The Nursing Process
Actions performed by a nurse without a physician order are known as independent or dependent?
What is Independent
What is the process of receiving sensory stimuli or data
What is Sensory perception
Decreased mobility puts patients at a higher risk for what?
What is pressure injury
This Person developed the stages of cognitive development
What is Jean Piaget
This is a type of good stress is associated with accomplishment and victory
_______ is a planned, ongoing, purposeful activity in which the client’s progress towards the achievement of goals or desired outcomes, and the effectiveness of the nursing care plan/plan of care.
What is evaluating
Name 2 nursing interventions for clients with Sensory Overload
What is Explain noises, Use dimmed lighting when safe, Use calming music. Speak in lower, calming tones. Cluster care to allow for rest. Use medication to help them sleep. Use touch to calm restlessness. let them talk
Nonblanchable Redness. Intact skin presents with nonblanchable redness of a localized area usually over a bony prominence. Discoloration of the skin, warmth, edema, hardness, or pain may also be present.
What is Category/Stage I pressure injury
This phase is unable to conserve mass, volume and number
What is the Pre-operational Phase: 2-7 years
Bi-nuclear families have ______ parents in partnership to raise their children
what is divorced
Treatment performed through interaction with the patient is know as what type of care?
What is direct
What are keep clear path to avoid falls, assist with ADLs as needed, make sure things are in reach
Category/Stage IV will have what type of tissue loss?
What is Full-thickness Tissue Loss
Appearance, Behavior, Speech, Affect and Mood, Thought, Cognition- LOC, orientation, memory to name a few are examples of observations in what type of exam?
What is mental exam
Name one of the three domains of learning
What is cognitive, affective, or psychomotor domain
Speaking to the physician regarding your clients care is know as direct or indirect care?
_____ refers to awareness of position and movement of body parts
What is Kinesthesia
When looking at a wound you observe a yellow, tan, gray material in it. What is this material referred to as?
What is slough
Sleep wake cycles get reversed is known as what?
what is Sundown syndrome
This delivery model is where one nurse is responsible for overseeing the total care of a number of patients 24/7
What is primary nursing
What occurs in the implementation step of the nursing process?
What is Nurses take the data from A, D and P to determine interventions that will help the client meet the goal and then use these interventions to assist the client to meet the goal
_______ is the sense of being able to identify an object through touch by size, shape, and texture.
what is Stereognosis
This tissue is red, moist tissue composed of new blood vessels, the presence of which indicates progression toward healing
What is Granulation
This age group is aware of cause and effect relationships
How do you calculate BMI?
weight in kilograms/height in meters2