Term
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Definition
| (1) the registered nurse collects comprehensive data pertinent to the patients heath and/or the situation |
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Definition
| (2) the registered nurse analyzes the assessment data to determine the diagnoses or issues |
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Definition
| (3) the registered nurse identifies expected outcomes for a plan individualized to the patient or situation |
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| (4) The registered Nurse develops a plan that prescribes strategies and alternative sto attain an expected outcome |
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Definition
5a) Implement identified plan.
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Term
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Definition
| 5b) coordinates care delivery |
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| Health Teaching and Health Promotion |
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Definition
| 5b) RN uses strategies to promote health and a safe environment |
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Definition
| 5c) graduate level prepared specialty nurse or advanced practice RN provides consultation to influence the identified plan, enhance the abilities of others, and effect change. |
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| Prescriptive Authority and Treatment |
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Definition
| 5d) RN uses prescriptive authority, procedures, referrals, treatment, and therapies in accordance with state and federal laws and regulations |
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Definition
| RN evaluates progress toward attainment of outcomes |
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Term
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Definition
| the RN attains knowledge and competency that reflects current nursing practice |
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| Evidence-Based Practice and Research |
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Definition
| RN intergrates ecidence and research findings into practice |
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Term
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Definition
| the RN demonstrates leadership in the professional practice setting and the profession |
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Term
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Definition
| RN collaborates with health care consumer, family, and others in the coduct of nursing practice |
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Term
| Professional Practice Evaluation |
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Definition
| RN evaluates her own nursing practice in relation to professional practice standards and guidlines, relevant statutes, rules and regulations |
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Definition
| RN uses appropriate resources to plan and provide nursing services that are safe, effective and financially responsible |
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Term
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Definition
| the RN practices in an environmentally safe and healthy manner |
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Term
| Autonomy and Accountability |
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Definition
| Initiation of independent nursing interventions without medical orders for which you are professionally and legally responsible for the type and quality provided. |
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Term
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Definition
| help maintain and regain health, manage disease and sumptoms, and attain a maximal level of function and independance through the healing process through physical and interpersonal skills to help restore patients emotional, spiritual, and social well being |
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Term
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Definition
| protect patients human and legal rights and provide assistance in asserting these rights if the need arises. Help the patient by providing additional information, defend patients rights against policies or actions generally, that may conflict with their rights |
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Definition
| explain concepts and facts about health, describe the reason for routine care activies, demonstrate procedures such as self-care activites, reinforce learning or patient behavior and evaluate the patients progress in learning. Both formal and informal teaching methods apply. |
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Term
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Definition
| Effectiveness in communication is central to nurse-patient relationship. Know your patients strengths, weaknesses, and needs to better provide patient care to individuals, families, and communities |
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Term
| Provider of Care- career Development |
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Definition
| direct patient care in acute setting. Use the nursing process and critical thinking skills to procide care that is both restorative and curative. Educate Patients to promote self-care and health maintenance. In collaboration, focus your care on returning patient to his or her optimal at home functional status. |
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Term
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Definition
| most independantly functional nurse. MAsters degree in Nursing; adcanced education in pathophysiology, pharmacology, and physical assessment; and certification and expertise in a specialized area of practice. |
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Term
4 APRN Roles
&
Fields that require them |
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Definition
CNS: clinical nurse specialist
CNP: Certified Nurse Practitioner
CNM: certified nurse midwife
CRNA: certified RN anesthetist
6 Populations require the above educational preparation. Adult-Gerontology, pediatrics, neonatology, women's health/gender related, family/individual across life span, and psychiatric mental health |
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Term
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Definition
| With clinical practice experience, nurse educators provide practical skills and theoretical knowledge. Teaching current nursing practice, trends, theory and necessary skills in labs and clinical settings. |
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Term
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Definition
| manages patient care and the delivery of specific nursing services within a healthcare agency. More responsibility and greater role require more education from baccalaureate to doctoral with MBA, MHA, or MPH. |
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Term
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Definition
| investigates problems to improve mursing care and further define and expand the scope of nursing practice. Preferred ed. is doctoral degree with at least a masters in nursing. |
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Term
| Five Levels of Communcation |
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Definition
Intrapersonal
Interpersonal
Transpersonal
Small-Group
Public |
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Term
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Definition
| Assessment, Diagnosis,Outcome identification, Planning, Implementation, Evaluation |
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Term
| Intrapersonal Communication |
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Definition
occurs within the individual. ALso called self-talk, self-verbalization, or inner thought. Mental rehearsal for difficult tasks or situations.
Used also to develop self-awareness that enhances self expression. |
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| Interpersonal Communication |
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Definition
One-on-one and often face to face. Social context revealing symbols and cues used to give and receive meaning. Validate body language to clarify and understand misinterpretations.
