Shared Flashcard Set

Details

Fundamental concepts and skills for nursing
Nursing history/ roles of LPN/concepts of health/Legal aspects/Nursing process
75
Nursing
Not Applicable
01/15/2012

Additional Nursing Flashcards

 


 

Cards

Term
1st Visiting Nurse
Definition
Phoebe,LPN, to Rome
Term
* Experienced calling by God in the mid 1800 to become a nurse.
*believed in holistic care
*Cleaned up Wards and improved ventilation, Sanitation, and nutrition.
*kept records and statistics that reinforce her theories of care
Definition
Florence Nightingale
Term
First Nightingale school for nurses
Definition
St. Thomas Hospital
Term
Who Reduced death rate of Crimean War from 60% to 1%
Definition
Florence Nightingale
Term
T/F practicing Nursing is the same as Practicing medicine, and nursing should be taught by doctors.
Definition
F. Nursing is distinct and separate from medicine, and it should be taught by Nurses.
Term
She was union appointed to organize women volunteers (like nursing assistants) to provide nursing care for soldiers.
*also helped women gain a sense of independence
Definition
Dorothea Dix
Term
Founded the Red Cross
Definition
Clara Barton
Term
Took nursing out to the community and formed the Henry street Settlement
Definition
Lillian Wald
Term
practiced based on 14 fundamental basic needs for independence
Definition
Virginia Henderson
Term
Practiced based on 7 behavior subsystem in an adaption model.
Definition
Dorothy Johnson
Term
started by New York Young Women's Christian Association
*3 month Course in practical Nursing
*Students trained to care for infants, children, and elderly.
Definition
Ballard School
Term
Household nursing school in Boston
Trained nursing to go care for Pts. in homes was later renamed_______.
Definition
Shepard Gill School of Practical Nursing
Term
*Promote Wellness
*Prevent Illness
*Facilitate Coping
*Restore Health
Definition
4 common Goals of Nursing
Term
In order to meet the 4 common goals of nursing the LPN must assume What 4 roles?
Definition
Caregiver,Educator,Collaborator,Manager
Term
The LPN provides direct care under the supervision of who?
Definition
RN,Doctor, and Dentist
Term
Evidence-Based nursing Helps to determine what?
Definition
" Best Practices "
optimal techniques,procedures,or programs identified by one or more organization that improve care effectiveness or efficiency with positive outcomes.
Term
*established in each state
*Regulates the practice of nursing
*Designed to protect the public
*Defines the legal scope of practice
Definition
Nurse Practice Acts
Term
Nurse practice acts protect " Who"?
Definition
Public/Patient
Term
an organized, deliberate, systematic way to deliver nursing care is called the....
Definition
Nursing Process
Term
T/F A LPN can make the initial assessment /care-plan on a newly admitted pts. without the approval of anyone.
Definition
F. It is the RN's duty to make the initial assessment. However, the LPN may make change if needed once the first assessment has been completed.
Term
Revised standards of nursing practice. These standards protect the nurse, pt, and the health care agency
Definition
American Nurse Association (ANA)
Term
Name the 4 types...delivery of nursing care and describe each.
Definition
Functional Nursing Care: Most fragmented, first care delivery system. LPN performed series of task like meds and treatments
Team Nursing:RN- team leader coordinated care for grp of pts. task were assigned (worked well w/ excellent communication)
Total Pt. Care: one nurse carried out all nursing functions for pt.
Primary Nursing:1 nurse plans and directs care for a pt. over a 24 hr. period.
Term
Who set up the Credential center to make nursing more professional?
Definition
ANA
Term
First delivery of nursing care system was ?
Definition
Functional nursing care
Term
What delivery of nursing care system is used most today?
Definition
Team Nursing ( Works well with good communication )
Term
Which delivery of nursing care system is least fragmented?
Definition
Total patient care
Term
Name the Levels of healthcare
Definition
Preventive (education and prevention)
Primary (early detection/routine care)
Secondary(Acute/Emergency/critical care)
Tertiary (Specialty care)
Restorative(Follow-up/rehab/home-care)
Continuing care(long-term care/hospice)
Term
Health plan that:
Set fee, limited number of network physicians, and main goal is to keep pts. healthy and out of the hospitals.What type of healthcare plan is this?
Definition
HMO (Health Maintenance organization)
Term
Group of Physicians that offer discounted fees in return for large pool of pts. Insurance comp. are able to keep rates lower and less expensive for the employerWhat type of healthcare plan is this?
Definition
PPO (Preferred provider organizations)
Term
DGR's are used and Nurses must constantly think of cost containment.What type of healthcare plan is this?
Definition
Managed Care
Term
What are DGS's? Who created DRG's and When did they come into play?
Definition
Diagnosis Related Groups where created by Medicare in 1983 as an attempt to contain healthcare cost. (Set amount of money for pt. who is hospitalized with a certain diagnosis)
Term
Objective/Subjective: A person says she feels ill.
Definition
Subjective: Your being told this information (feelings, left up to interpretation)
Term
objective/subjective: You have taken a woman's temp and you notice that it is elevated to 101.5
Definition
Objective: you have actually Confirmed this by testing (Fact) Data obtained through the senses
Term
Name stages of illness
Definition
1. Transition (onset)2.Acceptance (sick Role)3. Convalescence (recovery)
Term
illness that develops without being cause by another health problem
Definition
Primary illness
Term
an illness that is is caused by another health problem
Definition
Secondary illness
Term
illness that for which there is no known etiology (Cause)
Definition
Idiopathic illness
Term
" The state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.
