Unit 2 Flashcards
acultural nursing care
care that avoids concern for cultural differences
Ageism
a form of negative stereotypical thinking about older adults, promotes false beliefs about older adults being physically and cognitively impaired, lacking interest in sex, and being burdensome to families and society
cultural shock
bewilderment over behavior that is culturally unfamiliar
culturally sensitive nursing care
care that respects and is compatible with each client’s culture
Culture
the values, beliefs, and practices of a particular group
diversity
differences among groups of people
Ethnicity
a bond or kinship a person feels with his or her country of birth or place of ancestral origin
Ethnocentrism
belief that one’s own ethnicity is superior to all others
Folk medicine
health practices unique to a particular group of people
Generalization
supposition that a person shares cultural characteristics with others of a similar background
limited English proficiency (LEP)
an inability to speak, read, write, or understand English at a level that permits interacting effectively
minority
is used when referring to collective people who differ from the dominant group in terms of cultural characteristics such as language, physical characteristics such as skin color, or both
Race
biologic variations
Stereotypes
fixed attitudes about all people who share a common characteristic
telephonic interpreting
over-the-phone translation
transcultural nursing
providing nursing care within the context of another’s culture
Assessment
the first step in the nursing process, is the systematic collection of facts or data
Collaborative problems
are those potential complications from a disorder, test, or treatment that the nurse cannot treat independently, for example, hemorrhage
Concept mapping
(also known as care mapping) is a method of organizing information in graphic or pictorial form
critical thinking
The ability to identify and resolve client problems requires critical thinking, which is a process of objective reasoning or analyzing facts to reach a valid conclusion
database assessment
(initial information about the client’s physical, emotional, social, and spiritual health
Diagnosis
is the identification of health-related problems. Diagnosis results from analyzing the collected data and determining whether they suggest normal or abnormal findings
Evaluation
, the fifth and final step in the nursing process, is the way by which nurses determine whether a client has reached a goal
focus assessment
is information that provides more details about specific problems and expands the original database
functional assessment
is a comprehensive evaluation of a client’s physical strengths and weaknesses in areas such as (1) the performance of activities of daily living; (2) cognitive abilities; and (3) social functioning
Goals
Outcome criteria, sometimes called goals, identify specific evidence for each nursing diagnosis that a client’s problem is trending toward resolution or has been resolved
Health promotion diagnosis
A concern with which a healthy person desires nursing assistance to maintain or achieve a higher level of wellness
Readiness for enhanced immunization status
Implementation
the fourth step in the nursing process, means carrying out the plan of care
long-term goals
outcomes that take weeks or months to accomplish
NANDA International
NANDA-I; formerly the North American Nursing Diagnosis Association
nursing care plans
written assignments on standardized worksheets that contain a column for nursing diagnoses, outcome criteria, nursing interventions, and the rationales for each intervention for each assigned client
nursing diagnosis
is a health issue that can be prevented, reduced, resolved, or enhanced through independent nursing measures
Nursing orders
directions for a client’s care
nursing process
is an organized sequence of problem-solving steps used to identify and manage the health problems of clients
Objective data
are observable and measurable facts and are referred to as signs of a disorder
Outcome criteria
sometimes called goals, identify specific evidence for each nursing diagnosis that a client’s problem is trending toward resolution or has been resolved
planning
the process of prioritizing nursing diagnoses and collaborative problems, identifying measurable expected outcomes
Problem-focused diagnosis
A problem that currently exists
Impaired physical mobility related to pain as evidenced by limited range of motion, reluctance to move
Risk diagnosis
A problem the client is uniquely at risk for developing
Risk for deficient fluid volume related to persistent vomiting
short-term goals
outcomes achievable in a few days to 1 week
Signs
observable and measurable facts
standards for care
policies that indicate which activities will be provided to ensure quality client care
Subjective data
are information that only the client feels and can describe, and these are called symptoms. An example is pain
symptoms
information that only the client feels and can describe
Syndrome diagnosis
Cluster of problems related to an event or situation that can be managed together
Rape trauma syndrome, disuse syndrome
The Joint Commission
a not-for-profit organization that accredits health care organizations in the United States, requires that every client’s medical record provides evidence of the planned interventions for meeting the individualized client’s needs, but not necessarily a nursing plan of care
automated medication-dispensing systems
These systems usually contain frequently used medications for that unit, any as-needed (p.r.n.) medications, controlled drugs, and emergency medications
barcode medication administration system
a point-of-care software that verifies the name of the medication, the administration time, the dosage, the drug form, and the client for whom the drug is prescribed
