Exam Two Flashcards
(151 cards)
0
Q
Acts towards another individual that display both an emotional and physical calm.
The use of touch, establishing presence, the therapeutic use of silence, and the skillful and gentle performance of a procedure are examples
A
Comforting
1
Q
Universal phenomenon that influences the way we think, feel,and behave in relation to one another
A
Caring
2
Q
Delivery of health care based on ethical principals and standards of care
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Ethic of care
3
Q
Deep physical, psychological, and spiritual connection or engagement between nurse and patient
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Presence
4
Q
Concept of caring extending across cultures that distinguishes nursing from other health disciplines
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Transcultural
5
Q
Group of interacting individuals composing a basic unit of society
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Family
6
Q
Nursing perspective in which the family is views as a unit of interacting members having attributes, functions, and goals separate from those of the individual family members
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Family as a context
7
Q
Nursing approach that takes into consideration the effect of one intervention on all member of a family
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Family as patient
8
Q
Caring for each family member and family unit, using all abalone environmental, social, psychological, and community resources
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family as system
9
Q
A family process that occurs in response to an illness and encompasses multiple cognitive, behavioral, and interpersonal process
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Family cargiving
10
Q
Patterns of people considered by family members to be included in the family
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Family forms
11
Q
Internal strengths and durability of the family unit; characterized by a sense if control over the outcome of life events and hardships, a view of change as beneficial and growth-producing, and an active rather than passive orientation in responding to stressful life events
A
Family hardiness
12
Q
Acknowledging the importance if the capability of care recipients to share exchanges that contribute to a caregiver’s perception of self-worth
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Reciprocity
13
Q
Family’s ability to cope with expected and unexpected stressors
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Family resiliency
14
Q
First step of the nursing process. Activities required in the first step are data collection, validation, sorting, and documentation for health problem identification
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Assessment
15
Q
Active listening technique that prompts a respondent to continue telling a story or describing a situation. Involves use of phrase such as “go on,” “uh-huh,” or “tell me more”
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Back channeling
16
Q
Form if question that limit a respondents answer to one or two words
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Closed-ended question
17
Q
Experience other symptoms along with the primary sumptom
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Concomitant symptoms
18
Q
Information that a nurse acquires through hearing, visual observations, touch, and smell
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Cue
19
Q
Store or bank of information, especially in a form that be processed by a computer
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Database
20
Q
Method for organizing assessment data based on the level of patient function in specific areas
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Functional health patterns
21
Q
(1) judgment or interpretation of informal cues. (2) taking one proposition as a given and guessing that another proposition follows
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Inference
22
Q
Data collected about a patients present level if wellness, changes in life patterns, sociocultural role, and mental and emotional reaction to illness
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Nursing health history
23
Q
Systematic problem-solving method by which nurses individualize care for each patient
A
Nursing process-----> Assessment Diagnosis Planning Implementation Evaluation
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Information that can be observed by others: free of feeling, perceptions, and prejudice
Objective data
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Form of question that prompt a respondent to answer in more than one or two words
Open-ended question
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Systematic approach for collecting the patients self-reported data on all body systems
Review of systems (ROS)
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Information gathered from patient statement; the patient's feelings and perception. Not verifiable by another except by inference
Subjective data
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Act of confirming, verifying, or corroborating the accuracy of assessment dat or the appropriateness of the care plan
Validation
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Judgment that is clinically validated by the presence of major defining characteristic
Actual nursing diagnosis
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Is an objective or subjective sign, symptom, or risk factor that, when analyzed with other criteria, leads to a diagnostic conclusion
Clinical criterion
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Physiological complication that requires the nurse to use nursing- and healthcare provider- prescribed interventions to maximize patient outcome
Collaborative problem
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Set of signs or symptoms that are grouped together in logical order
Data cluster
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Related signs and symptoms or clusters of data that support the nursing diagnosis
Defining characteristics
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The name of the nursing diagnosis as approved by NANDA International
Diagnostic label
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Study of all factors that may be involved in the development of a disease
Etiology
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Clinical judgement of a person's, family's, or community's motivations, desire, and readiness to increase well-being and actualize human health potential as expressed in their readiness to enhance specific health behaviors such as nutrition and exercise
Health promotion nursing diagnosis
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Formal statement of disease entity or illness made by the physician or health care provider
Medical diagnosis
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North American Nursing Diagnosis Association organized in 1973. It formally identifies, develops, and classifies nursing diagnosis
NANDA-I
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Formal statement of an actual or potential problem that nurses can legally and independently treat; the second step of nursing process, during which the patient's actual and potential unhealthy response to an illness or condition are identified
Nursing diagnosis
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Any condition or event that accompanies or is linked with the patients health care problem
