P&P Chapter 16 Nursing Thinking Flashcards

(37 cards)

1
Q

Fundamental blueprint for how to care for a patient.

A

Nursing Process

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2
Q

Collection, verification, and analysis of data

A

Assessment

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3
Q

The patient percived needs, health problems, and responses

A

Database

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4
Q

Information that was obtained through the use of the senses.

A

Cue

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5
Q

Your judgment or interpretation of cues.

A

Inference

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6
Q

Gordon’s 11 functional health patterns

A
  1. Health perception-health management
  2. Nutritional- metabolic
  3. Elimination
  4. Activity-exercise
  5. Sleep-rest
  6. Cognitive-perceptual
  7. Self perception-self concept
  8. Role-relationship
  9. Sexuality-reprroductive
  10. Coping-stress tolerance
  11. Value-belief
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7
Q

Describes patient’s self-report of health and well-being; how patient manages health knowledge of preventive health practices

A

Health perception-health management pattern

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8
Q

Describes patient’s daily/weekly pattern of food and fluid intake.

A

Nutritional-metabolic pattern

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9
Q

Describes patterns of excretory function.

A

Elimination pattern

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10
Q

Describes patterns of exercise, activity, leisure, and recreation; ability to perform activities of daily living.

A

Activity-exercise pattern

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11
Q

Describes patterns of sleep, rest, and relaxation

A

Sleep-rest pattern

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12
Q

Describes sensory-perceptual patterns; language adequacy, memory, decision-making ability.

A

Cognitive-perceptual pattern

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13
Q

Describes patient’s self-concept pattern and perceptions of self.

A

Self perception-self concept pattern

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14
Q

Describes patient’s patterns of role engagements and relationships

A

Role-relationship pattern

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15
Q

Describes patient’s patterns of satisfaction and dissatisfaction with sexuality pattern; patient’s reproductive patterns; premenopausal and postmenopausal problems

A

Sexuality-reproductive pattern

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16
Q

Describes patient’s ability to manage stress; sources of support; effectiveness of the patterns in terms of stress tolerance

A

Coping-stress tolerance pattern

17
Q

Describes patterns of values, beliefs (including spiritual practices), and goals that guide patient’s choices or decisions

A

Value-belief pattern

18
Q

Surces where patient data can be obtained.

A
  1. Patient
  2. Family and significant others
  3. Health Care Team
  4. Medical records
  5. Literature
19
Q

Interview process four steps.

A
  1. Set the stage (orientation phase)
  2. Gather information (chief complaint)
  3. Collect the assessment (RN health Hx)
  4. Terminate interview (summarize)
20
Q

Active listning prompts

A

Back channeling

21
Q

Factual demographic data about the patient

A

Bographical information

22
Q

Chief concern or problem

A

Reasons for seeking health care

23
Q

Pient understanding of why he or she is seeking health care.

A

Patient expectations

24
Q

Essential and relevant data about the nature and onset of symptoms

A

Present illness/health concerns

25
Halth care experiences and current health habits and lifestyle patterns
Health history
26
To determine whether the patient is at risk for illnessesnof a genetic or a familial nature
Family history
27
Patient's home and work, focusing on determining the patient safety
Environmental history
28
Reveals the patient's support systems and coping mechanisms
Psychosocial history
29
Represents the totality of one's being
Spiritual history
30
Systematic approach for collecting thepatient's self-reported data on all body systems
Review of system
31
Five techniques involving physical examination
1. Inspection 2. Palpation 3. Percussion 4. Auscultation 5. Smell
32
Comparision of data with another source to determine data accurancy
Data validation
33
Recognizing patterns or trends in the clustered data, comparing them with standards and then coming to a conclusion about the patient's responses to a health problem.
Data analysis
34
Nursing process
``` 1. Assessment 2 .Diagnosis 3. Planning 4. Implementation 5. Evaluation ```
35
When collecting data be aware of?
1. Inaccurate data 2. Incomplete data 3. Inappropriate data
36
Differents sources of data validation:
1. Labs (CBC, Chem7, UA) 2. Radiology (x-rays, cat scans, MRIs) 3. Pathology (biopsies, Pap smears) 4. Cultures (sputum, urine, blood) 5. Physical Exam
37
The information obtained in a review of system (ROS) is ?
Subjective