Definition
Health " Redefined description by WHO in 1946"
Term
any action taken to promote health, prevent disease, or detect disease early
(Breast exams, prostate exams, cholesterol test)
Definition
Health Behavior
Term
any action a person takes to determine actual state of health and seeking remedy for health problem
(Feeling warm and taking temp, checking BP, taking meds)
Definition
illness behavior
Term
This approach to caring for someone encompasses the physical,mental,emotional, social, and spiritual needs of a person
Definition
Holistic approach (Nurses use)
Term
Name Maslow's Hierarchy of needs from most important to least. These are used to determine priorities of nursing care
Definition
*Physiologic (physical needs to maintain life like oxygen, adequate nutrition, Elimination, safety from injury, pain relief, hygiene, activity)
*safety & Security (psychological, assist in needs, comfortable environment)
*Love and belonging (social interaction, communication, affection, intimacy)
*Self esteem (independence, motivation, learning, spiritual beliefs)
*Self-actualization (self knowledge and acceptance, achievement, Reaching one's potential)
Term
a tendency of biologic systems to maintain stability of the internal environment by continually adjusting to changes needed for survival.
"Balanced state"
Definition
Homeostasis
Term
the ability to respond to change
Definition
Adaption
Term
Part of nervous system used for "Fight or flight"
Definition
Sympathetic Nervous System (SNS)
Term
Part of nervous system that works to restore equilibrium
Definition
Parasympathetic Nervous system (PNS)
Term
Occurs in response to prolonged/long-term exposure to stress
Definition
GAS (General Adaption Syndrome)
Term
Name 3 stages of General adaption Syndrome
Definition
*Alarm (hormones activates body's defenses, rise in temp.,loss of energy, decrease in appetite, general feeling of malaise)
*Resistance (body battles for equilibrium) if stage is prolonged the response becomes maladaptive.
* Exhaustion (deplete body's resources for adaption critical illness or death occur)
Term
type of law that guarantees individual rights
Definition
Civil law
Term
A violation of civil law is called a
Definition
Tort
Term
A wrong against society
Definition
Crime
Term
Eligibility of licensure for a nurse is determined by....
Definition
State board of nursing
Term
Regulates handling of hazardous and infectious material
Requires facilities to keep record of hazardous substance in MSDS (Material Safety Data Sheets)
Definition
OSHA (occupational safety and healthy admin)
Term
*Defines child abuse and neglect
*in 1973 this made it a duty for licensed healthcare personnel to report child abuse
Definition
CAPTA (Child abuse prevention and treatment act
Term
1. What is an unexpected pt. care event that results in death or serious injury (or risk thereof) to the patient
2.When does this happen most
Definition
Sentinel event and they happen most during hand-off. Can be be prevented through better communication
Term
T/F The chart is not a legal document that is the property of the pt.
Definition
F. The chart or medical record is a legal document and is the property of the hospital or agency. However, the pt does have the right to access or have copies of this document.
Term
Regulates patient privacy and medical records and it use.
Definition
HIPAA Health insurance portability & accountability act
Term
legal form to excuse one party from liabilty (Most common: Leave AMA)
Definition
Release form
Term
legal document that records pt. permission to perform TX,Surgery,or to give information to a third party.
Definition
Consent
Term
Allows person to communicate medical wishes if unable to do so himself
Definition
Advance Directives
Term
Gives legal power to a health care agent to make decisions on one's behalf
Definition
Durable power of attorney
Term
Failing to do something a reasonably prudent person would do or doing something a reasonably prudent person would not do
Definition
Negligence
Term
Professional Negligence
Definition
Malpractice
Term
verbal or physical harm (without person's permission) before the refusal
Definition
Assault
Term
physical contact after refusal (against will)
Definition
Battery
Term
Two types of defamation of character
Definition
Slander (verbal)
Libel (written)
Term
preventing a person from moving about freely is called
Definition
False imprisonment
Term
T/F A nurse may use protective devices if she thinks it is needed for safety of Pt.
Definition
False. a Dr. order must be given for any protective device chemical or mechanical
Term
To make an incident report or calling a DR. SBAR method should be used.. What does that consist of?
Definition
S: Situation
B: Background
A: Assessment
R: Recommendation
Key components to giving a Report of any kind!!
Term
A way of thinking and acting based on the scientific method (used for Care Plans)
Definition
The Nursing Process
Term
Name the 5 parts of Nursing Process
Definition
A.D.P.I.E
Assessment(collection of data)
Diagnosis *Nursing not medical (Sort & analyze to identify potential problems)
Planning (Set priorities and Goals with specific outcomes)
Implement (put plan into ACTION)
Evaluation (How did the plan work..If goals accomplished, DOCUMENT.. if Not RE-ASSESS and edit care plan)
Term
Alopathic approach
Definition
Medical approach that only treats the problem, not the person as a whole.
Term
Physical Exam is done from where to where?
Definition
Head to toe
Term
What part of the nursing process is this?

The interview,Chart assessment,& Physical exam.
Definition
Assessment
Term
what part of the nursing process is this?

sorting data, related data grouped or clustered, missing data identified, making inferences, and ending with a statement that indicates the pt. actual health status or risk of problem developing.
Definition
Nursing Diagnosis
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