Term
Define 7 Ethical Principles
(VBAC JAN) |
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Definition
Advocacy - for patients
Autonomy - right to choose
Confidentiality - HIPPA except harm to saelf or others.
Veracity - Truth
Non-maleficence - Passivly doing no harm (ex DNR)
Beneficence: Active do good
Justice: Equality |
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Term
| 2 Levels of Health Promotion Screenings |
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Definition
| 1. Primary: This is health education about the screening. 2. This is the actual screening process. |
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Term
| 2nd trimester/26 weeks topics to cover: |
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Definition
Education: Fetal Movement, Warning signs of pre-term labor, breast feeding classes, birthing classes, manage discomforts, nutrition.
Concerns: problems identified in interview (family role stress, work stress, financial stress) |
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Term
| 3 Levels of communication |
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Definition
Verbal
Nonverbal
Meta-Communication |
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Term
| 3 goals of health promotion screening |
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Definition
Detect Asymptomatic disease
prevent progression
reduce cost of managing long term disease. |
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Term
| 3rd Trimester/36 week topics to cover: |
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Definition
Education:Labor and delivery process, breast feeding classes, manage discomforts.
Concerns: focused complaint (exhaustion, discharge, stress, depression, insomnia) |
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Term
| 5 Stages of Therapeutic Relationship |
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Definition
1. Preinteraction Phase
Review data, anticipate
2. Orientation Phase
Therapeutic communication, clarify roles, observe, form contract, discuss confidentiality, assess, plan, discuss termination
4. Working Phase
action
5. Termination Phase |
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Term
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Definition
| Realistic, Concise, Measurable. |
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Term
| Comprehensive Health Assessment includes these areas: |
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Definition
- Health Perception-Health Management
- Nutritional-Metabolic
- Elimination
- Activity-Exercise
- Sleep-Rest
- Cognitive-Perceptual
- Self-perception-Self Concept
- Role-Relationship
- Sexuality-Reproduction
- Coping-Stress
- Value-belief |
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Term
Cultural Competence
Campinha-Bacote’s Model (adesk) |
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Definition
A - Awareness
D- Desire to learn
E - cultural Encounters
S- Cultural Skill
K - Cultural Knowledge |
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Term
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Definition
| The degree to which an individual has the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions” |
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Term
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Definition
Subjective: What patient tells you.
Objective: What you get from the chart, what you can see, what you can see (exam,vitals, condition)
Assessment: List nursing diagnosis based on identified risks.
Plan: Develop plan of care to address risks. |
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Term
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Definition
Sit facing patient
Open posture
Lean toward
Eye contact
Relax |
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Term
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Definition
| It emphasizes health enhancing factors and the factors that give an individual a ‘sense of coherence |
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Term
| Define and Differentiate Delirium, Dementia, Deppresion |
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Definition
Delirium: Acute and reversible, sudden onset of short duration, can include confusion, hallucinations,is considered an emergency, can co-occur with dementia. Can be caused by dehydration or other medical emergencies.
Dementia: Gradual and progressive, not reversible, leads to loss of ADL skill, disease associated with: Alzheimer, Lewy Bodies, CVA.
Depression: Not considered a normal part of ageing but becoming more common. Causes can be loss if independence, loss of loved one, disease, chronic pain. Can co-occur with dementia. |
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Term
| Describe 3 Levels of Preventitive Care |
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Definition
Primary - precedes disease
immunizations, education
diet, exercise
Secondary - ill but complications can be prevented with interventions
screenings, early treatments
antibiotics, education especially about med adm.,diet exercise
Tertiary - permanent change in health status
minimize long term effects
rehabilitation, diet and exercise |
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Term
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Definition
Part of motivational interviewing
Desire
Ability
Reasons
Need:
In what ways would it be good for you to . . .
If you did decide to . . . ., how would you do it?
What would be the good things about . . . .?
