final exam n110

Nursing staff members are sitting in the lounge taking their morning break. An unlicensed assistive personnel (UAP) tells the group that she thinks that the unit secretary has acquired immunodeficiency syndrome (AIDS) and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. The registered nurse should inform the UAP that making this accusation has violated which legal tort? Libel Slander Assault Negligence

slander

narcolepsy

sleep attacks uncontrolalble episodes

common sleep disorders

sleepwalking / talking bruxism night terrrors REM sleep behavior disturbances enuresis

non-living reservoir

soil , food, water

durable power of attourney

someone that makes decisions on your behalf if you are not ale to

belief

something that one accepts as true

goal

specfically fixes the problem in the diagnosis

smart goal

specific measurable attainable relevant time specific

local adaptation syndrom

specific to a body part or organ

NREM sleep

stage 1: person easily aroused. relaxed but aware of surroundings stage 2: person falls asleep ,but easily aroused stage 3: depth of sleep increases. deepest sleep.

therapeutic relationship

stage 1: preinteraction phase-gathering infromation prior to meeting client stage 2: orientation phase: meeeting the client, introductions;establishing rapport and trust stage 3: working place-use of therapeutic communication techniques. client clarifies feelings and concerns through verbal and nonverbal communication stage 4: termination phase-conclusion of the relationship

The nurse in the hospital has a prescription to administer medication at 0400 to Mrs. Giovanni. Mrs. Giovanni is asleep when the nurse enters the room. She is difficult to arouse and confused. Identify the stage of sleep Mrs. Giovanni was likely in when the nurse awakened her.

stage 4

The patient reports episodes of sleepwalking to the nurse. Through understanding of the sleep cycle, the nurse recognizes that sleepwalking occurs during which sleep phase?

stage 4 nrem

what is the deepest stage of sleep

stage 4 nrem

transduction

stimulates nocireceptors that make us aware of the pain

primary defense

structural barries of the human body EX) skin, tears, mouth

adaptive stress

study groups, deep breathing, planning

primary dta

subjective and objective data from client

days to hours before death

sudden urge in energy

cutaneous / superficial pain

surface level pain

assessment

systematic gathering of information related to physiological, psychological sociocultural developmental spiritual status of an individual group or community

ethics

systematic study of right and wrong. how the nurse should act. -guides what we ought to do in a given situation -rooted in legal system

cross-tolerance

taking one type of opiod and dr wants to switch you to another type, you may already have a toelrance to opiods in general.

libel

talking crap in writing

deep somatic pain

tendons/bones/cartilage

The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report? The client fell out of bed. The client climbed over the side rails. The client was found lying on the floor. The client became restless and tried to get out of bed.

the client was found lying on the floor

beneficence

the duty to do or promote good

chronic sorrow related to crying and episodes of inability sleep aeb.. what is wron

the etiology is the s/s/

tolerance

the longer you take a med the more used to it you get

diagnosis

the nurse identifies the patient's health needs usually stated in the form of a problem *don't think medical terminology, think responses to health problem

justice

the obligation to be fair

full spectrum nursing

thinking, caring, doing and patient sitution, context

psychological dependence

this is an addiction. you develop a need for this med

nonmaleficence

to do no harm and to prevent harm -nightingale pledge -respect for dignity EX) protecting patients

indirect contact

touching something the patient has touched with mrsa

direct contact

touching/kissing/ mrsa

external stressor

traffic jam

what happens when you have pain?

transduction: stimulate nocireceptors that something is causing the pain transmission: a sensory nerves go to the spinal cord to the brain perception: brain is percieving / becoming aware of the pain. This is what tell us to move our hand modulation: how our body adapts to the pain

manipulative body based

massage chiropractic osteopathy

manipulative body based methods

massage chiropractic osteopathy

The nurse is preparing to perform a general survey of a client who was admitted to the hospital a few hours ago. Which components of the general survey may be delegated to the unlicensed assistive personnel (UAP)? Select all that apply. Inspecting skin surfaces Observing the client's behavior Measuring the client's height and weight Assessing the client's general appearance Monitoring oral intake and urinary output

measuring client's height and weight monitoring oral intake and urinary output

CMS

medicare program & parts of medicaid. oversight of HIPAA, health identifiers & security standards.

