Nursing Process - ANS- 1. Analyze/Assessment
2. Diagnosis
3. Evaluate/ outcome identification
4. Planning
5. Implementation
6. Evaluation
evidence-based practice - ANS- Interpret, validate, compare, identify, document.
SBAR - ANS- S: Situation
B: Background
A: Assessment
R: Recommendation
First-Level Priority - ANS- emergent, life-threatening, and immediate, such as
establishing an airway or supporting breathing
Second-Level Priority - ANS- Next in urgency, requiring attention so as to avoid further
deterioration
Example: acute pain, infection risk, elimination problems.
Third-Level Priority - ANS- Important to patient's health but can be addressed after more
urgent problems are addressed
4 Types of Data - ANS- Emergency, Follow-up, Focussed/Problem-Centered,
Complete/Total Health.
Emergency Database - ANS- rapid collection of the database, often compiled
concurrently with lifesaving measures
Follow-Up Database - ANS- used in all settings to monitor progress of short-term or
chronic health problems
Example: heart failure (reevaluate medications, discuss coping strategies).
Focused or Problem-Centered Database - ANS- For limited or short term problem.
Collect "mini" database, smaller in scope, concerns mainly one problem, one cue
complex, or one body system
Example: 2 days after surgery person suddenly has shortness of breath.
,Complete (total health) Database - ANS- Complete health history and physical
examination. It describes current and past health state and forms a baseline against
which all future changes can be measured. Yields first diagnoses.
Evidence-Based Practice - ANS- clinical decision making that integrates the best
available research with clinical expertise and patient characteristics and preferences
Holistic Health - ANS- the view that the mind, body, and spirit are interdependent and
function as a whole within the environment
Health Disparities - ANS- differences in the incidence, prevalence, mortality, and burden
of diseases and other health conditions among specific population groups
Cultural Competence - ANS- An understanding of how a patient's cultural background
shapes his beliefs, values, and expectations for therapy.
Linguistic competence - ANS- ability of caregivers and organizations to understand and
effectively respond to the linguistic needs of patients and their families in a health care
encounter
Acculturation - ANS- The adoption of cultural traits, such as language, by one group
under the influence of another.
Assimilation - ANS- the social process of absorbing one cultural group into harmony
with another
Ethnicity - ANS- A social division based on national origin, religion, language, and often
race.
Biculturalism - ANS- dual pattern of identification and often of divided loyalty
Spirituality - ANS- connectedness with self, others, a life force, or God that allows people
to find meaning in life
Religion - ANS- organized system of beliefs about a higher power; often includes set
forms of worship, spiritual practices, and codes of conduct
Health - ANS- The balance of the person, both within one's being (physical, mental, or
spiritual) and in the outside world (natural, communal, or metaphysical).
Biomedical or Scientific theory - ANS- assumes that all events in life have a cause and
effect, that the human body functions more or less mechanically, that all life can be
reduced or divided into smaller parts, and that all of reality can be observed and
measured
, Naturalistic or Holistic Perspective - ANS- Belief that human life is only one aspect of
nature and a part of the general order of the cosmos.
Yin/Yang Theory - ANS- Health exists when all aspects of the person are in perfect
balance.
Hot/ Cold theory - ANS- The four humors of the body--blood, phlegm, black bile and
yellow bile--regulate basic bodily functions and are described in terms of temperature,
dryness, and moisture.
Western Medicine - ANS- the most common form of medical care in the United States,
which uses medication and surgery to treat the signs and symptoms of illness
Magico Religious - ANS- Supernatural powers predominate in area of health and illness
Examples include voodoo, witchcraft, and faith healing
Heritage consistency - ANS- Degree to which a person's lifestyle reflects his or her
traditional heritage
Behavioral Theory - ANS- Use of reinforcement methods to change learners' behaviors
Congruence Mechanism - ANS- carl rogers described the concepts of congruence and
incongruence as important ideas in his theory of personality and human development
Socialization - ANS- the process by which individuals internalize the values, beliefs, and
norms of a given society and learn to function as members of that society
Symptoms influenced by cultural heritage? - ANS- Pain (subjective)
Objective data - ANS- information that is seen, heard, felt, or smelled by an observer;
signs
Subjective data - ANS- things a person tells you about that you cannot observe through
your senses; symptoms
Successful Interview - ANS- gathers complete and accurate information, establishes
rapport and trust , teaches the client about current health state ,builds rapport for future
health care needs and begins health promotion strategies.
Room Setting - ANS- Respectful distance (4-5ft), maintain eye level, patient is
comfortable, avoid standing