Introduction to Nursing Final
Terms
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- "Timbang" means an idea of ___________
- Balance
- In the Philipino culture who decides on health care decisions?
- The family as a whole
- What are the main professions of Filipino women?
- Nurses and teachers
- What is the dominant religion of Filipinos?
- Roman Catholic
- An age old folkloric art of healing that includes massage therapy and "timbang" accupressure is _________ (Filipino)
- Hilot
- Filipinos add the word "___" as a suffix to show respect.
- Po
- in Filipino culture a hand to the forehead of an elder is a sign of _________
- respect
- Filipinos use a mixture of ginger, lemon, and olive oil to get rid of _______ _____
- excess phlegm
- The 3 stars on the Filipino flag symbolizes the 3 _____ ________ of the Philippines
- main regions
- Most money that is sent to the Philippines comes from their U.S. _________
- families
- The Islamic religion is one of the world's _______ _______ religions
- fastest growing
- Muslims are mostly ________ ________
- African Americans
- When delegating work with a Muslim patient, the RN should be primarily concerned about finding a worker who is ___ ___ _____ sex as the patient
- of the same
- When getting a Muslim patient ready for physical examination the RN needs to remember to respect the patient's need for _________
- modesty
- When a Muslim patient comes in for an exam and you can't provide them w/a long gown what is the best alternative?
- Let them wear their own gowns and do exam over gown in order to respect privacy and faith
- When advocating for a Muslim patient during a hospital stay at the time of Ramadan, they may need to have their meals served ______ the sun ______ and after it _____
-
after
rises
sets - When administering medications to a Muslim patient you should make sure you use your ______ hand
- right
- An RN culturally sensitive to Muslim gender relations would when possible give the _____ ____ care
- same sex
- When assessing the diet of a Muslim woman who is pregnant one should know that even during ______ some pregnant women may _____ during the day.
- fast
- After surgery the Muslim patient shouldn't eat _____
- pork
- There are about _______ Russians living in Sacramento.
- 125,000
- Russians are _____-_________ and like to make decisions as a group.
- non-individualistic
- Russians see the absence of disease as being ________
- healthy
- Russians typically distrust most people due to their __________ background
- Communist
- If a Russian patient is dying, they will always have a ________ _______ sitting with them until they die
- family member
- The doctor is seen as the ultimate ________ and is expected to be the _____ of the healthcare team.
-
authority
head - _____ or ______ remedies are extremely popular in the Russian culture
-
Folk
traditional - In Russia, medical care is ______
- free
- If a patient gives an RN a box of candy it is just a show of their __________ and not a ________
-
appreciation
bribe - Russians drink a lot of _______ and a lot of ____
-
alcohol
tea - For treatment of symptoms, the most common resource in the Hispanic culture is ________ ________
- herbal remedies
- When it comes to medications, the Hispanic culture find the ________ medications and are often _________ with doctor's orders and/or recommendations
-
cheapest
noncompliant - The elderly in Mexico is always adressed by their _____ name
- last
- You speak a little Spanish & your patient speaks very little English but she can fully comprehend. After discussing the discharge instructions, she nods her head when you ask her if she understood what you just said. It's very important that this pat
- Ask her to repeat everything back
- What Hispanic group makes up over 50% of the national Hispanic population?
- Mexicans
- What Californian city boasts the largest Hispanic population?
- Los Angeles
- HIV and AIDS is viewed in Mexican American culture as "________ for ____"
-
punishment
sins - With Mexican American children, school has the main _________ for educating children and parents shouldn't _______ the teacher
-
responsibility
question - Abortion in the Mexican American culture is accepted under ____ circumstances
- no
- When do most Mexicans decide to go to the hospital?
- Only in an emergency
- Eye contact with American Indians is considered _________
- disrespectful
- American Indians perefer a ________ handshake.
- light
- The expression of pain to the American Indian is seen as a sign of __________
- weakness
- ________ are highly esteemed in the American Indian culture.
- Women
- American Indians use "_______ _____ medicine" to treat " ______ _____ diseases".
-
white man's
white man's - American Indians are often reluctant to share _______ _________
- personal information
- The number ___ is a symbolic one to the American Indians
- 4
- ________ medicine often compements that of _______ medicine.