Related factor
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Describes human response to health conditions/life processes that may develop on a vulnerable individual, family, or community
Risk nursing diagnosis
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Is often a bright light, smell, or taste
Aura
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Federal agency responsible for the enforcement of federal regulations regarding the manufacture, processing, and distribution of food, drugs, and cosmetics to protect consumer against sake of impure or dangerous substances
Food and Drug Administration (FDA)
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Process by which resistance to an infectious disease is induced or augmented
Immunization
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Microorganism a capable of producing a disease
Pathogen
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Any substance that impairs health or destroys life when ingested, inhaled, or absorbed by the body in relatively small amounts
Poison
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A harmful chemical or waste metering discharged into water,soil, or air
Pollutant
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Device to aid in the immobilization of a patient or patient's extremity
Restraint
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Hyper excitation and disorderly discharge if neurons in the brain leading to sudden, violent,involuntary series of muscle contractions that paroxysmal and episodic, causing loss of consciousness, falling, toxicity and clonicity
Seizure
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Encompasses all nursing interventions to protect the patient from traumatic injury, position for adequate ventilation and drainage of oral secretions, and provide privacy and support following a seizure
Seizure precautions
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Prolonged or repeated seizures
Status epilepticus
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Passage of drug molecules into the blood
Absorption
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Harmful or unintended effect of medication, diagnostic test, or therapeutic intervention
Adverse effect
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Hypersensitive condition induced by contract with certain antigens
Anaphylactic reaction
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Chemical changes that a substance undergoes in body such as by the action of enzymes
Bio transformation
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Time it takes for the body to lower the amount of unchanged medication by half
Biological half-life
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Of or pertaining to the inside of the cheek or the gum next to the cheek
Buccal
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To remove the toxic quality of a substance
Detoxify
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Individual sensitivity to effect of a drug caused by inherited or other bodily constitution factors
Idiosyncratic reaction
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Introduction of fluid into the vein , giving intravenous fluid over time
Infusion
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Parenteral administration of medication; four major sites; sub q, IM, IV and ID
Injections
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To cause to enter drop by drop or very slowly
Instillation
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An injection of medication directly into cardiac tissue
Intracardiac
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Injection given between layers of the skin into the dermis. 5-15 degree angle
Intradermal
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Injection given into muscle tissue given at 90 degree angle
Intramuscular
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Method of medication delivery that involves inserting a medication disk similar to eye contact lens into patients eye
Inraocular
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Injection straight into a joint
Intraarticular
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Injection directly into the bloodstream.
Intravenous
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Process of washing out body cavity or wounded area with a stream of fluid
Irrigation
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Adverse reaction such as rash, chills, or gastrointestinal disturbances to a medication
Medication allergy
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Any event that could cause it lead to a patients receiving inappropriate drug therapy or failure to recieve appropriate drug therapy
Medication error
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Response that occurs when one drug modifies the action of another drug
Medication interaction
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A nurse admits a patient to a health care setting, he or she compares the medication that the patient took in the previous setting with his or her current medications
Medication reconciliation
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Logically organized decimal system of measurement
Metric system
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Statutes enacted by the legislature of why of the states or the appropriate officers of the districts or possessions that describe and define the scope of nursing practice
Nurse practice act (npa)
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Drug given into the eye in the for of either eye drops or ointments
Ophthalmic
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Giving medication by a route other than the gastrointestinal tract
Parenteral administration
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Time it takes for a medication to reach its highest effective concentration
Peak
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Minimum blood serum concentration of medication reached just before the next schedule dose
Trough
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Study of how drugs enter the body, reach their site of action, are metabolized, and exit from the body
Pharmacokinetics
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Use of a number if different drugs by a patient ego may have one or several health problems
Polypharmacy
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Includes more detailed information than a regular order because the patient needs to understand how to take the medication and when to refill
Prescription
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Any reaction or consequence that results from medication or therapy
Side effects
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Mixture of one or more substance dissolved in another substance
Solution
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Injection given into the connective tissue under the dermis
Subcutaneous
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Route of medication administration in which the medication is placed underneath the patients tongue
Sublingual
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Effect resulting from two drugs acting synergistically
Synergistic effect
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Desired benefit of a medication, treatment, or procedure
Therapeutic effect
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Effect of a medication that results in an adverse response