Should result in exchange of ideas, problem solving, expression of feelings, decision making, goal accomplishment, team building, and personal growth |
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Term
| Transpersonal Communication |
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Definition
| Interaction that occurs within persons spiritual domain. Many use prayer, meditation, guided reflection, religious rituals, or other means to communicate with a higher power. Nurses should asses needs and intervene to meet needs. |
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Term
| Small Group Communication |
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Definition
| small number of persons meet. Goal directed and requires group dynamics. Nurse's role varies between coordinator, encouragement to meet groups goals, and recognition/acceptance of the contritbution of group members |
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Term
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Definition
| interaction with an audience. Nurses have opportunities to speak with grous pf consumers about health related topics. requires adaptation in eye contact, gestures, voice inflection, and use of media materials. Should increase audience knowledge about health related topics, health issues, and other issues important to nursing profession. |
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Term
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Definition
Sights, sounds, odors, time schedules, messages, objects, emotions, sensations, perceptions, ideas and other cues.
All initiate communication motivating one person to communication with another |
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Term
| Verbal Communcation Vocabulary Use: |
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Definition
| denotative/connotative meaning- some words have several meanings. the connotative meaning is the shade or interpretation of the meaning of a word influenced by the thoughts feelings or ideas people have about the word. |
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Term
| Verbal Communication: Pacing |
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Definition
| Speak Slowly Enunciate clearly |
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Term
| Verbal Communcation: Intonation |
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Definition
be aware of voice tone.
Can describe emotional state or energy level |
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Term
| Verbal Communcation: Clarity and Brevity |
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Definition
| effective communication is simple clear and direct. speak slowly, use fewer words, speak clearly, and use examples to improve the clarity of an explanation |
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Term
| Verbal Communication: Timing and Relevance |
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Definition
| the best time for interaction is when the patient expresses interest in communicating. If messages are relevant or importnat to the situation at hand, they are more effective |
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Term
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Definition
five senses and anything that does not include written or spoken word.
Unconsciously motivated and more accurately indicates a persons intended meaning than words. |
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Term
| Nonverbal Assessment Parameters |
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Definition
| Personal appearance, posture and gait, facial expression, eye contact, gestures, sounds, territoriality and personal space. |
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Term
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Definition
holding a crying infant
performing a physical assessment
bathing, grooming, dressing, feeding and toileting a patient
changing dressings |
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Term
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Definition
Sitting at a patients bedside
taking a patients nursing history
teaching an individual patient
exchanging information at change of shift |
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Term
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Definition
making rounds with a physician
sitting at the head of a conference table
teaching a classf or patients with diabetes
conducting a family support group |
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Term
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Definition
speaking at community forum
testifying at a legislative hearing
lecturing to a class of students |
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Term
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Definition
permission needed
mouth, wrists, feet |
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Term
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Definition
Permission not needed:
hands arms shoulders back |
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Term
Vulnerable Zone- touch
(special care needed) |
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Definition
| Face, neck, front of body |
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Term
Intimate Zone- Touch
(great sensitivity needed) |
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Definition
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Term
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Definition
S- sit facing the patient
O- observe an open posture
L- lean toward the patient
E- Establish and maintain intermittent Eye contact
R- relax |
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Term
Therapeutic Communication Techniques
(16) |
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Definition
| Active listening, sharing observations, sharing hope, sharing humor, sharing feelings, using touch, using silence, providing information, clarifying, focusing, paraphrasing, asking relevant questions, summarizing, self-disclosure, confrontation |
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Term
| Phases of the Helping Relationship |
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Definition
Preinteraction Phase- before meeting a patient
Orientation Phase- when the nurse and patient meet/ get to know one another
Working Phase- when the nurse and patient work together to solve problems and accomplish goals
Termination Phase- during the ending of a relationship |
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Term
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Definition
| factual and accurate information shared with the patient. Helps build trust and ultimately the relationship between nurse and patient. |
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Term
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Definition
| active listening strategy used to broaded a clients perspective or when the nurse needs to provide a sharper focus on a specific part of the communication. Good when patient over generalizes or repeats line of thinking |
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Term
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Definition
| seems to understand the message of the blient by asking for more information or an elaboration on a point. |
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Term
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Definition
| response strategy used to check whether the nurses translation of the clients words is an accurate interpretation of the message. Transforming a message into nurses own shorter more precise verbiage. |
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Term
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Definition
| listening response focusing on the meotional implications of the message. Highlighting a vocal tone. Linking feelings with content. Linking current and past feelings. Helps patients identify feelings they may not be aware of. |
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Term
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Definition
| active listening skill used to review content and process. Pulls several ideas and feelings together to form one or a series of interactions. |
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Term
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Definition
| powerful listening response. intended pause can allow client to think, emphasize certain points. |
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Term
Feedback
form of communication |
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Definition
does the feedback advance the goals of the relationship?
does it consider the individualized needs of the client?
