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Fundamentals of Nursing- EXAM 1 Chapters 1-11 – 204 Q/A – A+ Rated
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Fundamentals of Nursing- EXAM 1Chapters 1-11 – 204 Q/A – A+ Rated
As a _____________ , you help patients maintain and regain health, manage
disease and symptoms, and attain a maximal level function and
independence through the healing process. - -caregiver
-As a _____________ you protect your patient's human and legal rights and
provide assistance in asserting these rights if the need arises. - -patient
advocate
-As a(n) ____________, you explain concepts and facts about health, describe
the reason for routine care activities, demonstrate procedures such as self-
care activities, reinforce learning or patient behavior, and evaluate the
patient's progress in learning. - -educator
-The _____________ is the philosophical ideals of right and wrong that define
the principles you will use to provide care to your patients. - -code of ethics
-ANA standards of nursing in order: (1-6) - -1. Assessment
2. Diagnosis
3. Outcomes ID
4. Planning
5. Implementation
6. Evaluation
-Benner: From novice to expert levels: (5) - -1. novice- beginning nursing
student who encounters a situation they have never dealt with
2. advanced beginner- a nurse who has some level of experience with the
situation
3.competent- nurse who has been in the same clinical position for 2-3 years
4. proficient- nurse with more than 2-3 years of experience in the same
clinical position
5. Expert- a nurse with diverse experience who has an intuitive grasp on
existing or potential or clinical problem
-Integrates best current evidence with clinical expertise and patient/family
preferences and values for delivery of optimal health care: - -Evidence
Based Practice
-newer term that describes the study of all genes in a person and
interactions of these genes with one another and with that person's
environment: - -genomics
, -Managed Care Organization (MCO) - -focuses on health maintenance,
primary care. All care is provided by a primary care physician. Referral is
needed to see a specialist.
-Prefered Provider Organization (PPO) - -limits enrollee's to a list of
"preferred" hospitals, physicians, and providers. Enrollee pays more out of
pocket expenses for using a provider not on the list.
-Medicare Parts - -Federally administered, US residents 65+
-Medicaid - -Federally funded, state operated, low income familes
-Private Insurance - -policies are typically expensive, deductibles
-Long-term care (LTC) - -very expensive
nursing homes, skilled nursing, intermediate, or custodial care
-State Children's Health Insurance Program (SCHIP) - -Federally Funded,
state-operated, uninsured children not poor enough for medicaid.
-Health services pyramid from base to top (5): - -1 (bottom)- population-
based health care services
2- clinical preventive services
3- primary health care
4-secondary health care
5- tertiary care (top)
-Examples of secondary acute care: - -emergancy care, acute medical-
surgical care, radiological procedures for adcute problems (xrays, CT scans)
-examples of tertiary care: - -intensive care, subacute care
-examples of restorative care: - -cardio and pulm. rehab
ortho rehab
sports medicine
spinal cord injury programs
home care
-examples of continuing care - -assisted living
psychiatric and older adult daycare
-examples of primary care (health promotion): - -prenatal and baby-well
care
nutrition counseling
family planning
exercise classes
, -primary health care focuses on: - -improved health outcomes for an entire
population
-goals of restorative care: - -help individuals regain maximal functional
status and enhance QOL through promotion of independence and self-care
-_________ restores a person to the fullest physical, mental, social,
vocational, and economic potential possible. - -Rehabilitation
-Respite Care: - -a service that provides short-term relief or "time off" for
people providing home care to an individual who is ill, disabled, or frail
-concepts of patient-centered care include: - -respect and dignity, sharing
information, participation in care and care decisions, and collaborations
-Health care organizations are evaluated on: - -the basis of outcomes such
as prevention of complications, patients' functional outcomes, and patient
satisfaction
-the 5 social determinants of health: - -1.biology and genetics (sex and age)
2.individual behavior (alcohol, drugs, smoking)
3.social environment (income, gender, discrimination)
4.physical environment (where they live)
5. health services (access to quality health care and having health insurance)
-public health nursing focuses on: - -understanding the needs of a
population or collection of individuals who have one or more environmental
characteristics in common
-________________ is nursing practice in the community with the primary focus
on health care of individuals, families, and groups of the community. - -
community health nursing
-Describe community-based nursing - -takes place in community settings
such as a home or clinic, where nurses focus on the needs of an individual or
family
-List some situations that may make someone considered "vulnerable" - -
poverty
older adults
homeless
immigrants
abusive relationships
substance abusers
people with severe mental illness
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