By E. Karlen. Dallas Theological Seminary.
Health beliefs and practices (personal responsibility for health; special self-care practices): Nursing Process: One Step to Professionalism ● 7 c generic indocin 50mg with visa arthritis pain levels. Precipitating Event Describe the situation or events that precipitated this illness/ hospitalization: V indocin 75 mg on-line arthritis diet natural news. Anxiety level (circle level, and check the behaviors that apply): Mild Moderate Severe Panic Calm Friendly Passive Alert Perceives environment correctly Cooperative Impaired attention “Jittery” Unable to concentrate Hypervigilant Tremors Rapid speech Withdrawn Confused Disoriented Fearful Hyperventilating Misinterpreting the environment (hallucinations or delusions) Depersonalization Obsessions Compulsions Somatic complaints Excessive hyperactivity Other 2. Mood/affect (circle as many as apply): Happiness Sadness Dejection Despair Elation Euphoria Suspiciousness Apathy (little emotional tone) Anger/hostility 3. Ego defense mechanisms (describe how used by client): Projection Suppression Undoing Displacement Intellectualization Rationalization Denial Repression Nursing Process: One Step to Professionalism ● 9 Isolation Regression Reaction formation Splitting Religiosity Sublimation Compensation 4. Level of self-esteem (circle one): low moderate high Things client likes about self Things client would like to change about self Nurse’s objective assessment of self-esteem: Eye contact General appearance Personal hygiene Participation in group activities and interactions with others 5. Stage and manifestations of grief (circle one): Denial Anger Bargaining Depression Acceptance Describe the client’s behaviors that are associated with this stage of grieving in response to loss or change. Thought processes (circle as many as apply): Clear Logical Easy to follow Relevant Confused Blocking Delusional Rapid ﬂow of thoughts Slowness in thought association Suspicious Recent memory: Loss Intact Remote memory: Loss Intact Other: 7. Interaction patterns (describe client’s pattern of interpersonal interactions with staff and peers on the unit, e. Reality orientation (check those that apply): Oriented to: Time Person Place Situation 10. Psychosomatic manifestations (describe any somatic complaints that may be stress-related): 2. Skin: Warm Dry Moist Cool Clammy Pink Cyanotic Poor turgor Edematous Evidence of: Rash Bruising Needle tracks Hirsutism Loss of hair Other c. Musculoskeletal status: Weakness Tremors Degree of range of motion (describe limitations) Pain (describe) Skeletal deformities (describe) Coordination (describe limitations) d. Neurological status: History of (check all that apply): Seizures (describe method of control) Headaches (describe location and frequency) Fainting spells Dizziness Tingling/numbness (describe location) e. Cardiovascular: B/P Pulse History of (check all that apply): Hypertension Palpitations Heart murmur Chest pain Shortness of breath Pain in legs Phlebitis Ankle/leg edema Numbness/tingling in extremities Varicose veins f. Method of birth control used Females: Date of last menstrual cycle Length of cycle Problems associated with menstruation? Medication side effects: What symptoms is the client experiencing that may be attributed to current medication usage? Activity/rest patterns: Exercise (amount, type, frequency) Leisure time activities: Patterns of sleep: Number of hours per night Use of sleep aids? Personal hygiene/activities of daily living: Patterns of self-care: Independent Requires assistance with: Mobility Hygiene Toileting Feeding Dressing Other Statement describing personal hygiene and general appearance n. Essential fea- tures of many disorders are identical, regardless of the age of the individual. Examples include the following: Cognitive disorders Personality disorders Schizophrenia Substance-related disorders Schizophreniform disorder Mood disorders Adjustment disorder Somatoform disorders Sexual disorders Psychological factors affect- ing medical condition There are, however, several disorders that appear during the early developmental years and are identiﬁed according to the child’s ability or inability to perform age-appropriate tasks or intellectual functions. It 14 Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence ● 15 is essential that the nurse working with these clients understand normal behavior patterns characteristic of the infant, childhood, and adolescent years. About 5% of cases of mental retardation are caused by hereditary factors, such as Tay-Sachs disease, phenylke- tonuria, and hyperglycinemia. Chromosomal disorders, such as Down syndrome and Klinefelter syndrome, have also been implicated. Mental retardation can occur as an outcome of childhood illnesses, such as encephalitis or meningitis, or be the result of poisoning or physical trauma in childhood. The individual may experience some limitation in speech communication and in interactions with others. Systematic habit training may be accomplished, but the individual does not have the ability for academic or vocational training. There is a lack of ability for speech develop- ment, socialization skills, or ﬁne or gross motor movements.
Johnson buy indocin 75 mg low cost arthritis in knee of dog, age 69 indocin 75 mg fast delivery herbs for arthritis in feet, has been diagnosed with her own ability to be a healthy, functioning prostate cancer. Give an exam- Clarke says, “I don’t know if my husband will ple of a nurse’s dialog with Mr. Clarke and Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing: The Art and Science of Nursing Care, 7th Edition. Pick a partner and try to communicate the following messages using only nonverbal communication: c. Observe and interpret a patient’s nonverbal communication, and then ask the patient if your interpretation was correct; for example, d. A 4-year-old boy is admitted to the hospital Chapter 21 in your textbook to answer the with multiple fractures following a car questions below. Irwina Russellinski is a 75-year- old woman transferred from the emergency with third-degree burns following a ﬁre in department, diagnosed with pneumonia. A 29-year-old rape victim is brought to the “slightly confused” at times, and speaks “bro- emergency room for treatment and testing. A 60-year-old man with a history of strokes living nearby who is listed as a contact person. Study Guide for Fundamentals of Nursing: The Art and Science of Nursing Care, 7th Edition. What intellectual, technical, interpersonal, nurse use to complete an assessment of and/or ethical/legal competencies are most Mrs. Study Guide for Fundamentals of Nursing: The Art and Science of Nursing Care, 7th Edition. Knowledge Deﬁcit: child safety, related to mother’s lack of experience and socioeco- Circle the letter that corresponds to the best nomic level answer for each question. Which of the following developmental the nurse should consider which of the considerations is a nurse assessing when following statements? The objectives written in the “learner ob- jectives” column of the sample teaching b. Which of the following is the best source of done by the nurse or another healthcare assessment information for the nurse? Which of the following diagnoses would best needs to meet the learner objectives success- describe a situation in which a woman has a fully, the nurse is planning which part of the knowledge deﬁcit concerning child safety for teaching plan? Knowledge Deﬁcit: child safety, related to inexperience with the active developmen- d. Toddler at High Risk for Injury, related to a situational crisis during which of the mother’s lack of knowledge about child following types of counseling sessions? When a patient says, “I don’t care if I get Circle the letters that correspond to the best better; I have nothing to live for, anyway,” answers for each question. Which of the following is a Joint Commission standard for patient and family education? Professional counseling skills, and behaviors that are necessary to beneﬁt fully from the healthcare interven- 8. The organization recognizes the nurse and following assumptions concerning adult other healthcare staff as the sole authority learners? The patient and family educational process becomes more dependent; therefore, this is interdisciplinary as appropriate to the patient must be made aware of the impor- plan of care. The adult learner is not as concerned with provision and coordination of patient and the immediate usefulness of the material family education activities and resources. The nurse should be able to draw from sible for providing the information to the the previous experience of the patient organization or individual responsible for to emphasize the importance of stress the continuing care of the patient. Which of the following principles of reﬂect the aims of patient teaching and coun- teaching–learning is an accurate guideline seling?