Term
What is unintentional tort? |
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Definition
Situation resulting in an injury although the person did not intend to cause harm |
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Term
A list of written statements describing ideal behavior for a group of individuals |
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Definition
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Term
What would unintentional medication elimination be considered? |
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Definition
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Term
The LPN gives medication to a pt that is considered a lethal dose. The pt dies due to medication given. Who is responsible and can be charged with negligence? |
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Definition
Both the nurse and the doctor |
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Term
Who is the nurse practice act intended to protect? |
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Definition
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|
Term
What agency is responsible for the nurse practice act? |
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Definition
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Term
Client comes into the hospital after developing cramps, gas, and diarrhea – approximately 30 minutes after ingesting milk. What condition as a LPN would you suspect? |
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Definition
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|
Term
What are some good sources of calcium? |
|
Definition
Whole grains, dried beans and peas, canned sardines, whole grain |
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|
Term
The nurse tries to get her client to stay in the hospital, although he feels the care is inappropriate and he wants to leave AMA. The nurse tries stopping him using restraints. What legal charges could be put on this nurse for her action? |
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Definition
Battery and false imprisonment |
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Term
A client comes into the hospital with a head injury after a motor vehicle accident. The surgeon determines that he needs life saving surgery. No family members are present. Would you have the pt operated on and assume consent is implied? (YES/NO) |
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Definition
Yes! The pt needs to undergo the immediate surgery to save his life |
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Term
The LPN wrote a paper on HIV and mentioned her clients name in the report, along with how the client had sex with a prostitute. What legal provisions apply to this nurse? |
|
Definition
Libel and invasion of privacy |
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Term
If your competent pt wants to leave the hospital without medically being discharged what would you, as the nurse do? |
|
Definition
Notify the physician and have the pt sign AMA form |
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|
Term
Why is it important to be aware of your pt’s culture? |
|
Definition
Because the response to health and illness varies among different cultures |
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|
Term
Care that respects and is compatible with each client’s culture |
|
Definition
Culturally sensitive nursing care |
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|
Term
How do you demonstrate cultural competence in nursing? |
|
Definition
Be aware of your own culture and not let it have an undue influence on your pt, have specific knowledge about your pt’s culture, adapt your nursing care to pt’s culture, plan care within pt’s health belief system to achieve best health outcomes, respect alternative health beliefs or practices, and promote health teaching that will reduce prevalent diseases |
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Term
The shared values, beliefs, and practices of a particular group |
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Definition
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|
Term
What does culture incorporate? |
|
Definition
Attitudes and customs learned through socialization with others |
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Term
What all is included in culture? |
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Definition
Language, communication style traditions, religion, art, music, dress, health beliefs and practices |
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Term
When is one taught culture? |
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Definition
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|
Term
What influences a person’s culture? |
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Definition
Environment, technology, and availability of resources |
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|
Term
Is culture dynamic and ever changing? |
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Definition
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|
Term
Used when referring to collective people who differ from the dominant group in terms of cultural characteristics such as language and/or physical characteristics |
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Definition
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|
Term
What is an example of a minority? |
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Definition
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Term
A bond or kinship a person feels with his country of birth or place of ancestral origin |
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Definition
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Term
Bewilderment over behavior that is culturally atypical |
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Definition
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Term
Fixed attitudes about all people who share a common characteristic |
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Definition
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|
Term
What are some examples of stereotypes? |
|
Definition
Dumb blondes; all old people are senile |
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Term
Preconceived ideas that are neither real nor accurate? |
|
Definition
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|
Term
What are some forms of negative stereotypical thinking’s concerning older adults? |
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Definition
Elderly are asexual, cognitively defective, physically incapacitated, and a burden to families and society |
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Term
Suppositions that a person shares cultural characteristics with others of a similar background |
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Definition
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|
Term
How are generalizing and stereotyping different from one another? |
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Definition
Generalizing suggests possible commonalities that may or may not be individually valid |
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Term
What are some examples of generalizing? |
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Definition
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|
Term
Belief that one’s own ethnicity is superior to all others |
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Definition
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|
Term
What does treating anyone “different” as deviant and undesirable manifest? |
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Definition
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|
Term
What are the 4 major subcultures in America? |
|
Definition
African Americans 2. Latinos 3. Asian Americans 4. Native Americans |
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|
Term
Which group of people’s ancestral origin is Africa? |
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Definition
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|
Term
Which group of people trace their ethnic origin to Latin or South America? |
|
Definition
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|
Term
What term can also refer to African Americans? |
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Definition
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|
Term
What are some other terms to describe Latino’s? |
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Definition
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|
Term
