A
Mother of psych nursing and 4 phases of nursing, advocate for interpersonal nursing, relationship builder
Hildegard Paplau
Theorist responsible for self care deficit theory
Dorothea Orem
Theorist responsible for the theory of goal attainment (nurse and patient work together to set goals)
Imogen King
Theorist that asserts that environmental cleanliness, tidiness, and comfort matters (e.g. a bedroom with a neatly made bed, clear pathways, and a comfortable blanket for the patient to use)
Florence Nightengale
Name the theorist responsible for the transpersonal caring theory (care before cure) and asserts that both the nurse and patient are affected by the interaction of giving and receiving care
Watson
Is urine considered sterile?
Yes, in the normal adult population. The presence of infectious microorganisms would be considered abnormal and indicate infection.
Madeleine Leininger
Culture is everything, and culture influences all aspects of health. Leininger worked in the 1950's to develop a theory of cultural diversity; says that the goal of nursing is to develop culturally specific care
2 assessment methods for gauging confusion in patients
Intensive care delirium screening (2 categories: hyper- and hypoactive delirium) and confused assessment checklist
LEARN stands for _____ and can be used for speaking with patients with views differing from their's.
L: listen
E: explain
A: acknowledge
R: recommendations
N: negotiate
Melesis (the nursing theorist) brings all the _____ to the yard...
transitions
A parasitic infection is indicated by what eosinophil values?
an eosinophil value above the average 1-4% parasitic infection
What monocyte value would indicate protozoa, rickettsial, or TB infection?
an increase in monocyte values above 2-8%
What lymphocyte value might cause a nurse to suspect sepsis?
A decrease in lymphocyte values below the normal 20-40% range
Someone displays a lymphocyte level of 50%. This might indicate
a chronic bacterial or viral infection
Which type of WBC value is not reliable because it remains normal during infection?
basophil
Normal iron values for women and men are _____; these (increase or decrease) in chronic infection.
women: 60-160 ml
men: 80-180 ml
decreased
Typical WBC count is _____, and it increases in _____ but decreases in _____.
5-10k/mm^3
increases in acute infection
decreases in certain viral or overwhelming infection
Typical erythrocyte sedimentation rate is _____ and becomes elevated during _____.
up to 15 mm/h for males and 20 mm/h for female
the inflammatory process
What gas sterilizes most medical equipments?
Heat sensitive equipment and instruments are treated by _____.
ethylene oxide (ETO) gas
high level disinfection (e.g.alcohols, chlorines, formaldehyde, glutaraldehyde, hydrogen peroxide, iodophors, phenolics, quaternary ammonium compounds)
A 75 year old patient is diagnosed with an overwhelming bacterial infection. What WBC type and specific value might you expect them to have?
neutrophil below 55-70%
Name the theorist responsible for theory of caring and the 5 caring processes; advocated for a nurturing way of relating to personal commitment and responsibility.
Name the 5 caring processes.
Give two examples of how the 5 caring processes would be used.
1. knowing
2. being with
3. doing for
4. enabling
5. maintaining belief
Used a lot for interviews with mothers who have miscarried or are at risk
The ideal temperature for most human pathogens is _____.
Most microorganisms prefer a pH of _____. Bacteria thrive in urine with an (acidic or alkaline) pH.
68-109 F
5-7; alkaline
Swanson's theory of caring is made up of
- knowing
- being with
- doing for
- enabling
- maintaining belief
Culturally congruent care vs Transcultural caring
Culturally congruent care:
Emphasizes the need to provide care based on an individual's cultural beliefs, practices, or values
Transcultural care:
Caring is very personal and may be different for different people. For caring to be effective, nurses need to learn culturally specific behaviors and words the reflect human caring in different cultures to identify and meet the needs of all patients
Which of the six cognitive skills of the Clinical Judgement Measurement Model are the following?
- The nurse plans interventions such as implementing fall precautions, using a gait belt during ambulation, keeping the call light within reach, and consulting physical therapy.
- The nurse monitors whether the patient remains free from falls, reassesses mobility status, and adjusts the care plan based on the patient's response to interventions.
- generate solutions
- evaluate outcomes