Nursing Fundamental: Nursing Skills and Concepts (Chapter 1-3)

Nursing Interventions

Also called Nursing Orders

The NANDA

is the organization that has developed and approved the nursing diagnoses used by nurses

Data Assessment

initial information about the client's physical, emotional, social health and is lengthy and comprehensive (physical examination )

Focus Assessment

Information that provides more details about specific problems (Snapshot)

Nursing diagnostic Statement 3 parts:

1. NANDA list, 2. Etiology (Its cause), 3. Signs and symptoms

Maslow's Hierarchy of Human Needs

1. Physiologic 2. Safety & Security 3. love & Belonging 4. Esteem & Self Esteem 5. Self-actualization (Helps Nurses Prioritize)

Nursing Process steps (In order)

1. Assessment, 2. Diagnosis, 3. Planning, 4. Implementation & 5. Evaluating

Functions of the Board of Nursing

>Issues license to Nurses

>Managing Nurse Practice Act

>Investigates Allegations against nurses

Nursing interventions should be safe, legal and compatible with the medical orders.

True

Objective data

observable and measurable facts and are referred to as SIGNS of a disorder. Ex. Client's Blood pressure measurement

Subjective data

consist of information that only the client feels and can describe, and are called SYMPTOMS Ex.Pain

Short-term goals

Outcomes achievable in a few days to 1 week. ( Diagnostic statement, client-centered, measurable, realistic and Target Date)

Long-term goals

Desirable outcomes that take weeks or months to accomplish

Battery

A act of making bodily contact with a patient without their permission

Slander

saying derogatory things about a nurse

Assault

The threat to make bodily contact with a patient without permission

False imprisonment (Example)

keeping a patient in the hospital against his/her wishes because of an unpaid bill

Invasion of privacy

failure to leave people and their property alone ( Ex.Taking Photographs, revealing a clients name)

Libel

Writing derogatory remarks about a physician

What is the legal age for signing a consent in SC?

A patient may sign an informed consent if he/she is 18, of sound mind and not under the influence of drugs/other

Who is an emancipated minor ?

is a child under 17, who is living independent and able to support themselves

Two conditions can the nurse force confinement on a patient?

Restraining Order (Prisoner) Or Court-Order ( Client with Mental Illness)

What to do if a patient wants to leave the hospital against medical advise ? (AMA)

Talk to them explaining their condition and why they should stay. Also get them to sign a form indicating personal responsibility for leaving

5 pieces of incident report

1.When the incident occurred, 2. Where it happened 3. Who was involved 4. What happen 5. what action were taken

What is a statute of limitations" and what is this in SC ?

Designated time within which a person can file a lawsuit ( 3 Years in SC)

Anecdotal Record

Written form in order to record details of an unusual event that occurs (Injury to patient) Help nurse's memory if a lawsuit develops

Allocation of scarce resources

Process of deciding how to distribute limited life-saving equipment or procedures

Truth Telling

Telling the client the truth about matters concerning their health

Confidentiality

safeguarding a person's health information

Advance directive

Written statement of a person wishes concerning terminal care

Living Will

written document regarding medical interventions to use or not use in a terminal condition (Coma or vegetative state with no hop of recovery)

Durable power of attorney for health care

is a document that allows you to give authority to another person to make medical decisions, when the client becomes incompetent

Misdemeanor

is a minor criminal offense

Felony

is a serious criminal offense ( Murder, stealing narcotics)

Concept mapping

is a method of organizing information in graphic or pictorial form (also known as care mapping)

Evaluation (Nursing Process)

determining whether a client has reached a goal

Implementation

Carrying out the plan of care.

Discuss how the nursing process assists with critical thinking in nursing.

The nursing process assist with critical thinking by providing problem-solving steps,which in critical thinking you have to be able to resolve client problems and the nursing process makes it easier with a few simple steps

Discuss professionalism and how the nurse might demonstrate this.

Professionalism is the competence (ability) or skill expected of a professional. A professional nurse take pride in her work skills, knowledge, appearance, and reputation. A Professional nurse looks sharp, clean & well groomed. A professional nurse is always polite, kind, and respectful .

Sympathy

feeling as emotionally worried as the client

empathy

is the experience of understanding another person's condition from their perspective.

Caring Skills

Maintain a person's health. The acts that people normally do every day, for example: bathing, grooming, dressing, toileting, and eating

Counseling Skills

communicating with clients, actively listening during exchanges of information, offering pertinent health teaching, and providing emotional support.

Comforting Skills

provides stability and security during a health-related crisis.( This supportive relationship generally increases trust and reduces fear and worry.

Assessment Skills

determine what care a person requires ,acts that involve collecting data, which include interviewing, observing, and examining the client

Who is Florence Nightingale and her impact on the professional of nursing

English woman who believe that God called her to become a nurse. She significantly reduce the death rate of soldiers

Nursing Theorists Four Concepts

1.The Person(Patient) 2. The Environment, 3. Health, 4. Nursing (goals, role, and functions)

American Nurses Association (ANA) Definition

>Protection, Promotion and optimization of health and abilities

>Prevention of illness and injury

>Alleviation (Relief) of suffering through the diagnosis treatment of human response

>Support in the care of individuals, families, communities and populations

List Seven characteristics of the nursing process

1. Within the legal scope of nursing 2.Based on knowledge 3.Planned 4. Client-centered 5. Goal-directed 6. Prioritized 7. Dynamic

Synonym for Document

Recording, Charting

Evaluation plan has not worked for patient

Write new goals and nursing orders, revise expected date for achievement and discontinue ineffective measures and readjust target date.

List 6 Types of laws in the U.S

Statutory ,Constitutional, Administrative, Common, Civil & Criminal

Reciprocity

Licensure based on evidence of having met licensing criteria in another state

Malpractice

is any bad, unskilled , or negligent treatment that injures the patient

Goal

expected or desired outcome

Standards for care

policies that indicate which activities will be provided to ensure quality client care

Nursing Diagnosis

is a health problem that nurses can treat independently.

Nursing Diagnostic Statement (3 Parts)

1.the problem 2. etiology for the problem 3. the signs and symptoms for the problem`

Difference between LPN & RN

LPN- they work under the supervision of register nurse and provide nursing care to clients with common health needs that have a predictable outcome. RN they manage or provide direct care to clients who are unstable with unpredictable outcomes

Restraints

Devices or chemicals that restrict movement