Which group of people originated in China, Japan, Korea, Philippines, Thailand, Cambodia, Laos, and Vietnam? |
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Definition
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|
Term
Which group of people is known as Indian nations found in North America and include Eskimos and Aleus? |
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Definition
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|
Term
Providing nursing care within the context of another’s culture |
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Definition
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|
Term
Who developed the practice of transcultural nursing? |
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Definition
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|
Term
What type of nursing recognizes the value of incorporating cultural values, traditions, and practices into health care treatments? |
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Definition
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|
Term
What must nurses become skilled at in order to provide culturally sensitive care? |
|
Definition
Managing language differences, understanding biologic and physical variations, promoting health reaching that will reduce prevalent diseases, respecting alternative health beliefs and/or practices |
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|
Term
What is one of the biggest deterrent to providing culturally sensitive care? |
|
Definition
Language and communication |
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|
Term
In which culture are individuals private and possibly hesitant to share personal info with strangers? |
|
Definition
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|
Term
How might a Native American interpret questions? |
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Definition
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|
Term
Which culture might consider impatience to be disrespectful? |
|
Definition
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|
Term
What ritual do Native Americans perform to cleanse negative energy during an illness? |
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Definition
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|
Term
Why are African Americans somewhat mistrustful of the medical establishment? |
|
Definition
Because of sometimes being treated as 2nd class citizens when seeking HC |
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|
Term
When treating an African American pt, how can the nurse demonstrate professionalism? |
|
Definition
By addressing pt by their last name and introducing themselves, following up with pt requests, respect pt privacy |
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|
Term
Why might an African American pt be hesitant to give any more info that what was directly asked? |
|
Definition
Because of feeling that they are a victim of discrimination |
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|
Term
When observing an African American infant during a home visit, the nurse observes a bluish area on the baby’s buttocks. What is the best action for the nurse to take? |
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Definition
Document the findings – it is normal assessment |
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|
Term
Which culture group is at high risk for developing sickle cell anemia? |
|
Definition
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|
Term
Which culture group would be comfortable sitting close to interviewers and letting interactions unfold slowly? |
|
Definition
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|
Term
Although Latinos speak English, what might they have difficulty saying correctly? |
|
Definition
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|
Term
What are some general characteristics of Latino men? |
|
Definition
Generally protective and authoritative regarding women and children, expect to be consulted in decisions concerning family members |
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|
Term
Which culture group tends to respond with brief or more factual answers and gives little elaboration? |
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Definition
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|
Term
What do Asian Americans value? |
|
Definition
Simplicity, meditation, and introspection |
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|
Term
Due to their respect for harmony, which cultural group generally does not openly disagree with authority figures? |
|
Definition
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|
Term
Which 2 cultural groups might be offended by any lingering eye contact due to believing it is an invasion of their privacy? |
|
Definition
Asian Americans or native Americans |
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|
Term
How is direct eye contact interpreted by the Arab culture? |
|
Definition
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|
Term
At what distance do Asian Americans prefer the nurse to be from them? |
|
Definition
More than an arm’s length away |
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|
Term
In which cultural group might a strong handshake be taken offensively? |
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Definition
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|
Term
Why should you ask permission before touching the head of Southeast Asians? |
|
Definition
They consider the head to be a sacred part of the body that only close relatives can touch |
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|
Term
Which culture believes that the area between a female’s waist and knees is particularly private and should only be touched by the woman’s husband? |
|
Definition
Southeast Asian Americans |
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|
Term
Which 2 cultures freely express both positive and negative feelings? |
|
Definition
Anglo-Americans and African Americans |
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|
Term
Which cultural group tends to control their emotions and expressions of physical discomfort? |
|
Definition
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|
Term
Why might Latino men not demonstrate their feelings or readily discuss symptoms? |
|
Definition
They may interpret doing so as less manly |
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|
Term
Which culture considers punctuality to be very important? |
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Definition
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|
Term
Type of perspective shared by those from developed countries who base their beliefs about health and disease on research findings |
|
Definition
Biomedical/scientific perspective |
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|
Term
Type of perspective in which humans and nature must be in balance or harmony to remain healthy |
|
Definition
Naturalistic/holistic perspective |
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|
Term
What do those who believe in the naturalistic/holistic perspective assume to be the reason why an illness occurs? |
|
Definition
Result of an outcome of disharmony |
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|
Term
Type of perspective where a culture believes that supernatural forces contribute to disease or health |
|
Definition
Magico-religious perspective |
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|
Term
What helps to achieve health care goals? |
|
Definition
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|
Term
What is the best technique for observing baseline skin color in a dark skinned person? |
|
Definition
Use natural or bright artificial light |
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|
Term
What are the best structures to examine on a dark skinned person and why? |
|
Definition
Palms of hands, feet, and abdomen because they contain the least pigmentation and are the least likely to be tanned |
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|
Term
What is considered a normal finding when bathing a dark skinned person and what is it a result of? |
|
Definition
Brown discoloration may appear on the wash cloth due to normal shedding of dead skin |
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|
Term
What is a characteristic of anemia or inadequate O2? |
|
Definition
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|
Term
Where are some common sites for assessing cyanosis? |
|
Definition
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|
Term
Disease that affects whites as well as those with darker skin that produces irregular white patches on the skin as a result of absence of melanin |
