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1204 Unit 1 Tyler

Ch. 1& 2 from DeWit "Foundations" for Exam 1

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
Created by: 1014012312
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