Term
| "actual nursing diagnosis" |
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Definition
| a problem response that exists at the time of the assessment |
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Term
| "possible nursing diagnosis" |
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Definition
| when your intuition and experience direct you to suspect a diagnosis is present but lack data to support it. |
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Term
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Definition
| a problem response that is likely to develop in a vulnerable pt if the nurse does not intervene to prevent it. |
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Term
| "syndrome nursing diagnosis" |
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Definition
| a collection of N diagnoses that usually occur together. |
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Term
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Definition
| subject is transition from one level of wellness to a higher one. Describes status, not problems. |
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Term
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Definition
communication process
Helping process; therapeutic relationships
nursing process
teaching process |
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Term
| 4 primary concepts of full spectrum nursing: |
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Definition
critical thinking
nursing process
nursing knowledge
patient situation |
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Term
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Definition
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Term
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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?) |
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Term
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Definition
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Term
| Barriers to effective Communication: |
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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 |
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Term
| COMPREHENSIVE NURSING CARE PLAN |
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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 |
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Term
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Definition
| a group of cues related to each other in some way |
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Term
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Definition
| certain physiologic complications that nurses monitor to detect onset or changes in status. Always a POTENTIAL problem |
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Term
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Definition
| occurs when the nurse has an emotional reaction to the client based on their own unconscious needs and conflicts. |
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Term
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Definition
| Specifies patient outcomes and interventions over a period of time |
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Term
| Define THERAPEUTIC RELATIONSHIP |
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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 |
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Term
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Definition
| Identify patients needs based on careful review of your assessment data |
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Term
| EGO DEFENSE MECHANISMS as Barriers to Communication: |
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Definition
Denial
Suppression
Regression
Identification
Projection:
Rationalization
Reaction Formation:
Displacement:
Sublimation:
Dissociation: |
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Term
| EGO DEFENSE MECHANISMS/Displacement: |
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Definition
| Directing feelings about one object or person toward a less threatening object/person. |
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Term
| EGO DEFENSE MECHANISMS/Dissociation: |
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Definition
| Separation or splitting off of one aspect of mental process from conscious awareness. |
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Term
| EGO DEFENSE MECHANISMS/Identification: |
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Definition
| Attempt to identify with personality traits or actions of another. Incorporating qualities or attitudes of others. |
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Term
| EGO DEFENSE MECHANISMS/Projection: |
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Definition
| Placing one’s own undesirable trait onto another; blaming others for one’s own difficulty. |
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Term
| EGO DEFENSE MECHANISMS/Reaction Formation: |
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Definition
| Expressing feelings opposite of one’s authentic feelings. |
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Term
| EGO DEFENSE MECHANISMS/Sublimation: |
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Definition
| Rechanneling of intolerable or socially unacceptable impulses or behaviors into activities that are personally or socially acceptable. |
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Term
| EGO DEFENSE MECHANISMS/Suppression: |
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Definition
| Putting a threatening or distressing thought out of one’s awareness. |
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Term
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Definition
| the cause or origin of a disease |
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Term
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Definition
| have you successfully treated the client? |
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Term
| Explain the basic items found in the Patient’s Bill of Rights. |
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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 |
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Term
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Definition
Problem;
Etiology; factors that cause, contribute to
Connecting phrase (related to) |
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Term
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Definition
| unique blend of thinking and doing that translates caring into action. |
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Term
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Definition
| the action phase. Carry out or delegate planned actions |
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Term
| List skills which conducive to a helping relationship. |
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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 |
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Term
| List the basic elements of helping relationships. |
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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 |
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Term
| List the external influences on learning. |
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Definition
Nonjudgmental support
Environment
Physiologic events
Culture |
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Term
| List the internal influences on learning. |
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Definition
Motivation
Readiness
Active involvement
Relevance
Feedback
Organizing material from simple to complex
Repetition
Timing
Emotions
Psychomotor ability |
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Term
| Major domains of learning |
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Definition
Affective
Cognitive
Psycho-motor |
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Term
| Major domains of learning/Affective: |
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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 |
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Term
| Major domains of learning/Cognitive |
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Definition
The ‘thinking’ domain includes six intellectual abilities and thinking processes:
Knowledge
Comprehension
Application
Analysis
Synthesis
Evaluation |
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Term
| Major domains of learning/Psychomotor: |
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Definition
| The ‘skill’ domain includes motor skills |
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Term
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Definition
| describes a disease, illness, or injury. Used to identify a disease process or pathology so that appropriate treatment can be given. |
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Term
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Definition
| set of interrelated concepts that represent a particular way of thinking about something. |
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Term
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Definition
| (Nursing Interventions Classification) |
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Term
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Definition
| NURSING OUTCOMES CLASSIFICATION |
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Term
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Definition
| statement of client health status that nurses can identify, prevent, or treat independently. |
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Term
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Definition
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Term
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Definition
| you develop a list of possible interventions based on your nursing knowledge and THEN choose those most likely to achieve stated goals |
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Term
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Definition
| You work with the client to decide goals for your care |
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Term
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Definition
| Knowing what to do and how to do it. |
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Term
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Definition
| Distance or spatial territory between people in interactions. Personal space & territory are important. |
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Term
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Definition
| 1. a : an abnormal narrowing of a bodily passage; |
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Term
| Social vs Therapeutic relationship |
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Definition
| The therapeutic relationship differs from a social relationship in that it is designed to meet the needs only of the client. |
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Term
| Social vs Therapeutic relationship |
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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. |
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Term
| Specify the characteristics of the learner which the AD nurse must assess prior to teaching. |
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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 |
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Term
| Standardized (model) care plans |
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Definition
| guides that detail the nursing care that covers a common medical condition |
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Term
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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. |
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Term
| The Role of the Nurse as Health Educator: |
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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. |
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Term
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Definition
| knowing facts, principles and theories of nursing and related disciplines. |
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Term
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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. |
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Term
| Understand the nurse-patient relationship phases/1 |
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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. |
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Term
| Understand the nurse-patient relationship phases/2 |
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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. |
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Term
| Understand the nurse-patient relationship phases/3 |
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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. |
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Term
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Definition
| describe the minimal level of care nurses are expected to achieve. NOT on pt's chart, but filed on unit |
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Term
| What are some characteristics of a good listener? |
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Definition
Attentive (Active) Listening
accepting, non-judgmental attitude
Empathy
Respect
Confidentiality is essential during interactions: |
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Term
| What are the 4 components of a NANDA nursing dx? |
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Definition
definition
defining characteristics
related factors
risk factors |
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Term
| What does a Comprehensive Nursing Care Plan contain? |
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Definition
basic needs/ADLs
Medical/multi-disciplinary treatments
Nursing Dx & collaborative problems
special d/c needs or teaching needs |
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Term
| While communicating monitor self for: |
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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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