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Definition
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|
Term
Dark blue areas on the lower back of darkly pigmented infants and children |
|
Definition
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|
Term
At what age do Mongolian spots tend to fade? |
|
Definition
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|
Term
What are Mongolian spots often mistaken as? |
|
Definition
Signs of physical abuse or injury |
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|
Term
What type of deficiency causes intolerance to dairy products? |
|
Definition
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|
Term
What are some s/s individuals may experience if they are suffering from lactase deficiency? |
|
Definition
Cramps, gas, and diarrhea |
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|
Term
How long after ingesting dairy products does a pt experience cramps, gas, and diarrhea? |
|
Definition
|
|
Term
How long can the symptoms of lactase deficiency last? |
|
Definition
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|
Term
What are some sources of calcium that can be useful for a pt with lactase deficiency? |
|
Definition
Green leafy vegetables, dates, prunes, canned sardines and salmon with bones, egg yolk, whole grains, dried peas and beans, calcium supplement |
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|
Term
In which cultural groups is it common for lactase deficiency to be present? |
|
Definition
African Americans, Hispanics, and Chinese |
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|
Term
Which groups of people often lack the enzyme, G-6-PD? |
|
Definition
African Americans and people from Mediterranean countries |
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|
Term
What are some things that culturally sensitive nurses must focus on? |
|
Definition
Teaching, participating in community health screenings, and campaign for more equitable health services |
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|
Term
Health practices unique to a particular group of people and generally provided by lay people |
|
Definition
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|
Term
Latino practitioner who is thought to have spiritual and medicinal powers |
|
Definition
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|
Term
Holy man with curative powers |
|
Definition
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|
Term
Alternative medical therapy |
|
Definition
|
|
Term
What are some reasons that attract people to alternative medicine? |
|
Definition
Expensive, dissatisfaction with prior treatment/progress, and intimidation |
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|
Term
Belief that ones own culture is superior |
|
Definition
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|
Term
Laws enacted by federal, state, or local legislatures also known as public acts, codes, or ordinances |
|
Definition
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|
Term
Legally defines the unique role of the nurse |
|
Definition
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|
Term
What are some common elements generally found in all nurse practice acts? |
|
Definition
Define the scope of practice, establish limits to the practice, identifies titles that nurses may use, authorizes a board of nursing to oversee nursing practice, determine what constitutes grounds for disciplinary action |
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|
Term
Legal provisions through which federal, state, and local agencies maintain self-regulation |
|
Definition
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|
Term
Refers to litigations that falls outside the realm of constitutional, statutory, and administrative laws |
|
Definition
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|
Term
Penal codes that protect all citizens from people who pose a threat to the public good and prosecute those who commit a crime |
|
Definition
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|
Term
|
Definition
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|
Term
|
Definition
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|
Term
|
Definition
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|
Term
Person charged with violating the law |
|
Definition
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|
Term
Litigation in which 1 person asserts that a physical, emotional, or financial injury was a consequence of another person’s actions or failure to act |
|
Definition
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|
Term
Expected action based on moral or legal obligations |
|
Definition
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|
Term
Lawsuits in which plaintiff charges that a defendant committed a deliberately aggressive act |
|
Definition
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|
Term
Act in which bodily harm is threatened or attempted |
|
Definition
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|
Term
Unauthorized physical contact |
|
Definition
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|
Term
Interference with a person’s freedom to move about at will without legal authority to do so |
|
Definition
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|
Term
Devices or chemicals that restrict movement |
|
Definition
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|
Term
What are 2 legal conditions in which you may use restraints on a pt? |
|
Definition
Prisoners admitted for medical care and pt with mental illness who is dangerous to self or others |
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|
Term
What is the purpose of OBRA? |
|
Definition
To protect those in nursing homes from being abused by restraints |
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|
Term
Failure to leave people and their property alone |
|
Definition
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|
Term
Act in which untrue information harms a person’s reputation |
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Definition
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|
Term
Character attack uttered orally in the presence of others |
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Definition
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|
Term
Damaging statements written and read by others |
|
Definition
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|
Term
Unintentional failure to perform a health care procedure |
|
Definition
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|
Term
Results in an injury, although the person responsible did not mean to cause harm |
|
Definition
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|
Term
Harm that results because a person did not act reasonably |
|
Definition
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|
Term
|
Definition
|
|
Term
What holds professionals to a higher standard of accountability? |
|
Definition
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|
Term
When concerning malpractice, who decides whether a health care worker acted in a manner comparable to that of their peers? |
|
Definition
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|
Term
What is the best protection against a malpractice lawsuit? |
|
Definition
Competent nursing and compassionate care |
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|
Term
Should nurses carry their own liability insurance even if their employer covers them? (YES/NO) |
|
Definition
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|
Term
Legal immunity to passersby who provide emergency first aid to victims of accidents |
|
Definition
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|
Term
Designated time within which a person can fine a lawsuit |
|
Definition
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|
Term
Process of identifying and reducing costs of anticipated losses |
|
Definition
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|
Term
Written account of an unusual, potentially injurious event involving a client, employee, or visitors |
|
Definition
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|
Term
When writing an incident report, how should all witnesses be identified? |
|
Definition
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|
Term
What are 5 important pieces to include in an incident report? |
|
Definition
1. When incident occurred 2. Where it happened 3. Who was involved 4. What happened 5. Actions that were taken |
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|
Term
Personal, handwritten account of an incident |
|
