Term
Factors affecting HC delivery |
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Definition
- increasing # of elderly - advances in knowledge and tech - inc emphasis on women's health - uneven distribution of health svs - access to HC - HC to the homeless and poor - demographic changes |
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Term
primary, secondary, and tertiary |
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Definition
1) health promotion and illness prevention 2) dx and TXT 3) rehab |
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Term
Intentional torts nurses can be held liable for |
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Definition
Assault and battery, false imprisonment, invasion of privacy, and defamation |
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Term
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Definition
Includes incompetence or gross negligence, conviction for practicing w/o a license, falsification of client records, and illegally obtaining, using, or possessing controlled substances |
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Term
Three preventative levels: primary, secondary, tertiary |
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Definition
Neuman suggests that nursing interventions focus on maintaining system stability. These interventions are carried out on.... |
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Term
Integrated Delivery System (IDS) |
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Definition
Such a system incorporates acute care svs, home health care, extended and skilled care facilities, and outpt svs |
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Term
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Definition
"Professional negligence", that is, negligence that occurred while the person was performing as a pro |
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Term
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Definition
- Each person is a feedback loop that operates on stimuli, control processes, and output - adaptive responses promote integrated health People respond to needs (stimuli) in one of four modes: - physiologic - self-concept - role function - interdependence |
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Term
The Nursing Process and Health Promo Assessment |
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Definition
- H&P - physical fitness - lifestyle - spiritual health - social support system - health risk - health beliefs - life stress |
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Term
The 5 steps to resolve an ethical dilemma |
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Definition
- ID and clarify the ethical problem - gather factual data - ID and evaluate options - make a decision - act and access |
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Term
The Nursing Process and Health Promo Planning |
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Definition
- ID health goals and related behv-change options - ID behv or health outcomes - devp a behv-change plan - reiterate benefits of change - address enviro and interpersonal facilitators and barriers to change - determine a time frame for implementation - commit to behv-change goals - explore available resources |
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Term
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Definition
- ID the purpose - set the criteria - weigh the criteria - seek alternatives - examine alternatives - project - implement - evaluate the outcome |
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Term
How to enhance HC adherence |
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Definition
- ID the reasons for nonadherence - demonstrate caring - use pos reinforcement to encourage healthy behv - use aids to reinforce teaching - establish a therapeutic relationship of freedom, mutual understanding, and mutual responsibility with the ct and support persons |
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Term
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Definition
- Nurse Practice Act - Professional Orgs - Nursing Specialty-practice orgs - Fed orgs and guidelines |
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Term
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Definition
- Preventing long-term disability – Restoring functional capacity |
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Term
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Definition
- RNs must access, understand, evaluate, and disseminate a rapidly expanding body of nursing and other health-related info - RNs must be able to recognize commonalities and inconsistencies regarding the value of the profession - RNs must be able to recognize the values of the organization that employ them - RNs must be able to recognize needs of the pts for whom they advocate - RNs must be able to recognize even the popular culture that exerts pressure on the public's ability to make safe choices |
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Term
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Definition
- The practice of professional nursing is managed by the legislative process of each state - The legal boundaries of nursing are managed by the legislative process of each state - The legal boundaries of nursing are contained in the state’s Nurse Practice Act - Decisions about nursing are made in state and federal legislatures. |
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Term
Behv-Specific Cognitions and Affect Perceived barriers to action |
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Definition
- a person's perception about available time, inconvenience, expense, and difficulty performing the activity may act as barriers |
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Term
Behv-Specific Cognitions and Affect Interpersonal influences |
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Definition
- a person's perception concerning the behvs, beliefs, or attitudes of others |
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Term
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Definition
- a traditional part of the source oriented record - consists of written notes that include routine care, normal findings, and ct probs |
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Term
methods of conflict resolution |
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Definition
- accommodation - avoidance - competition - compromise |
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Term
Stages of change Contemplation |
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Definition
- acknowledges having a prob - researches causes and possible solns - not ready to commit to action |
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Term
Stages of health behv change Contemplation |
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Definition
- acknowledges having a prob, seriously considers changing a specific behv, actively gathers info, and verbalizes plans to change the behv in the near future |
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Term
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Definition
- actual - risk - wellness - possible - syndrome |
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Term
Health Promotion Topics Elders |
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Definition
- adequate sleep - alcohol abuse - oral health - drug mgmt - exercise - foot health - health screening recommendations - hearing aids - immunizations - med instruction - mental health - nutrition - physical fitness - preventative health svcs - safety precautions - smoking - wt control |
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Term
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Definition
- altruism - autonomy - human dignity - integrity - social justice |
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Term
Some of the IOM's Report of Nursing recommendations |
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Definition
- an RN is to work to the fullest extent of his education and training - RNs should partner with health care providers and hc pros - RNs should achieve higher levels of education and training through seamless educational progression |
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Term
Stages of change Relapse or recycle |
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Definition
- an opportunity to learn from the experience and renew efforts to change |
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Term
Dr's orders that must be questioned: |
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Definition
- an order a ct questions - if the ct's condition has changed - verbal orders to avoid miscommunication - illegal, unclear, or imcomplete |
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Term
3 Steps of the Dx process |
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Definition
- analyze data - id health probs, risks, and strengths - formulating dx stmts |
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Term
Behv-Specific Cognitions and Affect Perceived benefits of action |
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Definition
- anticipated benefits or outcomes affect the person's plans to participate actions |
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Term
2 nurse responsibilities in delegating and assigning |
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Definition
- appropriate delegation of duties, that is, giving people duties within their scope of practice - adequate supervision of personnel to whom work is delegated or assigned |
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Term
The Joint Commission's actions on lateral violence |
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Definition
- based on concerns about safety and quality - disruptive behaviors increase the risk of errors, contribute to poor pt satisfaction and preventable adverse outcomes - increase cost and loss of qualified staff |
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Term
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Definition
- based on the indv's relationship to stress, the reaction to it, and reconstitution (the state of adaptation to stressors) factors that are dynamic in nature.
Hint: It's not Roy |
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Term
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Definition
- begins after an illness, when a defect or disability is fixed, stabilized, or determined to be irreversible - its focus is to help rehab indvs and restore them to an optimim level of functioning within the constraints of the disability |
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Term
To be a ct advocate, you must know about the meds.... |
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Definition
- being administered - why the ct is receiving the med - the dosage range - possible adverse effects - toxicity levels - contraindications |
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Term
Internal variables influencing health |
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Definition
- biologic - psychologic - cognitive |
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Term
Peplau's Interpersonal Relations Model |
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Definition
- central to her theory is the use of a therapeutic relationship between the nurse and the client |
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Term
What creates ethical problems |
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Definition
- changes in society - advances in tech - conflicts within nursing itself - a nurse's conflicting loyalties and obligations |
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Term
Models that have been adapted to explain health |
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Definition
- clinical - role performance - adaptive - eudemonistic - Leavell and Clark's agent-host-enviro - Dunn's high-level wellness grid - Travis' illness-wellness continuum |
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Term
Guideline for dealing with resistance to change |
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Definition
- communicate with those who are resisting - clarify info and provide accurate info - be open to revisions but clear about what must remain - present the neg consequences of resistance - emphasize the pos consequences of the change - keep resisters in contact with supporters - maintain a climate of trust - divert attention by creating a different "disturbance" - follow the politics of change |
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Term
Health Promotion Topics Adolesc |
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Definition
- communicating with the teen - hormonal changes - nutrition - exercise and rest - peer group influences - self-concept and body image - sexuality - safety promo and accident prevention |
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Term
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Definition
- communication - planning ct care - auditing health agencies - research - edu - reimbursement - legal documentation - HC analysis |
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Term
3 Steps of the Dx process Analyze data |
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Definition
- compare data against standards (id sig cues) - cluster cues (generate tentative hypoth) - id gaps and inconsistencies |
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Term
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Definition
- concise method of organizing and recording data about a ct, making info quickly accessible to all HC pros |
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Term
Stages of change Termination |
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Definition
- copes w/o fear of relapse. A stage of change |
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Term
Skills and competencies of nurse mgrs |
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Definition
- critical thinking - communicating - managing resources - enhancing employee performance - building and managing teams |
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Term
Factors that must be considered when setting priorities |
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Definition
- ct's health values and beliefs - ct's priorities - resources available to the nurse and ct - urgency of the health problem - medical txt plan |
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Term
Components of nursing orders |
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Definition
- date - action verb - content area - time element - signature |
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Term
Guidelines for writing nursing care plans |
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Definition
- date and sign - use category headings - use standardized medical or English symbols and key words rather than complete sentences to communicate your ideas - be specific - refer to procedure books or other sources of info rather than including all the steps on a written plan - tailor the plan to the unique characteristics of the ct by ensuring that the ct's choices are included - ensure that the nursing plan incorporates preventative and health maintenance aspects as well as restorative ones - ensure that the plan contains interventions for ongoing assessments of the ct - include collaborative and coordination activities in the plan - include plans for the ct's discharge and home care needs |
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Term
An RNs scope of practice pertaining to research includes: |
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Definition
- demonstrating the value and relevance of research in nursing - assisting with ID problem areas in nursing - assisting in collection of data within an established structured format |
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Term
Stages of change Precontemplation |
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Definition
- denial - feelings hopelessness. A stage of change |
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Term
Stages of health behv change Precontemplation |
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Definition
- denies having a prob, views others as having a prob, and, therefore wants others to change their behv |
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Term
NANDA definition of wellness dx |
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Definition
- describes human responses to levels of wellness in an indv, family, or community that have a readiness for enhancement |
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Term
Nursing discharge/referral summary |
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Definition
- description of ct status - resolved health probs - unresolved continuing health probs - txts to continues - meds - restrictions - ADLs - comfort level - support networks - ct edu provided - discharge destination |