rest

mild to no activity relaxation;stress free leads to feeling refreshed

opiod analgesics

mimic endogenous opioids in the body

syndrome

more than 1 diagnosis/contains more than 1 thing

chronic pain

more than six months mild to severe no longer serves a purpose vs may be normal may not see pain behaviors can be progressive often not able to determine cause

what is the protype for opiods

morphine

severe analgesic ladder

morphine hydromorphine methadone fentanyl oxycodone adjuvants

nociceptive

most common activation of nociceptors

isotonic

movement of the joint during muscle contraction

what receptors do opiod analgesics activate

mu

isometric

muscle contraction without movement

organ donation

must be eighteen years old relatives cannot refuse their organ donation

portal of exit

natural: the body naturally tries to eject pathogen (throwing up, coughing, sneezing)

failing to report bp is it negligence or malpractiec

negligence

Can you use antibiotics for the flu?

no

adminster and insulin injection correctly is this a smart goal

no

can you get informed consent from an unconscious person?

no

share her feelings about the death of her mother is this a smart goal

no

understand the symptoms of low blood sugar are these smart goals?

no

being clean and sterile when giving injections is part of what moral principle

nonmalefience

Pt has a right side himiplega as a result of a stroke and wants coffee. Even though patient is insistent, nurse doesn't permit her to drink coffee unsupervised. This nurse is using the moral principal of

nonmalifience

A nursing instructor delivers a lecture to nursing students regarding the issue of client's rights and asks a nursing student to identify a situation that represents an example of invasion of client privacy. Which situation, if identified by the student, indicates an understanding of a violation of this client right? performing a procedure without consent Threatening to give a client a medication Telling the client that he or she cannot leave the hospital Observing care provided to the client without the client's permission

observing care provided to the client without the client's permission

focused assessment

obtain data about actual, potential problem that has been identified or suspected

battery

occurs when intentional, offensive physical contact actually takes place

superinfection

oppurtunistic growth of normal transient microorganims

planning outcomes

outcomes a.k.a. goals -what the patient will achieve based on nursing interventions -goals drive interventions

exclusive provider organization

outside of the network are not covered; usually PCP referral not required to see specialist.

pain assessment

p-provking q-quality r-radiation and region s-severity t-timing

privacy and confidentiality

part of autonomy

incubation

pathogen gets in body. mostly dormant in this period, but slowly multiplying

prodoromal

pathogen starts multiplying. S/s beginning of a cold. most likely to spread infection during this time

convalescence

pathogens numbers decline and return to a state of healthy

moments before death

patient may be unresponsive to touch / sound

1-3 months before death

patient withdraws from the world: sleep increases and apetite decreases

one to two week before death

patients typically exhibit decreased blood pressure, increased heart rate, increased perspiration, and temperature fluctuations;

parasomnia

patterns of awake behaviors that appear while the person is sleeping

ongoing assessment

performed as needed

sleep apnea

periodic breathing cessation for at least ten seconds during sleep s/s: snoring, snorting, thrashing

secondary defense

phagocytosis, the compliment cascade, inflammation, and fever

neuropathic

complex and chronic injury to nerve usually pins/needles/burns

palliative care

focuses more on the symptoms -they do not need to be dying, but usually have a chronic illness

constituional law

freedom of speech

anxiety

general vague unknown fear

delayed grief

grief happens later than when incident occurs

disenfranchised grief

grief that is not accepted by the soceity EX) if gay person lost their significant other

chronic grief

grief that is unresolved and lasts a long time

practical knowledge

hands on knowledge

referred pain

happens somewhere you don't feel pain where it is happening

nosocomial infection

healthcare acquired infection

comprehensive assessment

holistic information about patient overall health via observation, physical assessment, nursing history inteveiw

alternative medical systems

homeopathy naturopathy aryuveda

alternative medical systems

homeopathy naturopathy ayruveda

modulation

how our body adapts to the pain

living will

how the person would like to be treated in their end of life. -are able to change it any time with doctor

living reservoirs:

human, animal, insect

tertiary

humoral immunity and cell mediated immunity

internal stressor

illness, - self talk

moral distress

inability to carry out a moral decision -perceived constraints EX) decision to give patient supplies but are not able to because of constraints.

fomite:

inatimate object. infection can spread but can't multiply. EX)if you cough on a tablethe table is now a fomite

impaired swallowing related to cerebral vascular accident aeb...

