Flashcards in NURS 303- EXAM 1 Deck (85):
powerful assessment tool
holistic view of the patient
five different ways to assess a patient
functional health pattern framework
five ways to assess a patient
patterns of behavior over time.
lack of pattern is a pattern
family functional health patterns
developmental taste = learning opportunities
what can the patient physically do
individuals perceived health and well-being and how health is managed
health perception and health management
food and fluid consumption relative to metabolic needs and indicators of local nutrient supply
(bowel, bladder, skin)
exercise, activity, leisure, and recreation
sleep rest pattern
sensory, perceptual, and cognitive patterns
self-concept pattern and perceptions of self, self-conception and self-esteem
self-perception and self-concept pattern
role engagements and relationships
person's satisfaction and dissatisfaction with sexuality and reproduction
general coping pattern and effectiveness in stress tolerance
coping-stress tolerance pattern
values, beliefs, or goals that guide choices or decisions
most are problem oriented
includes potential health problems and life processes
readiness for enhanced coping, immunization status, self-concept
health promotion diagnosis
family's role in health care
develop self-care and dependent care
take everyone's values into consideration before acting
most families complete basic family developmental tasks
failure to accomplish a developmental task leads to neg. consequences
each new stages require adaptation with new responsibilities
social, psycholocial, cultural, spiritual
health care system
objectives for screening
detect disease in early stage
detects risk factors for prevention
reduce costs of disease
level of disease priority
those affected by a disease state or disability
death from diseased state
rate of new diagnoses
how many people have the disease right now
are the results reproducible?
reflects the accuracy or truthfulness of the test or instrument itself
this refers to the proportion of people with a condition who correctly test positive when screened
high false neg
low false neg
measures the tests ability to recognize negative reactions or non diseased individuals
high false pos
low false pos
low specificity for this test
chest x ray
degree to which individuals have the capability to obtain, process, and understand basic health info and services needed to make appropriate health choices.
if we can't communicate at the level of the patient, there is no learning
communication skills are based on what 3 things
how to teach effectively
stimulate variety of senses
active involvement of the learner
assess learning readiness
make info relevant to the learner
start with what is known and then move from there
paradigm used to predict and explain health behavior.
was developed to describe why people failed to participate in programs to detect or prevent disease.
health belief model
Bandrura's model emphasizing the influence of self-efficacy, or efficacy beliefs, on health behavior.
also describes the roles of reinforcement and observational learning in explaining health behavior
social cognitive theory
refers to an individuals belief in being personally capable of performing the behavior required to influence one's own health.
useful for determining where a person is in relation to making a behavior change.
transtheoretical model of change
stages of transtheoretical model of change
this approach is to assess behavior.
education about need for/benefit of change
motivate using personalized messages
decrease barriers to change
cognitive behavioral approach
applying principles of respect, autonomy, justice, and beneficence, nurses have an active role as advocates in empowering their health and care
may emphasize a phase of the behavior change process that is related to the individual's health-promotion needs or problems.
3 steps in determining expected learning outcomes
are broad statements on long-range expected accomplishments that provide direction; they do not have to be stated in measurable terms
these goals reflect the health behavior or health status change that the person will have achieved by the end of and educational intervention.
these relate to the program goals
indicate the steps to be taken by the individual toward meeting the learning goal and may involve the development of knowledge, skill or change in attitude.
needs to contain an action verb
3 domains of learning
development of new facts or concepts, and building on or applying knowledge to new situations
involved developing physical skills from simple to complex actions
alludes to the recognition of values, religious and spiritual beliefs, family interaction patterns, and relationships, and personal attitudes that affect decisions and problem-solving progress.
accepted as the standard tools for arranging levels of learning objectives according to type or complexity.
levels of learning(bloom's taxonomy)
involves selecting the methods and tools and structuring the sequence of activities.
designing learning strategies
4 teaching strategies
capacity to read, comprehend, an follow through on health info
a dichotomized portrayal of health and illness ranging from high-level wellness at the positive end to depletion of health at the negative end
sense of well being, life satisfaction, and quality of life.
includes adaptation to disease and disability through various levels of functional ability.
4 models of health
role performance model
absence and illness by the conspicuous presence of signs and symptoms of disease
defines health in terms of individuals' ability to perform social roles
people's ability to adjust positively to social, mental, and physiological change is the measure of their health.
exuberant well-being indicates optimal health
levels reflected in terms of performance/social expectations; loss indicator of need for nursing intervention.
state of physical, mental, spiritual, and social functioning within developmental context.
failure of a person's adaptive mechanism to counteract stimuli and stresses adequately, resulting in functional or structural disturbances.
composed of the subjective experience of the individual and the physical manifestation of disease
erikson's eight life stages
trust vs. basic mistrust
autonomy vs. shame and doubt
initiative vs. guilt
industry vs. inferiority
identitiy vs. role confusion
intimacy vs. isolation
generativity vs. stagnation