Definition
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|
Term
Moral principles that direct actions as being either right or wrong |
|
Definition
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|
Term
List of written statements describing ideal behavior |
|
Definition
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|
Term
What is the model for personal conduct? |
|
Definition
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|
Term
Choice between 2 undesirable alternatives that occurs when individual values and laws conflict |
|
Definition
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|
Term
Ethical theory based on final outcomes |
|
Definition
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|
Term
Ethical theory based on duty or moral obligations |
|
Definition
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|
Term
“Doing good”; acting for another’s benefit and preventing or removing any potentially harmful factor |
|
Definition
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|
Term
“Doing no harm”; avoiding an action that deliberately harms a person |
|
Definition
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|
Term
Refers to a competent person’s right to make their own choices without intimidation or influence |
|
Definition
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|
Term
The duty to be honest and avoid any deceiving or misleading of a client |
|
Definition
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|
Term
Being faithful to work-related commitments and obligations |
|
Definition
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|
Term
Clients are to be treated impartially without discrimination according to age, gender, race, religion, socioeconomic status, weight, martial status, or sexual orientation |
|
Definition
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|
Term
Proposes that all clients have the right to complete and accurate information |
|
Definition
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|
Term
Safeguarding a person’s health information from public disclosure and is the foundation for trust |
|
Definition
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|
Term
Written statement identifying a competent person’s wishes concerning terminal care |
|
Definition
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|
Term
Who can initiate advance directives? |
|
Definition
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|
Term
Written document that identifies a person’s preference regarding medical interventions to use or not to use in a terminal condition, irreversible coma, or persistent vegetative state with no hope of recovery |
|
Definition
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|
Term
Designates a proxy for making medical decisions when the pt becomes so incompetent or incapacitated that pt cannot make decisions independently |
|
Definition
Durable power of attorney |
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|
Term
What is a pt’s code status referring to? |
|
Definition
How HC personnel are required to manage care in case of cardiac or respiratory arrest |
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|
Term
What does DNR or “no code” mean? |
|
Definition
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|
Term
What does it mean if a pt is designated in “full code”? |
|
Definition
All measures will be taken to resuscitate the pt |
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|
Term
Process of deciding how to distribute limited life-saving equipment or procedures among several who could benefit |
|
Definition
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|
Term
Damaging statements written and read by others |
|
Definition
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|
Term
Character attack uttered orally in the presence of others |
|
Definition
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|
Term
What is one of the primary keys to establishing and maintaining positive nurse-client relationships? |
|
Definition
The manner and style of the nurse’s communication |
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|
Term
When is a relationship between a nurse and pt established? |
|
Definition
When nursing services are provided |
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|
Term
What are the 4 categories of client needs? |
|
Definition
1. Safe and effective care environment 2. Health promotion and maintenance 3. Psychosocial integrity 4. Physiological integrity |
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|
Term
Who designates the 4 categories of client needs? |
|
Definition
The National Council of State Boards of Nursing |
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|
Term
What are the 4 basic roles of a nurse? |
|
Definition
1. Caregiver 2. Educator 3. Collaborator 4. Delegator |
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|
Term
Who performs health-related activities that a sick person cannot perform independently |
|
Definition
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|
Term
Provides health teaching pertinent to the client’s needs and knowledge base |
|
Definition
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|
Term
Works with others to achieve a common goal, manages care and those to whom care is delegated, and shares info with Dr. or other health care workers |
|
Definition
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|
Term
Person who assigns tasks to others |
|
Definition
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|
Term
Who is accountable for inadequate care? |
|
Definition
|
|
Term
When does a therapeutic nurse-client relationship end? |
|
Definition
|
|
Term
When are therapeutic nurse-client relationships more likely to develop? |
|
Definition
When the nurse treats each pt as a unique person and respects that person’s feelings |
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|
Term
What does a therapeutic nurse-client relationship promote? |
|
Definition
Pt’s physical, emotional, social, and spiritual well-being |
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|
Term
Relationship where the desired outcome of the association is almost always moving toward improving health |
|
Definition
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|
Term
What are the 3 phases of the nurse-client relationship? |
|
Definition
1. Introductory 2. Working 3. Terminating |
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|
Term
Period of getting acquainted, initiated when pt identifies one or more health problems for which he is seeking help |
|
Definition
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|
Term
Period when tasks are performed |
|
Definition
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|
Term
Period when relationship comes to an end because immediate health problems have improved |
|
Definition
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|
Term
Exchange of info between 2 or more people followed by feedback and indication that info was either understood or requires further clarification |
|
Definition
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|
Term
What are 2 types of communication? |
|
Definition
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|
Term
Type of communication with words to include speaking, writing and reading that is used to gather facts, instruct, clarify and exchange ideas |
|
Definition
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|
Term
What is a common obstacle to effective communication? |
|
Definition
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|
Term
Type of verbal communication that uses words and gestures to accomplish a particular objective |
|
Definition
Therapeutic verbal communication |
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|
Term
If a pt is quiet and uncommunicative should you assume he has no problems and understands everything? (YES/NO) |
|
Definition
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|
Term
What is just as important during communication as speaking? |
|
Definition
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|
Term
Type of communication that is an exchange of info without using words and involves what is not said |
|
Definition
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|
Term
What are some indications to look for during nonverbal communication? |
|
Definition
Facial expressions and other forms of body language |
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|
Term
What is another term used for body language? |
|
Definition
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|
Term
Vocal sounds that are not actually words |
|
Definition
