front 1 Patient interview | back 1 Orintation working termination |
front 2 Standing order | back 2 Written by a physician and it lists specific actions to be taken by a nurse or other health care provider when access to a physician is not possible or when a care is common to a situation. |
front 3 Five triage systems | back 3 Level 1- critical level 2- emergent level 3- urgent level 4- nonurgent level 5- fast tract |
front 4 Focus assessment | back 4 Brief individualized physical exam conducted at the beginning of an acute care setting work shift |
front 5 Comprehensive assessment | back 5 Includes thorough interview health history review of systems extensive physical head to toe assessment cranial nerves |
front 6 Nurse educator | back 6 Ensures that patients receive sufficient info on which to base consent for care and related treatment |
front 7 Change agent | back 7 Agent in a leadership role |
front 8 Leader | back 8 Provides direction and purpose to others, builds a sense of commitment toward common goals. Communicates effectively, and assists with addressing challenges that arise |
front 9 Manager | back 9 Manages all of the activities and treatments for patients |
front 10 Professional identity in nursing | back 10 Sense of oneself that is influenced by characteristics, norms, and values of the nursing discipline and resulting in an individual thinking and feeling like a nurse |
front 11 Delegator | back 11 The nurse delegates certain activities to other health care personal |
front 12 Attributes and criteria | back 12 Doing being acting ethically flourishing changing identities |
front 13 Being | back 13 Doing the right thing even when nobody is watching |
front 14 Integrity | back 14 Following through with a pain meds calling the MD when patient asks you to checking the code cart by the prescribed time giving meds within the 30 min window |
front 15 Interrelated concepts | back 15 Clinical judgement leadershio ethics communication |
front 16 Deontology | back 16 Ethical theory that stresses the rightness or wrongness of an individual behaviors, duties and obligations |
front 17 Beneficence | back 17 "Doing good" |
front 18 Autonomy | back 18 Self determination |
front 19 Utilitarianism | back 19 Maintains that behaviors are determined to be right or wrong solely on the basis of their consenquences |
front 20 Reliability of POCT | back 20 Based on formal planning and systemic management to reduce errors and ensure the quality of patient testing |
front 21 Recommend standards for POCT | back 21 Include routine assessment of the sampling practices, standarized evaluations of controls used in assessing the samples and review of the quality testing procesures |
front 22 Scientific method | back 22 One approach to problem resolution. Is systemic, logical, and based on data collection and hypothesis testing |
front 23 Nursing process | back 23 Requires critical thinking. Is based on assessments, diagnosis, planning, implementation and evaluation |
front 24 Evaluation | back 24 Info including the reliability, credibility, and bias of the source is assessed |
front 25 Analysis | back 25 Investigating plans of actions on the basis of examination of subjective and objective data |
front 26 Inference | back 26 Making accurate conclusions that are based on sound reasoning |
front 27 Critical decision making | back 27 Consistent use of the essential skills of critical thinking guides clinical decision making |
front 28 Illogical thinking | back 28 Characterized by failure to follow rational, systematic processes when approaching an issue or problem |
front 29 Bias | back 29 Inclination or tendency to favoritism or partiality |
front 30 Leadership | back 30 Ability to influence and motivate others |
front 31 SBAR | back 31 Charting technique situation, background, assessment, and recommedation nurse to physician interviews |
front 32 Charting by exception | back 32 Documentation that records only abnormal or significant data |
front 33 SOAPIE note | back 33 Subjective data, objective data, assessment, plan, intervention, evaluation |
front 34 SOAP note | back 34 Subjective data, objective data, assessment, plan |
front 35 Apie | back 35 Assessment, problem, intervention, evaluation |
front 36 SOAPIER | back 36 Subjective data, objective data, assessment, plan, intervention, evaluation, revisions to plan |
front 37 DAR note | back 37 Data, action, response used to chart |
front 38 Bureaucratic leader | back 38 Leader that assumes that followers are motivated by external forces |
front 39 HIPPA | back 39 Federal standards for the protection of personal health information |
front 40 Autocratic leader | back 40 Leader who exercises strong control over subordinates |
front 41 Democratic leader | back 41 Leader that believes that employees are motivated by internal means and want to participate in decision making |
front 42 Transformational leaders | back 42 Employ methods that inspire people to follow their lead |
front 43 Laissez faire leader | back 43 Provides little or no direction to followers |
front 44 Behavioral theories | back 44 Assume that leaders learn certain behaviors |
front 45 Trait theories | back 45 Theories that assume that leaders are born with the personality traits necessary for leadership |
front 46 Situational theories | back 46 Theory that leaders change their approach depending on the situation |
front 47 Transactional leaders | back 47 Use reward and punishment to gain the cooperation of followers |
