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Essentials of Nursing I
First Midterm
111
Nursing
Undergraduate 4
06/23/2009

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Cards

Term
Society
Definition
Gives nurses the authority to practice
Term
Nurse Practice Act
Definition
Determined by state law
Specifies what nurses can do
Term
Utah Department of Occupational and Professional Licensure
Definition
Certifies training programs
NCLEX exam
Term
State Board of Nursing
Definition
Provides nursing license
Term
Hednerson
Definition
Nursing model
Assisting sick and well to gain independence
Term
Rogers
Definition
Nursing model
Human as dynamic energy field; wholeness
Term
Orem
Definition
Nursing model
Self care/self deficit
Term
Leininger
Definition
Nursing model
Cultural care diversity
Term
Roy
Definition
Nursing model
Adaptation model
Term
Watson
Definition
Nursing model
Caring is unifying focus
Term
Comfort
Definition
Relative state of well-being
Term
Discomfort
Definition
A state that is unpleasant but tolerable
Term
Jean Watson's Theory of Caring
Definition
Honor dignity; recognize uniqueness; protect autonomy; maximize capacity; human-human relationships; caring.
Term
Cultural Competence
Definition
Recognition of the human, cultural, and systmic differences that impact our interactions with one another
Term
Martin Buber
Definition
I-Thou-It designation
Term
I-Thou
Definition
Caregiver responds to the patient as Thou. Sensitive to their needs and feelings and responds to the present.
Term
I-It
Definition
Caregiver detaches from client. No mutuality/recognition of the other.
Term
I-It (Thou)
Definition
Caregiver is objectively detached, but always treats patient with respect and dignity.
Term
Natural caring
Definition
Caring which flows out of love or natural inclination
Term
Ethical Carin
Definition
Caring that is dones out of a desire to be a caring person or duty
Term
Nel Noddings
Definition
Caring relationship = one caring + one cared-for
Term
Transformational Caring
Definition
Jean Watson:
Human to human connectedness. Each person is touched by the human center of another. Nurse + patient.
Term
Concepts
Definition
Abstract ideas or mental images of phenomena or reality
Term
Paradigm
Definition
A pattern of shared understanding and assumptions about reality and the world
Term
Positivist Paradigm
Definition
Reality exists; one strives for objectivity; reductionist; measurable; quantifiable outcomes.
Term
Naturalistic Paradigm
Definition
Reality is subjective; subjectivity is inevitable; holistic; non-quantifiable.
Term
Metaparadigm
Definition
Global statement identifying the phenomena of central interest to a discipline
Term
Four major metapradigms in nursing
Definition
Person, Environment, health, nursing
Term
Theory
Definition
A supposition/system of ideas that is proposed to explain a given phenomenon
Term
Conceptual model
Definition
A group of related ideas, statements, or concepts
Term
Natural Sciences
Definition
Theories provide a foundation and direction for research, often producing tangible results
Term
Practice Disciplines
Definition
Usefulness comes from helping to interpret phenomenon from unique perspectives
Term
F. Nightengale
Definition
Nursing theory
"The act of utilizing the environment of the patient to assist him to his recovery"
Term
Henderson
Definition
Nursing theory
"Assisting the individual, sick or well, in the performance of those activities contributing to health and its recovery that an ividiual would perform unaided if he had the necessary strength, will or knowledge."
Term
Orem
Definition
Nursing theory
"The act of assisting others in the provision and management of self0care to maintain/improve human funcitoning at home level of effectiveness."
Term
Neuman
Definition
Nursing theory
"Nursing is keeping the lcient system stable throughout constant life changes through assessing the effects of environmental stressors and assisting client adjustments required for optimal level wellness."
Term
Leninger
Definition
Nursing theory
"Enable individuals/groups to maintain or regain their wellbeing in culturally meaningful and beneficial ways"
Term
Roy
Definition
Nursing theory
"Nursing enhances life processes through implementing interventions that are aimed at promoting the individual's physiologic, psychological, and social adaptations."
Term
Watson
Definition
Nursing theory
"Nursing is a human science of persons and human health-illness experiences that are mediated by professional, personal, scientific, esthetic, and ethical human care transactions."
Term
Evidence Based Practice
Definition
The conscientious use of current best evidence in making decisions about patient care
Term
PICO
Definition
patient population; intervention of interest; comparison; outcome.
Term
Quantitative research
Definition
Positivistic paradigm; systematic, logical steps; specific plan; controlled conditions; statistical analysis.
Term
Qualitative research
Definition
naturalistic paradigm; explores subjective experiences of human beings; collection/analysis of subjective, narrative materials; identifies themes and patterns.
Term
Rights of Human Subjects
Definition
Full disclosure; not to be harmed; self-determination; privacy; confidentiality.
Term
Delegation
Definition
Transferring to a competent individual the authority to perfomr a selected nursing task in a selected situation
Term
5 Rights of Delegation
Definition
Right... task; circumstances; person; directions; evaluation.
Term
What cannot be delegated?
Definition
Assessment; interpretation of data; making nursing diagnosis; creating a plan of care; evaluation of the care.
Term
Delegator
Definition
The one who ultimately assumes the responsiblity for delegation
Term
Steps of the Nursing Process
Definition
Assessing; diagnosing; planning; implementing; evaluating.
Term
Critical thinking
Definition
The foundation of the nursing process
Term
Critical thinking
Definition
A discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns
Term
Subjective
Definition
Data that is only apparent to the patient; symptoms
Term
Objective
Definition
Date observed and measured; signs
Term
Diagnosing
Definition
A systemic reasoning process utilizing collected data to formulate a conclusion regarding the nature of a phenomenon
Term
Nursing diagnosis
Definition
description of the human response to an illness, condition, or situation.
