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Nursing Arts Midterm
Subjective - Answer-Something you can't see or measure (pain) Objective - Answer-Something that can be measured 12 determinants of health - Answer-Income & Social Social support networks education and literacy employment and working conditions Physical environments bio and genetic environments individual health practices and coping skills healthy child development health services gender culture social environments Primary pervention - Answer-to protect against disease before it occurs Secondary prevention - Answer-early detection and screening for disease
Tertiary Prevention - Answer-Patient is recovering form disease or illness Conceptual Framework - Answer-Concepts and phenomena to direct nursing decisions IE: Nursing theories Duffy - Answer-Quality Caring Model The Science of nursing King - Answer-Theory of goal attainment The art of nursing The Canada health act - Answer-* Public administration universality portability Accessibility Comprehensiveness ADPIE - Answer-Assessment diagnoses Plan Impement evluate
Data documation - Answer-nurses legal and professional responsibility anything heard seen or felt or smells client info is placed in "" No slang only medical terms Types of Nursing Diagnosis - Answer-Risk, Actual, wellness Components of a nursing diagnosis - Answer-Diagnostic label Related factors definition (Nanda) Risk factors Support of the diagnostic statement Establishing Priorites - Answer-High Intermediate Low Goals of care - Answer-client goal something that is do able Specific short term long term Long term goal - Answer-Client well be tobacco free within 60 days
Short term goal - Answer-Client achieves improved pain control Expected outcomes - Answer-Specific, measurable changes in a clients status SMART Goals - Answer-Specific Measurable Attainable Realistic Time-limited Types of interventions - Answer-Independent Dependent Collaborative Independent - Answer-Nurses can do with out and order ( Teach the patient) Dependent - Answer-Need an order Collaborative - Answer-Interdependent both parties involved Selections of interventions - Answer-Characteristics of nursing diagnosis Goals and expected outcomes Evidence base for interventions Acceptability to the client
Feedback- messages the receiver returns Interpersonal variable- factors that influence communication Environment- the setting for sender and receiver interactions Active listening - Answer-SOLER Sit facing the person Open posture Lean toward the patient Establish and maintain intermittent eye contact Relax Therapeutic Communication - Answer-Sharing Observations,empathy,hope,humor,feelings Use of touch when necessary Using silence is okay when needed Teaching/Providing information Health Promotion Strategies - Answer-Build Heathy public policy Create supportive environments Strengthen community action develop personal skills reorient health services Illness - Answer-Not the same as a disease process When a person "feels" as if something is wrong
Wellness - Answer-an ever changing state part of health Health - Answer-A state of complete physical,mental,and social well-being, and not merely the absence of disease or infirmity Spheres of caring - Answer-Guides the practical nurse to consider all aspects of a person's needs interdisciplinary - Answer-Where the whole health care team is used (working collaboration) Client Care Delivery Systems - Answer-Total client care functional nursing primary nursing team nursing case management Managed care communities of practice What is the nurse responsibility in making clinical decisions? - Answer-For making accurate and appropriate clinical decisions
