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NUR 3200 FOUNDATIONS > Exam 1 Study Guide > Flashcards

Exam 1 Study Guide Flashcards

1
Q

Describe the process of evaluation of patient outcomes

A
  1. Examine outcome criteria to identify exact, desired patient behavior/response
  2. Evaluate actual behavior/response
  3. Compare 1 & 2 results
  4. Judge agreement btwn 1 & 2
  5. What is the reason for 1 vs 2? What is the next action?
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2
Q

Intellectual Stage

A

A person’s beliefs about health are shaped by knowledge or misinformation
Cognitive abilities shape the way a person thinks

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3
Q

Analyze Cues

A
  • 2nd in CJM
  • Organizing & linking recognized cues, identify needs, concerns, or problems
  • Determine why certain cues are more concerning than others
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4
Q

Emotional Factors

A

Degree of stress, depression, or fear influences health beliefs & practices
Being very calm about diagnosis or unable to cope, deny symptoms, or not take therapeutic actions

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5
Q

Primary Care

A

Diagnosis & treatment of common illnesses, management of chronic problems, prenatal care, well-baby, family planning, health promotion
EX: physician’s office

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6
Q

Partial Thromboplastin Time

A

60 - 70 sec
LOW: risk of clot
HIGH: risk of bleeding

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7
Q

Recognize Cues

A
  • 1st in CJM
  • Filtering info from diff. sources
  • Basically assessment data
  • Relevant vs irrelevant
  • Decide what data is most important and of immediate concern
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8
Q

Planning (nursing process)

A
  • Setting priorities
  • Identifying patient-centered goals & expected outcomes
  • Individualized nurse interventions
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9
Q

Spiritual Factors

A

The values & beliefs exercised, the relationships established w/ friends & family, and the ability to find hope & meaning in life

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10
Q

Dependent (intervention)

A
  • Actions that require an order from physician / other professionals
  • EX: administering medication
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11
Q

Prothrombin Time

A

11 - 12.5 sec
LOW: risk of clot
HIGH: risk of bleeding

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12
Q

Assessment (nursing process)

A
  • Gathering the data
  • Primary source (patient)
  • Secondary source (family, health profs, med record)
  • Subjective & objective data
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13
Q

Continuing Care

A

Health, personal, and social services provided over a prolonged period
EX: assisted living

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14
Q

International Normalized Ratio

A

0.76 - 1.27
LOW: risk of clot
HIGH: risk of bleeding

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15
Q

Glucose

A

70 - 110 mg/dL
LOW: inadequate glucose intake
HIGH: diabetes mellitus

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16
Q

Preventative Care

A

Focuses on health outcomes for entire population; adult & peds screenings, wellness visits, immunization
EX: primary care provider

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17
Q

Perception of Functioning

A

Collecting subjective data; how the patient perceives their physical functioning
Objective data about actual functioning

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18
Q

Developing a Nursing Diagnosis

A
  • Diagnosis label
  • “related to”
  • “as evidenced by”
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19
Q

White Blood Cell Count

A

5,000 - 10,000 mm3
LOW: decreased ability to fight infection
HIGH: infection

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20
Q

Components of Critical Thinking in Nursing

A
  1. Specific knowledge base in nursing
  2. Experience
  3. Critical thinking competencies: general, specific, nursing process
  4. Attitudes for critical thinking: confidence, independence, responsibility, discipline, integrity
  5. Standards for critical thinking: intellectual & professional
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21
Q

Sodium

A

136 - 145 mEq/L
LOW: fluid overload
HIGH: dehydration

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22
Q

Internal Factors

A
  • Developmental stage
  • Intellectual stage
  • Perception of Functioning
  • Emotional factors
  • Spiritual factors
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23
Q

Social Determinants of Health

A

Economic stability, education, health and health care, social and community context, neighborhood and built environment

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24
Q

Restorative Care

A

Regain functional status and enhance quality of life through independence and self-care
EX: rehabilitation center

25
Q

Developmental Stage

A

A person’s perception of health, illness, and health behaviors that change over time

26
Q

Family Role & Practices

A

The role & organization of a family influences how the members define health & illness and values health practices

27
Q

pH

A

7.35 - 7.45
LOW: acidosis
HIGH: alkalosis

28
Q

Blood Urea Nitrogen

A

10 - 20 mg/dL
LOW: liver disease, fluid overload
HIGH: renal disease/dehydration

29
Q

pO2

A

80 - 100 mmHg
LOW: hypoxemia
HIGH: hyperoxia

30
Q

Discuss sexuality and sexual health as a basic human need

A

Sex is a basic physiological need. Sexual health is a state of physical, emotional, mental, and social well-being