incorrect r/t is a medical diagnosis cannot have a medical diagnosis

physiological stressor

increased heart rate when stressed; don't sleep

involuntary coping response

increased heart rate, hair falling out

septicemia

infection spraed via blood

subjective data

information communicated to a nurse by patient family or communicty

vector

insect animal EX) malaria mosquito

jcaho

inspects & surveys participating hospitals to ensure high standards & quality care of pt.s

malpractice

intentionally cauing harm. fails to follow standard care of, resulting in harm.

psychological loss

internal

circadian rhythym

internal clock 24 hour day-night sleep/wake pattern affects overall level of functioning

planning interventions

interventions re intended to help patient achieve stated goals

What are prevailing characteristics of narcolepsy?

involuntary cataplexy hallucinations temporary paralysis

misdemeanor

involves crimes punishable by less than a year (assault, battery, petty theft)

alternative

it is a diff type of medicine (instead of) f

what if a patient has a CAM practice that they heavily believe in?

it is our duty to support our patients by not pushing anything that isn't supported by clinical evidence. We should telle them the risks, tlel them to talk to a doctor. we can't give advice as a nurse. we can just support them as long as it doesn't hurt them.

moral / ethical agency

it is the ability of nurses to base their practice on professional standards of ethical conduct and participate in ethical decision making. -nurses are responsible for their actions

spirituality

journey, accumulation of life experiences and insights, awareness

inferences

judgments/interpretations

broad spectrum antibiotics

kill all bacteria. we like to identify what type of bacteria so we cn give antibiotic specific for htem

CDC

lead federal agency protecting health & safety of people at home & abroad, credible info, strong partnerships

advanced directives

living will dpoa polst

hospice care

looks at the patient in a holistic manner must have two doctors that say they have less than six months to live

medicaid

low income citizens, legal immigrants, pregnant women, children, parents of low-income children, seniors, individuals w/disabilities. ACA: includes those who are not eligible for health insurance through an employer & cannot afford to buy health insurance through the Marketplace.

MORAL model

m: massage the dilemma o: outline the options r: resolve the dilemma a: act by applying the chosen option l: look back and evaluate

who is responsible for cultural competence

madeline leninger

documentation

making a written record of patient care

ethical knowledge

"do you know what is ethically right in nursing?"

self knowledge

"i know that i have this knowledge"

evaluation

-client's progress towards goals or desired health outcomes (met,partially met, not met) -recording of subjective and objective data

ATTITUDE

-feeling toward person object, idea -includes thinking and feeling component

chain of infection

-infectious agent -reservoir -portal of exit -means of transmission -portal of entry -susceptible host

actue pain

-less than six months mild to severe serves a purpose fight or flight reaction pain behaviors can be sudden usuaslly goes away when cause is id'd and treated

moral

-right vs. wrong. -personal beliefs, cultural differences / generational differences -private, personal, or group standards of right and wrong.

coomunication process

-sender: starts convo encoding: selects words, gestures, tones, signs message: the verbal/nonverbal info channel: how the message was sent -receiver: interprets the message -feedback: validates message was received

Which client statements best demonstrate to the nurse that the client understands the concepts of an advance directive? Select all that apply. "This document is a separate document from my final will." "This document is strictly for indicating if I want to be resuscitated." "I need to have my family sign this document in case my condition worsens." "This document describes the kind of treatment I want depending on how sick I am." "This document tells what I want and gives medical power of attorney to my doctor."

-this document is a separate document from my final will -this document describes the kind of treatment i want depending on how sick i am

five major categories of critical thinking

1) contextual awareness 2) inquiry/using credible sourcers 3) considering alternatives 4) analzying assumptinos 5 reflecting and decding

four components of full spectrum nursing

1) critical thinking 2) nursing knowledge 3) nursing process 4) patient situation

what are the two ways to modulate?

1) dump indogenous opiods/endorphins 2) gate control theory: brain stimulates neurons to inhibit pain neurons

Stages of infection

1) incubation 2) prodromal 2) illness) 4) decline 5) convalescence

How do you treat carbon monoxide poisioning

100% humidified oxygn

how much exercise is recomennded per day?