Term
Medical diagnosis
Definition
Identify a disease process; constant throughout care.
Term
Collaborative problem
Definition
Require both medical and nursing care
Term
North American Nursing Diagnosis Association (NANDA)
Definition
Organization that defines, refines and promotes taxonomy of nursing diagnostic terminology of general use to professional nurese
Term
Actual diagnosis
Definition
Describes a problem present at the time of diagnosis
Term
Risk Diagnosis
Definition
Describes a problem taht does not currently exist, but the presence of risk factors indicates the problem is likely to develp if no intervention occurs
Term
Wellness Diagnosis
Definition
Describes human responses to levels of wellness with a readiness for enhancement
Term
Possible Diagnosis
Definition
Indicates the potential for a health problem but evidence is incomplete or unclear
Term
Syndrome Diagnosis
Definition
Indicates a cluster of diagnoses
Term
Potential complication
Definition
Physiologic problems requiring medical and nursing interventions in order to minimize complications
Term
NOC
Definition
Nursing outcome classification
Term
NIC
Definition
Nursing invervention classification
Term
SMART goals
Definition
Specific; measurable; appropriate; realistic; timely
Term
Expected outcomes
Definition
Subject + verb + performance criteria + target time
Term
Interventions
Definition
Nursing actions that a nurse perfomrs/carries out to help patient achieve expected outcome; performed to minimize, alleviate, or prevent health problems
Term
Evaluation
Definition
A planned, ongoing, purposeful activity to determine the client's progress towards a goal and the effectiveness of the nursing care plan
Term
Phases of a therapeutic relationship
Definition
Orientation; Working; termination.
Term
Reflection
Definition
Relays content/feeling of message to the patient
Term
Restatment
Definition
Re-state what the patient said
Term
Feedback
Definition
Constructive comments that help the patient clarify or make changes in behavior
Term
Confrontation
Definition
Calls attention to discrepancy between what the patient says and what the patient does
Term
Pre-contemplation
Definition
Unwillingness to change problem behavior
Term
Contemplation
Definition
Consideration of change with decision making evaluation of the pros and cons of both the problem and the change.
Term
Preparation
Definition
Commitment to change in near future. Expressed high degree of motivation toward desired behaviors/outcomes.
Term
Action
Definition
Change or modification of behavior acutally takes place
Term
Maintenance
Definition
3-6 months of success; focus on lifestyle modification in order to avoid relapse of the behavior change.
Term
FICA
Definition
Faith; importance; community; application.
Term
Stress
Definition
A condition in which the person responds to a change in the normal balanced state
Term
Stressor
Definition
Any event or stimulus that causes an individual to experience stress
Term
Distress
Definition
Response to a demand or stressor that is harmful to the individual
Term
Eustress
Definition
Stress in response to a demand that is helpful to the individual
Term
Alarm stage
Definition
Initiates "fight or flight" response
Term
Resistance/adaptation Stage
Definition
Adaptation resources are mobilized to combat the stressor
Term
Exhaustion Stage
Definition
Breakdown of compensatory mechanisms
Term
Recovery
Definition
Complete/partial return to homeostasis
Term
Compensation
Definition
Covering up weaknesses by emphasizing a more desirable trait/achievement
Term
Denial
Definition
An attempt to screen or ignore unacceptable realities by refusing to acknowledge them
Term
Displacement
Definition
The transferring or discharging of emotional reactions from one object or person to another
Term
Identification
Definition
An attempt to manage anxiety by imitating the behavior fo someone feared or respected
Term
Intellectualization
Definition
An expected emotional reaction to an uncomfortable/painful experience is evaded by the use of rational explanations that remove personal significance
Term
Introjection
Definition
Form of identification that allows for the acceptance of others' norms/values into oneself, even when contrary to one's previous assumptions
Term
Minimization
Definition
Not acknowledging the significance of one's behavior
Term
Projection
Definition
Process by which blame is attached to others or the environment for unacceptable desires, thoughts, shortcomings, and mistakes
Term
Rationalization
Definition
Justification of certain behaviors by faulty logic
Term
Reaction formation
Definition
Mechanism that causes people to act exactly opposite to the way they feel
Term
Regression
Definition
Resorting to an earlier, more comfortable level of functioning that is characteristically less demanding and responsible
Term
Repression
Definition
An unconscious mechanism by which threatening thoughts/feelings/desires are kept from becoming conscious
Term
Sublimation
Definition
Displacement of energy associated withmore primitive sexual/aggressive drives into socially acceptable activities
Term
Substitution
Definition
Replacement of hightly valued, unacceptable, or unavailable oject by a less valuable, acceptable, or available object
Term
Undoing
Definition
Action/words designed to cancel some disapproved throughts/impulses/acts in which the person relieves guilt by making reparation
Term
Spirituality
Definition
Relating to, consisting of, or having the nature of spirit; non-tangible; of/concerned with the soul; seeking meaning; belief in relationships.
Term
Benner's Stages of Nursing Expertise
Definition
Novice; Advanced beginner; Competent [2-3 yrs]; Proficient [3-5 yrs]; Expert
Term
American Nurses Association (ANA)
Definition
National professional organization that fosters high standards of nursing practice and promotes the educational and professional advancement of nurses to improve nursing care
Term
National League for Nursing (NLN)
Definition
Organization that fosters the development and improvement of all nursing services and nursing education
Term
Competent state of nursing expertise
Definition
A nurse with 2-3 yrs experience who has the ability to coordinate multiple complex nursing care demands - Benner's States
Term
National Student Nurses Association (NSNA)
Definition
Professional organization that developed a code for nursing students
Term
Aging Population
Definition
Social force most likely to significantly impact future supply and demand of nurses.
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