Test 1

Question 1

Nursing Process

Answer 1

Assessment, Diagnosis, Planning, Implementation, Evalulation

Question 2

Assessment

Answer 2

-Collection of data
-Organize/Validate data from primary & secondary sources
-Subjective & Objective data

Question 3

Subjective Data is…

Answer 3

Only patient can verify or tell you (pain, weakness, feelings)

Question 4

Objective Data is….

Answer 4

Measurable Data (BP, Weight, vitals)

Question 5

Diagnosis

Answer 5

-Problem identification
-Clinical judgement about the response to actual or potential health problems
-3 Types: Actual nursing diagnosis (3 part), At Risk or potential diagnosis, Health Promotion diagnosis

Question 6

Actual Nursing Diagnosis

Answer 6

-3 Part (PES), Problem (diagnosis), Etiology (related to), & Signs/symptoms ( as evidenced by)

Question 7

At Risk or Potential Nursing Diagnosis

Answer 7

-Vulnerability for a condition

Question 8

Health Promotion Diagnosis

Answer 8

For patients seeking to increase their level of well being

Question 9

Planning

Answer 9

-Prioritize
-Identify patient centered goals

Question 10

Implementation

Question 11

Evaluation

Question 12

Definition of Health- State of complete physical, mental, and social well-being

Answer 12

-not just absence of disease
-Define based on a person’s own views/beliefs

Question 13

Horticultural Therapy

Answer 13

Gardening

Question 14

Healthy People 2030:Building a Healthier Future for All

Answer 14

-A society where all people achieve full potential for health & well being across lifespan
- Free of preventable disease
-Eliminate health disparities and improve health literacy

Question 15

Internal Variables

Answer 15

-Developmental Stage (varies by age)
-Emotional factor (reactions to situations)
-Spiritual factors (what they believe in)
-Intellectual factors (past experiences)

Question 16

External Variables

Answer 16

-Family practices ( negatives/positives)
-Socioeconomics factors (where you are in life)
-Cultural Background

Question 17

Maslow’s Hierarchy of Needs

Answer 17

-Physiologic (food, air, water, rest, pain avoidance)
-Safety & security
-Love & belonging
-Self-esteem
-Self actualization (purpose)

Question 18

Complimentary/Alternative Healing Modalities (Always ask about OTC meds too)

Answer 18

-Botanical (Herbal meds, aromatherapy)
-Manual healing ( massage)
-Mind-body (Yoga, meditation, imagery)
-Spiritual (prayer)
-Misc. (music, humor, animals)

Question 19

Health Belief Model

Answer 19

-Asses how we feel as a person
-ideas, belief, behaviors on health practices
-perception on susceptibility of illness, severity, How likely what they’re gunna do if they’re sick

Question 20

Health Promotion Model

Answer 20

-How can we help promote healthy behaviors
-increases patient well being
-Focuses on individual characteristics and experiences (lifestyle, history), what are they looking for

Question 21

Basic Human Needs Model

Answer 21

-Meets basic needs: necessary for survival & health
-Varies by person

Question 22

Holistic Health Model

Answer 22

-promote optimal health (best that we can do)
-Based on psychosocial and spiritual being
-physical/spiritual needs as a whole person
-mind body spirit
-Active participation by pt by engaging

Question 23

Passive Activities

Answer 23

Things you can’t control ex. Vitamin D in milk

Question 24

Active Activities

Answer 24

Things we adopt and want to make happen (weight loss programs, stop smoking)

Question 25

Health Promotion Activities

Answer 25

-Routine exercise - good nutrition

Question 26

Wellness Education

Answer 26

-Telling patient how to promote health

Question 27

Illness Prevention

Answer 27

-Help patients realize that they need to make a choice to prevent illnesses EX. Pt will start exercising and stop smoking

Question 28

Preventative/Primary Health Care Services (Doctors office)

Answer 28

-Focuses on health promotion -keeping ppl healthy and reducing disease Preventative Care- disease oriented, focuses on reduction/controlling risk factors for disease thru activities

Question 29

Secondary & Tertiary (Hospitals)

Question 30

Restorative Care

Answer 30

Home care or rehabilitation

Question 31

Continuing care (nursing homes, hospice)

Answer 31

-long term health for patients who have long term illness etc

Question 32

Risk Factors (increase risk to develop disease_

Answer 32

-Genetic -Age -Physical environment -Lifestyle

Question 33

Risk Factor Identification

Answer 33

-Identification (areas that patient's need to fix for health) Modification (implement health education programs to change risky behaviors)

Question 34

Stages of Behavior Change (PCPAM)

Answer 34

-Precontemplation (unaware) -Contemplation (aware and considering change 6 mth) -Preparation (Tried to change but unsuccessful) -Action (Actively implement changes) -Maintenance (controlling change over time, pt who avoids bar after quitting drinking)

Question 35

Illness (Chronic/Acute), mind body spirit as well

Answer 35

-State where person's physical, emotional, intellectual, social, spiritual or developmental functions are impaired

Question 36

Illness Behavior - how ppl monitor their bodies and define and interpret their symptoms

Answer 36

Internal Variables- perception of illness and nature of illness External Variables- visibility of symptoms, social groups, cultural background, economics, accessibility to health care

Question 37

Family Forms- influenced by structures, economic factors, homelessness, domestic violence

Answer 37

-Nuclear- husband, wife, kids -Extended- includes relatives -Single parent -Alternative- step siblings etc.

Question 38

Critical Thinking- seek knowledge, act quickly, make quality decisions for pt well being, asking questions

Answer 38

-Recognizing issues -analyzing info -evaluation info -Make conclusion

Question 39

Critical Thinking Question styles

Answer 39

-Why does pt have this condition? -what data will support it

Question 40

Critical Thinking Skills IAIEES

Answer 40

Interpretation- data collection, looking for patterns, clarifying unclear data (ex. head-toe assessment) Analysis- Looking at data w/o biases to see how it correlate to the pt Inference- look at meaning/significance of the findings Evaluation- objectively looking at expected outcomes, pain, to determine results of nursing actions Explanation- Support your findings/conclusions (evidence based practice) through your knowledge/experience Self Regulation-reflection on self performance

Question 41

Concepts for a critical thinker

Answer 41

Truth seeking- seek true meaning of situation that patient has presented Open-mindedness- no bias or assumptions Analytic Approach- analyze potential results/consequences Systematic approach- organized, focused, using resources, not being haphazard Self Confidence- don't second guess Inquisitiveness- eager to acquire knowledge Maturity-

Question 42

Clinical Decision Making

Answer 42

-Requires critical thinking -skills separate nurses from staff

Question 43

Levels of Critical Thinking

Answer 43

Level 1- low basic novice (step by step) Level 2- complex, analyze/determine choices independently based on knowledge Level 3-Commitment, accountability for all decisions made

Question 44

Components of critical thinking

Answer 44

Scientific knowledge base (nursing school education), experience (clinicals), competencies (problem solving, clinical decision making) , attitudes (11 attitudes), standards (intellectual (understand & apply what is learned/professional (ethical standards))

Question 45

5 Steps of Nursing Process ADPIE

Answer 45

-Assessment (establishing database) -Diagnosis (not medical diagnosis), identifies patients health problem (ex. malnutrition, low body weight) -Planning (setting priorities of care, patient centered goals, outcomes, interventions) -Implementation (put plan into action) -Evaluation-( did the plan created good patient outcome)