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Concept Guide Exam 1

Define Diagnosis: analyzing patient data to
Nursing practice acts identify patient strengths and problems

Planning: specifying patient outcomes
• Define legal scope of nursing practice
and related nursing interventions
• Create a state board of nursing to
make and enforce rules and Implementation: carrying out the plan of care
regulations
• Define important terms and activities in Evaluation: measuring extent to which
nursing, including legal patient achieved outcomes
requirements and titles for RNs and Culture
LPNs
• Establish a criteria for the education Defines what?
and licensure of nurses Culture defines values, dimension factors,
and disparities

Determine professional liability insurance rates. Culture shock

Information is not included when a reportable Moving from another country, different
event is documented in the medical record: that languages, different setting, work setting
an incident report was not submitted changes.

Disease Cultural diversity

The medical term referring to pathologic • Not all diversity is their religion or
changes in the structure or function of the race but poverty, spiritual distress,
body or mind social isolation, powerlessness, or
communication styles.
Health
• View the situation  accept it 
A state of complete physical, mental, and accommodate it  respect it
social well-being, not merely the absence of
disease • Assistance needed, including
translators, shaman, or from
Illness respected family members.
Illness is the response of the person to a
disease: an abnormal process where the
person’s level of functioning is changed Stereotyping
from previous level One that assumes that all members of a
Four stages of Illness Behaviors: culture, ethnic group, and race act

1. Experiencing Symptoms Negative- includes racism, ageism, and
2. Assuming the Sick Role sexism
3. Assuming a Dependent Role
Different cultural consideration examples
4. Achieving Recovery and Rehabilitation
• Muslim- No pork or alcohol, may need
Nursing process steps in order
accommodation for prayer needs, the
Assessment: collecting, validating, body of a married woman to be seen
and communicating patient data by


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, Concept Guide Exam 1

any male other than her husband is
not allowed, and belief in Allah.
Immobility
• Asian- They prefer some distance
between themselves and others and Effects with each body system
have minimum eye-contact (may not  CVS: increased cardiac workload,
mean cannot hear, does not care, or is
orthostatic hypotension, venous
ignoring), use of herbs, diet, and hot
stasis
cold allows balance of
energy(diseases are seen as cold or  Skeletal muscles can’t pump
hot; if it is a ‘cold’ disease treat with blood back to right side of
hot foods), yin and yang. heart adequately causing heart
not to contract properly
• Haitian- Haitian folk healers are
requested to be allowed to come to  Thrombi formation=
the settings to heal broken bones etc. venous stasis
• Jehovah’s Witnesses- NO  Respiratory
blood products
 Decreased ventilator efforts
• Native American- Medicine men and increase respiratory
named shaman are heavily used, high secretions.
usage of herbs, and high respect for
age.  Decrease in depth and rate of
respirations = reduced need
for O2 enriched blood
Different family structures  Loss of tonus in muscles
 Family: any group of people who live and pressure on chest wall
together and depend on one  Musculoskeletal system
another for physical, emotional, and
financial support  Atrophy (decreased
muscle size), tone,
 Nuclear family: traditional family;
strength
two parents and their children
 Limited endurance,
 Extended family: includes aunts,
decrease ADLs,
uncles, and grandparents contractures, and ankyloses
 Blended family: two parents and (consolidation and
their unrelated children from immobilization of joint)
previous relationships  DON’T USE IT YOU LOSE IT
 Single-parent family: may be
 Osteoporosis d/t bone
separated, divorced, widowed, or
formation decreases and
never married immobility increases = loss of
 Family functions: physical, bone calculi, phosphorous,
economic, reproductive, and bone matrix
affective/coping, and socialization  Brittle bones, calcium depletion
AEB arthropathy (joint
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