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Term
The knowledge that Nurses need in order to develop competencies for the future: |
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Definition
- determinants of a healthy community - an accessible, cost-effective, integrated HC system |
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Term
To practice in community-based HC systems, nurses need knowledge and competencies such as: |
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Definition
nurses need knowledge and competencies such as:
- determinants of a healthy community - primary and secondary preventive strategies - health-promotion strategies - collaborative and interdisciplinary teamwork - determinants of an accessible, cost-effective HC system - a decision making process that involves consumers - information mgmt in order to _____ |
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Term
3 Steps of the Dx process ID Health Probs, Risks, and Strengths |
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Definition
- determine probs and risks - determine strengths |
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Term
Behv-Specific Cognitions and Affect Situational influences |
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Definition
- direct and indirect influences on health-promoting behvs and include perceptions of available options |
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Term
The ingredients of an effective community based HC? |
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Definition
- easy accessibility - flexibility - affordability - support for family caregivers |
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Term
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Definition
- emphasizes early detection of disease, prompt intervention, and health maint for indvs experiencing health probs - includes prevention of complications and disabilities |
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Term
Common driving and restraining forces Restraining forces |
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Definition
- fear that something of personal value will be lost (eg., threat to job security or self-esteem) - misunderstanding of the change and its implications - low tolerance for change related to intellectual or emotional security - perception that the change will not achieve goals; failure to see the big pic - lack of time or energy - perceived loss of freedom to engage in particular behvs |
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Term
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Definition
- generalized health promotion and specific protection against disease - it precedes disease or dysfunction and is applied to generally healthy indvs or groups |
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Term
Internal variables influencing health Biologic |
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Definition
- genetic makeup - sex - age - devp level |
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Term
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Definition
- graphic record - fluid balance record - MAR - skin assess record |
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Term
Family Assessment factors |
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Definition
- health beliefs - family communication patterns - family coping mechanisms - risk for health probs |
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Term
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Definition
- health is a creative process - disease is a failure in adaptation, or maladaption |
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Term
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Definition
- health promotion - health maint - health ed and illness prev - restorative-rehab care |
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Term
Some of the benefits of the NIC |
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Definition
- helps demonstrate the impact that nurses have on the HC delivery system - standardizes and defines the knowledge base for nursing curricula and practice - facilitates the appropriate selection of a NI |
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Term
Some of the benefits of the NIC |
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Definition
- helps demonstrate the impact that nurses have on the HC delivery system - standardizes and defines the knowledge base for nursing curricula and practice - facilitates the appropriate selection of a NI |
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Term
Priority setting for nursing dx |
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Definition
- high priority: life-threatening probs - med priority: health-threatening probs, such as acute illness and dec coping ability, because they may result in delayed devp or cause destructive physical or emotional changes - low priority: a prob that arises from normal devp needs or that requires only minimal nursing support |
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Term
Factors that influence a person's decision to implement health behvs |
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Definition
- importance of health to the person - perceived threat of a disease or severity of the HC probs - perceived benefits of preventative or therapeutic actions - inconvenience and unpleasantness involved - degree of lifestyle change necessary - cultural ramifications - cost |
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Term
The purpose of nursing leadership |
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Definition
- improving the health status of cts - inc the effectiveness and level of satisfaction among pro colleagues - improving the attitudes of citizens and legislators toward the nursing profession and their experiences of it |
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Term
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Definition
- ineffective community coping - readiness for enhanced community coping - ineffective community therapeutic regimen mgmt |
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Term
Health Promotion Topics Infants |
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Definition
- infant-parent attachment/bonding - breastfeeding - sleep patterns - playful activity to stimulate devp - immunizations - safety promo and injury control |
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Term
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Definition
- initiate discharge planning for all clients when they are admitted to any HC setting - involve the client and the client's family or support persons in the planning process - collaberate with other HC professionals as needed to ensure that biopsychosocial, cultural, and spiritual needs are met |
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Term
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Definition
- integrates new behv into lifestyle. One of the stages of change |
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Term
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Definition
- interrupted family processes - readiness for enhanced family coping - disabled family coping - impaired parenting - impaired home maint - caregiver role strain |
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Term
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Definition
- it groups info into 3 categories: probs, interventions, and eval of nursing care |
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Term
Role performance health model |
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Definition
- it's defined in terms of the indv's ability to fulfill societal roles, that is, to perform work - sickness is the inability to perform work |
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Term
Stability model theorists |
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Definition
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Term
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Definition
- know when to speak and when to be silent - use positive body language - sensitive to nonverbal communication cues - praise staff in public, but give constructive criticism in private |
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Term
An RN should perform the following, that is within their scope of practice, to demonstrate awareness of the value and relevance of research in nursing |
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Definition
- learn to critically scrutinize the status quo - read clinical journals regularly but also critically - seek work environments that promote the use of research findings and EBP - learn to look for evidence that clearly supports the effectiveness and feasibility of updasting nursing interventions |
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Term
Internal variables influencing health Cognitive |
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Definition
- lifestyle choices - spiritual and religious beliefs |
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Term
Examples of nurse's obligations in ethical decisions |
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Definition
- maximize the ct's well-being - balance the ct's needs for autonomy with family members' responsibilities for the ct's well-being - support each family member and enhance the family support and family support system - carry out hospital policies - protect other ct's well-being - protect the nurse's own standard of care |
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Term
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Definition
- mind-body interactions - self-concept are what type of Internal variables influencing health |
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Term
Stages of change Action- a stage of change |
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Definition
- modifies behv and surroundings |
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Term
Things that influence a nurse's ethical decisions |
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Definition
- moral theories and principles - levels of cog devp - personal and pro values - nursing code of ethics |
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Term
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Definition
- nightengale, henderson, watson |
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Term
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Definition
- nursing dx - an acute change in the ct's condition - ct's behv - does't include nursing difficulties |
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Term
Health Promotion Topics Children |
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Definition
- nutrition - dental checkups - rest and exercise - immunizations - safety promo and injury control |
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Term
Relationship of nursing orders to problem status |
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Definition
- observation orders - prevention orders - txt orders - health promotion orders |
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Term
Peplau's Interpersonal Relations Model Resolution |
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Definition
- old needs and goals are put aside and new ones adopted |
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Term
The following are necessary for effective discharge planning |
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Definition
- ongoing assessment of ct needs - formulation of nursing diagnosis - plans to meet the ct's and caregiver's needs |
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Term
Effective Discharge Planning |
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Definition
- ongoing assessment to obtain comprehensive info about the ct's ongoing needs - stmts of nursing diagnosis - plans to ensure the ct's and caregiver's needs are met |
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Term
Conceptual model/grand theories theorists |
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Definition
- orem, rogers, roy, king |
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Term
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Definition
- orem, watson, peplau, rogers, parse |
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Term
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Definition
- people are viewed as physiologic systems with related functions - health is ID by the absence of S&S of disease or injury |
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Term
Characteristics of basic needs |
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Definition
- people meet their own needs relative to their own priorities - some basic needs can be deferred - failure to meet needs results in one or more homeostatic imbalances, which can eventually result in illness - a need can materialize by either external or internal stimuli - a person who perceives a need can respond in several ways to meet it - needs are interrelated |
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Term
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Definition
- peplau, leininger, parse, neuman |
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Term
Behv-Specific Cognitions and Affect |
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Definition
- perceived benefits of action - perceived barriers to action - perceived self-efficacy - activity-related affect - interpersonal influences - situational influences |
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Term
Major motivational variables that can be modified through NIs |
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Definition
- perceived benefits of action - perceived barriers to action - perceived self-efficacy - activity-related effect - interpersonal influences - situational influences
Major motivational variables that can be modified through ________? |
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Term
Common driving and restraining forces Driving forces |
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Definition
- perception that change is challenging - economic gain - perception that the change will improve the situation - visualization of the future impact of change - potential for self-growth, recognition, achievement, and improved relationships |
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Term
Responses to both sensory deprivation and overload |
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Definition
- perceptual changes (mild distortions or hallucinations) - cognitive changes (dec concentration and problem-solving ability) - affective changes (apathy, anxiety, anger, depression, and rapid mood swings) |
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Term
Nurses preparing their ct's to go home need to assess the following parameters: |
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Definition
- personal and health data - ability to perform ADLs - any physical, cognitive, or other functional limitations - caregiver's responses and abilities - adequacy of financial resources - community supports - hazards or barriers in the home - the need for home health care |
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Term
Info included in the narrative nurse's notes |
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Definition
- pertinent assess of the ct - specific nursing care - ct's complaints - how the ct is coping |
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Term
8 subsystems for community assessment proposed by Anderson and McFarlane |
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Definition
- phys enviro - ed - safety and transportation - politics and govt - health and social svcs - comm - economics - recreation |
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Term
External variables influencing health |
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Definition
- physical - enviro - standards of living - family and cultural beliefs - social support networks |
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Term
Stages of health behv change |
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Definition
- precontemplation stage - contemplation stage - preparation stage - action stage - maint stage - termination stage |
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Term
The Agency for Healthcare Research and Quality (AHRQ) QIs |
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Definition
- prevention info - inpatient info - pt safety info - pediatric info |
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Term
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Definition
- provides a way of examining interrelationships and deriving principles - the interrelatedness of all parts of a system is the basis for nursing's holistic view of the ct - boundaries regulate the input from other systems that interact with the family system; they also regulate output from the family system to the community or to society |