front 48 Malpractice | back 48 Negligence committed by a person functioning in a professional role |
front 49 negligence | back 49 Creating risk of harm to others by failing to do something |
front 50 DNR-CC | back 50 Do not recuscitate, comfort care |
front 51 Advanced directive | back 51 Living will- specifies treatment a person wants to receive when he or she is unconscious durable power of attorney- legal document that allows a designated person to make legal decisions on behave of an individual health care proxy- specifies the person who can make health care decisions for an individual |
front 52 Euthanasia | back 52 Occurs when a person who willingly requests to die is injected with a lethal drug dosage by another individual |
front 53 Assisted suicide | back 53 Occurs when a person causes his or her death with the assistance of medication or intravenous injection supplied by a physician or other health care provider |
front 54 Clustering | back 54 Involves organizing patient assessment data into groupings with a similar underlying causes |
front 55 Diagnosis label | back 55 Concise term or phrase that represents a pattern of related, clustered data. Taken from the official NANDA -I list |
front 56 Components of nursing diagnoses | back 56 Diagnosis label related factors defining characteristics |
front 57 Health promotions nursing diagnoses | back 57 Used in situations in which patients express interest in improving their health status. Through positive change in behavior |
front 58 Veracity | back 58 Truthfulness |
front 59 Nonmaleficence | back 59 First do no harm |
front 60 Fidelity | back 60 Keeping promises or agreements made with others |
front 61 Civility | back 61 Acting politely. Is essential in all intersections amoung faculty and nursing students |
front 62 Code of ethics | back 62 Code of ethics- formalized statement that defines the values, morals, and standards guiding practice in a specific discipline or profession |
front 63 Bioethics challenges in health care | back 63 Genetic testing cloning and embryonic stem cell research end of life care |
front 64 Bioethics | back 64 Study of ethical and philosophical issues in biology and medicine |
front 65 Sources of law impacting professional nursing | back 65 Constitutional, statutory, regulatory, and case law |
front 66 Futile care | back 66 Care that is useless and prolongs the time until death rather than restoring life |
front 67 Statutory law | back 67 Created legislative bodies such as the U.S congress and state legislature |
front 68 Constitutional law | back 68 Derived from a formal written constitutional that defines the powers of government and that responsibilities of its elected or appointed officials |
front 69 Case law | back 69 Historically referred to as common law because it originally was determined by customs or social mores that were common at that time |
front 70 Regulatory law | back 70 Outlines how the requirements of statutory law will be met |
front 71 Nurse practice act | back 71 Defines the nursing scope of practice in that state |
front 72 Intentional torts | back 72 Wrong committed by individuals who deliberately seek to injure or hurt another person |
front 73 Types of statutory law | back 73 Criminal, misdemeanor, felony, and civil law |
front 74 Patient goals | back 74 All goals must be patient focused realistic measurement |
front 75 Short term goals | back 75 Goals that are achievable within an immediate time frame of less than one week |
front 76 Long term goals | back 76 Will take more time to achieve- weeks to months |
front 77 Secondary data | back 77 Data obtained from reviewing a patients chart, medical records, results of labs, and diagnostic tests |
front 78 Primary data | back 78 Data that comes directly from the patient |
front 79 Researcher | back 79 Nurses concur research studies and apply research to practice |
front 80 Referent | back 80 Event or thoughts initiating the communication |
front 81 Sender | back 81 Person who initiates and encodes the communication |
front 82 Receiver | back 82 Person who receives and decodes or interprets the communication |
front 83 Message | back 83 Information that is being communicated |
front 84 Channel | back 84 Method of communication |
front 85 Feedback | back 85 Respons of the receiver |
front 86 Encode | back 86 Translating their thoughts and feelings into communication with a receiver |
front 87 Feedback | back 87 To avoid misinterpretation of a message, it is essential that the receiver provide feedback to the sender regarding conveyed meaning |
front 88 Verbal communication | back 88 Spoke, written or electronic most communication is nonverbal and provided in the form of body language such as gestures and eye contact |
front 89 Nonverbal communication | back 89 Wordless transmission of information. 93% of communication is nonverbal. Body language constitutes 55% of all nonverbal communication and voice inflection accounts for 38% |
front 90 Nonverbal communication | back 90 More accurate mode of conveying information |
front 91 Proxemics | back 91 The study of the spatial requirements of humans and animals |
front 92 Spaces | back 92 Intimate - 0-1.5 feet personal -1.5 to 4 feet social- 4-12 feet public 12 feet or more |
front 93 Personal space | back 93 Children demonstrate a need for greater personal space as they age. english speaking people typically prefer at least 18 inches of distance between themselves and others when conversing middle eastern people may be comfortable standing very close while communicating |