31
Q

Generate Solutions

A
  • 4th step in CJM
  • Identify expected outcomes & using hypotheses, define a set of interventions to achieve outcomes
32
Q

Creatinine

A

F: 0.5 - 1.1 mg/dL
M: 0.6 - 1.2 mg/dL
LOW: malnutrition
HIGH: renal disease

33
Q

Tertiary Care

A

Specialized consultative care, referral from secondary provider
EX: cardiac surgeon

34
Q

Take Action

A
  • 5th step in CJM
  • Implementing the actions that addresses the highest priorities
  • Determine in what priority these actions will be implemented
35
Q

Implementation (nursing process)

A
  • “doing for” our patients
  • Initiates interventions/actions that are designed to achieve goals & expected outcomes needed to support or improve health status
36
Q

Nonverbal Communication

A
  • Posture
  • Appearance
  • Facial expressions
  • Eye contact
  • Gestures
  • Sounds
  • Personal space
37
Q

SMART Planning

A
  • Specific
  • Measurable
  • Attainable
  • Relevant
  • Time Focused / Time Limited
38
Q

Collaborative (intervention)

A
  • Therapies that require combined knowledge, skill, & expertise of multiple professionals
  • EX: consult w/ dietician
39
Q

Platelet Count

A

150,000 - 400,000 mm3
LOW: decreased clotting
HIGH: increased risk of blood clot

40
Q

Evaluate Outcomes

A
  • Comparing observed outcomes to expected outcomes
  • Determine what client assess. findings indicate improvement, decline, or no change in condition
  • Decide if selected nursing actions were effective, ineffective, or made no difference
41
Q

_______ is a lifelong learning process

A

Communication

42
Q

Calcium

A

8.4 - 10.5 mg/dL
LOW: hypoparathyroidism
HIGH: hyperparathyroidism

43
Q

Hematocrit

A

F: 37% - 47%
M: 42% - 52%
LOW: fluid overload
HIGH: dehydration

44
Q

Hemoglobin

A

F: 12 - 16 g/dL
M: 14 - 18 g/dL
LOW: anemia
HIGH: polycythemia - elevated RBC count

45
Q

Independent (intervention)

A
  • Actions that the nurse initiates, does not require an order
  • EX: turning patient
46
Q

Levels of Care

A
  1. Primary Care
  2. Preventative Care
  3. Secondary Care
  4. Tertiary Care
  5. Restorative Care
  6. Continuing Care
47
Q

The Nursing Process

A
  • Assessment
  • Diagnosis/Analysis
  • Planning
  • Implementation
  • Evaluation
    ADPIE/AAPIE
48
Q

Potassium

A

3.5 - 5.0 mEq/L
LOW: cardiac rhythm irregularities; vomiting, diarrhea, nasogastric
HIGH: cardiac rhythm irregularities; kidney disease, adrenal disease

49
Q

Prioritize Hypotheses

A
  • Consider all possibilities abt what is occurring
  • Evaluate & rank hypotheses according to priority
  • Determine which explanations are most likely, most serious, and why
50
Q

pCO2

A

35 - 45 mmHg
LOW: alkalosis
HIGH: acidosis

51
Q

Indirect (intervention)

A
  • Activities performed away from patient, but on behalf of patient
  • EX: delegation of care, infection control, supply management
52
Q

External Factors

A
  • Family Role & Practices
  • Social Determinants of Health
53
Q

Evaluation (nursing process)

A
  • Determines if goals were met & outcomes were achieved
  • NOT if nursing interventions/actions were completed
54
Q

HCO3

A

21 - 28 mEq/L
LOW: acidosis
HIGH: alkalosis

55
Q

Nursing Diagnosis / Analysis (nursing process)

A
  • Identify the patient’s specific responses to their alterations in health
56
Q

Direct (intervention)

A
  • Activities that nurse performs through patient interactions
  • EX: med. admin., IV insertion, assisting w/ ADLs
57
Q

Maslow’s Hierarchy of Human Needs

A
  1. Physiological Needs: food, water, shelter
  2. Safety Needs: security, employment, resources
  3. Love & Belonging: friendship, intimacy, family
  4. Esteem Needs: respect, self-esteem, status
  5. Self-Actualization: morality, acceptance, inner potential
58
Q

Secondary Care

A

Acute care, provided by a specialist upon referral
EX: cardiologist

NUR 3200 FOUNDATIONS (6 decks)

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