Module H & G
1) Ethnicity- shared identity related to social and cultural heritage such as values, language, geographical space, and racial characteristics.
2) Acculturation- process of adapting to and adopting a new culture.
3) Critical thinking- Involves determining the meaning and significance of what is observed, being able to judge the situation, and act quickly, efficiently, and provide the best choice of care to the patient under pressure and adverse situations, to save lives.
4) Nursing process- Process where nurses deliver care to patients. It is a patient centered, goal oriented method of caring. It includes 5 major steps: Assessment, diagnosis, planning, implementation/intervention, and evaluation.
5) An example of critical thinking- I responded to an over head code in the ED while working in the ICU. In the assessment portion of the nursing process in relation to code; I noticed that while the physician was inserting the arterial line a nurse zeroed it before the Dr. was done connecting it. This really makes a difference in your wave formation. At this point the blood pressure on the monitor read 60/30. Another nurse hollered to me to “open up the Dopamine!” (Which was infusing) I had also noticed that the patient and he did not appear pale and had a palpable radial pulse. I responded to that nurse “No, I am not going to open up the Dopamine. That is not his real pressure”. The Dr. responded “I know I’m in an artery”. I explained that the art line needed to be zeroed as I walked over and zeroed it. The pt.’s BP then read 132/74.
... healthcare nurse. The home health care nurse provides care for a patient in his or her home. This nurse works alone when caring for patients. This professional nurse has ... team in the health care field helps empower not only the nurse, but also the patient. “Empowerment is a transactional process involving relationship with ...
6) Accountability- NEVER take shortcuts when caring for a patient, be responsible and use the standards of practice. If shortcuts are taken and adverse effects occur, you must be accountable for the outcomes of your actions. An accountable nurse is reliable and willing to recognize when nursing care is ineffective.
7) Three phases of an interview- Orientation phase(introduction, assessment, health data), working phase(gather clients health status, listen, use paraphrasing and open ended questions, most extensive phase), termination phase(give client cues that interview is coming to an end, summarize important points).
8) Chest pain- ASK when, where, duration
9) Clustering data- Cluster of objects that are somehow similar in characteristics. Group all the data together in appropriate, concise, and precise language.
10) Examples of O & S data- Subjective is what the patient states “My head has been hurting for days”
Objective is what we observe “Past medical history, See a patient holding a body part and crying in pain, Vital Signs, Lab values”
11) How to do data collection- You will use client interview, health history, physical examination, and results of laboratory and diagnostic tests to establish a clients assessment database. (Interview, information, history, health concerns, documentations, data validation)
12) How to correctly write a nursing diagnosis- (NANDA diagnosis r/t medical diagnosis)
*Decreased physical functioning r/t limited physical activity, strength, coordination, and nutrition*
13) What is a nursing diagnosis- Standardized statement about the health of a client, for the purpose of providing nursing care. Nursing diagnosis are developed based on data obtained during the nursing assessment.
14) Low & high level priority nursing diagnosis- low levels are patients will impaired mobility, defensive coping skills, low self esteem. High levels are heart pain/failure, violent patients, attempt suicide.
... are advantages and disadvantages in the nursing field. Some of the advantages of nursing, helping patients get well, applying knowledge at ... which require a license. Other fields are CNAS', nursing aides, in nursing homes, hospitals, schools, and home health agencies just ... and medical diagnosis. DUTIES AND RESPONSIBILITIES Some of the duties and responsibilities in the field of nursing are nurses ...
15) Long term goal? Goal that the nurse makes for the patient, wants them to accomplish it within a certain time period
16) Physician/prescriber initiated nursing diagnosis- Draw blood, give meds
17) Nurse initiated diagnosis- Check restraints, give bath, turn pt
18) CORRECTLY written STG- Patient will receive bath, grooming, feeding & will remain free of pain or discomfort
19) Client centered- What we want them to do (Patient/Client will)
20) Nursing interventions correct- Nursing diagnosis
21) How to evaluate an outcome? Check. Make sure the outcome was met/evaluate
22) How to correctly write an outcome- Patient received bathing/hygiene, dressing/grooming and maintained dignity during my 6 hr shift.
*Outcome- will have no redness or swelling @ end of shift *Evaluation- no redness or swelling
*Outcome- Pt will breathe easier within 15 minutes of breathing treatment *Evaluation- listen to lung sounds
23) Performance/quality improvement- Structure, process, and outcome are evaluated and performance improvement projects are planned. Provide a coordinated system that continuously assesses and evaluates quality in patient care and nursing practice. Provides nurses with an opportunity for an active voice.
24) Spirituality- ultimate reality or transcendent dimension of the world, inner path enabling a person to discover the essence of their body, someone’s deepest feelings and meanings in life, spiritual practices such as meditation and praying.
25) Kubbler-Ross’s stages of grief-
1) Denial (this isn’t happening to me)
2) Anger (why is this happening to me?)
3) Bargaining (I promise I’ll be a better person if…)
4) Depression (I don’t care anymore)
5) Acceptance (I’m ready for whatever comes)