-
Traditional
Western - _________ is the most widely used language with the American Indians
- Navajo
- American Indians use _____ as a means to ask for things in life.
- dance
- With Samoans, _______ space is important
- physical
- The average Samoan is ____ years younger than the average American
- 14
- American Samoans are more likely to be _________ if 21 or older
- disabled
- With Samoans, genetic defects is considered _______ for a bad husband during __________
-
punishment
pregnancy - Samoans will use _________ medicine first and then _________ medicine
-
traditional
Western - The most important thing to the Samoans is the _________
- household
- __________ is very important to Samoans as they may take up to ___ showers per day
-
Cleanliness
3 - With Samoans, the _______ takes care of elders until _______
-
family
death - Samoans experience _____ complications with obesity than others do.
- less
- With Samoans, maintain ____ ________.
- eye contact
- The use of _______ reasoning involves a rigorous approach to clinical practice & demonstrates that critical thinking can't be done ___________
-
intellectual
haphazardly - ________ are general explanations used to explain, predict, control & understand commonly occuring events
- Theories
- The nurse theorist associated with the concept of adaptation is _____ _______ ____
- Sister Callista Roy
- ________ _______ ________ states that the sum of the parts is different from and less than the whole
- General Systems Theory
- The disequilibrium associated with change that may result in either the person or the environment requiring an adjustment is called _________
- adaptation
- The nurse theorist associated with the concept of self care is _________ _____
- Dorothea Orem
-
_____ ______ = very broad
___-_____ ______ = less broad
_____ ______ = most specific -
Grand Theory
Middle-Range theory
Micro Theory - Theory-based nursing practice is very imporrtant because it ______ nurses to challenge _________ nursing interventions.
-
enables
traditional - Maslow identifies the most fundamental human needs to be __________
- physiological
- The CSUS Nursing Theoretical Framework is based on ________ _______
- reciprocal adaptation
- There is a variation of Miwok individuals who are ________ whereas there are others who are more assimilated to the _______ culture
-
traditional
Western - When “_________†at someone simply gaze at their ______. Do not take offense if the Miwok patient is not looking directly into your eyes
-
looking
shoulder - With Miwoks, handshake is ______, forefingers are _______ touched
-
light
slightly - ____ ____ ____ means a sign of death in the Miwok culture
- Wah tib' sah
- Miwoks ______ believe in autopsy unless ________
-
don't
mandated - Miwoks believe that the medicine man has _______ power and can _____ anyone
-
spiritual
cure - The Miwok patient is not very __________ towards strangers and so there is a _______ amount of talking
-
communicative
limited - In the Miwoks, women are highly _________ and ________
-
respected
esteemed - In the Miwok culture when the female is _________, she is not allowed to handle any _____ whatsoever. She is also not allowed to eat ____ ______
-
menstruating
food
red meat - Miwok people traditionally don't believe in ______ donation, but their views are _______
-
organ
changing - More than ____ % of people in India use herbal remedies as the principal means of preventing and curing illness
- 80
- _________ is a traditional Indian system of medicine used as a means for preventing and curing illnesses.
- Ayurveda
- It is NOT true that ___% of Asian Indians speak only English at home
- 35
- There are approximately ______ Asian Indians residing in Sacramento
- 27,000
- Whispering and ______ are ___ commonly accepted in Asian Indian culture
-
winking
not - ______ displays of _______ are unacceptable touch practices in Asian Indian culture
-
Public
affection - A common health problem among Asian Indians is ________
- diabetes
- _______ is a "law of behavior and consequences" in which an Asian Indian patient may feel theat his/her illness is caused by
- Karma
- Indian patients are more comfortable with the ____ -sex health care provider.
- same
- In Asian Indians, health care decisions are frequently discussed w/in the immediate ______ before seeking outside help.
- family
- __________ research is generally objective and uses data-gathering techniques that can be repeated by others and verified.
