Unit III Exam 2 Flashcards Preview

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Flashcards in Unit III Exam 2 Deck (69)
1

What is a disciplin specific, reflective, reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns?

Critical thinking

2

Critical analysis

Determining essential information

3

Socratic questioning

Differentiate between truth & assumptions

4

Inductive reasoning

Specific example to generalized conclusion

5

Deductive reasoning

From generalized to specific conclusion

6

What level of anxiety is the best to learn something at?

Mild
Stimulates learning

7

Relativism

Knowledge is relevant
When you are older

8

Assumes there is only one right answer

Dualism
Best way is to memorize
When you are young

9

Collect data, analyze, formulate solutions, implement action & evaluate

Problem solving process

10

Approach that enables nurses to manage explosion of new literature & knowledge
Allows nurses to search for, assess & apply best practices to care

Evidenced based practice

11

Three main elements of evidenced based practice

Best evidence from well designed research studies
Clinicians expertise
Pt's values & preferences

12

PICO

P- pt

13

Which is the fastest growing subgroup of the late adulthood population?

85-99 years old
The old old

14

What is the current % of individuals older than 65 years old?

13%

15

During as dement you suspect the pt may be depressed, your next action is to?

Administer the geriatric depression scale short form

16

What is thought to be the primary cause of aging?

Genetic theory

17

Safety issues with the elderly

Side rails up
Bed lowest position
dangle @ bedside b4 standing
Shoes with non skid soles

18

When can restraints be used? What do the prevent?

Only as a last resort & by MD order
Helps with preventing falls, pulling out iv's

19

Reality orientation

Aware of:
Person
Place
Time
Circumstance

20

Turn non ambulatory pt's every?

Every 2 hours

21

Slow insidious progressive loss of cognitive function, chronic state

Dementia

22

Usually transient condition characterized by difficult concentration, disorganized thinking, sensory misperceptions, acute state

Delirium

23

Are adult day care centers acceptable?

Yes

24

What is the purpose of teaching?

Promote health
Prevent illness/injury
Restoration of health
Adapting to altered Heath & function

25

Process of activities intended to produce learning
Dynamic interaction between teacher & student

Teaching

26

Manipulated environment for intended response
Pavlov's dog

Behaviorism

27

Refers to rational thought
Teach from simple to complex

Cognitive

28

Difficult to measure learning in this domain

Affective domain

29

Learn skills that require integration of knowledge with muscular activity

Psychomotor domain

30

Learning is self motivated, self initiated & evaluated

Humanism
Uses both cognitive & affective domains

31

Name some factors that effect learning.

Motivation
Active involvement

32

What domain of learning does learning take place?

Cognitive
Affective
Psychomotor

33

What are key factors in cognitivism?

Developmental & individual readiness

34

Geragogy

Teaching older adults
Takes longer to process information

35

Subjective, non specific feeling of uneasiness, tension, apprehension or impending doom

Anxiety

36

T/F
Anxiety is not the same as stress

True

37

Symptoms of anxiety

Increase: B/P, heart rate
Palpations
Nausea
Wringing of hands
Confusion
Sweating

38

Nursing process components

A- assess
D-diagnosis
P-planning
I-implement
E-evaluate

39

NANDA

Develop, revise nursing diagnosis terminology

40

Pt benefits of the nursing process

Helps to provide continuous care, pt centered

41

Nurse benefits of nursing process

Enhancing professional creative care, helps effectiveness in daily care
Helps collaborate with other team members & pts

42

Professional benefits of the nursing process

Define scope of nursing practice

43

Methods of data collection

Observe pt
Interview with pt, family
Physical exam
Chart review

44

Pt's perception of his/her health problems
Involves feelings " my leg hurts"
Pt is only one who can provide this data
Symptoms

Subjective

45

Observations or measurements made by data collector
Sources include physical exam, diagnostic results, pt records
Signs

Objective

46

Who is the primary & best source of data

Pt

47

Data validation

Double check your data
Ensure accuracy of info

48

Data that is acquired through the 5 senses

Cues

49

Nurses judgement or interpretation of cues

Inferences

50

A clinical judgement about individuals, family or community responses to actual or potential health or life processes

Nursing diagnosis

51

Types of nursing disgnoses

Actual
Risk
Wellness

52

Steps in developing a nursing diagnosis

Identify problem (NANDA list)
Identify etiology (related to factors)
Identify the defining characteristics (signs & symptoms)

53

Actual nursing diagnosis

Statement comes from NANDA list

54

Risk nursing diagnosis

2 part statement
No signs & symptoms
Ex.
Risk for falls r/t fatigue and altered gait

55

A clinical judgement about a individual, family or community in transition from a specific level of wellness to a higher level of wellness

Wellness diagnosis

56

Medical diagnosis

Goal - cure disease

57

Nursing diagnosis goal

Treat human response not disease
Caring for mind, body, spirit

58

Physiological problems that nurses monitor & collaborate with medicine for co-treatment

Collaborative problems

59

Descriptive statements about what the pt's state will be after the nursing interventions are carried out

Expected outcomes

60

Criteria for writing expected outcomes

Clear concise
Specific (be able to measure)
Realistic for pt
What the pt will accomplish
Includes a time frame

61

The # 1 intervention is?

Assess

62

Types of nursing interventions

Independent- things done without MD order
Dependent-require MD order
Interdependent-standing orders, protocols

63

Cognitive NI

Teach
Education

64

Interpersonal NI

Use therapeutic communication

65

Technical NI

Perform routine nursing activities

66

Monitoring NI

Ongoing assessment of pt

67

Carrying out the proposed plan of care to resolve the problem

Implementing

68

Determine the pt's response to the MI's & the extent to which the EO's have been achieved

Evaluating

69

Metacognition

Thinking about thinking