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Jersey College Clinical Analysis Midterm Exam With Answers (248 Solved Questions)

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    Foundations Midterm Jersey College 1. advocate the protection of human or legal rights and the securing of care for all patients based on the belief that patients have the right to make informed decisions about their health and lives 2. caregiver The provision of care to patients that combines both the art and the science of nursing in meeting physical, emotional, intellectual, sociocultural, and spiritual needs. As a caregiver, the nurse integrates the roles of commu- nicator, teacher, counselor, leader, researcher, advocate, and collaborator to promote wellness through activities that prevent illness, restore health, and facilitate coping with disability or death. The role of caregiver is the primary role of the nurse. 3. 4 Nursing Aims 1. promotes health 2. prevent illness/disease 3. restore health 4. facilitate coping with disability or death(die with dignity) 4. Florence Nightingale Established sanitary nursing care units. Founder of mod- ern nursing. began professional education of nursing. 5. nursing profes- sion criteria well defined body of specific and unique knowledge strong service oriented recognized authority by a professional group Code of Ethics Professional organization that sets standards Ongoing research Autonomy and self-regulation 6. Standards of Nursing Practice allow nurses to carry out professional roles, serving as protection for the nurse, the patient, and the institution where health care is provided 7. Nurse Practice Act laws established in each state in the US to regulate the practice of nursing 8. Nursing Process Assessment Diagnosis 1 / 26

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    Planning Implementation Evaluation Used by the nurse to identify the patients health care needs and strengths, to establish and carry out a care plan to meet those needs, and to evaluate the effective- ness of the plan 9. Sources of Knowledge Traditional-passed down from generation to generation Authoritative-comes from an expert Scientific-implying through research (scientific method) 10. General Systems Theory how to break whole things into parts and then to learn how the parts work together in systems 11. Adaptation Theo- ry defines adaptation as the adjustment of living matter to other living things and to environmental conditions 12. developmental theory process of growth and development of humans as orderly and predictable, beginning with conception and ending with death 13. nursing theory differentiates nursing from other disciplines and activities by serving the purposes of describing, explaining, pre- dicting, and controlling desired outcomes of nursing care practices 14. deductive rea- soning general to specific 15. inductive rea- soning specific to general 16. Common Con- cepts in Nursing Theories Person (patient) Environment Health Nursing 17. Sister Callista Roy Nursing interventions are needed when individuals demonstrate ineffective adaptive responses; adaptive 2 / 26

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    modes. adaptation model, relationships between per- sons, universe, god, Adaptation model: assistance with the adaptation to stressors to facilitate the integration process of the client. Theory helps the "biospsychosocial" client modify external stimuli, adaptation will occur 18. evidence-based practice in nursing is a problem solving approach to making clinical decisions using the best evidence available 19. PICOT format Patient population Intervention or issue of interest Comparison intervention Outcome Time frame 20. holistic health care care that addresses the many dimensions that comprise the whole person- the nurse must understand and respect each persons own definition of health and responses to illness 21. acute illness has a rapid onset of symptoms and lasts only a relatively short time 22. chronic illness irreversible illness that causes permanent physical im- pairment and requires long-term health care 23. chronic disease heart disease, stroke, cancer, type 2 diabetes, obesity, arthritis 24. Illness Behaviors actions taken by a person who feels sick and indulges in the behavior for the purpose of defining the state of his or her health and for discovering suitable remedies 25. Illness behaviors Stage 1: Experiencing symptoms Stage 2: Assuming the sick role Stage 3: Assuming a dependent role Stage 4: Achieving recovery and rehabilitation 26. The human di- mensions Physical-genetic inheritence, race, sex Emotional- the mind effects, stress 3 / 26