Toxic effect
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Medication delivery device in which the medication is saturated on a wafer like disk, which is affixed to the patient skin
Transdermal disk
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Order given verbally
Vernal order
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Technique for injection irritating preparation into muscle without tracking residual medication through sensitive tissue
Z-track injection
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Kind or amount of exercise or work that a person is able to perform
Activity intolerance
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Body measure of height, weight, and skinfolds to evaluate muscle atrophy
Anthropometric measurements
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Collapse ad alveoli, preventing the normal respiration exchange of oxygen and carbon dioxide
Atelectasis
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Placement of the patient in bed for therapeutic reasons for a prescribed periods
Bed rest
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Means that individuals center of gravity is stable
Body alignments
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Coordinated efforts of the musculoskeletal and nervous systems to maintain people balance, posture, and body alignment
Body mechanics
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Group of therapies use to mobilized pulmonary secretions for expectoration
Chest physiotherapy
100
Increased muscle contraction causes muscle shortening, resulting in movement such as when a patient uses an overhead trapeze to pull up in bed
Concentric tension
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A blood clot
Embolus
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Abnormal neuromuscular condition of the lower leg and foot characterizes by am inability to dorsiflex, or evert, the foot
Footdtop
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Effects of rubbing or the resistance that a moving body meets from the surface on which it moves; a force that occurs in a direction to oppose movement
Friction
104
Manner or style of walking, including rhythm, cadance, and speed
Gait
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One side paralysis
Hemiplegia
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One side weakness
Hemiparesis
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Pneumonia that results from fluid accumulation as a result of inactivity
Hypostatic pneumonia
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Inability to move about freely; causes by any condition in which movement is impaired or therapeutically restricted
Immobility
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Activities necessary for independence in society beyond eating, grooming, transferring, and toileting ; imclude skills as shopping, preparing meals, banking, and taking medications
Instrumental activities of daily living (IADL)
110
Concentric and eccentric muscle action are necessary for active movement
Isotonic or dynamic contraction
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Static contraction cause an increased in muscle tension or muscle work but no shortening or active muscle movement of muscle
Isometric contraction
112
Abnormality that may result in permanent condition of a joint; characterized by flexion and fixation
Joint contractur
113
Maneuver used to turn a reclining patient from one side to the other or completely over without moving the spinal column out if alignment
Logrolling
114
Person ability to move about freely
Mobility
115
Inducing or compelling force and occurs when specific bones such as humorous and associate with a joint such as the elbow
Leverage
116
Normal state if balanced muscle tension
Muscle tone
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Loss of muscle tone, and joint stiffness
Muscle atrophy
118
Condition occurring when the body excretes more nitrogen than it takes in
Negative nitrogen balance
119
Disorder characterized by abnormal rarefaction of bone, occurring most frequently in postmenopausal women, sedentary or immobilized individuals, and patients on long term steroid therapy
Osteoporosis
120
Increased in heart rate of more that 15% and drop of 15 mm Hg or more in systolic blood press sir or a drop oh 10mm Hg or more diastolic blood pressure when patient changes from supine to siting position
Orthostatic hypotension
121
Fractures resulting from weakened bone tissue
Pathological fracture
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Position of the body on relation to the surrounding space
Posture
123
Inflammation, sore, or ulcer in the skin over a bony prominence
Pressure ulcer
124
Range of movement of a joint from maximum extension to maxim flexion as measure in degrees of a circle
Range of motion(ROM)
125
Calcium stones in the penal pelvis
Renal calculi
126
Force exerted against the skin while the skin remains stationary and the bony structures move
Shear
127
Metal triangular shaped bar that can be suspended over a patients bed from an overhanging frame
Trapeze bar
128
Rolled towel support placed against hip and upper leg to prevent external rotation of the legs
Trochanter roll
129
Accumulation of platelets, fibrin, clotting factors, and cellular elements of blood attracted internal wall of vein or artery which sometimes includes lumen of the vessels
Thrombus
130
Not hardened
Unossified
131
Increased the risk of urinary react infection and renal calculi
Urinary stasis
132
Abnormal neurological condition in which language function is defective or absent
Aphasia
133
Related to or experienced through hearing
Auditory
134
Excessive cerium occluding the ear canal
Conductive hearing loss
135
Motor type of aphasia, is the inability to name common objects or express simple ideas in words or writing
Expressive aphasia
136
Is the inability to understan written or spoken language
Sensory or receptive aphasia
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Pertaining to the sense of taste
gustatory
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Overly sensitive to tactile stimuli
Hyperesthesia
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Enables a person to be aware og the position and movement of body parts without seeing them
Kinesthetic
140
Pertaining to sense of smell
Olfactory
141
Otolaryngologist
Audiologist
142
Having a harmful effect on the eighth cranial nerve or the organ if hearing and balance
Ototoxic
143
Ability of the body to sense it's position and movement in space
Proprioceptioon
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Defect in the ability of the lens if the eye to focus light such as occurs in nearsightedness and farsightedness
Refractive error
145
Defects in the function of one or mor of the senses, resulting in visual, auditory, or olfactory impairments
Sensory deficits
146
State in which stimulation to one or more of the sense is lacking, resulting in impaired sensory perception
Sensory deprivation
147
Star in which stimulation to one or more of the senses is is excessive that the brain disregards or does not meaningfully respond to stimuli
Sensory overload
148
Relating to the sense of touch
Tactile
149
Is a sense that allows a person to recognize the size, shape, and texture of an object
Stereognosis
150
a disorder of vision due to a deviation from normal orientation of one or both eyes so that both cannot be directed at the same object at the same time; squint; crossed eyes.
Strabismus