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|
Term
Use and relationship of space to communicate |
|
Definition
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|
Term
Personal contact with another person or object |
|
Definition
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|
Term
Type of touch that is required when performing nursing procedures |
|
Definition
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|
Term
Type of touch used to demonstrate concern or affection |
|
Definition
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|
Term
During a nurse-client relationship, how should you never treat older adults? |
|
Definition
As if they are children or uneducated |
|
|
Term
What are some characteristics of metabolic syndrome? |
|
Definition
Obesity, abdominal fat, high BP, high blood glucose, high fat levels |
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|
Term
Process by which the body uses food |
|
Definition
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|
Term
Condition resulting from a lack of proper nutrients in the diet |
|
Definition
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|
Term
Who would be at risk for inadequate nutrition? |
|
Definition
Older adults who are socially isolated, living alone, or on fixed incomes; homeless, children of economically deprived parents, pregnant teenagers, people with substance abuse problems, people with eating disorders |
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|
Term
What is necessary for life? |
|
Definition
|
|
Term
What are individual nutritional needs influenced by? |
|
Definition
Age, weight and height, growth periods, activity, health status |
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|
Term
How many calories per day do healthy adults require on average? |
|
Definition
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|
Term
Building and repairing cells |
|
Definition
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|
Term
Responsible for building maintaining and repairing tissue |
|
Definition
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|
Term
Responsible for blood regeneration |
|
Definition
|
|
Term
Where are carbohydrates usually found? |
|
Definition
|
|
Term
What is a chief component of most diet? |
|
Definition
|
|
Term
Primary source for “quick” energy |
|
Definition
|
|
Term
What are some good sources of carbohydrates? |
|
Definition
Rice, wheat, wheat germ, oats, barley, corn, corn meal, fruits, vegetables, sweeteners |
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|
Term
Concentrated energy source that supplies more than twice the calories/gram than either proteins or carbohydrates |
|
Definition
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|
Term
What provides energy and is necessary for chemical reactions in the body? |
|
Definition
|
|
Term
What is necessary for absorption of some vitamins? |
|
Definition
|
|
Term
What adds flavor to foods and promotes the feeling of having satisfies appetite and hunger? |
|
Definition
|
|
Term
What is the role of cholesterol? |
|
Definition
|
|
Term
What is “good cholesterol”? |
|
Definition
|
|
Term
What is “bad cholesterol”? |
|
Definition
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|
Term
Cholesterol that is delivered to the liver for removal |
|
Definition
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|
Term
Cholesterol that is deposited within the walls of arteries |
|
Definition
|
|
Term
What is the goal of the Healthy People 2020 Initiative? |
|
Definition
At least 50% of people 2 years and older will consume no more than 30% of their daily calories from fat, and of that, 10% should be saturated |
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|
Term
Help to regulate many of the body’s chemical processes such as blood clotting and conduction of nerve impulses |
|
Definition
|
|
Term
What are some common dietary minerals? |
|
Definition
Sodium, potassium, chloride, calcium, phosphorus, iodine, iron, magnesium, zinc |
|
|
Term
Why is potassium needed in our daily dietary mineral requirements? |
|
Definition
For maintenance of electrolyte balance, neuromuscular activity, and enzyme reactions |
|
|
Term
What foods are rich in potassium? |
|
Definition
Potatoes, oranges, bananas |
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Term
Chemical substances necessary for normal growth, maintenance of health, and functioning of the body |
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Definition
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Term
Type of vitamins that are eliminated with body fluids and require daily replacement |
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Definition
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Term
Type of vitamins that are stored in the body as reserves for future needs |
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Definition
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Term
What replaces the previously used food pyramid? |
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Definition
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Term
What is an advantage of “my plate”? |
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Definition
The amounts from various food group categories can be individualized according to a person's age, gender, and level of activity |
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Term
Improved tool where amounts from various food group categories can be individualized according to a person’s age, gender, and level of activity |
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Definition
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Term
What must be provided on all packages of fresh meats and poultry products? |
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Definition
Printed disease prevention guidelines |
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Term
What do food labels identify? |
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Definition
Amounts of each nutrient per serving |
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Term
What are some factors that influence eating habits? |
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Definition
Food preferences, number of people in household, established meal patterns, access to food markets, attitude/knowledge about nutrition, food as a “reward”, income level, body weight, time available for food preparation, cultural beliefs |
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Term
People who restrict their consumption of animal food sources, modifying their diets for religious or personal reasons |
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Definition
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Term
What are some advantages of being a vegetarian? |
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Definition
Lower incidence of colorectal cancer, fewer problems with obesity and diseases associated with high-fat diets |
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Term
What is a disadvantage of being a vegetarian? |
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Definition
Can be inadequate in complete protein, calcium, riboflavin, vitamins B12 & D, and iron |
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Term
Assessment technique for obtaining facts about a pt’s eating habits and factors that affect nutrition |
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Definition
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Term
Measurements pertaining to body size and composition obtained by measuring height and weight, calculating BMI, measuring mid-arm circumference, triceps skin-fold thickness, and abdominal circumference |
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Definition
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Term
Provides numeric data to compare a person’s size in relation to established norms for the adult population |
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Definition
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Term
What is used when calculating BMI? |
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Definition
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Term
Helps to determine skeletal muscle mass and if combined with other measurements helps to assess a pt’s nutritional status |
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Definition
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Term
Aids in estimating the amount of subcutaneous fat deposits |
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Definition
Triceps skin-fold thickness |
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Term