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    Intellectual-educational background Environmental- housing, climate Sociocultural- family and culture Spiritual-spiritual beliefs and values 27. health promotion behavior of an individual motivated by a personal desire to increase well-being and health potential 28. Risk factors for health age, genetic factors, physiologic factors, health habits, lifestyle, environment 29. primary health promotion seat belts, immunizations, safe sex practices, diet and ex- ercise, reducing alcohol consumption, smoking cessation , avoiding drugs 30. secondary health promotion screenings, examinations, family counseling 31. tertiary health promotion medication, rehabilitation, therapy, job training, treatment 32. The health belief model focuses on what people perceive or believe to be true about themselves in relation to their health 33. the health pro- motion model developed to illustrate how people interact with their en- vironment as they pursue health 34. the health-illness continuum -Conceptualizes a person's level of health -Views health as a constantly changing state with high-level wellness and death on opposite sides of a continuum -Illustrates the dynamic (ever-changing) state of health 35. the agent-host-envi- ronment model views the interaction between an external agent, a sus- ceptible host, and the environment as causes of disease in a person 36. Maslow's Hierar- chy of Needs (level 1) Physiological Needs, (level 2) Safety and Secu- rity, (level 3) Love and Belonging, (level 4) Self Esteem, (level 5) Self Actualization 4 / 26

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    37. Physiologic needs include: oxygen, water, food, elimination, temperature, sexuality, physical activity, and rest 38. Safety and Se- curity needs in- clude: being protected from potential or actual harm, trusting others, being free and clear of fear, anxiety, and appre- hension 39. Love and belong- ing needs in- clude: feeling of belonging to a group such as family, peers, friends, giving and receiving love 40. Self-esteem needs include: the need for one to feel good about himself, to feel pride, and a sense of accomplishment 41. self-actualiza- tion needs include: reach their full potential through development of their unique capabilities 42. Family any group of people who live together and depend on one another for physical, emotional, or financial support 43. community health nursing focuses on whole populations within a community 44. Community based nursing ~ Is centered on the health care needs of individuals and families 45. culture shared set of beliefs, values, knowledge, and patterns of behavior common to a group of people 46. cultural diversity The coexistence of different ethnic, gender, racial, and socioeconomic groups within one social unit 47. Subculture large group of ppl who are members of the larger cultural group but have a certain ethnic, occupational, or physical characteristics 48. cultural assimila- tion Absorption of a culturally distinct group into a dominant or prevailing culture 5 / 26

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    49. ethnicity Identity with a group of people that share distinct physical and mental traits as a product of common heredity and cultural traditions. 50. Stereotyping when one assumes that all members of a culture, ethnic group, or race act alike 51. cultural blind- ness Ignores differences and proceeds as if they did not exist 52. cultural imposi- tion belief that everyone should conform to the majority belief system 53. cultural conflict respond by ridiculing the beliefs of others to feel more secure about their own 54. Pain is what the patient says it is Never stereotype a patients perceptions of or response to pain respect the patients rights to respond in his or her own manner recognize that culture is an important component of indi- viduality 55. culturally re- spectful nursing care care is planned and implemented in a way that is sensitive to the needs of individuals, families, and groups from diverse populations within society 56. cultural compe- tence having an awareness and acceptance of cultures and the ability to interact effectively with people of diverse cultures 57. ethical problems paternalism, deception, privacy and social media, con- fidentiality,allocation of scarce nursing resources, valid consent, conflicts concerning new technologies, unpro- fessional incompetent unethical or illegal physician prac- tice, short staffing issues, beginning of life issues, end- of life issues 58. modeling Children learn what is of high or low value by observing parents, peers, and significant others. 6 / 26

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    59. Moralizing Taught complete value system that allows little opportu- nity to assess their own values.x church or school 60. Laissez-faire leave children to explore values on their own 61. rewards and pun- ishments children are rewarded for demonstrating values held by parents and punished for demonstrating unacceptable values 62. responsible choice encourage children to explore competing values and to weigh their consequences 63. autonomy right to self-determination 64. alturism a concern for others; generosity 65. Social Justice upholding moral, legal, and humanistic principles 66. Bioethics a number of fields and disciplines grouped broadly under the rubric "the life sciences" 67. nursing ethics a subset of bioethics; formal study of ethical issues that arise in the practice of nursing and of the analysis used by nurses to make ethical judgments 68. Nonmaleficence do no harm 69. fidelity keeping promises and commitments made to others 70. Beneficence to do good 71. moral distress occurs when the individual knows the right thing to do but organizational constraints make it difficult to take the right course of action 72. ethical dilemma a situation in which you have to decide whether to pursue a course of action that may benefit you or your organiza- tion but that is unethical or even illegal 73. Common Law court made law- let the decision stand 7 / 26

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