30 minutes

non-intentional tort

malpractice/negligence ligability' four elements: duty, breach of duty, causation, damages

good samaritan law

A Good Samaritan law is passed by a state legislature to encourage nurses and other HCPs to provide care to a person when an accident, emergency, or injury occurs without fear of being sued for the care provided.

medicare

Age 65 Under 65 for certain people with disabilities Under 65 for people with ESRD

general adaptation system

Alarm stage: fight or flight, can last up to twenty four hours resistance: alter, adapt or avoid the stressor. There is no set time on this stage exhaustion / recovery

paper health record con

Access may be delayed Retrieving information may be slow Documentation is time consuming Relatively high risk for patient care error Storage is expensive Confidentiality is difficult to protect

paper health record pro

Care providers comfortable-small learning curve No large databases and secure networks needed to function No downtime for system changes, weather.... Relatively inexpensive to create new or update old forms

health record

Collection of documentation, orders, care information same thing as medical chart

problem oriented record system pro

Common problem list includes input from all disciplines

preferred provider organization

Cover care provided both inside & outside the plan's network; large groups negotiate big discounts to keep consumer costs low; consumers can go out of network for $$

electronic health recod pro

Enhanced communication/collaboration; Improved access to to information; Time savings; Improved quality of care; information is private/safe.

electronic health recod con

Expense; Downtime; Difficulties associated w/change; lack of integration.

charting by exception con

Inadvertent omissions; assumption care done when not

The client asks the nurse why an electronic health record (EHR) system is being used. Which response by the nurse indicates an understanding of the rationale for an EHR system?

It improves interdisciplinary collaboration that improves efficiency in procedures.

The dr. explains to the laboring woman the impact on unborn child of refusing c-section at birth which outline of MORAL is it.

O: OUTLINE THE OPTIONS

two exceptions to informed consent

One is when an emergency is present and delaying treatment for the purpose of obtaining informed consent would result in injury or death to the client. The second is when the client waives the right to give informed consent.

problem oriented record system

Organized around patient's problems Four parts-database, problem list, POC, progress notes

pace

Patient/Problem, Assessment/Actions, Continuing/Changes, Evaluation

POLST

Physician Orders for Life Sustaining Treatment

health maintenance organization

Prepaid health insurance only covers care provided by providers & healthcare facilities inside the HMO network; Need referral from PMD to see specialist; not covered outside of network.

Electronic Health Record (HER) Systems:

Records entered via computer; combines systems

charting by exception pro

Reduces documentation time, repetitive charting

problem oriented recod system con

Requires cooperation among providers, diligent DB updates

if you want to put a medical diagnosis into your nursing diagnosis what do you say?

SECONDARY TO...

charting by exception

Significant findings, exceptions to normals/standards

tort

a claim for malpractice or negligence which is also civil law

percieved loss

a loss that can only be identifed by the person losing it

veracity

a nurses duty to tell the turth -a nurse must always be very honest

carrier

a person or animal who shows no symptoms of the illness but who have the pathogen inside their body EX) TB or HIV

code of ethics

a set of ethical principles that are accepted by all members of a profession

reservoir

a source of infcetion; a place where pathogens survive and multiply

stress

abnormal balance

circadian disorder

abnormality in sleep wake times

implementation

action phase we must document

why does pain exist

acts as a defense mechanism to inform you that something is wrong. prevents further damage

denotative language

actual literal definition

active euthanasia

actually administering the medication to make the person die.

common law

affirmative duty

what step of the ladder can you use adjuvants

all three

categories of cam

alternative systems mind-body interventions biology-based methods body-based methods energy therapies

activation of mu receptors causes

analgesia=pain relief euphora=happy,silly sedation respiratory depression decreased GI motility

droplet

anything spread via droplets. Assume it can travel 13 feet

airborne

anything that can be passed through air/ EX) TB must be in negative pressure room

moderate analgesic ladder

apap/codeine apap/hydrocodine apap/oxycodone apap/dihydrocodeine tramadol adjuvants

Tier one standard isolation precautions

applies to everyone -apply to blood all body fluids, secretions, excretions, non-intact skin and mucous membranes EX) gowns, gloves

mild analgesic ladder

asprin acetaminophen nsaids adjuvants

A client has refused to eat more than a few spoonfuls of breakfast. The health care provider has prescribed that tube feedings be initiated if the client fails to eat at least half of a meal because the client has lost a significant amount of weight during the previous 2 months. The nurse enters the room, looks at the tray, and states, "If you don't eat any more than that, I'm going to have to put a tube down your throat and get a feeding in that way." The client begins crying and tries to eat more. Based on the nurse's actions, the nurse may be accused of which violation? Assault Battery Slander Invasion of privacy

assault

intentional tort

assault, battery, false imprisonment, fraut, invasion of privacy

local infection

at a specificed spot

autonmy

autonomy refers to a peron's right to choose and ability act on that choice

three approaches to coping with stress

avoid, adapt, alter

rando grief stages

avoidance, confrontation acceptance

five features of cultural competence

awareness skills knowledge encounters desire and safety

infectious agent

bacteria, virus, fungi

systemic infcetion

bacterima: presence of baceria in blood septicemia: infction is spread via blodo

theorteical knowledge

basing it off of informatino "i know i need to give the insulin sub q. here are the sites."