What does triceps skin-fold thickness relate to? |
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Definition
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Term
Condition in which a person’s BMI is equal to or exceeds 30kg/M2 or the triceps skin fold measurement exceeds 15 mm |
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Definition
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Term
What does obesity indicate? |
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Definition
A need for healthy weight-reduction measures |
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Term
What are some great health risk factors concerning obesity? |
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Definition
Higher incidence of heart and vascular disease, hypertension, and diabetes |
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Term
What are some conditions that obese people are at a higher risk for obtaining? |
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Definition
Vascular disease, hypertension, diabetes |
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Term
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Definition
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Term
General wasting away of body tissue |
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Definition
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Term
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Definition
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Term
What are some factors associated with anorexia? |
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Definition
Illness, altered taste and smell, oral problems, tension, depression |
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Term
Psychological disorder associates with a 20-25% loss in previously stable body weight |
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Definition
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Term
Should you ignore the fact that a pt is not eating? (YES/NO) |
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Definition
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Term
What usually precedes vomiting? |
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Definition
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Term
What are some side effects concerning nausea? |
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Definition
Person may feel faint or weak, dizzy, perspiring, pale skin, rapid pulse rate, headache |
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Term
What becomes priority once nausea is relieved? |
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Definition
Fluid intake and nourishment |
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Term
Loss of stomach contents through the mouth |
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Definition
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Term
Substance that is vomited and readily visible |
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Definition
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Term
Act of vomiting without producing vomitus |
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Definition
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Term
Bringing stomach contents to the throat and mouth without the effort of vomiting |
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Definition
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Term
What age group is regurgitation common among? |
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Definition
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Term
Vomiting that occurs with great force |
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Definition
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Term
What is stomach gas primarily a result of? |
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Definition
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Term
When does stomach acid become a problem? |
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Definition
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Term
Discharge of gas from the stomach through the lungs |
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Definition
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Term
Gas formed in the intestine and released from the rectum when eructation does not occur |
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Definition
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Term
What is the nurse responsible for when managing the nutrition of a pt? |
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Definition
Ordering/cancelling pt’s diets, serving/collecting meal trays, assisting clients to eat, recording % that client eats, must know the type of diet prescribed for each pt – its purpose & characteristics, making sure pt receives correct diet |
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Term
What are some of the different diets that are available? |
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Definition
Regular/general, light/convalescent, soft, mechanical soft, full liquid, clear liquid, special therapeutic |
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Term
What all can a pt on a low sodium diet have? |
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Definition
Example: baked chicken, tossed salad with olive oil, fresh fruit, ice tea |
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Term
What is the recommended daily intake of sodium? |
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Definition
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Term
Type of sodium diet with less than 5 mg of sodium per serving |
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Definition
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Term
Type of sodium diet with 35 mg or less per serving |
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Definition
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Term
Type of sodium diet with 140 mg or less per serving |
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Definition
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Term
Type of sodium diet that may contain sodium as a natural part of the food, but no additional sodium or salt is added during processing |
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Definition
Unsalted/no salt added/without added salt |
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Term
How can you reduce the sodium/salt in your diet? |
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Definition
Choose more fresh fruits, eat less processed foods, put the salt shaker away, use herbs and spices to season foods during cooking and at the table |
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Term
What is common in older adults that interferes with chewing, swallowing, and enjoying meals? |
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Definition
Xerostomia (aka dry mouth) |
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Term
Provides the body with energy |
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Definition
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Term
What 3 things supply calories and are needed for growth and repair of body structures? |
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Definition
1. Proteins 2. Carbohydrates 3. Fats |
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Term
What 2 things do not supply calories but are essential for regulating and maintaining physiologic processes that are necessary for life? |
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Definition
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Term
What are some foods that are rich in fats? |
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Definition
Beef, pork, butter, oils, whole milk, cheese, peanut butter, chocolate, nuts |
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Term
How is cholesterol transported? |
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Definition
Through the blood in molecules of lipoproteins |
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Term
How can a person easily meet their vitamin requirements? |
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Definition
By eating a variety of foods |
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Term
What should you document concerning a pt’s vomit? |
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Definition
Amount, color, unusual odor |
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Term
How can a nurse assist a pt with eating? |
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Definition