- Quantitative
- _________ _________ is general/universal to specific/particular
- Deductive reasoning
-
In the scientific method which is NOT true:
A. the problem is defined
B. ethical questions are answered
C. data are collected
D. a solution to the problem is devised. - B
- A study conducted on a new area of research where little information is available & provides a basis for the conduct of other types of quantitative research is ________
- descriptive
- The relationship of nursing research to nursing theory can be described as ________
- circular
- An example of _______ ______ is reasoning from a single diabetic patient to all diabetic patients.
- inductive
- A question that should be answered by _______ rather than by _______ _______ is "How many sexually active adolescents are using safe sex?"
-
research
problem solving - T/F: Qualitative research is useful in understanding the perceptions, feelings, and motivations of the research subjects.
- True
- In which step of the quantitative research process do data collection and data analysis occur?
- implementation
- The research process differs from the nursing process in that it has a _______ _______
- broader focus
- A code of ethicsprovide a foundation for professional nursing. a nurse's use of ethical responsibility can best be exemplified when the nurse _________ delivers __________ care
- consistently, competent
- A community health nurse states "I wish we had just a portion of the dollars spent repairing atherosclerotic hearts to teach the community about cardiovascular risk factors" this statement describes the philosophy of ________.
- utilitatianism
- your client is about to undergo a new, controversial bone marrow transplant procedure. this procedure may cause periods of pain and suffering. Event hough you agree to do no harm, this procedure may be necessary to promote health. this example describes
- nonmaleficence
- The steps in the ethical decision making process is (6 steps)
- Clarify, gather data, identify options, decide, act, evaluate
- the ethical principle underlies the state in the code for nurses "the nurses safeguards the client's right to privacy by judiciously protecting information of a confidential nature is ________.
- beneficence
- The duty to promote good for others is _____.
- beneficence
- the duty to do no harm is _______.
- nonmaleficence
- the duty to respect indivduals right to make own decisions is ______.
- autonomy
- the duty to treat all people fairly and equally is _____.
- justice
- encouraging a pt to take part in planning and implementing his/her own care suggests that the nurse values the ethical principle of _____.
- autonomy
- the element of health care that is most responsible for the ethical dilemma " is health care a right or a privelege" is the __________ of costs.
- escalation
- the ethical prinicple applied when the nurses reports poor nursing practice is __________.
- veracity
- the research process differs from the nursing process by having a ________ focus.
- broader
- the way problem solving differs from research is problem solving addresses problems that are ________ specific and relies on ________knowledge and _____ ______.
-
situation
practical
common sense - the scientic method gained popularity following the _____.
- renaissance
- a researcher designs a study that uses a random sampling method to decrease the likelihood of bias in the study sample. this strategy was used to implement _____.
- control
- the scientific method is somewhat less useful in nursing because ____ _____ are less controllable than lab. animals.
- human beings
- which of type of research involve at least SOME control by the researcher to implement the study treatment?
- experimental
- general to universal to speific/particular is an example of ________ reasoning.
- deductive
- research conducted to examine the relationships and devlop and refine explanatory knowledge nursing pratice is _______. c
- correlational
- what is not a requirement for an experimental study?
- repeated measures
- in what step of the quantitative research process do data collection and data analysis occure?
- implementation
- a study conducted on a new area of research where little information is available and provide a basis for the conduct of other types of quantitative research is ____.
- descriptive
- statement that are taken for granted or are considered ture, even though they have not been scientifically tested are_________.
- assumptions
- a research study describing the benefits of ambulation follwing abdominal surgery would be an example of ______ type of research evidence.
- description
- the category of research suggested by 'does telephone follow-up by nurses improve pts' compliance with thir medication regiments?'
- applied research
- a theory generator is usually _______ prepared.
- doctoral
- a masters prepared nurses is an example of _____ tester.
- concept
- a data collector should have what type of degree or higer?
- BSN
- the primary researcher is usually ________ prepared.
- doctoral
- a research replicator would be the _____ prepared nurse.
- masters
- the problem identifier would have a ____ or higher.
- BSN
- who are the consumers of research findings?
- all nurses
-
which is a true statement about the relationship of nursing research to nursing theory and practice?
A- research rarely affects nursing practice
B- research questions often arise from practice
C- research is unable to prove nursing theory - B
- _______ are the branch of philosophy that studies the propriety of certain courses of action.
