NUR2115- Fundamentals of Professional Nursing Final Exam Concept Review

NUR2115- Fundamentals of Professional Nursing Final Exam Concept Review Review various nursing diagnoses related to specific patient problems discussed in Fundamentals Roughly 60% of the final exam will be cumulative over mod 1-7 Module 1-3 Concepts: Importance of documentation of assessments & interventions - Accurate documentation of the patient’s assessment is important to provide a baseline for later comparisons as the patient’s condition changes Types of nonverbal behavior which could promote improved communication - Body language - Gestures, movements, touch, appearance, adornments - Personal appearance - May express culture, religion, group associations, self-concept - Posture and gait - Erect vs. slouched posture - Facial expression) the most expressive part of the body) The importance of QSEN competencies in nursing education - To prepare nurses who combine the highest level of scientific knowledge and technologic skill with responsible, caring practice. - To challenge students to identify and master the cognitive and technical skills as well as the interpersonal and ethic/legal skills they will need to effectively nurse the patients in their care. - Patient-centered care - Teamwork and collaboration - Quality improvement - Safety - Evidence-based practice - Informatics What is a sentinel event? - An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. - Serious injury specifically includes loss of limb or function. - An error that causes serious harm to a client and singles out the need for investigation. What is the main purpose for incident reporting? - This helps document what happened to help the healthcare facility learn a way to prevent the incident from happening again. Examples of health promotion activities for primary, secondary and tertiary - Primary: Directed toward promoting health and preventing the development of disease processes or injury. - EX: Immunizations clinics, family planning services, providing poison control information, accident prevention education, teaching about a healthy diet, health-risk assessments. - Secondary: Focus on screening for early detection of disease with prompt diagnosis and treatment it identifies an illness, reverse or reduce its severity or provide a cure, and thereby return the person to maximum health as quickly as possible - EX: Assessing children for normal growth and development and encouraging regular medical, dental and vision examinations; screening for BP, cholesterol and skin cancer, routine GYN exams and mammograms, teaching testicular self-exams to men, administering medications, caring for wounds. - Tertiary: Begins after and illness is diagnosed and treated, with the goal of reducing disability and helping rehabilitate patients to a maximum level of functioning. Maintaining and preventing progression of severe diseases =, dying with dignity, assisting to cope with impending death. - EX: Teaching a diabetic patient how to recognize and prevent complications; using PT to prevent contractures in a patient who has had a stroke or spinal cord injury; referring a woman to a support group after removal of a breast because of cancer. ISBARR, DARE, SOAPIE notes for team communication - ISBARR allows for an easy focused way to set expectations for what will be communicated and how between members of the team, which is essential for developing teamwork and fostering a culture of patient safety. - SOAPIE= used to organize entries in the progress notes of the POMR. The POMR includes the defined database, problem list, care plans, and progress notes. - ISBARR= Introduction, Situation, Background, Assessment, Recommendation/request & Read back of orders or response - DARE= Database of Abstracts of Reviews of Effectiveness - SOAPIE= Subjective data, Objective data, Assessment, Plan, Intervention & Evaluation Review teaching for a patient with modifiable health risk factors - T= Tune into the patient - E= Edit patient information - A= Act on every teaching moment - C= Clarify often - H= Honor the patient as partner in the education process Age related safety concerns across the lifespan - Infant: Falls, SIDS (must lay on back to sleep), Injury from toys, Burns, Suffocation and choking, Electrocution, Ingestion of foreign bodies, Child mistreatment (nurse obliged to report to DCF) **Need rear facing car seat - Toddlers: Falls, Cuts, Drowning, Concussions, Guns and weapons (locked and unloaded), Escape from home, Poison (Poison Control # on fridge), Suffocation and choking, Child mistreatment (nurse obliged to report to DCF) **Front facing car seat in the BACK seat - School age children: Sexual abuse, Burns, Broken bones, Concussions, Drowning, Guns and weapons, Use of Internet, Sports injuries (cognitive rest), Abduction, Bullying (cyberbullying), Child mistreatment (nurse obliged to report to DCF) **Back seat until age 13 - Teenager: Piercing & Tattoos, driving (distracted driving). texting especially, Firearms, Suicide, Drugs and Alcohol and Tobacco, Sexuality and STIs, Sexual abuse, Use of Internet, Risk taking (diving into unfamiliar water) **Seat belt and driving - Adults: Stress, Domestic Violence, MVA, Industrial accidents and exposure Drugs and alcohol abuse - Elderly: Falls #1, Elder abuse and neglect, MVA, Sensorimotor changes, Fires (candles, heaters) ...forgetfulness, Burns (electric blankets, hot water, heating pads), Accidental overdosing and polypharmacy