Nursing Theories
This theory describes the influence of individual experiences, the actions of others, and environmental factors on individual health behaviors
What is Cognitive Theory
Hermine, a nurse who works on a busy tele unit has 4 patients. One of her patient's Mr. Wesley, is being discharged home today after recovering from his CABG 6 days ago. Of her other 3 patients, 1 is confused and the bed is constantly alarming, 1 needs to used the BSC every 30 min because she is taking a colonoscopy prep, and the other is in chronic pain and in need of medication. Hermine recognizes that this major barrier may effect her ability to give good discharge instructions to her CABG patient.
What is lack of time
During this perioperative period, important nursing education that should take place includes deep breathing, pain management, and mobility.
what is pre-operative
What is hypoglycemia
This person is the founder of modern nursing and made it a mission to improve sanitary conditions in hospitals
Who is Florence Nightingale
In this theory, individuals want or need to be involved in how their training is planned, delivered, and executed
What is the Adult Learning Theory
As a nurse, you understand the importance of this practice, which is to help individual, families, or communities achieve optimal health and manage their own self care.
What is teaching/instruction/education
During this phase in the perioperative period, it is important for the nurse to assess airway, respiratory function, cardiovascular function, skin color, level of consciousness, and ability to respond to commands
what is the Post-operative period
Mr. Longbottom, a type I diabetic, is being discharged from the ER on home antibiotics for his diagnosis of pneumonia. As the nurse, you know that it is important to educate your patient on the importance of regularly checking blood sugar levels, administering their insulin coverage every 3-4 hrs (and possibly need to increase their doses), staying hydrated, and to report any nausea vomiting or diarrhea. You know this is important teaching because blood sugars tend to what, in the event of an infection.
What is are elevated or high
This is an organization which accredits and certifies healthcare organization and inspires them to provide safe and effective care of the highest quality and value.
What is The Joint Commission (TJC)
This theory includes operant conditioning. Which is a method of learning that occurs through reinforcement and punishment.
What is Behaviorist Theory
Nurses understand the importance of using this medical device after surgery which helps patients to improve their lung function and prevent atelectasis
What is an incentive spirometer
During the intraoperative period, this life-threatening anesthetic reaction can include s/s such as tachycardia, muscle rigidity, fever, acidosis, hypercarbia
What is malignant hyperthermia
Ms. Granger is admitted to the ER complaining of n/v for the last 24hrs, abdominal pain, frequent urination and thirst. Upon assessment you find that she has kussmaul breathing, is tachycardic, and her breath has a sweet fruity smell too it. As you wait to obtain a glucometer you suspect that these are all symptoms of this condition
What is DKA
This tool helps your learning by suggesting the strategies you should be learning
VARK
This theory focuses on human behavior and personality being determined by the unconscious or through reinforcers from the social environment.
What is Humanistic Theory
The nurse understand that patient education should include early mobility after surgery to prevent this complication, in which swelling of the extremity, tenderness or warm skin.
What is DVT
During this initial nursing process, nurses need to begin discharge planning by assessing the patient’s need for postoperative care
What is preadmission testing
Mr. Potter, a Type I diabetic, had to be admitted to the hospital due to recurrent hypoglycemic episodes. When coming on shift to perform your assessment, you find that he is minimally responsive, drooling and diaphoretic. After assessing his airway, circulation and breathing, you then find that his blood glucose is 43. This medication would be your 1st drug of choice to administer for this severe and life-threating occurrence.
What is dextrose 50%
Rapid position changes and motion in patients with vestibular disturbances can trigger this and can be a profound problem in any PACU setting, but especially in the ambulatory care setting
what is vomiting
This model or theory suggests that a person's knowledge of a personal threat of an illness or disease combined with a person's belief in the effectiveness of the recommended health behavior or action will predict the likelihood of changes in health behaviors.
Health Belief Model
This type of learner learns best when they are moving and participating in hands-activities. Demonstrations and role paly work well with theses learners
What is kinesthetic learner
This is one of the most common respiratory problems after surgery and can be due to patients weak or shallow breathing, pain and inactivity
What is atelectasis
While Mr. Potter is on an insulin drip, to correct his DKA. The nurse understands that treatment with insulin will cause a shift of this electrolyte intracellularly, which can lead to severe dysrhythmias if left untreated
What is Potassium
During preadmission testing, your patient informs you that she currently taking this medication. You need to inform the doctor immediately because as the pre-op nurse you know that this medication can increase infection, delay wound healing, and increase hemorrhage.
What is a corticosteroid