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Term
The Nursing Process and Health Promo Implementing |
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Definition
- providing and facilitating support - indv counseling sessions - phone counseling - group support - facilitating social support - providing health ed - enhancing behv change - modeling |
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Term
Behv-Specific Cognitions and Affect Perceived self-efficacy |
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Definition
- refers to the conviction that a person can successfully carry out the behvs necessary to achieve a desired outcome |
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Term
The purpose of the Standards of Clinical Nursing Practice |
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Definition
- reflect the values and priorities of the nursing profession - provide direction for professional nursing practice - provide a framework for the evaluation of nursing practice - define the profession's accountability to the public and the client outcomes for which nurses are responsible |
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Term
Five Rights of Delegation |
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Definition
- right task - right circumstance - right person - right directions and communications - right supervision and evaluation |
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Term
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Definition
- self actualization - self esteem - love and belonging - safety - physiologic (survival) |
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Term
Developing Critical-Thinking Attitudes and Skills |
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Definition
- self-assessment - tolerating dissonance and ambiguity - seeking situations where good thinking is practiced - creating envs that support critical thinking |
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Term
Orem's Genl Theory of Nursing |
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Definition
- self-care: those activities an indv performs independently throughout life to be healthy - self-care agency: the person's ability to perform self-care activities - self-care requisites: measures or actions taken to provide self-care |
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Term
4 main characteristics of homeostatic mechanisms |
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Definition
- self-regulating - compensatory - tend to be regulated by negative feedback systems - may require several feedback mechanisms to correct only one physiologic imbalance |
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Term
Kalish's stimulation needs level |
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Definition
- sex - activity - exploration - manipulation - novelty |
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Term
Henderson's definition of nursing |
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Definition
- she saw the nurse concerned with the healthy and the sick - nurses interact with clients even when recovery may not be feasible - she mentioned the teaching and advocacy roles of the nurse - she conceptualized the nurse's role as assisting sick or healthy indvs to gain indp in meeting 14 fundamental needs |
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Term
King's Goal Attainment Theory |
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Definition
- shows the relationship of operational systems, interpersonal systems, and social systems - a transaction process model: nurses purposefully interact and mutually set, explore, and agree to means to achieve goals |
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Term
The AACN's six standards for establishing and sustaining healthy work environments |
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Definition
- skilled communication - true collaboration - effective decision making - appropriate staffing - meaningful recognition - authentic leadership |
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Term
4 National League for Nursing (NLN) Competencies for the Associate Degree Graduate |
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Definition
- spirit of inquiry - professional ID - human flourishing - nursing judgement |
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Term
Nursing theories fall into two paradigms |
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Definition
- stability model = reflects prevailing understandings in medicine and the HC system - growth model = reflects emerging understandings in transpersonal psy |
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Term
How can a nurse provide continuity of care? |
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Definition
- start discharge planning upon admission - involve the ct and family members in planning - collaborate with other pros to ensure all need are met |
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Term
4 important values in nursing |
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Definition
- strong commitment to service - belief in the dignity and worth of each person - commitment to education - professional autonomy |
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Term
Components of goals/desired outcomes |
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Definition
- subject - verb - conditions/modifiers - criterion of desired performance |
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Term
Suchman - 5 stages of illness |
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Definition
- symptom experience - assumption of the sick role - medical care contact - dependent ct role - recovery or rehab |
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Term
Watson's Human Caring Theory |
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Definition
- systematically using the scientific method - promoting interpersonal teaching-learning - providing a supportive, protective, or corrective mental, physical, sociocultural, and spiritual enviro - assisting with the gratification of human needs - allowing for existential-phenomenologic forces |
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Term
Stages of health behv change Action stage |
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Definition
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Term
Nightengale's Environmental Theory |
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Definition
- the act of utilizing the enviro of the pt to assist him in his recovery. Health has 5 enviro factors: - pure or fresh air - pure water - efficient drainage - cleanliness - light, especially direct sunlight |
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Term
Peplau's Interpersonal Relations Model Orientation |
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Definition
- the client seeks help - the nurse assists the ct to understand the prob and the extent of the need for help |
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Term
Peplau's Interpersonal Relations Model Identification |
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Definition
- the ct assumes a posture of dependence, interdependence, or independence in relation to the nurse - the nurse's focus is to assure the person that the nurse understands the interpersonal meaning of the ct's situation |
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Term
Peplau's Interpersonal Relations Model Exploitation |
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Definition
- the ct derives full value from what the nurse offers through the relationship |
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Term
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Definition
- the person integrates newly adopted behv patterns into his lifestyle. A Stages of health behv change |
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Term
Roger's Science of Unitary Human Beings |
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Definition
- the person is an irreducible whole, the whole being greater than the sum of its parts - humans are dynamic energy fields in continuous exchange with envir fields, both of which are infinite - nurses focus on the person's wholeness, seek to promote symphonic interaction between the two energy fields.... - noncontact therapeutic touch |
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Term
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Definition
- the person undertakes cogn and behv activities that prepare him for change. A Stage of health behv change |
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Term
Behv-Specific Cognitions and Affect Activity-related affect |
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Definition
- the subjective feelings that occur before, during, and following an activity can influence repeating it |
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Term
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Definition
- the total response to the emotional experience related to loss - it's manifested in thoughts, feelings, and behvs associated with overwhelming distress or sorrow |
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Term
Stages of health behv change Termination stage |
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Definition
- the ultimate goal where the person has complete confidence that the prob is no longer a temptation or threat |
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Term
3 Steps of the Dx process Formulating Dx Stmts Collaberative probs |
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Definition
- they begin with the dx label, Potential Complication (PC) - include both the possible complication that the nurse is monitoring and the disease or txt that's present to produce it |
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Term
Cts at risk of sensory overload |
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Definition
- those in pain - those in ICUs - those with intrusive and uncomfortable monitoring or txt equip - those with disturbances of the nervous system |
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Term
Orem's Genl Theory of Nursing |
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Definition
- three related concepts: self-care, self-care deficit, and nursing systems - self-care theory is based on 4 concepts: self-care, self-care agency, self-care requisites, and therapeutic self-care demand |
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Term
3 Steps of the Dx process Formulating Dx Stmts Steps to minimize dx error |
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Definition
- verify - build a good knowledge base and acquire clinical experience - have a working knowledge of what is normal - consult resources - base dx on patterns--that is, on behv over time--rather than on an isolated incident - improve critical thinking skills |
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Term
Guidelines for writing goals/desired outcomes |
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Definition
- write goals and outcomes in terms of ct responses, not nurse activities - be sure they are realistic for ct - ensure that the goals and desired outcomes are compatible with the therapies of other pros - make sure that each goal is derived from only one nursing dx - use observable, measurable terms for outcomes - make sure you have ct buy-in |
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Term
3 Steps of the Dx process Formulating Dx Stmts Variations of basic formats |
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Definition
- writing unknown etiology when the defining characteristics are present but the nurse doesn't know the cause or contributing factors - using the phrase, complex factors when there are too many etiologic factors or when they are too complex to state in a brief phrase - using the word possible to describe either the prob or the etiology - using, secondary to, to divide the etiology into two parts, thereby making the stmt more descriptive and useful - adding a second part to the genl response or NANDA label to make it more precise |
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Term
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Definition
-Her book defines adaptation as a process of responding positively to environmental changes. |
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Term
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Definition
-Her self-care theory is based on her belief that health is everyone's individual responsibility. |
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Term
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Definition
1. physiological: basic 2. physiological: complex 3. behavioral 4. safety 5. family 6. health-system 7. community |
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Term
Watson's Human Caring Theory |
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Definition
10 carative factors: - forming a humanistic-altruistic system of values - instilling faith and hope - cultivating sensitivity to one's self and others - developing a healthy-trust (human care) relationship - promoting and accepting the expression of pos and neg feelings |
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Term
Orem's Genl Theory of Nursing |
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Definition
3 Types of nursing systems - wholly compensatory systems - partly comp sys - supportive-educative systems |
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Term
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Definition
3 contributing factors - inc quality or quantity of internal stimuli - " external stimuli - inability to disregard stimuli selectively, perhaps as a result of nervous system disturbances or meds |
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Term
3 Steps of the Dx process Formulating Dx Stmts |
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Definition
3 part Dx Stmt: - 1. problem -- related to -- 2. etiology -- as manifested by -- 3. S&S |
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Term
Orem's Genl Theory of Nursing |
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Definition
5 Methods of helping - acting or doing for - guiding - teaching - supporting - providing an enviro that promotes the person's abilities to meet current and future demands |
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Term
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Definition
? emphasizes improving quality of care for individuals while improving health care outcomes |
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Term
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Definition
? provides the underlying conceptual support that promotes consistent support |
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Term
Health promotion model (HPM) |
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Definition
A competence or approach-oriented health model that depicts the multidimensional nature of persons interacting with their interpersonal and physical enviros as they pursue health. It is not a person's theory |
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Term
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Definition
A delivery model that brings all svs and care providers to the clients |
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Term
Eudemonistic health model |
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Definition
A health model whereby:
- health is seen as a condition of actualization or realization of a person's potential - a comprehensive view of health - illness is a condition that prevents actualization |
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Term
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Definition
A link must exist between the nurse's act and the injury suffered |
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Term
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Definition
A nonprofit national organization of individuals, institutions, and organizations engaged in direct patient care. The association works to promote the improvement of health care services |
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Term
When assigned to provide care for several patients, which patient would the RN assess first? |
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Definition
A patient with a new onset of confusion indicates a change in mental status and this patient is the priority. A change in mental status could be indicative of a neurologic deficit, electrolyte imbalance, a hormonal imbalance, or a variety of other conditions. The RN needs to further assess the situation. |
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Term
, according to the Watson Model of Human Caring? |
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Definition
A patient's inability to integrate life experiences and the failure to achieve full potential or inner harmony.