- Ethics
- ______ are the rules of condict established by a government & applicable to the people whether in the form of legislation or custom
- Laws
- ________ are established rules or standards that guide behavior in situations in which a decision about right and wrong must be made.
- Morals
- ________ are the social principles, ideas, or standards held by an individual, class, or group that give meaning and direction to life.
- Values
- Determining where you stand on nursing issues is an important step in ________ __________
- value clarification
- _________ is giving others their due. _______ is the obligation to honor commitments to oneself and others. _________ is do no harm
-
Justice
Fidelity
Nonmaleficence - __________ is self-governing freedom from the influence of others. _________ is the ethical principle of doing good. _______ is truthfulness
-
Autonomy
Beneficence
Veracity - It may be difficult to practice autonomy in situations where patients can not ________ make their own _________
-
always
decisions - Identify the six steps used in an ethical decision-making model.
-
1. Clarify the ethical dilema
2. Gather additional data
3. Identify options
4. Make a decision
5. Act
6. Evaluate - The ________________________ serves as a guideline for nurses regarding ethical behavior.
- ANA's Code of Ethics for Nurses
- Ethical decision-making models are helpful in determining the best _____ to take concerning an _______ _________
-
action
ethical dilema - _________ is the ethical theory that the rightness or wrongness of an action depends on the inherent moral significance of the action.
- Deontology
- ________ is an ethical theory asserting that it is right to maximize the greatest good for the hapiness or well-being of the greatest # of people.
- Utilitarianism
- _______ _______ states that descriptions of character portray a way of being rather than the process of decision making.
- Virtue ethics
- What Act gives patients the legal right to determine how vigorously they wish to be treated in life or death situations.
- The Patient Self-Determination Act
- ________ _______ are legal documents that indicate the wishes of individuals in regard to end-of-life issues
- Advance Directives
- Advance directives are designed to ensure individuals the rights of _________, refusal of medical _________, and death with _______.
-
autonomy
intervention
dignity - _____ ________refers to a spectrum of techniques used to maintain life after the failure of one or more vital organs.
- Life support
- _____ science tells us the "is" and is basic. _____ science is practical and is what nursing tends to do more of. Tells us how to deal with it.
-
Pure
Applied - Some ways of knowing include tradition, ______ & ______, personal ________, authority, borrowed _______, research, role ________, and intuition
-
trial & error
experience
knowledge
modeling - Galileo and Sir Isaac Newton are usually credited with developing and refining the ________ ________.
- scientific method
- "All the St. bernards I have encountered are gentle, therefore St. Bernards are gentle" is an example of ________ reasoning
- inductive
- "All schoolchildren like chocolate" and "Missie is a schoolchild" and therefore she likes chocolate is an example of _______ reasoning
- deductive
- Limitations of the scientific method include that the clinical setting _______ be compared to the lab setting, ______ issues, and human beings are _______ organisms.
-
cannot
ethical
complex - Research solving: ________ experienced problems, _______ framework, review of the _________, and generalizable.
-
Widely
theoretical
literature - Problem solving: ________ specific, whatever ______, practical, and useful in immediate ________
-
situation
works
situation - All nurses should be involved in _________, but more practically, as aminimum, every nurse should use ________ to improve their practices. (same word)
- research
- Baccalaureate nurses should ____, _____ and _____ research for applicability to nursing practice.
- read, interpret and evaluate
- Master's prepared nurses may be ready to _______ studies that have been previously conducted.
- replicate
-
when it comes to research participation:
student nurses are ______.
BSN nurse is ____ identifier and _____ collector.
MSN nurse is _______ and _________ tester.
Doctoral nurse is ______ generator.
Postdoctoral nurse is ____ _____ -
consumer
problem identifier and data collector
replicator and concept tester
theory generator
funded program director - Research solves ________ experienced problems, has a _______ framework, reviews _______ and it generalizable.
-
Widely
theoretical
literature - Steps of the research process are:_____ identification, structure the ________=methodology, ____ ________, evaluation, describe _________ and outcome ___________.
-
problem
study
data collection
findings
dissemination - Qualitative research is when you ________ and is ________.
