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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 |