A concept of illness according to a specific model |
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Term
a characteristic of a profession? |
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Definition
A profession should develop and enforce its own code of ethics. |
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Term
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Definition
A range of models for integrating HC svcs for indvs or groups |
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Term
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Definition
A wealthy Roman matron-viewed by some as the patron saint of nursing. She used her position and wealth to establish hospitals for the sick |
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Term
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Definition
An interdisciplinary plan or tool that specifies interdisciplinary assessments, interventions, txts, and outcomes for health-related conditions across a time line |
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Term
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Definition
An unintentional tort, can be established when the following criteria are met:
- the nurse owed a duty to the ct
- the nurse failed to carry out that duty according to standards
- foreseeability of harm
- causation, where the ct's injury was caused by the nurse's failure to follow the standard
- the ct was injured |
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Term
Five Key Elements of Evidence-Based Practice |
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Definition
Ask a clinical question. Acquire the evidence. Appraise the evidence. Apply the evidence. Assess the outcomes. |
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Term
According to the American Nurses Association (ANA), what are the appropriate research competencies for the associate degree nursing (ADN) graduate? |
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Definition
Assists in identifying problem areas in nursing practice. Assists with collection of data within an established, structured format. Demonstrates awareness of the value or relevance of research in nursing |
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Term
3 Steps of the Dx process Formulating Dx Stmts |
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Definition
Basic 2 part stmts - prob: stmt of the ct's responses (NANDA label) - etiology: factors contributing to or probable causes of the responses The two part are joined by the words, "related to" |
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Term
What is a skilled nursing facility (SNF)? |
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Definition
Both a nursing home that provides skilled care in nursing and a long term care facility |
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Term
Leininger's Cultural Care Diversity and Universality Theory |
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Definition
Care is the essence of nursing and the dominant, distinctive, and unifying feature of nursing - Sunrise model Three intervention modes: - culture care preservation and maintenance - culture care accommodation, negotiation, or both - culture care restructuring and repatterning |
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Term
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Definition
Computers Store Organize Retrieve Communicate |
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Term
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Definition
Consequence- based theories: look to the consequences of an action in judging whether it's right or wrong |
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Term
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Definition
Decision support systems mimic inductive and deductive reasoning that humans would perform if they had time. |
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Term
Which are incorporated in the guidelines under The Joint Commission's "Leadership" standard that deal with lateral violence? |
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Definition
- Define behaviors that are considered disruptive in a code of conduct.
- Implement a process for managing individuals who are displaying disruptive behaviors.
- Require staff to demonstrate interpersonal skills and interprofessionalism in the credentialing process
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Term
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Definition
Depending on your organization, you need to apply the new evidence or propose a practice change to the appropriate body. |
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Term
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Definition
Extreme lack of knowledge, skill, or decision-making that the nurse clearly should have known would put others at risk for harm |
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Term
Basic Nursing Care Errors Resulting in Malpractice Assessment Errors: |
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Definition
Failing to: - assess whether a ct is unsteady on his feet - recognize the sig of certain info (labs, vitals) - monitor cts who are using equip |
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Term
Basic Nursing Care Errors Resulting in Malpractice Planning Errors |
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Definition
Failing to: - be aware of the cts meds and knowing whether drowsiness or impaired judgment are potential adverse effects - bring questionable orders or protocols to the attention of the dr and the supervisor - give discharge instructions that the ct understands |
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Term
Basic Nursing Care Errors Resulting in Malpractice Intervention Errors |
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Definition
Failing to: - document all nursing interventions - understand the meds being administered - always monitor the ct as the condition warrants and as ordered - document the frequency of ct monitoring and ct status - promptly bring distressing symptoms and changes in ct status to the attention of the dr - document the time and content of all phone conversations with the dr |
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Term
reason of state board of nursing would revoke a nursing license |
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Definition
Failure to renew a nursing license while continuing to practice nursing Use of illegal drugs while providing patient care Demonstration of negligence in the practice of nursing |
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Term
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Definition
Flexible line of defense Normal line of defense Lines of resistance Basic structure energy resources |
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Term
Florence Nightingale is referred as the first nurse researcher, drawing conclusions that today would be termed evidence-based nursing research. |
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Definition
Which reform did Florence Nightingale contribute to nursing practice?
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Term
- Locus of control model - Rosenstock's and Becker's health belief models |
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Definition
Health belief and behv models used to predict if a person gives a shit about his health |
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Term
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Definition
IOM definition: the provision of integrated, accessible HC services by clinicians who are accountable for addressing a large majority of personal HC services, developing a sustained partnership with pts, and practicing in the context of family and community |
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Term
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Definition
Imogene King - believes the RN can provide care in groups to attain a common goal |
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Term
According to research, which characteristics set magnet-designated hospitals apart from other hospitals? |
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Definition
Improved patient safety and quality care Decreased mortality rates Increased patient satisfaction |
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Term
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Definition
Informatics plays an important role in the measurement of daily practices and the synthesizing of data into reports. |
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Term
4. Applying Critical Thinking to Nursing Practice Parallels of Elements of Thought and the Nursing Process |
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Definition
Information – Assessing Purpose of Thinking – Goal Setting Question at Issue - Diagnosing Points of View Diagnosing Interpretations and Inference - Diagnosing (conclusions and recommendations) Assumptions - Diagnosing (presuppositions) Concepts (theories, - Diagnosing, Planning laws, principles, models) Implications and Consequences – Planning, Implementation Interpretation and Inference - Evaluating |
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Term
An RN is collaborating with a patient's health care provider, physical therapist, and occupational therapist to develop a plan of care. This is an example of which Institute of Medicine (IOM) competency? |
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Definition
Interdisciplinary teamwork |
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Term
Nursing standards: 2 categories |
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Definition
Internal and external standards |
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Term
Parse's Human Becoming Theory |
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Definition
It emphasizes how indvs choose and bear responsibility for patterns of personal health - the ct, not the nurse, is the authority figure and decision maker The nurse's role is: - illuminating meaning - synchronizing rhythms - mobilizing transcendence |
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Term
A purpose of nursing theory when applied to practice |
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Definition
It helps to establish criteria to measure the quality of nursing care |
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Term
What is the purpose of implementing the Roy Adaptation Model in clinical nursing practice? |
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Definition
It offers a multistep process to assist the patient to adjust to and reach the highest level of functioning. |
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Term
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Definition
It often result in generalized distrust among staff members, as well as gossiping and rumor spreading, backstabbing and lack of cooperation, isolation of certain staff members, and division and polarization of the staff. |
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Term
Which theorist can be defined as: "The immediate desirable outcome of nursing care is enhanced comfort." |
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Definition
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Term
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Definition
Large collections of people may act as groups, with some degree of common purpose, but they may also act as non-organized collectivities, or aggregates |
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Term
Which action by an RN demonstrates using the cognitive skill of analysis? |
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Definition
Making informed decisions based on data not assumptions This is the cognitive skill of analysis: using information appropriately as a basis for decisions and actions. |
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Term
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Definition
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Term
The 1965 ______amendments (Title 18) to the Social Security Act provided a national and state health ins program for adults over 65 |
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Definition
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Term
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Definition
Misconduct or practice that is below the standard expected of an ordinary, reasonable, and prudent person |
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Term
RNs have the capacity to promote healthy habits using which methods? |
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Definition
Modeling wellness and prevention Practicing self-care as a life-long habit Choosing behaviors that balance stress Choosing behaviors that reduce stress |
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Term
common cause of RNs leaving a job or even the profession. |
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Definition
Moral distress by RNs feeling they are unable to provide adequate or safe care |
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Term
The Nursing Process and Health Promo DX |
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Definition
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Term
Which are characteristics of a blame-free, just culture? |
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Definition
Nursing cultures need to make quality and safety a priority rather than focusing on what went wrong and blaming someone for the error. - Errors should not be covered up but identified and addressed. - Errors should be used as opportunity to learn and improve the system. - Staff must be held accountable for at-risk or reckless actions but at the same time be prepared to handle human error occurrences. - Analyzing an event can positively impact the future quality of care and safety. |
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Term
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Definition
Nursing interventions are carried out on three preventative levels: primary, secondary, tertiary |
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Term
Watson's Human Caring Theory |
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Definition