-
interview
subjective - Quantitative research is a study that collects ______ data and is ________.
-
numerical
objective - A type of qualitative research known as grounded theory have the purpose of research to develop a ______.
- theory
- Research ideas are generated from three sources: _____ ______, _______ and _______.
-
clinical practice
literature and theory - Relationships among nursing research, practice and theory are ________.
- circular
- Nursing research improves ____ ______.
- patient care
- Research studies have demonstrated the ____ ______ of nurses as health care providers.
- cost-effectiveness
- knowledge from practice is validated through research.
- power
- nursing research enhances that status of nursing as a ______.
- profession
- Florence Nightingale's contribution to nursing is factors affecting _____ and ______.
- morbidity and mortality
- Esta McNett's contribution to nursing is she demonstarted efficacy of masks for reducing the spread of ____.
- TB
- Christine Miaskowski's contribution to nursing is the gender differences in response to _____.
- narcotics
- Peter Buerhaus's contribution to nursing is the nursing ______.
- ratio
- Marlene Kramer's nursing contribution was why nurses ______.
- leave
- Key sources for nursing research are: national institute for _____ ______, _____ ___ ___, ANA, _____ _____organizations and specialty groups.
-
nursing research
sigma theta tau
nursing specialty - Theory _____ the nursing profession and _____ research.
-
elevates
guides - The four concepts that provide stucture for most nursing theories/models are: health care ______/_____, _____, ______ and _____.
-
consumer/client
environment
health
nursing - Health care consumer/client may be an ________ or group.
- individual
- Health is a continuum ranging from completely health state to completely _____ state which leads to death.
- unhealthy
- Environment in living conditions, air and water quality, interpersonal factors & social interactions, as well as internal environmental factors such as ______ beliefs, ______ orientation and ______ response.
-
religious
sexual
emotional - Nursing delineates the ____ & ____ of nurses.
-
function
role - In the Health Belief Model one is suseptible to _____/_____, the disease is ______, therapy works and the therapy is not as bad aas the disease.
-
illness/injury
severe - What six characteristics are in the concept of caring? (All start with C)
-
conscience
confidence
compassion
committment
competence
comportment - The nurse manifests ______ as he or she assists the health care consumer in preventing or adapting to actual or potential health problems.
- caring
- In the CSUS Nursing Theoretical Framework _______ knowledge, attitudes, values and skills is a component.
- developing
- _____ ______ is a sustaining process where one continually adjusts to environmental factors.
- reciprocal adaptation
- In the CSUS Nursing Theoretical Framework there's a change in _____ according to change in environment (reciprocal adaptation)
- curriculm
- The significance of a holistic approach is nursing is the " _____ & ______ of human responses to actual or potential health problems." (ANA)
- diagnosis & treatment
- Philosophies provide broad general views of nursing that _____ values and answer _____ disciplinary questions. It's abstract.
-
clairfy
broad - Conceptual models/frameworks are broad conceptual structures (________ frameworks) providing comprehensive, holistic perspective of nursing through the interrelationship of delineated concepts.
- organizing
- Theories are composed ____ of ______ which are related in statements or proposition. They are building blocks.
- sets of concepts
- Grand theory is ____ in scope and complex.
- broad
- Middle Range theory focus between ____ and micro as a scope.
- grand
- Micro theory is the least complex and most _____.
- specific
- Nightingale, Hendersen, Watson and Benner are in the _______ category.
- philosophy
- Johnson, King, Levine, Neuman, Orem, Rogers, Roy, Gordon and NANDA are in the ______ ______ category.
- conceptual frameworks
- Family systems theory, Orlando, Leininger, Newman and Parse are in the ______ ____ theory category.
- Middle-Range Theory
- Madeleine Leininger developed the ____ ____ theory.
- cultural care
-
The CSUS Summative Outcomes are:
1.______ knowledge
2.______ the environment
3.demonstrate proper use of
_____ ______
4. Performs ____ in a compotent, responsible and professional manner
5. exhibits _______
6. incorpor -
1. synthesize
2. analyzes
3. nursing process
4. duties
5. compassion
6. management
7. communicates
9. nursing
10. professional
11. competence