Term
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Definition
Nursing is the diagnosis and treatment of HUMAN RESPONSES to actual or potential health problems. "A clinical judgement about individual, family or community experiences and responses to actual or potential health problems and life processes."
1. Prevent/promote/optimize health
2. Prevent illness and injury, alleviate suffering through diagnosis and treatment of HUMAN RESPONSE
3. Advocacy and care of individuals, families and communities. |
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Term
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Definition
| Medical diagnosis deal with a disease or medical condition. |
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Term
| Name the 6 steps in the NURSING PROCESS |
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Definition
1. Assessment
2. Diagnosis
3. Outcome Identification
4. Planning
5. Implementation
6. Evaluation |
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Term
| Name the 4 ASSESSMENT TECHNIQUES |
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Definition
| Inspection, Palpation, Percussion (Bone=DULL SOUND, Space (Lungs)-HOLLOW SOUND) A tumor would create a dense sound where a hollow sound should be. ALSO TAP FOR PAIN, Auscultation |
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Definition
| What the patient reports, thinks for feels. |
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Definition
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| Describe the 9 Facilitative Responses to help and interview along: |
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Definition
1. Facilitation (ANYTHING that shows you are listening and encourages the patient to continue talking; can be gestures or words)
2. Silence (person can collect their thoughts, you can observe and collect your thoughts)
3. Reflection; repeating what the pt just said to encourage them to elaborate
4. Empathize; identify unexpressed emotion--"That sounds really difficult one day feeling so helpless to take care of your kids"
5. Clarification--when person's word choice is confusing
6. Confrontation--Tell pt what you notice, you look sad or you said this but now you're saying that
7. Interpretation--NOT based on direct observation, based on your conclusion "seems like every time you feel upset your stomach hurts"
8. Explanation--Inform the person with factual statements, "dinner comes at 8"
9. Summary; final review of what you understand they have said, validation that the person can agree with or correct |
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Term
| What are the 9 facilitative responses to help an interview along? |
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Definition
| Facilitate, Silence, Reflection, Clarification, Empathy; Confrontation, Interpretation, Explanation, Summary |
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Term
| What are the ten traps of interviewing? |
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Definition
| False re/assurance, Unwanted advice, Using authority, Using Avoidance Language, Engaging in Distancing, Using Professional Jargon, Using Leading/Biased questions, talking too much, Interrupting, Using WHY Questions |
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Term
| What are the four phases of the interview? |
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Definition
| Preparation, Initiation-Introduction, Exploration-Working Phase, Termination/Summary |
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Term
| What are the four types of data sets? |
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Definition
| Complete (Total Health) Database, Focused (Problem Centered) database, Follow Up Db and Emergency Db |
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Term
| 4 Components of the GENERAL SURVEY: |
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Definition
| Physical appearance (orientation, skin color), body structure (height, nutrition), mobility (gait, ROM), behavior (facial expressions, hygiene) |
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Term
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Definition
| NORMAL 19-24, OVERWEIGHT 25-29, OBESE 30-39, EXTREMELY OBESE 40-54 |
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| Normal Temp of a Resting Person |
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Definition
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| What are the three parts of a pulse measurement? |
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Definition
| Rate, rhythm and force (0-3+) |
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Term
| How long do you measure for rapid or irregular pulse? regular pulse? |
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Definition
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Term
| Normal Pulse Rates, Adults and Children over 10? Bradycardia? Tachycardia? Children may have a faster pulse rate up to---? |
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Definition
| 50-90 BPM, <50 BPM, >90 BPM, 125 |
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Term
| How do you measure NORMAL respiration? ABNORMAL? |
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Definition
| Count for 30s and x2; 60s |
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Term
| What are normal respiration ranges for adults? Children? Infants? |
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Definition
| 10-20; up to 20-30; up to 40 |
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Term
| What are the three qualities of respiration? |
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Definition
| Rate (regular, irregular), Depth (deep, shallow), Quality (relaxed, labored) |
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| Normal BP for adults? Prehypertension? Stage 1 Hypertension? Stage 2 Hypertension? |
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Definition
| Systolic <120 Diastolic <80; 121-139/80-89; 140-159/90-99; >160/>100 |
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Term
| How do you palpate to measure SBP? |
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Definition
| Inflate cuff slowly until pulse is no longer palpable; for measure BP go 20-30 mm Hg above that, deflate slowly and note where you feel pulse, deflate rapidly, rest arm 2 minutes |
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Term
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Definition
| Wrap Cuff snugly, correct size? 40% high/80% around,arm level with heart, palpate brachial artery, |
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Term
| What does PULSE OXIMETRY MEASURE? |
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Definition
| The extent to which Hemoglobin is saturated with oxygen, measures by absorbed light |
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| What is a normal adult Oximetry reading? At what point is it problematic? |
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Definition
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| What are the ten lymph nodes called? |
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Definition
| pre and post auricular, occipital, jugulodigastric, superficial cervical, deep cervical, posterior cervical, supraclavicular |
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Term
| What are the three salivary glands called? |
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Definition
| Parotid, sublingual, submental |
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Term
| Where is the thyroid? What does it do? |
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Definition
| The thyroid is medial in the neck straddling the trachea. It is an endocrine gland secreting hormones that influence cellular metabolism (thyroxine, triiodothyronine) |
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Definition
| An unpleasant sensory or emotional experience, associated with actual or potential tissue damage, described in terms of such damage. |
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Definition
| The state of severe distress associated with events that threaten the intactness of the person. |
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Term
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Definition
| Pain that develops in nerve fibers. |
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