Assist in feeding if pt has poor appetite, place food closer, remover wrappers and assist pt, guide patients hand to their mouth |
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Term
Type of diet that allows unrestricted food selections |
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Definition
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Term
Type of diet that typically omits fried, fatty, gas-forming, raw foods and rich pastries |
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Definition
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Term
Type of diet that contains foods soft in texture, usually low in residue and readily digestible that provides fewer fruits, vegetables, or meats than a light diet |
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Definition
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Term
Type of diet used for clients with chewing difficulties that provides cooked fruits and vegetables and ground meats |
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Definition
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Term
Type of diet that consists of fruit and vegetable juices, creamed or blended soups, milk, ices, ice cream, gelatin, junket, custards, and cooked cereals |
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Definition
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Term
Type of diet that consists of water, clear broth, clear fruit juices, plain gelatin, tea, and coffee |
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Definition
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Term
Type of diet where foods are prepared to meet special needs, such as low in sodium, fat, or fiber |
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Definition
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Term
How much sodium is found in one teaspoon of salt? |
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Definition
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Term
Irregular elevated thick scars that are common among dark skinned clients and may be genetic |
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Definition
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Term
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Definition
Production of new RBCs cannot match the rate of destruction of old blood cells |
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Term
Statutes that protect personal freedoms and rights and involves disputes between individual citizens |
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Definition
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Term
Client is forewarned of a potential safety hazard and chooses to ignore the warning |
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Definition
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Term
What type of info should you document? |
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Definition
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Term
Act of expelling feces from the body |
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Definition
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Term
Rhythmic contractions of intestinal smooth muscle that facilitate defecation and moves residue through the GI tract |
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Definition
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Term
Increases peristaltic activity that occurs during eating |
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Definition
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Term
Ring shaped band of muscles that relax to release stool when a person gets the urge to defecate |
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Definition
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Term
What are some factors that affect bowel elimination? |
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Definition
Foods eaten, fluid intake, drugs, emotions, neuromuscular function (exercise), abdominal muscle tone, opportunity for defecation |
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Term
How do foods eaten affect bowel elimination? |
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Definition
Influence color, odor, volume, and consistency of stool, and fecal velocity |
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Term
How does fluid intake affect bowel elimination? |
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Definition
Influences moisture content of stool |
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Term
How do drugs affect bowel elimination? |
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Definition
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Term
How do emotions affect bowel elimination? |
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Definition
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Term
How does exercise affect bowel elimination? |
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Definition
Affects the ability to control rectal muscles |
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Term
How does a pt’s abdominal muscle tone affect bowel elimination? |
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Definition
Affects to ability to increase intra-abdominal pressure (Valsalva maneuver) |
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Term
How do opportunities for defecation affect bowel elimination? |
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Definition
Inhibits or facilitates elimination |
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Term
What are 2 components of bowel elimination assessment? |
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Definition
1. Bowel habits 2. Characteristics of feces |
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Term
What is the normal color for stool? |
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Definition
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Term
What are some abnormal stool colors? |
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Definition
Black, clay/tan, yellow, green |
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Term
What kind of odor does normal stool produce? |
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Definition
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Term
Would stool with a foul odor be considered normal or abnormal? |
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Definition
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Term
What is the normal consistency for stool? |
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Definition
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Term
What are some different abnormal consistencies for stool? |
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Definition
Soft, bulky, hard, dry, watery, paste like |
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Term
What are the normal shapes for stool? |
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Definition
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Term
What would be some abnormal shapes for stool? |
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Definition
Unformed, flat, pencil-shaped, stone like |
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Term
What components are normally found in stool? |
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Definition
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Term
What types of components would be abnormal findings in stool? |
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Definition
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Term
What are some alterations in bowel elimination? |
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Definition
Constipation, fecal impaction, flatulence/flatus, diarrhea, fecal incontinence |
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Term
Condition that results from dry, hard stool that is difficult to pass |
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Definition
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Term
What are some S/S of constipation? |
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Definition
Complaints of abdominal fullness or bloating, abdominal distention, C/O rectal fullness or pressure, pain on defecation, decreased frequency of BM, inability to pass stool, changes in stool characteristics such as oozing, liquid stool or hard, small stool |
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Term
What are 4 types of constipation? |
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Definition
1. Primary 2. Secondary 3. Iatrogenic 3. Pseudoconstipation |
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Term