The nurse calls security and has physical restraints applied to a client who was admitted voluntarily when the client becomes verbally abusive, demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? Select all that apply. Libel Battery Assault Slander False imprisonment

battery assault false imprisonment

moral outrage

belief that others are acting immorally -powerlessness "cannot prevent a wrong" "respond with whistleblowing"

giving education is part of what moral principle?

beneficence

putting meds in their food without them knowing is part of what moral principle?

beneficence --> paternalism

paternalism is part of what moral principle?

beneficence?

interpersonal

between two people

nurse practice acts

board of nursing, composition and powers nursing defintion; nursing practice boundaries, licensure requirements grounds for disciplinary action against license

physical dependence

body becomes dependent. you have a physiologcal side effect if you stop taking it

central sleep apnea

brain fails to signal muscles responsible for breathing

perception

brain is percieving/ becoming aware of the pain. This is what tell us to move our hand

obstructive

breathing rapidly. stops and starts during sleep. muscles intermittently relax and block air during sleep.

vector

bug that spreads the disease

what do you do if your child ingests posion?

call CDC

endogenous

caused by an infectious agent alrady prsent in body but has been dormant

collaborative problem

certain potential physiological complications that re always associated with a disease, test or treatment

how do you treat poision

charcoal

ethical dilemma

choice must be made between two equally undesirable choices

illness stage

classic s/s

asepsis

clean

s/s of overdose

coma respiratory depression RR<8 pinpoint pupils

informed consent

completeness clarity and comprehension voluntariness competence

Tier 2: transmission categories

contact enteric droplet airborne

nursing diagnosis

contains problem and etiology does not include a medical diagnosis

5 points of critical thinking

contextual awareness analyzing assumptions exploring alternatives use credible sources reflecting and deciding

side effects of opiod analgesics

contipation nausea/vomitting puritis (itching) respiratory depression drowsiness

exercise

contraction/relaxation of muscles increases muscle tone/strength

masked grief

covers up the pain

felony

crimes punishable by more than 1 year (murder, rape, drug theft)

culturally competent care

cultural awareness cultural sensitivity cultural competenece

culture

culture includes art, beliefs, values, customs, characteristics, race, and ethnicity

sleep

cyclical states/altered consciousness decreased motor activity / perception selective response to external stimuli

objective data

data gathered by assessment /lab diagnostics

source oriented system con

data may be fragmented / scattered

criminal law

deals with wrongs/offenses against society

visceral pain

deeper/harder to localize

quasi intentional tort

defemation of character : libel/slander

statutory law

defintion of nursing

administrative law

delegation and supervision

kubler-ross

denial anger bargaining depression acceptance

biology based therapy

diet herbs vitamins

biologically based therpaies

diets herbals vitamins

madeline leninger

discovered cultural care and caring beliefs, values, and practices analyzed the similarites and differences of these beliefs among the different cultures

exogenous

diseae from hospital

civil law

dispute between individuals or entites involves contract law and tort law

situational stress

does not last forever

evaluation

don't evaluate the things we did. we are evaluating the goal.

source oriented system

each discipline charts seperate sections

source oriented system pro

easily find specific disciplines care

adaptation

either adapt to stressor or avoid it

OSHA

establishes/enforces protective standards, reaches out to employers/employees.

welness does not have..

etiology

The nurse is giving a report to an unlicensed assistive personnel (UAP) who will be caring for a client who has hand restraints (safety devices). The nurse instructs the UAP to check the skin integrity of the restrained hands how frequently

every 30 minutes

hypersomnia

excessive sleeping sleep-related or disease related

negligence

failing to do something

causes of malpractice

failure to respond failure to educate failure to communicate failure to document failure to act as an advocate failure to follow standards of care and facility policies and procedures

two levels of criminal law?