Nursing interventions are referred to as carative factors - the core of nursing has 10 factors |
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Term
What is a prospective payment system? |
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Definition
One in which the reimbursement amount for care to be provided is set ahead of time |
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Term
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Definition
Only through computerized technologies can we search the literature in an efficient manner. |
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Term
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Definition
Orem - nursing is based on the belief that health care is each individual's own responsibility |
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Term
Ask a Clinical Question PICO determines the nature of the question. |
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Definition
PICO Population Intervention Comparison Outcome |
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Term
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Definition
Primary prevention: focuses on protecting the normal line of defense and strengthening the flexible line Secondary prevention: focuses on strengthening internal lines of resistance, reducing the reaction, and inc resistance factors Tertiary prevention:focuses on readaptation and stability and protects reconstitution or return to wellness following txt |
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Term
The scope of nursing practice |
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Definition
Promoting health and wellness, preventing illness, restoring health, and care of the dying |
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Term
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Definition
Provides the foundation for nursing practice and guide the nurse's interactions with patients, colleagues, and the public? |
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Term
What is a function of the state nurse practice acts? |
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Definition
Providing a guideline for public policy |
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Term
A nurse educator is providing an in-service safety training to RNs to decrease falls and resulting injuries on nursing units. This is an example of which Institute of Medicine (IOM) competency? |
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Definition
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Term
Who is the only interprofessional team member who can provide discharge teaching to a pt |
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Definition
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Term
Which activity demonstrates fiscal responsibility by an RN? |
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Definition
RNs have to be able to provide high-quality, safe, and responsible care to patients. Prevention of hospital-acquired infection is being quality-and fiscally-responsible by decreasing costs associated with health care acquired infections. |
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Term
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Definition
Relationship-based theories stress courage, generosity, commitment, and the need to nurture and maintain relationships |
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Term
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Definition
Rosemary Parse – emphasizes how individuals choose and bear responsibility for patterns of personal health |
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Term
Persons w/ disabilities or those whop are blind may be eligble for special pmts called |
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Definition
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Term
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Definition
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Term
Orem's Genl Theory of Nurs |
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Definition
Self-care requisites: - universal - developmental - health deviation Therapeutic Self-care Demand: refers to actions necessary to maintain health and well-being |
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Term
Which was Lillian Wald's contribution to public health nursing? |
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Definition
She organized nurses to make home visits focusing on children's health. |
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Term
A nurse practitioner who manages his own practice offers his clients the option of contacting him via e-mail between visits. This allows his clients to request prescription renewals and educational materials and to ask nonemergent questions about their conditions. At times, this is convenient for both the clients and himself. Additionally, he should tell his clients that they: |
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Definition
Should wait up to 24 hours for a response from him. The nurse manager should demonstrate proficient awareness of legal and ethical issues related to client data, information, and confidentiality. (Business Skills Competency, AONE) |
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Term
Independent Practice Associations (IPA) |
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Definition
Similar to HMOs or PPOs except that cts pay a fixed prospective pmt to the ______, and it pays the provider |
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Term
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Definition
Similar to PPOs, except the ______can be contracted with indv HC providers |
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Term
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Definition
Sister Calista Roy - Incorporating the use of nursing diagnosis into care is an example |
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Term
Which theorist views the goal of nursing as the promotion of adaptive responses? |
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Definition
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Term
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Definition
Social process whereby the values, attitudes, or institutions of society, such as education, family, religion, and industry become modified. It includes both the natural process and action programs initiated by members of the community |
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Term
An RN implements a fall risk protocol for a patient who has been experiencing dizziness and weakness. Which competency does this RN's action demonstrate? |
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Definition
Spirit of inquiry is curiosity; it is not the primary competency called on when implementing a protocol. 2) Human flourishing involves helping people achieve fulfillment and self-actualization. Implementing a fall risk protocol does not directly demonstrate this competency. *3) This is an example of good clinical judgment; the determination of essential nursing care for safe patient outcomes. 4) Professional identity is associated with the RN's place in the profession; implementing a protocol is not a direct reflection of professional identity. |
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Term
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Definition
Sr Callista Roy – the process and outcome whereby the thinking and feeling person uses conscious awareness and choice to create human and environmental integration |
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Term
Documentation for the Nursing process |
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Definition
Step Doc Forms -assessment - initial assessment form, various flow sheets -nursing dx - nursing care plan, critical pathway, progress notes, problem list -planning - nursing care plan, critical pathway -implementing - progress notes, flow sheets -evaluating - progress notes |
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Term
What is the ANA Position Paper of 1965? |
|
Definition
The ANA thought that the improvement of nursing practice depended on education. The following are four major positions on educational preparations: |
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Term
Which is an example of the RN engaging in critical thinking in the clinical setting? |
|
Definition
The RN encourages a post-operative patient with an elevated temperature to take deep breaths and cough Critical thinking incorporates multiple facets of knowledge while prioritizing care |
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Term
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Definition
The ___ ____role is to ensure that cts receive fiscally sound, appropriate care in the best setting |
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Term
What purpose does the American Nurses Association (ANA) Code of Ethics serve in representing the behaviors and beliefs underlying the foundation of nursing practice? |
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Definition
The code provides a basis for ethical analysis and decision making and establishes the ethical standard for the profession. It is a statement of moral obligations required of RNs. |
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Term
|
Definition
The ct is an open system consisting of a basic structure or central core of energy resources- physiologic, psychologic, sociocultural, developmental, and spiritual surrounded by two concentric boundaries referred to as lines of resistance |
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Term
Roy's belief about nursing |
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Definition
The goal of nursing is to understand the patient's environment and thus promote adaptation by managing the stimuli within that environment. |
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Term
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Definition
The most important nursing competency to address the goals of Healthy People 2020 in preventing disease and improving health |
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Term
Peplau's Interpersonal Relations Model |
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Definition
The nurse-client relationship evolves in 4 phases: - orientation - ID - exploitation - resolution |
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Term
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Definition
The nurses job description, education and expertise as well as indv institutional policies and procedures |
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Term
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Definition
The nursing Theorist whose work focused on 21 nursing problems was: |
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Term
Orem's belief about nursing |
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Definition
The nursing profession should emphasize patient education and be oriented toward enhancing the patient's ability to use deliberate selfcare actions |
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Term
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Definition
The organization that accredits schools of nursing is: |
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Term
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Definition
The process and outcome whereby the thinking and feeling person uses conscious awareness and choice to create human and enviro integration |
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Term
Socialization to professional nursing practice |
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Definition
The process whereby the values and norms of the profession are internalized into the nurse's behv and self-concept. The nurse acquires the knowledge, skill, and attitudes characteristic of the profession |
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Term
|
Definition
The rise of prospective payment systems can be largely attributed to which of the following? |
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Term
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Definition
The skills and learning commonly possessed by members of a profession |
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Term
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Definition
The system that that has categories that establish pretxt diagnosis billing categories |
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Term
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Definition
There must be a standard of care that's expected in the specific situation but that the nurse did not observe |
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Term
Which elements must be present in order for a patient to make a claim of professional negligence against an RN? |
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Definition
There were actual damages resulting from professional actions. *3) A failure to act which caused damages is considered negligence. *4) Within a professional relationship there is a duty owed to the patient by the RN assigned to the care. *5) Damage or injury must result from the RN's action for negligence to be claimed. |
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Term
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Definition
This type of program allows graduates to move from one level of nursing education to another with minimum loss of credit: |
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Term
Problem Solving – there are various approaches to it: |
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Definition
Trial and error Intuition – the understanding or learning of things w/o the conscious use of reasoning Research process and scientific/modified scientific method |
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Term
teach the pt more effectively |
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Definition
Understanding common cultural differences and issues will also help the RN to? |
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Term
Use of the scientific method |
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Definition
Which characteristic of a profession does a nurse exemplify when the nurse systematically gathers and analyzes data?
