Unit 2

Global delay

Lag in all areas of development

Tort Law

Law that deals with harm to a person or a person's property.

illness

physical manifestations and the subjective experience of the individual

Developmental level

position of an individual in the sequence of development

Percussion

sounds and vibrations are related to underlying structures

linguistic communication

spoken words or written symbols

Donabedian Model

structure, process, outcome

Contract law

the body of law that governs contract enforcement

Nursing focus:

the diagnosis and treatment of human responses to actual of potential health problems or life processes

secondary prevention

to identify individuals in an early state of a disease process so that prompt treatment can be initiated.

Inspection

using the eyes to observe the patient

According to Maslow hierarchy of need in which order would the nurse prioritize actions? 1. Safety and Security 2. Self- Esteem 3. Physiological 3. Self- Actualization 5. Love and belonging

3,1,5,2,4

Interrelated Concepts: Family Dynamics

Development Functional Ability Culture Spirituality Reproduction Stress and Coping

Which component of the nursing process includes tasks that can be delegated? Planning Evaluation Assessment Implementation

Implementation

Which step in the nursing process would involve promoting a safe environment for the client? Implementation Planning Assessment Diagnosis

Implementation

Transactional Leadership

Increase productivity by fulfilling both the leader's interest and the follower's interest

Auscultation

Listening with a stethoscope

Primary prevention

optimizing health and disease prevention

According to Maslow hierarchy of need in which order would the nurse prioritize actions? 1. Encourgaging the client to take about fears and feelings 2. Praising the client for administering insulin accurately 3. Providing warm bath to the client to promote a good night's sleep. 4. Assisting the client in getting out of bed to join family members for meals

3,1,4,2

Which feature distinguishes nursing diagnoses from medical diagnoses? Nursing diagnoses involve the client when possible Nursing diagnoses are based on results of diagnostic tests and procedures Nursing diagnoses are identification of a disease condition in the client Nursing diagnoses involve the sorting of health problems within the nursing domain Nursing diagnoses involve clinical judgement about the client's response to health problems

Nursing diagnoses involve the client when possible Nursing diagnoses involve the sorting of health problems within the nursing domain Nursing diagnoses involve clinical judgment about the client's response to health problems

Health promotion

the process of enabling people to increase control over, and to improve, their health

Developmental regression

the progressive loss of previously acquired skills

Developmental

the sequence of physical, psychosocial and cognitive developmental changes that take place over the human lifespan.

clinical judgment

thinking process by which a nurse reaches a clinical judgment.

ELECTRONIC HEALTH RECORD

An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization

Which activities would the nurse perform to meet the client's safety and security needs based on Maslow's hierarchy of needs? Provide a cold bath to reduce client's body temp Positioning the best in low position and keeping the side rails up Monitoring vital signs, such as blood pressure to decrease risk of falls Observing a client who has suicidal tendencies to prevent adverse incidents Collaborating with the family member to provide emotional support

Positioning the best in low position and keeping the side rails up Monitoring vital signs, such as blood pressure to decrease risk of falls Observing a client who has suicidal tendencies to prevent adverse incidents

Steps of the Nursing Process

1. Assessment 2. Diagnosis 3. Planning 4. Implementation 5. Evaluation

Nursing Diagnosis: Two part System

1. Nursing Diagnosis 2. Related to (r/t) statement

Three types of nursing diagnoses

1. problem-focused 2. risk 3. health promotion

medical diagnosis vs nursing diagnosis

A medical diagnosis deals with disease or medical condition. A nursing diagnosis: statement of client health status that nurses can identify, prevent or treat independently.

developmental milestones

A set of functional skills or age-specific tasks that most children can do at a certain age range.

shared leadership

A style of leadership that distributes influence among groups and individuals to achieve organizational or team goals

Which step in the research process is similar to the assessment step of the nursing process? Analyzing the results Conducting the study Developing hypothesis Identifying the problem

C.

List the stages of Policy Development

Agenda Policy Formation Policy Adoption Policy Implementation Policy Evaluation

Laissez-faire

Allows the followers to have the authority to make their decision

Which statement does not correctly describe Maslow's hierarchy of needs? A. " The hierarchy of basic human needs includes five levels of priority." B. The second level includes safety and belongs needs, which involve physical and psychological security C. The fourth level contains love and belonging needs, including friendship, social relationships, and cope realistic with situations of life." D. "The final level is the need for self-actualization, which includes the ability to solve problems and cope realistically with the situations of life.

C.