Why would you want to . . . .? |
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Term
| Describe Dalgreen and Whiteheads Ecological Determinants of Health |
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Definition
Individual
Lifestlye
Social Networks/Community
Living and Working Conditions
General Socio-economical, cultural, and environmental conditions. |
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Term
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Definition
1. Know self - things we know
2. Know Hidden self - things we hide
3. Blind Self - things others know about us that we don't
4. Unknown Self- things we nor others know about us. |
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Term
| Describe Motivational Interview |
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Definition
A therapeutic conversation about change
Collaborative
Evocative (the goal is to help an individual to discover their own motivation and commitment)
Explores ambivalence
Autonomy for the patient /client |
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Term
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Definition
Part of motivational interviewing
O: open ended questions
A: affirmations
R: reflective listening
S: summarizing |
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Term
Describe Tanners Model
Noticing 3,
Interpreting 3
Responding -2
Reflecting -2 |
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Definition
Notice
1. Context,background information
2. Expectations
3. Initial grasp
Interpreting
1. analytic reasoning
2. Intuitive reasoning
3. Narrative (subjective/objective)
Respond
1. Action
2. Outcomes
Reflect
1. Reflection in action
2. Reflection on action and clinical learning |
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Term
| Describe Transference vs counter transference |
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Definition
Patient over identify with you.
You over identify with patient. |
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Term
| Describe the Stages of Change Model |
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Definition
Precontemplation
Contemplation
Determination
Action ------ or relapse
Maintenance |
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Term
| Describe the gestational age,exam, and labs at first trimester appointment. |
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Definition
Pelvic exam/Pap smear for STI screen and abnormalities.
Blood Test to screen for blood type, HIV, and antibodies
Urine dip screen for glucose, WBC, Proteins.
Blood Pressure.
Height/weight. |
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Term
| Focused Health Assessment include these steps: |
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Definition
1. Focus on problem area
2. Clarify/expand
(Nature,Severity,Precipitating factors)
3. Obsercation (verbal and non-verbal)
4. Examine |
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Term
Give examples of ways to display these theraputic communication skills and apporach:
Skills: Active Listening, Asking Relevant Questions, Clarifying, Paraphrasing, Focusing, Providing Information Summarizing Approach: Sharing Observations Sharing Empathy Sharing Hope Sharing Humour Sharing Feelings Using Touch Using Silence |
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Definition
| Listen and hear the patients complaint through verbal and nonverbal communication.
Relevent questions: Rate your pain, When do you feel like this started, what have you done in the past to treat
Clarify: "Tell me more about that"
Paraphrase: "So what I hear you say is that"
Focusing: ask direct questions yes/no
provide information: patient education
summarizing approach: We can try thses goals and check back in to see if it's working.
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Term
| How is motivational interviewing and the stages of change model interrelated? |
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Definition
| The goal is to assess where a patient is on the SOC model and, if appropriate, help them move forwards in the cycle towards change |
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Term
| How to determine gestational age |
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Definition
| (Next year) Minus 3 months plus 7 days - Estimated Due Date |
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Term
| In therapeutic relationships we convey: |
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Definition
Feeling of time (sit)
value (listen)
respect(be aware of our own judgments). |
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Term
| List 1st Trimester interventions for nausea and vomiting |
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Definition
| ways to relieve nausea and vomiting, ginger, dry crackers before getting up in the morning, avoid large meals, avoid spicy or greasy foods, snack throughout day, avoid diets, ensure foods are nutritious, supplement with prenatal vitamin. |
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Term
| List Erikson's Psychosocial developmental theories -8 |
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Definition
- Trust vs mistrust (Birth - 18 months: caregiver meets needs, trust self and others.
- Autonomy vs shame (1-3): growing independence, understanding expectations,can master self-control and will power. Overly harsh punishment leads to shame.
-Initiative vs guilt (3-6)
child balances initiative to grow and learn with restrictions put in place. Learns impulse control.
- Industry vs Inferiority (6-11)
Gain confidence in productive skills.
- Identity vs Role confusion (Puberty)
Sexual maturation, develop identity separate from family. Develops devotion to others and own ideals.
- Intimacy vs Isolation (adult)
seeking to find self and then lose in another. If not than isolation can occur for fear of rejection.
- Generativity vs self-absorption and stagnation (middle age)
focus on support future generations.
