Who started the first nursing school? Florence Nightingale 1860.
Who was America's first trained nurse? Linda Richard's 1873.
Who was the first African American professional nurse? Mary Mahoney 1879.
Who founded the American Red Cross? Clara Barton 1882.
Define conceptual framework. A group of related ideas, statements, or concepts. Also is referred to as conceptual model.
Define theory. A system of ideas that is presumed to explain a given phenomenon. Used to describe, predict, and control phenomena.
What factors does Florence nightingale's environmental Theory link together with health? Pure or fresh air, pure water, efficient drainage, cleanliness, and Light.
What does Virginia Henderson focus on? Clients interaction with the environment and the nurse's role assisting individuals to gain independence and meeting 14 fundamental needs.
Martha Rogers science of unitary beings Theory focuses on? People as holistic beings being in continuous exchange with the environment.
What does Dorothea orem's general theory of nursing focus on? Self care ( the patient's ability for it).
What does Madeleine leininger cultural care diversity and Universality Theory focus on? Cultural diversity.
What does Jean Watson's theory of human caring Focus on? Caring and its centrality to nursing.
Define altruistic. Selfless caring for others.
What are the 6 C's of Simon roaches Theory? Compassion, confidence, confidence, conscience commitment, and comportment.
Nurses provide care for three types of clients which are? Individuals, families, and communities
Nursing practice involves four areas which are? Promoting health & Wellness, preventing illness, restoring health, and caring for the dying.
Which quality and safety education for nurses (QSEN) competencies are incorporated into the nursing education? Patient-centered care, teamwork & collaboration, evidence-based practice, quality improvement, safety, and informatics.
Define values clarification. Is a process by which people identify, examine, and develop their own individual values.
What are the four parts of the communication process? Sender, message, receiver, and response.
What are the important aspects of verbal communication? Pace & intonation, simplicity, clarity & berevity,timing & relevance, adaptability, credibility, and humor.
What are some of the factors that influence communication? Age, personal space, territoriality, environment and boundaries.
What is the definition of therapeutic communication? Promotes understanding and can help establish a constructive relationship between the nurse and client. Is also client and goals directed.
What are some therapeutic communication techniques? Acknowledgement, using touch, reflecting, using silence, using open-ended questions, and seeking clarification
What are the barriers to communication? Stereotyping, being defensive, probing, rejecting, agreeing / disagreeing, giving advice, challenging, and changing topics.
What are the phases of a helping relationship? Pre interaction, introductory, working, and termination phase.
What is the meaning of AIDET? Acknowledge, introduce, duration, explanation, and thank you.
What is included with vital signs? Temp (96.8-99.5), pulse(60-100), respiration(12-20), B / p (120/80), pain, and oxygen saturation (95-100%).
What are the times to assess vital signs? Upon admission, change in health status, before & after surgery, before & after Med Administration, and before & after any nursing intervention it could affect vitals.
When is temperature the highest and lowest? Highest at 4 to 6 p.m. and lowest at 4 to 6 a.m. .
What are the different types of thermometers? Oral, rectal, tympanic, axillary, and temporal artery.
What prevents a nurse from taking an oral temp? The patient has eaten, drink, or smoked within the last 30 minutes.
In what situations might you want to avoid taking rectal temp's? With infants, GI bleeds, hemorrhoids, heart conditions, Rectal Surgery, and colon issues.
At what sites can a person's pulse be taken? Temporal, carotid, apical, radio, brachial, ephemeral, popliteal, dorsalis pedis, and posterior tibial.
What does pulse mean? It's cardiac output AKA heart rate.
Where is the apical pulse found? Midclavicular line 5th intercostal down.
What are the two terms for an abnormal pulse that is too high and too low? Tachycardia greater than 100 per minute and bradycardia less than 60 per minute.
What are the two terms for an abnormal respiration that is too high and too low? Tachypenia greater than 20 per minute and Bradypnia below 12 per minute.
Define apnea. Absence of breath.
What's the difference between hyperventilation and hypoventilation? Hyperventilation is rapid deep breaths and hypoventilation shallow breaths.
What is the difference between systolic and diastolic? Is the contraction of heart ventricles and diastolic is the relaxation.
What are heart sounds referred to as when taking blood pressure? Korotkoff sounds.
What are factors that affect blood pressure? Age, gender, exercise, obesity, stress, race, medication, temperature, and disease.
What is orthostatic hypotension? Blood pressure decreases when a person sits or stands.
Created by: squarrelm
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