NURS 110 Midterm

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1.Describe what the ANA is.: ANA (American Nurses Association) exists
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to ad- vance the nursing profession by:
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- Fostering high standards of nursing practice; jk jk jk jk jk

- Promoting a safe and ethical work environment; jk jk jk jk jk jk

- Bolstering the health and wellness of nurses jk jk jk jk jk jk

2.What did Florence Nightingale do for nursing?: Defined nursing; differe
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ntiat- ed nursing from medicine; created free-
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standing education; published book; THE FOUNDER OF MODERN NURSI
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3.What are the ANA standards of practice?
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What does it describe?: Standards allow nurses to carry out professional
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roles, serving as protection for the nurse, the patient, and the institution
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where health care is provided. Each nurse is accountable for his or her o
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wn quality of practice and is responsible for the use of these standards to
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ensure knowledgeable, safe, and comprehensive nursing care.
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4.What are the standards of practice?: 1. Assessment
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2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
5.What does a nurse do for Assessment?: The registered nurse collects
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tinent data and information relative to the health care consumer's he
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alth or the situation.
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6.Example of Assessment: You are checking on a patient who had abdo
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minal surgery yesterday and hear that the patient has considerable pain:
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"It kept me up all night." The patient has been reluctant to ask for any p
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ain medication, fearing effects of the drug. "I don't want to become a jun
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kie." The patient's blood pressure and pulse rate are slightly elevated.
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7.What is included in an assessment?: 1. Biographical data
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2.Present illness or concern jk jk jk

3.Health history jk

4.Physical Exam jk

5. Observations
6.Lab Data jk

8.What does a nurse do for Diagnosis?: The registered nurse analyzes th
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sessment data to determine the actual or potential diagnoses, problems,
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kand issues, identify how a patient responds to actual or potential health
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9.Example of Diagnosis: You analyze the data just described and write the
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nursing diagnosis: Unrelieved pain related to a fear of taking pain-
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relieving medications. The patient agrees that this is becoming a proble
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10.What does a nurse do for Planning?: Working with a patient, his or her f
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amily, and health care team members to set priorities of care, identify p
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atient-
centered goals and expected outcomes, and prescribe an individual app
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roach to care; set goals of care and desired outcomes, and identify nurs
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11.Example of Planning: You decide to work with the patient to achieve tjk jk jk jk jk jk jk jk jk jk jk jk

he outcome: By 1500, patient reports sufficient relief of pain to enable hi
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m to rest and to get out of bed to go to the bathroom. The patient wants
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to accomplish the outcome. You identify teaching as the primary nursin
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12.What does a nurse do for Implementation?: - jk jk jk jk jk jk jk

The registered nurse imple- ments the identified plan.
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- The registered nurse coordinates care delivery.
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- The registered nurse employs strategies to promote health and a safe en
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ronment.
13.Example of Implementation: After asking the patient about his experi jk jk jk jk jk jk jk jk jk

ences with pain- jk jk

relieving medications, you explain that although many of these drugs
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are addictive when abused, there is no harm if they are taken as presc
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ribed postoperatively. You also explain that it is important for him to ex
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perience enough pain relief to be able to cough and deep breathe, am
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bulate, and do other things important to his recovery. You suggest that
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the medication will be most effective if taken before his pain peaks an
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d becomes intense. You administer the prescribed medication for pain
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when the patient indicates that he is willing to give it a try.
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14.Example of Evaluation: After enough time has elapsed for the medica jk jk jk jk jk jk jk jk jk jk

tion to take effect, you check back with the patient to evaluate whether
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khe has obtained relief and met his outcome. If the patient is satisfied a
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nd you both feel that comfort is no longer a problem, you terminate the
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care plan for this diagnosis. If the patient still feels pain or is dissatisfied
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with the medication, each of the preceding steps of the nursing proces
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s is reevaluated, and necessary changes are made in the care plan.
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15.What does a nurse do for Evalution?: To determine extent to which int
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erven-
tions helped achieve goals of care. Take a critical look at the results of i
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mplemented nursing interventions; determine if goals and expected out jk jk jk jk jk jk jk jk

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16.What is primary care?: Focuses on improved health outc
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17.What is preventive care?: Includes immunizations, lab tests, screening
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s, and other services intended to prevent illness or detect problems befo
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re you notice any symptoms. The right preventative care at the right ti
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me can help you stay well and could even save your life.
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18.What is secondary health care?: Secondary health promotion and illn
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ess prevention focus on screening for early detection of disease with pr
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ompt diagnosis and treatment of any found.
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