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Term
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Definition
Used to describe the most global philosophical or conceptual framework for a profession... |
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Term
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Definition
Used to focus efforts on potential quality concerns so they me be addressed by further investigation |
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Term
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Definition
Used to focus efforts on potential quality concerns so they me be addressed by further investigation |
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Term
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Definition
Watson - takes into consideration the pt's family and their spiritual beliefs |
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Term
Nurses strategic action team |
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Definition
What was organized to provide nurses with a means to mobilize quickly to influence legislative policy? |
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Term
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Definition
When a number of dissimilar healthcare agencies join together to provide complete services along the continuum of care, this union is referred to as a: |
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Term
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Definition
Which ANA recognized classification system contains a taxonomy of nursing diagnoses? |
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Term
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Definition
Which HC system uses lay HC workers to link with the formal HC system? |
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Term
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Definition
Which group establishes standards and surveys all aspects of a healthcare organization, including the physical plant, the entire delivery of care process, and the quality improvement activities that are being done? |
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Term
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Definition
Which nursing process is a continuous process? |
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Term
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Definition
Which of the historical leaders of nursing established the Henry Street Settlement to provide nursing service for the poor? |
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Term
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Definition
Which organization developed a framework to optimize team performance across health care delivery systems? |
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Term
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Definition
Which theorist believes that a person interacts continuously with the enviro and as a sentient being partakes actively in change? |
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Term
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Definition
Which theorist can be defined as: "Nursing is a service to individuals, families, and society based on art and science that molds the attitudes, intellectual competencies, and technical skills of the individual nurse in the desire and ability to help with the health care needs.." |
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Term
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Definition
Which theorist can be defined as: "Nursing is viewed as an interpersonal process involving interaction between two or more individuals, which has as its common goal assisting the individual who is sick or in need of health care." |
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Term
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Definition
Which theorist can be defined as: "The focus of nursing is the care of human beings." |
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Term
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Definition
Which theorist can be defined as: "The goal of nursing is to put the patient in best condition for nature to act upon him, primarily by altering the environment." |
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Term
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Definition
_____ ______ _______ related to indvs categorize a person's behv or tasks into approximate age ranges or in terms that describe the features of an age group - each stage is affected by the previous and the following stage |
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Term
What is the difference between the providers in PHC and PC? |
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Definition
a PHC provider's role is being a facilitator, consultant, and resource - a PC provider is an expert, provider, authority, and team leader |
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Term
Community-based HC (CBHC) |
|
Definition
a PHC system that provides health-related services within the context of people's daily lives |
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Term
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Definition
|
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Term
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Definition
a classification system or set of categories arranged on the basis of a single principle or set of principles |
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Term
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Definition
a clinical judgment that a prob doesn't exist, but the presence of risk factors indicates that a prob is likely to devp unless nurses intervene |
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Term
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Definition
a collaborative effort of the: - ANA - the National League for Nursing (NLN) - the American Organization of Nurse Executives (AONE) - the American Association of Colleges of Nursing (AACN)? |
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Term
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Definition
a collegial working relationship with another HC provider in the provision of patient care |
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Term
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Definition
a condition in which there is insufficient time in which to carry out all of the expected role functions |
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Term
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Definition
a coping mechanism, involves ways indvs describe, monitor, and interpret their symptoms, take remedial actions, and use the HC system |
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Term
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Definition
a core competency for the registered nurse |
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Term
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Definition
a ct behv directed toward devp well-being and actualizing human health potential |
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Term
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Definition
a ct prob that is present at the time of the nursing assessment |
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Term
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Definition
a downward or lateral xfer of both the responsibility and accountability of an activity |
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Term
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Definition
a dx that is associated with a cluster of other dxs. There are 6 on the NANDA list |
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Term
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Definition
a formal plan that specifies the nursing care for groups of cts with common needs |
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Term
The National Student Nurses' Associations is: |
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Definition
a fully independent organization |
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Term
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Definition
a goal that isn't met, deviations to what is planned on the critical pathway---unexpected occurrences that affect the planned care or the ct's responses to care |
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Term
Conceptual framework (Conceptual model) |
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Definition
a group of related ideas, stmts, or concepts |
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Term
Dunn's High-level wellness grid |
|
Definition
a health axis and an enviro axis intersect, forming 4 quads 1. high-level wellness in a favorable enviro 2. emergent high-level wellness in an unfavorable enviro 3. protected poor health in a favorable enviro 4. poor health in an unfavorable enviro |
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Term
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Definition
a high level of wellness or the fulfillment of one's max potential for physical, psychosocial, and spiritual functioning |
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Term
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Definition
a highly personal state in which the person's physical, emotional, intellectual, social, devp, or spiritual functioning is thought to be diminished |
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Term
Cultural deprivation or cultural care deprivation |
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Definition
a lack of culturally assistive, supportive, or facilitative acts |
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Term
Collaborative care plan/Critical Pathway |
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Definition
a multidisciplinary care plan that sequences the care that must be given on each day during the projected length of stay for the specific type of condition |
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Term
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Definition
a particular format used in progress notes - subjective data - objective data - assessment - the plan |
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Term
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Definition
a pattern of shared understandings and assumptions about reality and the world |
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Term
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Definition
a process of determining the relatedness of facts and determining whether any patterns are present, whether the data represent isolated incidents, and whether the data is sig |
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Term
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Definition
a real or imaginary line that differentiates one system from another system or a system from its enviro |
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Term
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Definition
a set of interacting identifiable parts or components |
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Term
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Definition
a state of well-being. Seven dimensions: - physical - social - emotional - intellectual - spiritual - occupational - enviro dimensions |
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Term
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Definition
a subjective perception of vitality and feeling well, can be described objectively, experienced, and measured, and can be plotted on a continuum - a state rather than a process |
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Term
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Definition
a supposition or system of ideas that is proposed to explain a given phenomenon |
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Term
Nursing Outcomes Classification (NOC) |
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Definition
a taxonomy for describing ct outcomes that respond to NIs |
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Term
Nursing Interventions Classification (NIC) |
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Definition
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Term
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Definition
a technique to look beneath the surface, recognize and examine assumptions, and search for inconsistencies |
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Term
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Definition
a technique to look beneath the surface, recognize and examine assumptions, and search for inconsistencies |
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Term
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Definition
a theory that nurses can use to determine whether cts are likely to take action regarding health |
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Term
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Definition
a trad record, each person or dept makes notations in a separate section or sections of the ct's chart |
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Term
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Definition
a written guide that organizes info about the ct's care |
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Term
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Definition
ab involuntary process of immigrants adapting to or borrowing traits from another culture |
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Term
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Definition
abnormally slow respirations |
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Term
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Definition
acquired during socialization into nursing from codes of ethics, nursing experiences, teachers and peers |
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Term
According to Orem, nurses assist people through... |
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Definition
acting for, guiding, teaching, supporting, and providing an enviro to promote an indv to meet demands |
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Term
3 Steps of the Dx process ID Health Probs, Risks, and Strengths Determine probs and strengths |
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Definition
after grouping and clustering the data, the nurse and ct together id probs that support tentative actual, risk, and possible dx - the nurse must determine whether the ct's prob is a nursing dx, a medical dx, or collaborative prob |
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Term
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Definition
after the input is absoebed by the system, it's processed in a way useful to the system. This transformation is called________ |
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Term
Agent-Host-Enviro Health model |
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Definition
agent, host, and enviro factors constantly interact with each other, which makes health ab ever-changing state |
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Term
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Definition
an early effort to define nursing phenomena and serves as the basis for later theoretical formulations |
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Term
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Definition
an indv adopts a new cultural ID |
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Term
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Definition
an informal oral consideration of a subject by two or more HC personnel to ID a prob or establish strategies to resolve a prob |
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Term
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Definition
an observable pt state, behv, or self-reported perception or eval and is similar to desired outcomes in traditional language |
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Term
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Definition
any txt, based on clinical judgment and knowledge, that a nurse performs to enhance ct outcomes |
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Term
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Definition
areas of HC (functions) that are unique to nursing and separate and distinct from med mgmt |
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Term
An appropiate way to take a TO |
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Definition
ask the provider to spell any meds that the nurse isn't familiar with |
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Term
Many state legislatures have responded to the expanded role of the nurse by... |
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Definition
broadening the scope of their nurse practice acts. For example, adding the term "nursing diagnosis" to many states' nurse practice acts reflects the legislature's recognition of the expansion of the nurse's role into the statutory realm. |
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Term
the most common barriers to the implementation of research in practice? |
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Definition
budget constraints, insufficient authority, and time available to conduct research. It is the most common challenge to completing research in clinical practice. |
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Term
Health-Illness Continua (grids or graduated scales) |
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Definition
can be used to measure a person's perceived level of wellness
Hint: it's not locus of control |
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Term
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Definition
changes in legislation about nursing practice, health, and health matters will affect both the public and nursing |
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Term
How does communication contribute to collaboration? |
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Definition
collaboration occurs when there is effective communication among the pros and they are committed to understanding each other's roles and meeting ct's needs |
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Term
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Definition
considers the health of the family as a unit |
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Term
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Definition