Which consideration would the nurse emphasize to the parent of a toddler-age client when selecting toys? Creativity Safety Appropriateness Evidence

Appropriateness

The nurse is explaining the nursing process to a student nurse. Which step of the nursing process would include interpretation of data collected about the client? Diagnosis Evaluation Assessment Implementation

Assessment

Which step of the nursing process involves the nurse interviewing a client about a current health problem and obtaining the client's vital signs? Assessment Diagnosis Planning Evaluation

Assessment

Regulator Agencies

Centers for Medicare Medicaid Services (CMS) The Joint Commission (TJC) Occupational Safety and Health Administration (OSHA) - handles toxic spill, accidents/ equipment error Centers for Disease Control and Prevention (CDC) U.S. Food and Drug Administration (FDA) U.S. Department of Justice U.S. Drug Enforcement Administration (DEA)

Interrelated Concepts: Technology and Informatics

Clinical Judgment Leadership Communication Collaboration Safety Evidence Care Coordination Health Care Quality Ethics Health Policy Health Care Law

Interrelated Concepts: Communication

Collaboration Care Coordination Culture Safety Health Care Quality

Types of assesment

Comprehensive, focus, emergency

Four important components of physical assessment

Inspection Palpation Percussion Auscultation

Interrelated Concepts: Development

Functional Ability Nutrition Culture Family Dynamics Mood and Cognition

Interrelated Concepts: Functional Ability

Development Cognition Culture Family Dynamics Stress and Coping Mobility Nutrition Sensory Perception Gas Exchange Perfusion

A nurse asks an unlicensed assistive personnel (UAP) to provide an ice pack to a client. Which nursing function does this reprsent? Implementation Case Management Delegation Interprofessional team

Delegation

Interpersonal Communication

Embedded in relationships, interpersonal communication is the verbal and nonverbal interaction that occurs among human beings. This interaction can be one-to-one or occur within groups.

Developmental Delay

Failure to meet expected developmental level

Which client situation will the nurse address first on priority basis of Maslow's hierarchy of needs? Feels like is leading a worthless life. Has multiple fainting episode due to lack of proper nutrition Shows signs of lack of interest in carrying out social interaction Conveys to the nurse that is estranged from all family members

Has multiple fainting episode due to lack of proper nutrition

Nursing Process

How nurses think and how they identify client problems, determine outcomes and prioritize nursing care for clients.

Transformational Leadership

Main approach is to motivate their followers and acknowledge their followers' work ethnic This leadership style leads to a high increase of productivity.

autocratic leadership

Motivates their followers with rewards as incentive It is great for providing leadership for large groups or to delegate work

Paralingustic Communication

Non-verbal exchange of symbols that show cues about emotions, moods, and states of a person.

Interrelated Concepts: Health Promotion

Nutrition Mobility Development Culture Adherence Management Patient Education Evidence Health Policy Health Disparities Health Care Economics

Objective data

Observable data and can come from physical nursing assessments and medical records

The nurse teaches a mother how to position her newborn during feedings. Which is the best way to evaluate if the teaching is effective? Determine the mother's readiness to learn Observe the mother feeding the infant Ask the mother if she understands Develop a basic teaching plan

Observe the mother feeding the infant

Nursing Diagnosis: Three part Systems

P:roblem E: tiology S:ymptom

Which step of the nursing process is directly affected if the nurse does not make a nursing diagnosis? Implementation Evaluation Assessment Planning

Planning

Interrelated Concepts: Clinical Judgements

Safety Health Care Quality Leadership Patient Education Evidence Profesional Identify Care Coordination

Interrelated Concepts: Evidence

Safety Health Policy Technology and Informatics Health Care Economics

A client involved in an accident says " I have a dream of conquering the world's highest mountain range." According to Maslow's hierarchy of needs, to which level of need does the given scenario refer? Physiology needs Self Esteem Self-Actualization Safety and security

Self-Actualization

Which definition is correct to explain the nursing process? Procedures used to implement client care Sequences of steps used to meet the client's need Activities employed to identify a client's problem Mechanisms applied to determine nursing goals for a client

Sequences of steps used to meet the client's need

SMART

Specific, Measurable, Attainable, Realistic, Timely

Palpation

an examination technique in which the examiner's hands are used to feel the texture, size, consistency, and location of certain body parts

Democratic leadership

This leadership style assists followers to develop emotional maturity. They show more interest in their follower's opinion.

Goal of population health

To improve the health of the entire population and to reduce health inequities among population groups.

Requirements for Nurses

Understanding and participate in activities and that promote and ensure quality patient care Identity unsafe practices and make changes to ensure sage outcome Understand outcomes of care Be lifelong learners

Therapeutic Communication

Verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a positive relationship.

Name three attributes of communication that form the basis of study in nursing sciences

a process of complementary exchange, context, and learned skill.

Verbal language

a system of spoken and written words

When prioritizing the nursing diagnosis, always use

always use Maslow + ABCs

Metacommunication

broad term that refers to all factors that influence communication

nonverbal communication

communication without the use of words.

social determinants of health

conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality of life outcomes and risks

symbolic communication

enhances meaning by incorporating art and music.

Disease

functional or structural disturbance that results when a person's adaptive mechanisms to counteract stimuli and stresses fail.

health disparities

gaps in health and healthcare quality among population groups that often parallel differences in socioeconomic status, racial/ethnic background, and education level.

population health

health outcomes of a defined group of people along with the distribution of health outcomes within the group

The nurse is performing nursing care therapies and including the client as an active participant in the care. Which step in the nursing process is involved in this situation? Planning Implementation Assessment Evaluation

implementation

Subjective data

is what the client actually says

Property law

law dealing with ownership

Nursing Outcomes Classification (NOC)

•Uses five-point Likert-type rating scale. •Assists in objectively recording change after the intervention.