Nursing 250

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Illness

The response of a person to a disease

World War II

20th century; needed to start getting educated; more drastic changes for education

Who was the first trained nurse in the US and established the practice of record keeping?

Linda Richards

Delegation

only to RN ; delegation to UAP; Nurses have to assess; teaching, evaluations; can delegate: standard unchanging tasks, weighing patients, vital signs

Communication Blocks

prevent communication with your patient

Promote health

reach maximum potential of living and functioning

Preventing illness

screenings, breast exams, immunizations

Associate/BS

2 Years Associates/ 4 years BS

LPN < Diploma < RN

...

3 Learning domains

1. Cognitive 2. Psychomotor 3. Effective

Competencies to provide care (4)

1. Inter personal 2. Technical 3.Cognitive 4. Legal

3 Phases of relationship

1. Orientation 2. Working - longest 3. Termination

TEACH initials

1. Tune into patient 2.Edit patient information 3.Acting on an opportunity to teach 4.Clarify 5.Honor the patient

COPE Model initials

1.Creativity 2. Optimism 3. Planning 4. Expert Information

Gordon's Functional Health Patterns

1.Health perception/management 2. Elimination 3. Cognitive/perceptual 4.Sleep/rest

Watson's four main concepts

1.Human being 2.Health 3.Society 4.Nursing

Industrial Revolution

18th century before Crimean War and WWII

Crimean War

19th century; Florence provided care for soldiers

Small group communication

2 or more people

What is different about counseling?

Act in a caring manner to help them COPE

The rapid onset of symptoms that last a relatively short time indicates what health problem?

Acute illness

Graduate Degrees

Advanced practiced, Masters

Tertiary

After disease is detected; Trying to decrease the amount of disability; EXAMPLE: Rehab after stroke , Some damage but want to get better, Diabetics issues with feet, Medications; diagnosed and cannot completely cure

Elimination

Bowel Movements

Health Promotion Model

How people interact with the environment; Individual characteristics and knowledge to motivate health promoting behavior; Based on their habits

The primary consideration in increasing the effectiveness of teaching a client how to care for a colostomy is to ...

Assess the client's readiness to learn.

Nursing Process

Assessment, Diagnosis, Planning, Implement, Evaluate

Effective

Attitude and beliefs

A nurse manager makes all the decisions for staff activities. What type of leadership is demonstrated by this action?

Autocratic

Health Belief Model

How they perceive they are health wise; Rosenstock;

Nurses primary role in promoting health

Being a role model for health promotion

Attributes of a leader

Charismatic, dynamic, self confident

CE

Continuing Education; required; every state has to have this to be able to renew license

Health Illness continuum

Continuously changing; One end good, one end bad

LPN

License Practice Nurse; usally the shortest education; also known as License Vocational Nurse LVN

Refreezing

Like the changes you saw and want to keep it

What type of leader shares decisions and activities with group participants?

Democratic

A mother of a toddler wants to learn how to do CPR. What teaching strategy would be most effective in helping her learn?

Demonstration

Psychomotor

Demonstration

Moving

Doing something different, making changes

In-Service

Done in the hospital/ facility to keep you updated on everything going on (policies, procedures) specific for your location

Agent Host Environment

Examine cause of disease; Exams and causes of disease; risk factors

Nursing activities on a secondary level include teaching a patient with diabetes how to recognize and prevent potential complication. TRUE or FALSE?

FALSE

The Health Promotion Model views health as a constantly changing state, with high level wellness and death being on opposite ends of the continuum. T/F

FALSE

Who believed there was a difference between nursing and medicine?

Florence Nightingale

Older adults

Go slower with them, they get easily distracted

SBAR

Hand off communication (another nurse, another shift, another hospital)

Explicit leader

Have the label, implied

Which of the following models of health promotion and illness prevention was developed to illustrate how people interact with their environment as they pursue health

Health Promotion Model

Sleep/Rest

Hours of sleep

UAP can....

Implement

What strategy might a nurse use to increase compliance with teaching?

Include the patient and family as partners

Risk factors for illness

Increase your risk for illness or disease; Examples: Age, smoking, environment, body type, social class

What phrase best describes the term HEALTH

Individually defined by each person

A specific nursing unit practices functional nursing. What was the basis for this concept

Industrial assembly line

IOM

Institute of Medicine; puts the projects out there

Appropriate to delegate to a UAP

Intake and outtake

Implied leader

Just take over

KSA

Knowledge, Skills, Attitude; the project

Who published 4 volumes called the "History of Nursing"?

Mary Adelaide Nutting

Who established one of the first midwifery schools in the US?

Mary Breckenridge

Who was America's first African American nurse, graduating from the New England Hospital?

Mary Elizabeth Mahoney

High Level Wellness Model

Maximum potential

Health Perception/ Management

Med compliance, exercise, diet

Cognitive/Perceptual

Memory

Doctors

More task oriented; nurses are more full picture

Men in Nursing

Need more men as nurses to be mentors, need to represent our diversity

Who established the first 3 year nursing program in North America?

Nora Gertrude Livingston

What manifestation is the most significant symptom indicating an illness?

Pain

Second degree programs

People who come out of college with a different degree; go back to school; completely changing your profession

Dorthea Dix

Pioneer for the reform of the treatment of the mentally ill.

Primary

Prevent DEVELOPMENT of illness or disease; Health risk assessments; Examples: Immunizations, Poison control, Seat belts, Helmets, Diet and exercise; Before illness, accident or disease

As nurses we can volunteer to participate in influenza injection clinics locally and on campus. What level of health promotion and preventive care is this an example of ...

Primary

QSEN

Quality Education Safety for nurses

Unfreezing

Realizing something is wrong

Perception is the key focus of the health model developed by

Rosenstock 1974

Secondary

SCREENING for early detection; Goals: Identify illness; reduce; reverse any potential problems; Get back to maximum health

SBAR initals

Situation Background Assessments Recommendations

Based on Dunn's high level wellness model, the nurse plans care to achieve what patient goal?

Striving to reach maximum potential in all dimensions.

Nursing Assessments

Subjective and Objective

Interpersonal

Talk between 2 people

Intrapersonal

Talking to yourself

When comparing team nursing with functional nursing, what characteristic is found?

Team Nursing focuses on individual patient care

In Lewin's classic theory of change, what happens during unfreezing?

The need for change is recognized

SOLER Model

Therapeutic communication technique

A diabetes nurse educator is teaching a patient, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this teaching?

To help the patient develop self care abilities

A nurse leader is described as charismatic, motivational, and passionate. Communications are open and honest, and the nurse is willing to take risks. What type of leadership is the nurse practicing?

Transformational

Healthy People 2020

Tried 2010; new goal is 2020; make people healthier in America

Patient education

Try to promote health, prevent illness; reason why; teaching them things they need to know to take care of themselves

Lewin 3 parts

Unfreezing, moving, refreezing

COPE Model

Used for family members when teaching how to take care of a sick family member

Cognitive

What they remember

Complexity compression

When things change in the facility, you need to quickly change too

Qualities of a leader

charismatic, enthusiastic, dynamic

Communication Blocks

don't use why, don't use opinions, don't use cliches, don't change the subject

Restore health

getting rid of road blocks

Organizational communication

large group of people

Prevent illness

lessening the bad things stopping them from being max potential

Patterned Assessment

lifestyle, behavioral patterns

Facilitate Coping

weren't able to prevent disease and now they have to cope


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