j health care delivery system - To achieve optimal levels of health care
Purpose of an Individualized Plan of Care - Outlines the individual needs of the patient and the approach
of the health care team to meet those needs.
Document that identifies the roles and responsibilities of the LVN/LPN - Nurse Practice Acts
Patient's Bill of Rights - Ensure the patients fundamental rights for treatment with dignity and
compassion were protected.
Purpose of licensing laws - To protect the public from unqualified practitioners in most fields and
professions.
Maslow's Hierarchy of Needs - Individual behavior is formed needs which he identified as physiologic,
safety and security , love and belongingness, and esteem and self actualization.
Legally binding situation between nurse and patient - nurse-patient relationship
Standard of Care - Define acts whose performance is required, permitted or prohibited
Malpractice - Failure by a health professional to meet accepted standards
Negligence - The absence of due care
Informed Consent - Full disclosure of the facts the patient needs to make an intelligent (informed)
decision before any invasive treatment/procedure
Best Way to avoid a lawsuit - Practice within the rules and regulations, standard of care and the
employing agencies policies and procedures
HIPPA - Laws set rules and limits on who has permission to look at and receive health info, and assigns
penalties for wrongful disclosure
Assault - An intentional threat to cause bodily harm to another
Battery - Unlawful touching of another person without informed consent
Subjective Data - information provided by the affected individual
Objective Data - observations or measurements of a patient's health status
OBRA - Regulate any institution that receives federal funding
, Documentation and how to correct an error - Draw a single line through the error, write initials, and
record as correct
Therapeutic Communication - Its an exchange of info that facilitates the formation of a positive
nurse/patient relationship and actively involves patient in all areas of care.
Communicating with Nonverbal Patient - Using a White Board, Asking closed-ended questions such as
blink once for yes, twice for no.
nonverbal communication - methods transmitted without use of words, tone, rate of voice, eye contact
and physical appearance.
Person responsible for determining nursing diagnosis - The Registered Nurse
Phases of the Nursing Process and what happens in each phase - Assess- Gather information about the
patients condition
Diagnose- Identify the patients problems
Goals- Set goals of care and desired outcomes
Implement- perform the nursing action identified
Evaluate- determine if the goals have been met and outcomes have been achieved.
Appropriately written goals(outcomes) - A patient goal statement provides a description of specific,
measurable behavior that the pt will be able to exhibit in a given time frame after the intervention
Difference between Nursing and Medical Diagnosis - Nursing- Clinical Judgement concerning a human
response to health conditions and vulnerability to the response.
Medical- identification of a disease or condition with evaluation of physical signs and symptoms, etc
Ethnic Stereotype - a fixed concept of how all members of an ethnic group act or think
Matriarchal vs Patriarchal - Matriarchal- Woman makes all the decisions about health care, disciplining
the children
Patriarchal- Man makes most of the decisions
Cultural Competence - The awareness of one's own cultural belief and practices and their relationship to
those of others.
culture and sensitivity - Nurse collects specimen in sterile containers, lab tech moves it to a culture
medium, they then identify the parasite. the results of the sensitivity test helps the physician identify an
antibiotic.
Difference between bacterial and viral infection - Bacterial- is transmitted from person to person by
direct contact, inhalation and articles contaminated with the pathogen.
Viral- is self limiting, they run a given course and recovery usually occurs
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