WITH CHAPTER SUMMARIES, CORE CONCEPTS,
CURRENTLY TESTING QUESTIONS AND ANSWERS
FOR NURSING EXAMS
5 vital signs
respirations, pulse rate, blood pressure, temperature, and pain
Nursing is recognized as profession based on what criteria
-well defined body specific and unique knowledge
-strong service orientation
-recognized authority by a professional group (ANA)
-code of ethics
-professional organization that sets standards
-ongoing research
-autonomy and self-regulation
Florence Nightingale
defined nursing as both an art and science, differentiated nursing from medicine, created
freestanding nursing education, published books; founder of modern nursing
Clara Barton
established red cross; volunteered to care for wounds and feed union soldiers during civil war;
served as supervisor of nurses for the army of James
goals of nursing research
-improve care in clinical setting
-study ppl and nurse process: education, policy development, ethics, nursing history
-develop greater autonomy and strength as a profession
-provide evidence-based nursing practice
evidence-based practice (EBP)
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
, 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:
physical, intellectual, environmental, spiritual, sociocultural, and emotional
acute illness
rapid onset of symptoms and lasts only a short time; examples: cold, diarrhea, pneumonia,
appendicitis
chronic illness
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
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
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
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
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