Unit 1

Question 1

Differences between nursing and Medicine goals

Answer 1

Nursing: A healing art and science. Emplowering persons to heal self. Support maximum well-being.

Medicine: A curing art and science. Absence of disease, preserve life. Ward off illness, pain and death

Question 2

Differences between Nursing and Medicine methods

Answer 2

Nursing: Diagnosis to treat the human response to illness.

Medicine: diagnose, treat and prevent disease

Question 3

Differences between the major focus of Nursing and Medicine

Answer 3

Nur: the human response- an integration of socio-cultural and spiritual dimensions.

Med: Physiological response aimed at the psychological, supporting altering, stabilizing or correction the physiological dimensions

Question 4

Core Beliefs of Nursing

Answer 4

Quality emerges in environments where individuals share mission, values, and partnerships.
Each person has the right to health care which promotes wholeness in body mind and spirit
Each person is accountable to communicate and integrate his/her contribution to care
Health care is planned, coordinated and delivered in partnership with the person/family/and community
New ways of thinking are essential to continually improve health
Empowerment begins with each person and is enhanced by partnerships and systems support

Question 5

Delegated professional services

Answer 5

services nurses provide which enhance the health of a person and require a health care providers order. (insertion of catheter, meds, irrigations, ect.)

Question 6

Interdependent professional services

Answer 6

Collaborative between the RN and Provider. Services which enhance health by assessing, monitoring, detecting, and preventing complications associated with certain health situations of treatment plan.

Question 7

Independent professional services

Answer 7

services which enhance health by assessing, monitoring, detecting, diagnosing, and treating the human responses(comfort, anxiety, etc.)

Question 8

Self Care

Answer 8

activities that a person performs for himself for the maintenance, restoration or promotion of health.

Question 9

Wholly compensatory (WC) care

Answer 9

complete care. A situation in which the client has no active role in the performance of self care.
client is not able to assist with care.

Question 10

Partly Compensatory (PC) care

Answer 10

partial or assistive care. a situation where both the nurse and client perform care measures or other actions involving manipulative tasks or ambulation. client assists with care

Question 11

supportive-educative (SE) care

Answer 11

independent w/ education. a situation where the client is able to perform or can and should learn to perform required measures of externally or internally oriented therapeutic self care. (Client can do care but may need teachings from the nurse)

Question 12

Assessment

Answer 12

the first and most critical step in the nursing process.
when performed accurately, assessment yields all the relevant and pertinent data a nurse needs to carry out the nursing process and implement the most efficient and best possible patient care.
THE HEALTH ASSESMENT FOCUSES ON A HOLISTIC APPROACH TO PATIENTS IN ORDER TO ASSIST THE NURSE IN PERFORMING A COMPREHENSIVE ASSESSMENT EFFECTIVLY. Mind Body Spirit

Question 13

Nursing Assessment

Answer 13

is a systematic, deliberate and interactive process.
focus on specific patient characteristics, functional abilities and the ability to perform ADLs. the nursing assessment includes data collection and validation of appropriate observations.

Question 14

History of health assessment

Answer 14

Florence Nightingale- 1800s- mother of modern nursing
1900s public nursing introduced
Lydia Hall introduced Nursing process (APIE)

Question 15

Nursing process definition

Answer 15

Nursing process focuses on assessing the need s of patients that nursing can identify and treat
ADPIE
Assessment, Diagnosis/analyze, Planning, Implementation, Evaluation

Question 16

Purpose of health assessment

Answer 16

identify state of wellness. ie pain scale (0-10)
identify strengths and weaknesses
identify problems/needs in order to implement appropriate nursing care, ASSESSMENT
evaluate effects of therapeutic plan of care and interventions, EVALUATION

Question 17

Principles of health assessment

Answer 17

INITIATES FIRST STEP OF NURSING PROCESS.
Systematic- interacting with patients
Focusses- on ability to do ADLS
Data collection- from several sources, using different methods, is CONFIDENTIAL

Question 18

Overall health assessment process includes

Answer 18

Data collection
validation of perceptions and observations
diagnosis- (patients response to their problem)
judgment

Question 19

Marjory Gordon, RN Developed

Answer 19

Assessment in 1987

Question 20

Gordons Functional Health Patterns

Answer 20

framework for organizing data by 11 areas of health status
holistic look at patients
1. Health perception/management-how pt sees themselves
2.Nutrition-metabolism- skin, % meals eaten
3.elimination-GI/GU
4. activity-exercise- heart, lungs, muscles
5.sleep-rest
6.congnitive-perceptual- pain, dementia
7.self-perception/self concept- self esteem
8.role-relationship- S/Os family
9. sexulality-repro birth, STIs
10. coping-stress tolerance Psych
11. value-belief Spiritual

Question 21

Functional Classification of GFHP

Answer 21

Healthy, optimal level of function, strengths identified, state of wellness or health.

Question 22

Dysfunctional Classification of GFHP

Answer 22

problem, deficits, health problems, illness.

Question 23

Potentially dysfunctional

Answer 23

at risk, can develop a dysfunctional state. at risk for disability or illness

Question 24

IPPA exam technique

Answer 24

Inspection-sight, smell, hearing
Palpation-touch, feel, texture, temp, moisture, pulses, size. palpate painful area last
Percussion-tapping
Auscultation- listening, heart lungs, abdomen, blood vessels

Question 25

Exam techniques for abdominal assessments

Answer 25

Inspection Auscultation - LISTEN First. Palpation percussion

Question 26

Lydia Hall

Answer 26

1950s developed the nursing process known as APIE

Question 27

Nursing Diagnosis def.

Answer 27

developed in 1973 is used to: diagnose and treat human responses to actual or potential health problems. OVER 200 nursing diagnosis in use. Nursing diagnosis can be independently managed by the RN within the scope of practice

Question 28

Clinical Problem

Answer 28

Medical diagnosis, Can't be independently managed by the RN. RN has major role in monitoring and working with the physician

Question 29

HIPPA

Answer 29

any information a patient relates will not be made public or available to others

Question 30

Informed Consent

Answer 30

The patient has been informed about the procedure/treatment/surgery, ect. including the risks involved to be able to make a decision. Health care provider provides informed consent. RNs do not provide answers to questions pertaining to consent.

Question 31

Critical thinking/ Thinking like a Nurse

Answer 31

The way a nurse processes information using Knowledge, past experiences, intuition, cognitive abilitys to formulate conclusions or diagnoses

Question 32

Essential elements of critical thinking

Answer 32

open minded use rational to support decisions reflect on thoughts before reaching conclusion use past clinical experiences to build knowledge acquire adequate knowledge base that continues to build