SOLVED FOR TOP PERFORMANCE
◉evidence-based practice (EBP). Answer: a problem-solving
approach to making clinical decisions, using the best evidence
available; blends both science and art of nursing so best outcomes
are achieved; may consist of specific nursing interventions or use
guidelines established for the care of patients
◉steps in implementing EBP. Answer: Step 1: ask a question about a
clinical area of interest or an intervention
Step 2: collect the most relevant and best evidence
Step 3: Critically appraise the evidence
Step 4: integrate the evidence w/ clinical expertise, patient
preferences, and values in making a decision to change
Step 5: evaluate the practice decision or change
◉human dimensions that compose the whole person. Answer:
physical, intellectual, environmental, spiritual, sociocultural, and
emotional
◉acute illness. Answer: rapid onset of symptoms and lasts only a
short time; examples: cold, diarrhea, pneumonia, appendicitis
,◉chronic illness. Answer: slow onset, characteristics: permanent
change, caused by change in anatomy, requires special patient
education, long period of care or support; examples: heart disease,
diabetes, lung diseases, and arthritis
◉stages-of-illness behaviors. Answer: Stage 1: experiencing
symptoms
Stage 2: assuming the sick role
Stage 3: assuming a dependent role
Stage 4: achieving recovery and rehabilitation
◉primary health promotion. Answer: directed towards PROMOTING
health and PREVENTING the development of disease processes or
injury; example: immunization clinic, family planning services,
accident prevention education
◉secondary health promotion. Answer: focus on SCREENING for
early detection of disease with prompt diagnosis and treatment of
any found; example: assessing children for normal growth and
development and encourage regular medical, dental and vision
exams
◉tertiary health promotion. Answer: after an illness is diagnosed
and treated;
, example: teaching a patient with diabetes how to recognize and
prevent complications, refer woman to support group after removal
of breast due to cancer
◉maslow hierarchy of needs. Answer: provides a framework for
nursing assessment and for understanding the needs of patients at
all levels; many nursing interventions are aimed at meeting patients'
basic human needs
◉Maslows level 1: physiologic needs. Answer: oxygen, food, water,
sex, rest, physical activity; physiologic needs are highest priority
◉Maslows level 2: safety and security needs. Answer: both physical
and emotional components; being protected from potential or actual
harm
◉Maslows level 3: love and belonging needs. Answer: often called
higher-level needs; understanding and acceptance of others in both
giving and receiving love; feeling of belonging; unmet needs produce
loneliness and isolation
◉Maslows level 4: self-esteem needs. Answer: need for a person to
feel good about oneself, to feel pride and a sense of accomplishment,
and to believe that others also respect and appreciate those
accomplishments; positive self-esteem facilitates the person's
confidence and independence