- Integrity vs Despair (old age)
review life as satisfying or failure |
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Term
List Pregnancy tests and when performed throughout pregnancy:
establish gestational age
screen for chromosomal abnormalities
fetal anomalies
Confirm screenings
gestational diabetes
Group Beta Strep |
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Definition
Establish gestational age: Ultra Sound 7-10wk
Screen for chromosomal abnormalities:Integrated Screen Nuchal Translucency Screening and Blood test 11-13wk, Quad marker 15wk
Fetal anomalies: Ultra Sound" 18-20wk
Confirm chromosomal screenings: Amnio 14wk. Chorionic villus sampling: 10-13 wks
Gestational diabetes:Glucose Tolerance Test: 24-28wk
Group Beta Strep: 36 wks |
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Term
| List stages of Piaget cognitive developmental overview |
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Definition
Sensorimotor 0-2: Object permanence, senses self as separate from environment,sucking, hitting, looking.
Preoperational 2-7: Learn with symbols, egocentrism(world experienced same as they do
Learn through play, animate objects.
Concrete Operations 7-11:Perform mental operations, thinks about actions before done, knows difference between their perspective and another, able to classify objects.
Formal Operations 11 - adult
from concrete to operational thinking, ego belief that actions are scrutinized, unique thoughts, invulnerable, adolescent peers teach feelings shared by everyone - not so different. |
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Term
| Motivational Interviewing vs Health Assessment? |
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Definition
| MI is not the same as undertaking a full health assessment on a patient but could follow a health assessment or be an intervention. |
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Term
| NANDA Diagnosis include descriptive terms like: |
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Definition
At risk for: family role stress,nutrition imbalance (more/less than)
Effective/Ineffective - coping skills, parenting skills,
Readiness for enhanced - knowledge, skills
Deficit: Knowledge, |
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Term
| Problems and controversy of health promotion screenings |
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Definition
- error's in results
- money directed away from sick to the well patients.
- poor target audience wastes resources. |
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Term
Review exercise complete these for all case studies:
Incorporate therapeutic skills, developmental tasks, stages of change, determinants of change, cultural values, ethics, mandatory report, mental health, mandatory reporting.
- Health Promotion across the lifespan (notice: risks, salutogenesis)
- Action: education, goals, build plan of care, nurse diagnosis.
- Follow up appointment (phone call, visit)
- Reflection:(revise based on reflection)
- Motivational Interview |
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Definition
Felipe
Brittny
John/Bobby
Gladys
Skip
Suzie 1st trimester
Suzie 2nd trimester |
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Term
| Review of things to cover at a first trimester appointment? |
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Definition
- Things to avoid (listeria, sword fish, raw meats, unpasteurized dairy, cat boxes, hot tubs, drugs, alcohol, violence).
- Signs of an emergency (pelvic pain, vaginal discharge or bleeding, fever over 101).
- Upcoming appointments and anticipated guidance (Monthly check ups, Ultra sound, quad maker 15 wk, GTT 28 wk)
- Nutrition 300 extra calories, nausea and vomiting management.
Exam and labs done 1st appointment
Pelvic exam/Pap smear for STI screen and abnormalities. |
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Term
| The goal of the therapeutic relationship: |
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Definition
- Encourage expression of feelings and ideas
- acceptance and respect
- Create a positive and healing environment
- Facilitate optimal health goals |
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Term
| Types of Health Assesments |
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Definition
Comprehensive
Problem Oriented |
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Term
| What are 4 goals of Healthy People 2020 |
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Definition
1. longer lives
2. health equity
3. environment promote health
4. quality of life |
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Term
| Whats the goal of Penders Model and describe how it moves the patient to health promoting behaviors. |
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Definition
Goal: Better health/quality of life
Starts with Individual: history/biology.
Goes to Behavior affects: Self efficacy, perceptions, barriers, influences.
Then addresses competing demands, commitment.
Ends with Health Promoting Behaviors. |
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Term
| Who and Edleman definitions of Health as a State of Being |
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Definition
1. Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
2. Health is a state of physical, mental, spiritual and social functioning that realizes a person’s potential” (Edelman & Mandle 2010) |
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