consists of: - pertinent info about the ct - meds - IV fluids - daily txts and procedures - dx procedures ordered - allergies - how specific ct's needs are to be met - prob list, stated goals, and NI's |
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Term
A competent nurse is able to... |
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Definition
coordinate the complex care demands of a client who is newly admitted and the other clients in the unit |
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Term
A competent nurse is able to... |
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Definition
coordinate the complex care demands of a client who is newly admitted and the other clients in the unit |
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Term
What is the standard of nursing practice? |
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Definition
coordinating and balancing pt preferences with best available research |
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Term
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Definition
ct behv geared toward preventing illness, detecting it early, or maintaining function |
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Term
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Definition
describes a continuum of health states: deviations from health, presence of risk factors, and areas of enhanced personal growth |
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Term
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Definition
describes human responses to levels of wellness in an indv, family or community that have a readiness for enhancement |
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Term
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Definition
describes in terms of observable ct responses, what the nurse hopes to achieve by implementing the NIs |
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Term
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Definition
describes nursing actions for cts with similar medical conditions rather than indvs, and they describe achievable rather than ideal nursing care |
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Term
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Definition
devp to govern the handling of freq occurring situations |
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Term
Consists of specific job descriptions for nurses according to their education or training |
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Definition
differentiated practice model |
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Term
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Definition
early diagnosis through screening and preventing complications |
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Term
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Definition
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Term
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Definition
establishment and maintenance of social, political economic standards to control professional practice |
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Term
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Definition
evaluation of facts or info that reflect values or other criteria; a type of opinion |
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Term
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Definition
failure to use prudent action or to follow the standards of care |
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Term
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Definition
fields of study in which the central focus is performance of a professional role |
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Term
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Definition
What type of theories focus on the exploration of concepts such as pain, self-esteem, learning and hardiness |
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Term
Structural-functional theory |
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Definition
focuses on family structure and function |
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Term
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Definition
focuses on promoting and preserving the health of population groups |
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Term
The Organization for Associate Degree Nursing |
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Definition
founded as the voice of associate degree nurses in 1984. It had the most significant impact on the devp of the associate degree in nursing |
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Term
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Definition
generalizations are formed from a set of factors or observations |
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Term
What does Nursing Theory do for nursing? |
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Definition
gives the framework from which to practice and the necessary basis for nursing activities which are observed |
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Term
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Definition
grief that may be unresolved or inhibited |
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Term
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Definition
group of related ideas statements or concepts |
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Term
Accountable Care Organizations (ACOs) |
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Definition
groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients |
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Term
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Definition
has a relationship with followers based on an exchange for some resource valued by the follower |
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Term
A nurse wants to get legislation passed on seat belts. The nurse should: |
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Definition
have friends and peers write the legislative representatives |
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Term
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Definition
he application of a set of questions to a particular situation or idea to determine essential info and ideas and discard superfluous info and ideas |
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Term
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Definition
he describes 4 aspects of the sick role |
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Term
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Definition
homeostatic mechanisms are ________because they tend to counteract conditions that are abnormal for the person |
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Term
Components of a NANDA nursing dx Etiology (related factors and risk factors) |
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Definition
identifies one or more probable causes of the health prob, gives direction to the required nursing therapy, and enables the nurse to individualize the ct's care |
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Term
After identifying a problem, the next step in resolving a problem is to? |
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Definition
identify the circumstances of the incidents where the problem occurred to determine the etiologies or causes (in this case investigating the falls) that have occurred. |
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Term
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Definition
impaired reception, perception, or both, of one or more of the senses |
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Term
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Definition
implies that the nurse applies the underlying background knowledge that must be possessed to provide a ct with the best HC |
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Term
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Definition
implies that the nurse possesses some basic knowledge of and constructive attitudes towards the health traditions observed among the diverse cultural groups found in the setting in which they are practicing |
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Term
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Definition
implies that within the delivered care the nurse understands and attends to the total context of the ct's situation and uses a complex combo of knowledge, attitudes, and skill |
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Term
Universal intellectual standards |
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Definition
includes accuracy, precision, and significance |
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Term
The Lysaught Report (1970), "An Abstract for Action," had the following priorities? |
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Definition
increase research in both the practice and education of nurses, enhance the educational systems and curricula based on research and increase financial support for nurses and nursing |
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Term
The trend toward increasing specialization by healthcare providers is primarily due to: |
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Definition
increased technological growth and expanding knowledge |
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Term
2. Attitudes that Foster Critical Thinking |
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Definition
independence of thought fair-mindedness insight into egocentricity and sociocentricity intellectual humility and suspension of judgment intellectual courage intellectual integrity – requires that indvs apply the same rigorous standards of proof to their own knowledge and beliefs as they apply to the knowledge and beliefs of others perseverance confidence in reason interest in exploring both thoughts and feelings how to deal with strong negative emotions: limit action for a while to avoid hasty conclusions and impulsive decisions discuss negative feelings with a confidant expend some of the energy generated by the emotion by, for example, walking or exercising reflect on the situation and determine whether the emotional response was appropriate curiosity
3. Standards and Elements of Critical Thinking – Universal Intellectual Standards: Clarity – what is an example of this? Accuracy – how can I find out if that is true? Relevance – how does that help me with this issue? Logicalness – does that follow from the evidence? Breadth – do I need to consider another point of view? Precision – can I be more specific? Significance – which of these facts is most important? Completeness – have I missed any important aspects? Fairness – am I considering the thinking of others? Depth – what makes this a difficult problem The Elements of Thought Points of View – frame of reference, perspective, orientation Purpose of the Thinking – goal, objective Question at Issue – problem, issue Information – data, facts, observations, experiences Interpretation and Influence – conclusions, solutions Concepts – theories, definitions, axioms, laws, principles, models Assumptions – presuppositions, taking for granted Implications and Consequences |
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Term
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Definition
indicates the actions commonly required for a particular group of cts |
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Term
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Definition
inhibits change in a system |
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Term
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Definition
intended to make the ct and ct concerns and strengths the focus of care |
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Term
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Definition
involves the conscious organization and translation of the data or stimuli into meaningful info - occurs at the cerebral cortex |
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Term
Components of a NANDA nursing dx Prob (dx label) and definition |
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Definition
it describes the ct's health probs or response for which nursing therapy is given - it's clear and concise - it directs the formation of ct goals and desired outcomes - they need to be specific - carries a definition that clarifies its meaning |
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Term
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Definition
it encourages collaboration and it allows for easier tracking of the status of the ct's prob |
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Term
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Definition
it's acquired or learned through the experience of living and interacting with others |
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Term
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Definition
its maintained by coordinated functioning of the following systems: - autonomic nervous - endocrine - respiratory - cardio - renal - GI |
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Term
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Definition
laws enacted by a legislative body |
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Term
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Definition
life and life processes are controlled by physical and biochemical processes that can be manipulated by humans |
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Term
What is the primary purpose of the National League for Nursing (NLN)? |
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Definition
maintain and improve the standards of nursing education. |
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Term
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Definition
many child health and wellness programs in use today are based on her efforts. Current proposals for health-care reform include her ideas about public health nursing, independent clinics, and health maintenance |
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Term
American Nurse Credentialing Center (AANC) certification is a |
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Definition
method of recognizing nurses who have special expertise. Applicants must demonstrate current practice and knowledge beyond that required for licensure as an RN. After submitting evidence of completing all requirements, an RN may take the national examination for a specific certification. |
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Term
Reviewing the policy and procedure manual on the nursing unit before performing a procedure on a patient does not reflect... |
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Definition
modification of the professional role for personal gain. may give the RN new technical expertise for professional development, but it does not reflect socialization into the primary role of upholding the value of patient-centered care. |
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Term
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Definition
monitors and regulates incoming stimuli - it maintains, enhances, or inhibits cortical arousal |
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Term
3 Steps of the Dx process Formulating Dx Stmts Quality of the stmt |
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Definition
must be: - accurate - concise - descriptive - specific - must compare s&s or risk factors to NANDAs |
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Term
allows for multistate licensure |
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Definition
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Term
Community-based nursing (CBN) |
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Definition
nursing care directed towards specific individuals. It involves nursing care that is not confined to one practice setting |
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Term
The Brown Report recommended that: |
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Definition
nursing schools be established independently in universities. |
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Term
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Definition
occurs particularly in HTN pts, is the temporary disappearance of sounds normally heard over the brachial artery when the cuff pressure is high followed by the reappearance of the sounds at a lower level |
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Term
Cerebral death or higher brain death |
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Definition
occurs when the higher brain center, the cerebral cortex, is irreversibly destroyed |
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Term
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Definition
of the arteries; it's their ability to contract and expand |
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Term
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Definition
one in which evidence about a health prob is incomplete or unclear |
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Term
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Definition
one that makes all levels of care available in an integrated form - primary, secondary, and tertiary care |
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Term
Unitary Human Beings Theory- Rogers |
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Definition
person is an irreducible whole, dynamic energy field in continuous exchange with the environment |
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Term
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Definition
person, enviro, health, and nursing |
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Term
Travis's illness-wellness continuum |
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Definition
premature death ------ high-level wellness |
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Term
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Definition
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Term
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Definition
principle-based theories emphasizes indv rights, duties, and obligations. The morality of an action is determined not by its consequences, but by whether it's done according to an impartial, objective principle |
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Term
The primary purpose of International Council of Nurses (ICN) is to: |
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Definition