Which type of constipation results from lifestyle factors such as inactivity, inadequate intake of fiber, insufficient fluid intake, or ignoring the urge to defecate? |
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Definition
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Term
Which type of constipation is a consequence of a pathologic disorder such as partial bowel obstruction? |
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Definition
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Term
When does secondary constipation usually resolve? |
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Definition
When the primary cause is treated |
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Term
Which type of constipation is a consequence of other medical treatments such as the use of narcotics? |
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Definition
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Term
Type of constipation that occurs when clients believe themselves to be constipated even though they are not |
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Definition
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Term
Who might Pseudoconstipation be common in? |
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Definition
People who are extremely concerned about having a daily BM |
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Term
What is Pseudoconstipation a result of? |
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Definition
Overuse/abuse of laxatives, suppositories and enemas |
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Term
Hardened mass of stool that is impossible for pt to pass voluntarily |
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Definition
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Term
What does fecal impaction result from? |
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Definition
Unrelieved constipation, retained barium from an intestinal X-ray, and weakness of abdominal weakness |
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Term
Excessive accumulation of intestinal gas |
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Definition
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Term
What is flatus a result of? |
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Definition
Swallowing air while eating or from sluggish peristalsis |
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Term
What are some common foods known for producing gas? |
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Definition
Cabbage, cucumbers, onions, beans |
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Term
Urgent passage of watery stool |
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Definition
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Term
What is diarrhea commonly accompanied by? |
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Definition
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Term
What are some associated S/S of diarrhea? |
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Definition
Nausea and vomiting and blood or mucous in the stools |
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Term
What might diarrhea be the result of? |
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Definition
Emotional stress, dietary indiscretions, laxative abuse, bowel disorders |
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Term
What should you do if diarrhea is not relieved within 24 hours? |
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Definition
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|
Term
Inability to control the elimination of stool |
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Definition
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|
Term
What does fecal incontinence result from? |
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Definition
Neurologic changes that impair muscle activity, sensation, or thought process |
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Term
What could occur when a person cannot reach a toilet in time to eliminate, such as after taking a harsh laxative? |
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Definition
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|
Term
What are 2 measures to promote bowel elimination? |
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Definition
1. Rectal suppository 2. Enema |
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Term
An oval or cone-shaped mass that melts at body temperature and is inserted into the rectum |
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Definition
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Term
What is the most common reason for inserting a suppository? |
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Definition
To deliver a drug that will promote the expulsion of feces |
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Term
Introduces solution into the rectum |
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Definition
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Term
What are some reasons for a nurse to administer an enema? |
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Definition
Cleanse lower bowel, soften feces, expel flatus, soothe irritated mucous membranes, outline colon during diagnostic x-rays, treat worm and parasite infections |
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Term
What are 2 main types of enemas? |
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Definition
1. Cleansing enema 2. Retention enema |
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Term
Type of enema that uses different types of solution to remove feces from rectum |
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Definition
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|
Term
Type of enema that uses a solution held within the large intestine for a specific period, usually at least 30 minutes |
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Definition
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|
Term
Which type of enema loosens and softens stool for easier defecation? |
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Definition
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Term
What are 3 types of cleansing enemas? |
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Definition
1. Tap water/NS enema 2. Soap solution enema 3. Hypertonic saline enema |
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Term
Type of cleansing enema that is preferred for its nonirritating effects |
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Definition
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Term
In which type of cleansing enema could fluid and electrolyte balances possibly occur? |
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Definition
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Term
Which type of cleansing enema irritates the mucous membranes? |
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Definition
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Term
Which type of cleansing enema draws fluid from body tissues into the bowel and increases fluid volume in intestine beyond what was originally instilled? |
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Definition
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Term
Surgical opening through the skin from an internal structure |
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Definition
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Term
Opening in the skin where materials enter and exit through |
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Definition
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Term
What are 2 types of ostomies? |
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Definition
1. Ileostomy 2. Colostomy |
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Term
Surgically created opening to the ileum |
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Definition
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Term
Surgically created opening to a portion of the colon |
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Definition
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Term
Bag or collection device over the stoma to collect stool |
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Definition
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Term
Closing the glottis and contracting the abdominal muscles to increase abdominal pressure and aids in defecation |
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Definition
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