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Nurs 201
Exam 1
| Question | Answer |
|---|---|
| promote health | optimal functioning, includes physical, social, and mental ex: vacillate access, promote health literacy & reduce health disparities |
| prevent illness | action to prevent an occurrence of minimizing effects ex: depression screening, mammograms, stroke awareness |
| restore health | physical care, collaborate with others ex: administer medications, teach dressing change |
| facilitate | maximize function, strength and potential ex: end of life care, pain management, caregiver support |
| progression of nursing through antiquity to current day with focus on the role of nursing during general periods | illness caused by supernatural causes, role of nurturer was usually by mom, nursing care shifts from home to hospital but by nuns and monks, 11-13th century deaconess, care by “common women” |
| major contributions of florence nightingale to the profession of nursing | standards for hospitals, nursing education, nursing is distinct and seperate from medicine, maintains record, published books about nursing |
| clara barton | started the American red cross because she saw the value of volunteers |
| Lillian wald | learned about a mom who bled out in a kitchen from giving birth — she got a group of nurses that would go to houses to take care of patients |
| mary mahoney | 1st licensed african american nurse |
| explain how nursing qualifies as a profession utilizing the defining criteria for professions | well defined body of specific and unique knowledge, strong service orientation, recognized authority by a professional group, code of ethics, profession organization that sets standards, ongoing research |
| role of ANA in the advancement of the profession of nursing | mission is to advance the profession of nursing and to improve health — high standards, safe work environment, advocate for issues impacting nursing |
| practical and vocational RN | working under an RN |
| registered nursing education ADN | after WWII generally community colleges and take the NCLEX |
| BSN nursing | more chances for advancement |
| graduate education in nursing DNP | masters and license exam |
| graduate education in nursing PhD | more research and knowledge |
| current trends impacting nursing practice | population, rapid advances, increasing health care costs, nursing shortage, complexity of care |
| importance of self are in relation to the demands of the nursing profession | compassion fatigue, burnout, secondary traumatic stress |
| traditional nursing knowledge | “we have always done it that way” |
| authorative nursing knowledge | they say to do it that way |
| scientific nursing knowledge | the evidence validates to do it that way |
| health | state of complete physical, mental, and social well being, not merely the absence of disease or infinity |
| wellness | an active state of being healthy, including living a lifestyle that promotes good physical, mental and emotional health |
| disease | referring to pathological changes in the structure of function of the body or mind |
| illness | response of a person to a disease; a process which the person’s level of functioning is changed when compared with a previous level |
| 6 dimensions of wellness | emotional, sociocultural, spiritual, environmental, intellectual, physical |
| acute illness | a rapid onset of symptoms that lasts only a relatively short time, usually no medical treatment |
| chronic illness | encompasses a number of different physical and mental alterations in health, either having 1 or more of the following: permanent change, special education for rehab, requires a long period of care of support |
| remission | disease is present, but patient experiences no symptoms |
| exacerbation | symptoms of disease reappear |
| stages of illness behavior | experiencing symptoms, assuming sick role, assuming dependent role, achieving recovery and rehabilitation |
| illness behavior: experiencing symptoms | usually couch, rash, fever, bleeding — if relieved by self care the person usually takes no further action |
| illness behavior: assuming sick role | now defines as being sick, seeks validation of this experience from others, gives up normal activities — some do nothing, some buy otc drugs, some seek doctor |
| illness behavior: assuming dependent role | characterized by patients decision to accept the diagnosis and follow treatment plans — patients response depends on variety of factors including seriousness or illness, support of others, patients degree of fear about disease |
| illness behavior: achieving recovery and rehabilitation | might begin in hospital and conclude at home / resume normal activities and responsibility |
| health equity | attainment of highest level of health for all people |
| health disparities | particular type of health difference that is closely linked with social, economic and / or environmental disadvantage |
| social determinants of health on wellness | conditions in the environments in which people are born, live, learn, work and play and age that affect a wide range of healthy functioning & quality of life outcomes and risks |
| examples of economic stability | employment, income, expenses, debt, medical bills, support |
| neighborhood and physical environment examples | housing, transportation, safety, walk ability, play grounds, parks |
| education examples | literacy, language, early childhood education, vocational training, higher education |
| community and social context examples | social integration, support system., community engagement, discrimination |
| health care system examples | health coverage, provider availability, provider bias, quality of care |
| social determinants of health impact health outcomes | mortality, morbidity, life expectancy, health care expenditures, health status, functional limitations |
| primary preventing care | directed toward promoting health and preventing the development of disease processes of injury |
| secondary preventive care | identifying an illness reverse or reduce its severity or provide a cure and thereby return the person to maximum health as quickly as possible |
| tertiary preventive care | reducing disability and helping rehabilitate patients to a maximum level of functioning |
| health - illness continuum model | one way to conceptualize a person’s health — constantly changing high level wellness and death at opposits |
| risk factors for altered health — age | school aged children at high risk for communicable diseases |
| maslow's hierarchy: love/ belonging | frienship, intimacy, family, sense of connection |
| maslow's hierachy: esteem | respect, self -esteem, status, recognition, strength and freedom |
| maslow's hiearchy: self acutalization | desire to become the most one can be |
| maslow's hierachy of needs for family | including family in health decisions and care is vital |
| define family | buffer between individual and community |
| nuclear family | traditional family, composed of 2 parents and children |
| single parent | usually be female: often have problems and needs and financial concerns and role shifts |
| extended family | contemporary nuclear family often lives in close geographic proximity to relatives such as aunts, uncles, and grandparents |
| blended family | another form of nuclear family, formed when parents bring unrelated children from previous relationships together to form a new family |
| cohabiting family | people who choose to live together for a variety of reasons: relationships, financing need or changing values |
| family functions: economically | provides financial aid to family members |
| family functions: socialization | transmits beliefs, values, attitudes and coping mechanisms |
| family functions: coping | emotional comfort to family members |
| fidelity | keeping promises |
| assault | a threat or an attempt to make bodily contact with another person without the persons consent |
| battery | an assault that is carried out and includes willful, angry, and violent or negligent touching of another person's body or clothes or anything attached to or held by that other person |
| fraud | willful and purposeful misrepresentation that could cause or has caused loss or harm to a person or property |
| negligence | performing an act that a reasonably prudent person under similar circumstances would not do or, conversely, failing to perform an act that a reasonably prudent person under similar circumstances woud do |
| fact witness | base testimony ONLY on first hand knowledge, NOT assumption |
| expert witness | testify based off of patient record or opinion on whether acceptable standards met |
| maslow's hierachy: safety needs | personal security, employment, resources, health & property |
| community | share same geographic area under similar regulations and having common values, interests and needs |
| family functions: physical | provides safe, comfortable environment necessary for growth, development and rest of recuperation |
| autonomy | respect the rights of patients or their surrogates to make health care decisions |
| nonmalefience | avoid causing harm |
| benefience | benefit the patient and balance benefits against risks and harms |
| accreditation | gives state responsibility for the public welfare- ensures nurses are meeting minimum standards |
| licensure | each state regulates the practice of safe and competent practice through licensure process |
| certification | validates special knowledge experiences and clinical judgement |
| defamation of character | intentional tort in which one party makes derogatory remarks about another person without proper consent |
| false imprisonment | unjustified retention or prevention of the movement of another person without proper consent |