provide a medium through which national nurses' associations may share common concerns and interests to promote health of people and care of the sick. |
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Term
Community nursing centers |
|
Definition
provide primary care to specific populations and are staffed by NPs and community health nurses |
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Term
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Definition
provides a framework for the court on which to base decisions when determining whether a nurse has breached a standard of care. Nurse practice acts identify grounds for disciplinary actions such as suspension and revocation of nursing licensure in each state. |
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Term
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Definition
reasoning from the general to the specific |
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Term
Teritary health care services: |
|
Definition
rehabilitate the patient to optimal functioning |
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Term
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Definition
relationships in which the experienced nurse assists the "new" nurse in improving clinical nursing skills and judgment |
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Term
Major problems associated with the 1965 ANA Position Paper included |
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Definition
scope of practice titling of graduates of the different programs interstate endorsement |
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Term
A hospital is an example of this type of healthcare: |
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Definition
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Term
|
Definition
self-rule and the ability to make independent personal decisions. |
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Term
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Definition
stage 1 - symptom experiences stage 2 - assumption of the sick role stage 3 - medical care contact stage 4 - dependent client role stage 5 - recovery or rehab |
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Term
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Definition
started the ANA and worked to organize the profession |
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Term
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Definition
stimulates change......pos or neg feedback? |
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Term
The Community-based Care Transitions Program (CCTP) |
|
Definition
tests models for improving care transitions from the hospital to other settings and reducing readmissions for high-risk Medicare beneficiaries. It is not designed as a source of information about ACA regulations |
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Term
Reviewing the policy and procedure manual on the nursing unit before performing a procedure on a patient reflects... |
|
Definition
that the RN has been socialized into the values of the profession |
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Term
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Definition
the ability to perceive and understand an object through touch by its size, shape, and texture |
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Term
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Definition
the ability to perceive enviro stimuli and body reactions and to respond appropriately through thought and action |
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Term
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Definition
the basic three part nursing dx stmt that includes: prob, etiology, and S&S |
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Term
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Definition
the building blocks of theories |
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Term
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Definition
the cluster of S&S that indicate the presence of a particular dx label |
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Term
Components of a NANDA nursing dx Defining characteristics |
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Definition
the cluster of S&S that indicate the presence of a particular dx label |
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Term
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Definition
the coordination of HC services by HC providers for clients moving from one HC setting to another and between and among HC professionals |
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Term
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Definition
the ct is unaware of impending death |
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Term
Problem-oriented medical record (POMR), or prob oriented record (POR) |
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Definition
the data are arranged according to the probs the ct has rather than the source of the info. Advantages: - it encourages collaboration - the prob list is in the front of the chart alerts caregivers to the ct's needs and makes it easier to track the status of each prob. Four basic components: - database - prob list - plan of care - progress notes |
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Term
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Definition
the gradual dec of the body's temp after death |
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Term
Reviewing the policy and procedure manual on the nursing unit before performing a procedure on a patient before implementing them shows |
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Definition
the novice RN is putting the professional value of caring before the personal. |
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Term
3 Steps of the Dx process ID Health Probs, Risks, and Strengths Determining strengths |
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Definition
the nurse and ct also establish the ct's strengths, resources, and abilities to cope |
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Term
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Definition
the nurse's clinical judgment about indv, family, or community responses to actual and potential health probs/life processes to provide the basis for selecting nursing interventions to achieve outcomes for which the nurse is accountable |
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Term
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Definition
the obligation to be fair to all people in the distribution of benefits and burdens. |
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Term
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Definition
the obligation to do no harm - intentionally, unintentionally or by placing a person at risk. |
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Term
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Definition
the process of being raised within a culture and acquiring the characteristics of that group |
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Term
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Definition
the process of tracking events leading to errors to identify faulty systems and processes. |
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Term
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Definition
the standardized NANDA name for the dx |
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Term
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Definition
the stimulation of heat production in the body through inc cellular metabolism |
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Term
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Definition
the subjective response experienced by the surviving loved ones |
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Term
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Definition
the xfer of heat from a molecule to another of lower temp |
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Term
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Definition
the xfer of responsibility of a task to another while retaining accountability for the outcome |
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Term
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Definition
theories that help elucidate how social structures affect a wide variety of human experiences from art to social practices |
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Term
How are PHC and PC similar? |
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Definition
they both strive for universal access to care and support empowerment of the client |
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Term
|
Definition
they regulate : - hormone secretion - fluid and electrolyte levels - the functions of body viscera - metabolic processes that provide energy for the body |
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Term
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Definition
A theory that articulates a broad range of the sig relationships among the concepts of a discipline |
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Term
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Definition
to be faithful to one's agreements or responsibilities |
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Term
The purpose of family assessment |
|
Definition
to determine the level of: - family functioning - clarify family interaction patterns - ID family weaknesses and strengths - describe the health status of the family and its members |
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Term
The Affordable Care Act (ACA) established a Consumer Assistance Program (CAP) in each state |
|
Definition
to help citizens navigate the regulations of the ACA |
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Term
What is the purpose of the Nurse Training Act? |
|
Definition
to provide money for the expansion of nursing schools. (to support nursing education) |
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|
Term
The purpose of the NLN is to: |
|
Definition
unite the interests of nursing with those of the community. |
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Term
|
Definition
uses specific assessment criteria in a particular format, such as human needs or functional health probs.
A type of document |
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Term
|
Definition
was an RN educator who focused on nursing theory as well as hands-on practice |
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Term
The Nurses' Associated Alumnae of the United States and Canada |
|
Definition
was founded in 1896 by Isabel Hampton Robb to represent the interests of practicing nurses. |
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Term
3 Steps of the Dx process Formulating Dx Stmts One-part stmts |
|
Definition
wellness dx and syndrome nursing dx, consist of a NANDA label only. They tend to become more specific as they are refined, so that NIs can be derived from the label itself |
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Term
|
Definition
when a person is in optimal arousal |
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Term
Orem devised three types of nursing systems... |
|
Definition
wholly compensatory, partly comp, and supportive-educative system |
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Term
|
Definition
with regard to med dx, nurses are obligated to carry out dr prescribed therapies and txts that are considered..... |
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Term
|
Definition
words that have been added to some NANDA labels to give addl meaning to the dx stmt eg: deficient, impaired, decreased, ineffective, compromised |
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Term
|
Definition
wrote the first nursing texts on the history of nursing |
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Term
Restrictive vs Permissive Language |
|
Definition
• Regulations, especially those with the purpose of defining the scope of practice of various health care professionals, can be written with either restrictive or permissive language. Restrictive language restricts the practitioner to performing only the functions and procedures outlined in the regulations. LPN/LVN practice acts are often written with restrictive language. Permissive language allows practitioners to use judgment and make decisions to serve the purpose of performing in their roles. Permissive language is used for the more autonomous practice of the RN |
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Term
|
Definition
Answer these questions about the evidence found: Is it valid? Is it important? Is it important to the patient? |
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Term
|
Definition
Biomedical Informational Knowledge |
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Term
|
Definition
Biomedical Informational Knowledge |
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Term
|
Definition
Four types of technologies: Physiological monitoring Diagnostic testing Drug administration Therapeutic treatments |
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|
Term
The primary purpose of the NLN: |
|
Definition
Be a leader in nursing education Commitment to its members Be a champion for nurse educators Advance the science of nursing education |
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Term
|
Definition
Classified as an Energy Therapy Not classified as massage and bodywork, as there is no real contact Not pharmacological, herbal, or based on clinical systems Involves hands, but no actual contact, although the RN may tell the pt to assume a relaxed, inner focus |
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Term
Nurse practice acts evolved as licensure laws were enacted. Their purpose is to: |
|
Definition
Define nursing Stipulate the qualifications to practice nursing Outline the methods of obtaining licensure License renewal Interstate endorsement or reciprocity Establish and maintain rules and regs of nursing Delineate unlawful acts, misconduct, or disciplinary actions Legal scope of practice is defined by govt, not professional orgs |
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Term
Nurse practice acts evolved as licensure laws were enacted. Their purpose is to: |
|
Definition
Define nursing Stipulate the qualifications to practice nursing Outline the methods of obtaining licensure License renewal Interstate endorsement or reciprocity Establish and maintain rules and regs of nursing Delineate unlawful acts, misconduct, or disciplinary actions Legal scope of practice is defined by govt, not professional orgs |
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|
Term
Agency for Healthcare Research and Quality (AHRQ) research focus areas: |
|
Definition
Efficiency: translating research into practice to increase access and to decrease costs Effectiveness: improved health outcomes by using evidence to make informed healthcare decision costs |
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Term
The SBNs are considered regulatory powers because they provide the SBN with control over nurses according to rule, principle, or law. By legislative act, all SBNs have the power to: |
|
Definition
Grant licensure Approve nursing programs Establish standards for nursing schools Write specific regs for nurses and nursing practice in gen’l in that state They do not: develop policies on nursing procedures for a health care facility regulate safety in health care settings |
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Term
The four competencies that the NLN expects of RN graduates |
|
Definition
Human flourishing Nursing judgement Professional ID Spirit of inquiry |
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Term
The Quality and Safety Education for Nurses (QSEN) competency on QI deals with: |
|
Definition
Information mgmt Application of pt-care tech |
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Term
|
Definition
Is usually focused on one specialty area Works with pts and families on complex health care issues Serves as a pt/family advocate to eliminate barriers to and provide guidance on navigating the maze of txt After referral from a health care provider, the nurse navigator contacts the pt and develops an individualized plan of care designed to help the pt progress more easily through txt The NN is available for help 24/7 and is concerned with providing the pt a sense of empowerment, and helping to alleviate pt anxiety and depression during txt The NN may arrange transportation, assist with ins and other forms, provide written summaries of care, give instructions for self-care, and answer questions about side effects of meds |
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Term
Seven major Nursing responsibilities |
|
Definition
Modeling and value nursing Professional growth Standards of nursing practice Nursing research Professional stewardship and the advancement of nursing Pt advocacy Legal and ethical practice |
|
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Term
The NLN, Council of RN, Educational competencies for graduates of associate degree nursing program |
|
Definition
Professional behavior Communication Assessment Clinical decision making Caring intervention Teaching and learning Collaboration Managing care |
|
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Term
|
Definition
Provide pt-centered care Work in interdisciplinary teams Employ EBP Apply QI Utilize informatics |
|
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Term
The three learning domains: |
|
Definition
Psychomotor – focuses on manipulative skills Cognitive – knowledge is acquired Affective – involves values and attitudes |
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Term
Quality and Safety Education for Nurses (QSEN) competencies that RN students are expected to demonstrate upon graduation |
|
Definition
Pt-centered care QI EBP |
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|
Term
Quality and Safety Education for Nurses (QSEN) competencies that RN students are expected to demonstrate upon graduation |
|
Definition
Pt-centered care QI EBP |
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|
Term
The three primary reasons for growth in the nurse coder role are: |
|
Definition
The coming change from ICD-9 to ICD-10 Aging of the population Increased use of advanced electronic technology |
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|
Term
The primary purpose of an Ethics Committee is: |
|
Definition
To help in the resolution of complex ethical dilemmas Provide educational programs on ethical principles for staff members |
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|