felonies-crimes punishable by more than 1 year (murder,rape, drug theft) misdemeanor-involves crimes punishable by less than a year (assault, battery, petty theft)

decline

fever breaks starting to feel better

REM sleep

first 70-90 minutes after sleeping dream stage

nursing assessmetn

focus on patient's response to illness -holistic approach -teach client's self care strategies to increase Independence in daily activities

medical assessment

focused on disease and pathology -diagnose and treat disease 0teach patients about treatments for their disae or injury

bacterima:

preence of bacteria in blood

if pt. has s/s it no longer is a risk, but becomes a ..

problem

three parts of diagnostic statement

problem: etiology: s: signs/ symptoms (AEB) (should be at least three signs and symptoms)

actual nursing diagnosis

problems that patient actually/currently has

medical asepsis

procedurse that decrease the spread of infection

proper body mechanics

proper alignemtn wide base of support avoid bending and twisting squat to lift keep objects close when lifting raise beds

HHS

protecting health of all americans & providing essential human services.

assisted suicide

provides the means to commit suicide

risk/possible diagnosis

pt is at a risk for if nurse does not intervene

wellness

pt is in a good state of health ready for the next step

intial assessment

pt. first comes to health care agency

group communication

public speaking

adjuvant therapies

reduce the amount of opiod the patient recquires many are used for conditions other than pain -many useful for neuropathic pain

fidelity

refers to the agreement to keep promises

energy therapies

reiki magnets qigong

energy therapies

reiki magnets quigong

anxiety related to aids what is wrong with this diagnosis

related a nursing dx to a medical dx

decoding

relating the message to your past experiences to determine the meaning

morphine

relief of moderate to severe pain opiod agonist

maladpative stress

relieve symptoms temporarly but does not adresss root of the problem

disinfection

removes a mask all pathogens on inantimate objects but does not guarentee they are all gone

reticular activating system

responsible for maintaining wakefulness; regulates sleep and awake cycles

informed consent

right to know risk and benefits -part of autonomy

religion

roadmap

risk has no..

s/s (AEB)

bowlby grief

says that feeling of grief comes from realization that your loved one is gone.

engel's stage of grief

says that if you have uncomplicated grief you should follow a predictable pattern depending on the severity and how prepared you were for the loss

secondary data

secondhand from medical record or caregiver

intrapersonal

self talk

transmission

sensory nerves go to the spinal cord to the brain

engel's stages of grief

shock and disbelief developing awareness restitution and recovery

bowlby phases of grief

shock and numbness yearning and searching disorganization and repair reorganization

A client is brought to the emergency department by emergency medical services (EMS) after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which is the best action? Obtain a court order for the surgical procedure. Ask the EMS team to sign the informed consent. Transport the victim to the operating room for surgery. Call the police to identify the client and locate the family.

transport the victim to the operating room for surgery

True/false: people with chronic pain may seem normal

true

special need assessment

type of focused assessment in depth information about a particular area

restless leg syndrome

uncontrollable movement of legs during sleep /rest

loss

undesired change or removal of a valued object, person, or situation

patient self determination act

uphold the rights of a patient regarding the decision of his own healthcare

isokinetic

use of machines that control the speed of contraction

active listening

uses all senses to focus on the sender's message, gives undivided attention and allows the sender the opportunity to complete comments without interruptions

candence

variation in pitch don't want to sound monotone

inflammatory response

wbc, histamine, redness, swelling

stressor

what causes the stress

connotative

what the language implies

cues

what the patient says

fear

what we know we are afraid of

reflex pain response

when reflex pain response is triggered it signals inflammation process

reservoir:

where the bacteria grows

tort law

with wrongs not involving a contract

psychosocial stressor

withdrawal/ party drink

passive euthanasia

withholding air / water / food so that the person dies

voluntary coping response

working out, yoga, discussion

contract law

written or oral agreement between parties breach of contrct

identify two techniques to reduce fatigue is this a smart goal

yes

risk for falls related to decreased cognitive mental status secondary to huntington's disease is this correct

yes

mind-body medicine

yoga spirituality relaxation

mind-body therapies

yoga spirituality relaxation

complementary

you can do it on top of your traditional medicine

anticaptory grief

you know that you are going to lose the person soon.. EX) saying to the nurse, "i'm glad that my mother wil be out of pain soon."

psychogenic pain

your brain is telling you that you are having pain. you think you are having pain but there is no way to measure it EX) fibromyalgia

5 orders of POLST

§ CPR § Medical Interventions § Antibiotics § Tube feeding § Medical Condition/Goals