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Nursing process
chapters 2=7
67
Nursing
Undergraduate 1
09/20/2011

Additional Nursing Flashcards

 


 

Cards

Term
"actual nursing diagnosis"
Definition
a problem response that exists at the time of the assessment
Term
"possible nursing diagnosis"
Definition
when your intuition and experience direct you to suspect a diagnosis is present but lack data to support it.
Term
"risk nursing diagnosis"
Definition
a problem response that is likely to develop in a vulnerable pt if the nurse does not intervene to prevent it.
Term
"syndrome nursing diagnosis"
Definition
a collection of N diagnoses that usually occur together.
Term
"wellness dx"
Definition
subject is transition from one level of wellness to a higher one. Describes status, not problems.
Term
4 basic processes
Definition
communication process
Helping process; therapeutic relationships
nursing process
teaching process
Term
4 primary concepts of full spectrum nursing:
Definition
critical thinking
nursing process
nursing knowledge
patient situation
Term
A E B
Definition
as evidenced by
Term
ADPPIE
Definition
A - Assess (what data is collected?)
D - Diagnose (what is the problem?)
P - Planning Outcomes -
P - Planning Interventions(how to manage the problem)
I - Implement (putting plan into action)
E - Evaluate (did the plan work?)
Term
ASSESSMENT
Definition
DATA GATHERING STAGE
Term
Barriers to effective Communication:
Definition
Failure to listen
Conflicting verbal and nonverbal messages
A judgmental attitude
Misunderstanding because of multiple meanings of English words
False reassurance
Giving advice rather than encouraging self-confidence
Disagreeing with or criticizing a person who is seeking support
The inability to receive information because of a preoccupied or impaired thought process
Changing the subject if one becomes uncomfortable with the topic
Term
COMPREHENSIVE NURSING CARE PLAN
Definition
Doc or docs that are the central source of info needed to guide holistic, goal-oriented care to address each pt's unique needs
Term
Cluster
Definition
a group of cues related to each other in some way
Term
Collaborative problems
Definition
certain physiologic complications that nurses monitor to detect onset or changes in status. Always a POTENTIAL problem
Term
Counter-transference
Definition
occurs when the nurse has an emotional reaction to the client based on their own unconscious needs and conflicts.
Term
Critical Pathway
Definition
Specifies patient outcomes and interventions over a period of time
Term
Define THERAPEUTIC RELATIONSHIP
Definition
built on a series of interactions and developing over time;Its structure varies with the context, the client's needs, and the goals of the nurse and the client. Its nature varies with the context, including the setting, the kind of nursing, and the needs of the client. The relationship is dynamic and uses cognitive and affective levels of interaction. It is time-limited and goal-oriented and has three phases
Term
Diagnosis
Definition
Identify patients needs based on careful review of your assessment data
Term
EGO DEFENSE MECHANISMS as Barriers to Communication:
Definition
Denial
Suppression
Regression
Identification
Projection:
Rationalization
Reaction Formation:
Displacement:
Sublimation:
Dissociation:
Term
EGO DEFENSE MECHANISMS/Displacement:
Definition
Directing feelings about one object or person toward a less threatening object/person.
Term
EGO DEFENSE MECHANISMS/Dissociation:
Definition
Separation or splitting off of one aspect of mental process from conscious awareness.
Term
EGO DEFENSE MECHANISMS/Identification:
Definition
Attempt to identify with personality traits or actions of another. Incorporating qualities or attitudes of others.
Term
EGO DEFENSE MECHANISMS/Projection:
Definition
Placing one’s own undesirable trait onto another; blaming others for one’s own difficulty.
Term
EGO DEFENSE MECHANISMS/Reaction Formation:
Definition
Expressing feelings opposite of one’s authentic feelings.
Term
EGO DEFENSE MECHANISMS/Sublimation:
Definition
Rechanneling of intolerable or socially unacceptable impulses or behaviors into activities that are personally or socially acceptable.
Term
EGO DEFENSE MECHANISMS/Suppression:
Definition
Putting a threatening or distressing thought out of one’s awareness.
Term
Etiology
Definition
the cause or origin of a disease
Term
Evaluation
Definition
have you successfully treated the client?
Term
Explain the basic items found in the Patient’s Bill of Rights.
Definition
High quality hospital care
A clean and safe environment
Involvement in your care
Informed Consent:
Right to refuse treatment
Protection of your privacy.
Help when leaving the hospital
Help with your billing claims
Term
Format for dx statements
Definition
Problem;
Etiology; factors that cause, contribute to
Connecting phrase (related to)
Term
Full Spectrum nursing
Definition
unique blend of thinking and doing that translates caring into action.
Term
Implementation
Definition
the action phase. Carry out or delegate planned actions
Term
List skills which conducive to a helping relationship.
Definition
Appreciate different beliefs and experiences
Recognize and interpret verbal/nonverbal messages
Guide the interaction to accomplish goals
Determine WHETHER comm is taking place
Speak when appropriate and don't when it's not.
Adapt pace, tone, vocab to client
Eval your own participation in interaction
Term
List the basic elements of helping relationships.
Definition
Maximizes client’s abilities to do and decide for himself/herself during illness, recovery, and health maintenanceEnhances trust and acceptance of the nurse's desire and ability to help client
•Maximizes client’s involvement in issues that are his/her own; Client may want to be dependent upon nurse, but goal is to increase client’s level of self care
Term
List the external influences on learning.
Definition
Nonjudgmental support
Environment
Physiologic events
Culture
Term
List the internal influences on learning.
Definition
Motivation
Readiness
Active involvement
Relevance
Feedback
Organizing material from simple to complex
Repetition
Timing
Emotions
Psychomotor ability
Term
Major domains of learning
Definition
Affective
Cognitive
Psycho-motor
Term
Major domains of learning/Affective:
Definition
The ‘feeling’ domain is divided into categories that specify the degree of a ‘person’s depth of emotional response to tasks.’ It includes:
Feelings
Emotions
Interests
Attitudes
Appreciations
Term
Major domains of learning/Cognitive
Definition
The ‘thinking’ domain includes six intellectual abilities and thinking processes:
Knowledge
Comprehension
Application
Analysis
Synthesis
Evaluation
Term
Major domains of learning/Psychomotor:
Definition
The ‘skill’ domain includes motor skills
Term
Medical diagnosis
Definition
describes a disease, illness, or injury. Used to identify a disease process or pathology so that appropriate treatment can be given.
Term
Model
Definition
set of interrelated concepts that represent a particular way of thinking about something.
Term
N I C
Definition
(Nursing Interventions Classification)
Term
NOC
Definition
NURSING OUTCOMES CLASSIFICATION
Term
Nursing Diagnosis
Definition
statement of client health status that nurses can identify, prevent, or treat independently.
Term
Personal knowledge
Definition
self-understanding
Term
Planning Interventions
Definition
you develop a list of possible interventions based on your nursing knowledge and THEN choose those most likely to achieve stated goals
Term
Planning outcomes
Definition
You work with the client to decide goals for your care
Term
Practical knowledge
Definition
Knowing what to do and how to do it.
Term
Proxemics:
Definition
Distance or spatial territory between people in interactions. Personal space & territory are important.
Term
STRICTURE.
Definition
1. a : an abnormal narrowing of a bodily passage;
Term
Social vs Therapeutic relationship
Definition
The therapeutic relationship differs from a social relationship in that it is designed to meet the needs only of the client.
Term
Social vs Therapeutic relationship
Definition
The relationship differs from a social relationship in that it is designed to meet the needs only of the client. Conditions essential for a therapeutic relationship include empathy, respect, and genuineness.
Term
Specify the characteristics of the learner which the AD nurse must assess prior to teaching.
Definition
Age
Client’s understanding of the health problem
Health beliefs and practices
Cultural factors
Economic factors
Learning style
Client’s support system
Readiness to learn
Motivation to learn
Health literacy
Term
Standardized (model) care plans
Definition
guides that detail the nursing care that covers a common medical condition
Term
THE NURSING PROCESS:
Definition
A systematic, rational method of planning and providing individualized nursing care. It is cyclic and dynamic, client centered, interpersonal and collaborative, universally applicable, and focuses on problem solving and decision making.
Term
The Role of the Nurse as Health Educator:
Definition
Patient’s Bill of Rights mandates client education as a right of all clients. State nurse practice acts include client teaching as a function of nursing, making this a legal and professional responsibility.
Term
Theoretical knowledge
Definition
knowing facts, principles and theories of nursing and related disciplines.
Term
Transference
Definition
is a term used to describe the client’s distortion of the nurse–client relationship, when the client relates to the nurse not based on personal attributes, but instead based on other interpersonal relationships in his or her environment.
Term
Understand the nurse-patient relationship phases/1
Definition
Initiating or Orienting Phase:
During pre-interaction the nurse collects initial data, plans the interview and it is important for the nurse to examine own feelings before engagement with the client. Are there any hot spots?
During the Orienting phase the nurse becomes acquainted with client and sets the stage for the one-to-one relationship. Introduce self, clarification of perceptions/expectations about relationship; define problems together and identify possible solutions. Observe, but validate your perceptions. Tasks include: build trust and rapport, privacy, establish communication that is acceptable to client and nurse, initiate a therapeutic contract, and assess client’s strengths and weaknesses.
Term
Understand the nurse-patient relationship phases/2
Definition
Working Phase: Collaboratively working toward mutually set specific goals; reduce symptoms, develop resources. Goals may not be changeable (as stabilization for a chronic condition, e.g., diabetes, etc.) Increased awareness & insight. Move from Dependence to Independence. Tasks include: explore reality perceptions, develop positive coping behaviors, identify supports, enhance self-confidence, encourage verbalization, develop plan and goals, implement and evaluate plan and promote client’s independence.
Term
Understand the nurse-patient relationship phases/3
Definition
Termination Phase: This phase occurs when mutually agreed-upon goals are met and separation occurs between client and nurse. Common goals met by termination phase include: provide self-care, demonstrate independence, recognize signs of illness, cope positively with negative experiences and feelings, and demonstrate emotional stability. Reflect on work done together, growth as well as what was NOT accomplished. Separation & saying ‘goodbye.’ May evoke loss/grief. Independence of client.
Term
Unit standards of care
Definition
describe the minimal level of care nurses are expected to achieve. NOT on pt's chart, but filed on unit
Term
What are some characteristics of a good listener?
Definition
Attentive (Active) Listening
accepting, non-judgmental attitude
Empathy
Respect
Confidentiality is essential during interactions:
Term
What are the 4 components of a NANDA nursing dx?
Definition
definition
defining characteristics
related factors
risk factors
Term
What does a Comprehensive Nursing Care Plan contain?
Definition
basic needs/ADLs
Medical/multi-disciplinary treatments
Nursing Dx & collaborative problems
special d/c needs or teaching needs
Term
While communicating monitor self for:
Definition
Defensiveness, challenging (implies disbelief), testing (trying to get some kind of admission from client), probing (eliciting information for personal curiosity)
Rejecting, changing topics and subjects
Unwarranted Reassurance: Denial and minimizes concerns/feelings expressed
Advice giving, platitudes: (e.g., ‘I’m sure everything will be alright’)
Judgment: Don’t interpret, agree/disagree (implies the client is right or wrong).
Confidentiality and professional/personal boundaries (watch self-disclosure)
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