If these are relevant then it can be framed as a question or observation of verbal and nonverbal behaviors. mirroring specifics over relevant data of a behavior. It should be to the point and empathetic. Common response will be validation or correction to make sure both participants have the same basic understanding of the message. |
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Term
| Social Cognitive Competency |
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Definition
| ability to interpret message content within interactions from the point of view of each participant. |
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Term
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Definition
| the ability to use language and nonverbal behaviors strategically in the intervention phase of the nursing process to achieve the goals of the interaction. |
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Term
Growth And Developmental Milestones
Eriksen |
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Definition
Eriksen:
newborn- 12mo Trust vs. Mustrust
18 -24 mo.: Autonomy vs. Shame or Doubt
3 yrs- 5 yrs: Initiative vs. Guilt
6 yrs-12 yrs: Industry vs. Inferiority
13 - 21yrs: Identity vs. Role Confusion
21-34 yrs: Intimacy vs. Social Isolation and lonliness
35-64yrs Generativity vs. Stagnation
65+: Ego integrity vs. Despair |
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Term
Growth & Development Milestones
Piaget |
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Definition
Piaget:
newborn- 18mo. : Sensorimotor
24mo- 7 yrs: Preoperational
8- 12 yrs: Concrete Operations
13- 21 yrs: Formal Operations
21yrs +: Formal Operational thought (analyzes all combinations of relations and creates hypotheses)
35 yrs +: Formal Operational thought |
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Term
Growth & Development Milestones
Freud
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Definition
Newborn- 18 mo: Oral
24mo: Anal
3-5 yrs: Phalic
6-12 Latency
13-21 Genital |
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Term
Growth & Development Milestones
Kohlberg |
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Definition
Kohlberg
24 mo- 3yrs: Preconventional Level (Stage 1: avoid punishment orientation)
4-7 yrs: Preconventional Level (Stage 2: satisfy own needs orientation)
8-12 yrs: Conventional Level(Stage 3: Good Boy/Nice Girl orientation)
13-17 yrs: Conventional Level (Stage 5: Social/Legal Orientation)
17-21 yrs: Post Conventional Level (Stage 5: Social/ Legal Orientation)
21+ yrs: Postconventional level or moral reasioning (differentiate self from rules and expectations of others, and define right in terms of self-chosen principles)
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Term
Growth & Development Milestones
Anagram
Age: Infancy, First Year of Life |
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Definition
SHOTS
S: Shots (vaccinating children)
H: Hike (Movement) gross motor skills (rooting, lifts head, head to 45˚, rolls over, sitting alone, stands, walking with help)
O: Oral (Freud) everything is in the mouth
T: Trust vs. Mistrust: Eriksen (developing trusting relationship)
S:Sensory Motor: Piaget (suckling, looking, grasping... exploration of movement) |
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Term
Growth & Development Milestones
Anagram
Age: Toddler, 1-2 Yrs |
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Definition
PRAISE
P:Properational (Piaget), 2-7 only their own viewpoint
R: Rituals, used to routine consistency and begin expectation
A: Autonomy Vs. Shame & Doubt, Eriksen, new independance
I: Investigation, no fear, high accident rate
S: Separation Anxiety
E: Elimination, (Anal Stage) Freud. toileting to gratify parents |
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Term
Growth & Development Milestones
Anagram
Age: Preschooler 3-5 yrs |
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Definition
MAGIC P(puja)
M: Moral, preoperational (Piaget) Preconventional (Kohlberg)
A: Associative Play, playing well with others, cooperative
G: Guilt Vs. Initiate, (Eriksen) Feels guilt, developing conscience, purposeful and positive
I: Imagination, fantasy, new roles, imaginary friend
C: Curious, asking why? factual info desired
P: Phalic, Freud. Genital focus |
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Term
Growth & Development Milestones
Anagram
Age:School Age, 6-12 yrs |
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Definition
DIMPLE
D: Developmental, Piaget- Concrete Operational (mental operations and actions), Kohlberg- Conventional (fullfillment of others expectations)
I: Industry Vs. Inferiority- Eriksen, what can I do?
M: Modesty and concern for privacy
P: Peers are same sex
L: Latency- Freud earlier sexual urges become socially acceptable acitivities)
E: Exploration of life options |
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Term
Growth & Development Milestones
Anagram
Age:Adolescent, 13-21 yrs |
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Definition
PAIRS F
P:Post Conventional Kolberg: balance between basic human needs & obligations & societal rules and regulations
A: Altered Body Image Genital stage of Freud, Do not want to be seen as different
I: Identity important career choices
R: Role Diffusion Identity vs. Identity Role Confusion, Eriksen
S: separation from peers
F: Formal Operations, Piaget thinking moves to abstract and theoretical onto adulthood. |
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Term
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Definition
Realistic Self Ideal
High Self Esteem
Appropariate Role Function
Positive Body Image |
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Term
| Maslows Heirarchy of Basic Needs |
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Definition
Maslow’s Hierarchy of Basic Needs ( 1943)
Belief that each individual has the capacity for growth
As basic needs are met capable of fulfilling higher level needs
Gives the nurse some direction in planning interventions that maximize
client satisfaction & achievement
Looks at the holistic person beyond just the physical needs
Physiological RR, HR, BP must be met at least minimally for life to continue
Safety infant> safe in parents arms, safe environment
Loving/belonging relationship with others, belong to a group
Self-esteem valued by those around us, acceptance, self-approval
Self-actualization fulfill one’s potential, intellectual, spiritual, emotional |
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