front 94 Voice inflection | back 94 The second most significant form of nonverbal communication |
front 95 Intrapersonal communication | back 95 Occurring internally |
front 96 Positive self talks | back 96 Internal conversations that provides motivation and encoraugement. May be used to build self esteem and self confidence |
front 97 Meditation | back 97 Mindful reflection or contemplation |
front 98 Interpersonal communication | back 98 Takes place between two or more people |
front 99 Interprofessional communication | back 99 Almost 70% of sentinel events were caused by communication breakdown and 50% of those cases occurred during patient handoff |
front 100 professional role boundaries | back 100 limits and responsibilities of an individual in a given setting |
front 101 4 phases of group development | back 101 forming storming norming performance |
front 102 5 areas of nurse -patient relationship | back 102 building trust demonstrating empathy establishing boundaries recognizing and respecting culture influences developing a comprehensive plan of care |
front 103 helping relationship | back 103 the 5 steps of the nursing process are used in each phase of the helping relationships nursing diagnoses for individual patients are identified during the orientation phase after assessment data are gathered and clustered |
front 104 secondary date | back 104 with the patients permission relatives and friends may be considered secondary sources of subjective information |
front 105 assertiveness | back 105 the ability to express ideas and concerns clearly while respecting the thoughts of others |
front 106 therapeutic communication | back 106 the primary focus of therapeutic communication between a patient and nurse is the patient |
front 107 social communication | back 107 most often occurs among individuals who know each other or who are getting to know each other informally. |
front 108 SOLER | back 108 s- encourages the the listener to sit o- reminds the nurse to maintain an open stance or posture l- suggest the listener lean toward the speaker e- to maintain eye contact without staring r- reminds the nurse to relax |
front 109 Uninterrupted sleep | back 109 Adults need 6-8 hours per night |
front 110 Hospital sleep | back 110 Adults while in a hospital need at least 90 minutes of uninterrupted sleep |
front 111 Ways to help your pt get their needed sleep | back 111 Cluster care consult about medication regiment especially meds like diruretics- don't administer past 6 pm |
front 112 Sleep disorders | back 112 20-30% of adults have some kind of sleep disorder |
front 113 Stages of sleep | back 113 Stage 1- 3-10 minutes stage 2- 10-20 minutes stage 3 - 15-30 minutes stage 4 - 15-30 minutes REM sleep- memory is enhanced, cells regenerate, cerebral blood flow cycle through about 6times/night |
front 114 Sleep hygiene | back 114 Ritual to implement or promote sleep drinking milk brushing teeth turning lights down |
front 115 Not enough REM sleep | back 115 Increases agitation, and impulsiveness |
front 116 Cortisol | back 116 Stress hormone released early in the daytime |
front 117 Melatonin | back 117 Hormone for sleep induces sleep |
front 118 Sleep study | back 118 Polysomnography |
front 119 Multiple sleep latency test | back 119 During several 20 minute naps during the day pt is suspected of having narcolepsy |
front 120 Dyssomnia | back 120 Difficulty falling asleep staying asleep being excessively sleepy |
front 121 Parasomnia | back 121 Disorders associated with abnormal sleep behaviors |
front 122 Bruxism | back 122 Grinding teeth |
front 123 Enuresis | back 123 Bed wetting |
front 124 Somnambulism | back 124 Sleep walking |
front 125 Other sleep disorders | back 125 Underlying medical or psychiatric problem COPD- pain mentak health disorders |
front 126 Insomnia | back 126 Difficulty with sleep |
front 127 Hypersomia | back 127 Excessive day time sleeping |
front 128 OSA | back 128 Obstructive sleep apnea 10 seconds or greater without breathing |
front 129 Sleep deprivation | back 129 Loss of good quality sleep |
front 130 RLS | back 130 Restless leg syndrome constantly needing to move legs |
front 131 C-pap machine | back 131 Continuos positive airway pressure |
front 132 Sodium | back 132 135-145 meq/l normal per textbook |
front 133 Potassium | back 133 3.5-5.0 normal per textbook |
front 134 Calcium | back 134 8.5-10.5 |
front 135 Magnesium | back 135 1.3-2.1 |
front 136 Phosphorus | back 136 1.76-2.6 |
front 137 Abnormal Na+ Levels | back 137 Behavior issues |
front 138 Low sodium levels | back 138 Hyponatremia Causes confusion, lethargy |
front 139 High sodium levels | back 139 Hypernatremia irritability, hallucinations |
front 140 K+ | back 140 Cardiac/ neuromuscular |
front 141 Low Potassium | back 141 Weak, cardiac dysrhythmia |
front 142 High potassium | back 142 Dysrhythmia |
front 143 Hypervolemic | back 143 Too much volume too much IV fluid |
front 144 Hypovolemic | back 144 Too low volume low BP, low heart rate |
front 145 Fluid shifting | back 145 Good reason to keep electrolytes balanced |
front 146 PH | back 146 7.35-7.45 |
front 147 Sa02 | back 147 95-100 |
front 148 acid base balance | back 148 Respiratory- 1st thing to kick in with acid imbalance renal - excretes hydrogen- doesn't kick in for 3 days |
front 149 Kussmoulis | back 149 Deep shallow breathing you exahule c02 when you breathe |