Nursing Systems Theory Exam 1 Study Guide
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Nursing Systems Theory Exam 1 Study Guide

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Questions and Answers

What is the phase of battering characterized by the victim showing compliant behavior in anticipation of a violent outburst?

  • Explosion
  • Recovery Phase
  • Tension Building (correct)
  • Honeymoon Phase
  • Which of the following is a common sign of elder abuse?

  • Persistent laughter
  • Poor hygiene (correct)
  • Increased social activities
  • Frequent visitors
  • What term describes the treatment of a child that results in serious impairment of their emotional functioning?

  • Emotional neglect (correct)
  • Physical abuse
  • Educational neglect
  • Sexual abuse
  • What percentage of abusers are typically family members?

    <p>90%</p> Signup and view all the answers

    Which sign is indicative of sexual child abuse?

    <p>Difficulty walking or sitting</p> Signup and view all the answers

    What is the cycle of battering that follows the explosive phase?

    <p>Honeymoon Phase</p> Signup and view all the answers

    Which of the following behaviors may mimic signs of dementia in an abused individual?

    <p>Rocking and mumbling</p> Signup and view all the answers

    What describes a pattern of coercive control supported by physical violence or threats in an intimate partner relationship?

    <p>Battering</p> Signup and view all the answers

    What is the tendency to maintain a state of balance called?

    <p>Homeostasis</p> Signup and view all the answers

    Which level of prevention focuses on early detection of disease and prompt intervention?

    <p>Secondary</p> Signup and view all the answers

    In Maslow's hierarchy of needs, which need comes after safety and security?

    <p>Belongingness</p> Signup and view all the answers

    What is the first and most important step in the nursing process?

    <p>Assessment</p> Signup and view all the answers

    What term describes the state produced by change?

    <p>Stress</p> Signup and view all the answers

    What is characterized by a significant deficit in cognition, disturbance of consciousness, and rapid development over a short period?

    <p>Delirium</p> Signup and view all the answers

    What type of data is considered subjective in nursing assessments?

    <p>Patient-reported symptoms</p> Signup and view all the answers

    Which of the following is NOT a known cause of delirium?

    <p>Family history</p> Signup and view all the answers

    What disease is characterized by damage in the basal ganglia and progressive dementia?

    <p>Huntington's disease</p> Signup and view all the answers

    Which condition is characterized by a highly personal state in which a person feels unhealthy?

    <p>Illness</p> Signup and view all the answers

    What is the largest organ of the body?

    <p>Skin</p> Signup and view all the answers

    Which neurodegenerative disease is known for causing dementia and involuntary movements with a rapid progression?

    <p>Creutzfeldt-Jakob disease</p> Signup and view all the answers

    What is the main characteristic of amnestic disorders?

    <p>Inability to learn new information</p> Signup and view all the answers

    Which amnestic disorder is associated with alcoholics due to thiamine deficiency?

    <p>Wernicke's Encephalopathy</p> Signup and view all the answers

    What is one of the early signs of dementia?

    <p>Difficulty with common tasks</p> Signup and view all the answers

    At what stage of dementia might family and friends begin to notice cognitive decline?

    <p>Stage 3</p> Signup and view all the answers

    What is the first stage of Erikson's 8 stages of psychosocial development?

    <p>Trust vs Mistrust</p> Signup and view all the answers

    Which of the following best describes the concept of transcendence?

    <p>Experiencing a connection to a greater force</p> Signup and view all the answers

    What are the last two stages of grief according to the Kubler-Ross model?

    <p>Depression and Acceptance</p> Signup and view all the answers

    What is a common practice within Islam regarding dietary restrictions?

    <p>Avoiding pork products</p> Signup and view all the answers

    What is a characteristic belief of Buddhism?

    <p>Suffering is a part of life</p> Signup and view all the answers

    What is the primary responsibility of nurses during the informed consent process?

    <p>Witness the patient's signature for consent</p> Signup and view all the answers

    What does ISBAR stand for in nursing communication?

    <p>Introduction, Situation, Background, Assessment, Recommendation</p> Signup and view all the answers

    Which act establishes the legal parameters for nursing practice in a state?

    <p>Nurse Practice Act</p> Signup and view all the answers

    What does tort law encompass regarding malpractice?

    <p>Elements of negligence</p> Signup and view all the answers

    Who is primarily responsible for informing patients of procedures and explaining risks?

    <p>Physician</p> Signup and view all the answers

    What does HIPAA stand for, and what does it protect?

    <p>Health Information Portability and Accountability Act</p> Signup and view all the answers

    In the context of delegation, what is the 'right circumstance'?

    <p>The patient is stable</p> Signup and view all the answers

    Which group makes up the Board of Nursing in Florida?

    <p>7 RNs, 3 LPNs, 3 consumer members</p> Signup and view all the answers

    Study Notes

    Nursing Systems and Health Concepts

    • A System consists of interacting parts or components.
    • Systems Theory involves breaking down whole entities into parts that function together towards a common purpose.
    • Homeostasis is the body's tendency to maintain a state of balance.
    • Core nursing concepts include Individual, Health, Nursing, and Environment.

    Health and Needs

    • Health is defined as a state of wellness.
    • Certain needs are essential for wellbeing: Love, Security, and Self-Esteem.
    • If these needs are unmet, Coping Mechanisms activate to restore homeostasis.

    Maslow's Hierarchy of Needs

    • The hierarchy progresses through Physiological, Safety and Security, Belongingness, Esteem and Self-Respect, and culminates in Self-Actualization.

    Stress and Illness

    • Stress is a state resulting from change, while Disease refers to an alteration in body function.
    • Illness is a personal experience where one feels unhealthy.

    Nursing Process and Assessment

    • The first step in the nursing process is Assessment.
    • Assessment Types include Physical Head-to-Toe and Focused assessments.
    • Subjective Data comes from patient reports, while Objective Data is gathered through observation.

    Geriatrics and Aging

    • Geriatrics deals with aging-related problems.
    • Common physical changes in the elderly include decreased skin turgor, height loss, fine hair texture, osteoporosis, and cognitive decline.

    Delirium and Cognitive Disorders

    • Delirium manifests with a disturbance in consciousness, disorientation, and is caused by factors such as drugs or head injuries.
    • Parkinson's Disease and Huntington's Disease are neurodegenerative disorders with significant cognitive impact.
    • Amnestic Disorders may arise from head trauma or substance abuse (e.g., Wernicke's Encephalopathy).

    Dementia

    • Early signs of Dementia include memory loss and difficulty performing common tasks.
    • The Stages of Dementia range from no symptoms to severe impairments affecting daily functions.

    Abuse and Neglect

    • Abuse is the maltreatment of one person by another, often seen in familial settings.
    • Signs of Elder Abuse include bruises, neglected hygiene, and unexplained injuries.
    • Child Abuse indicators include unexplained injuries and behavioral changes.
    • HIPAA (1996) mandates patient consent for information release and privacy rights.
    • Nurse Practice Acts govern the legal authority of nursing practices, varying by state.
    • Nurses must provide Informed Consent, primarily explaining risks versus benefits of procedures.

    Stages of Grief and Cultural Considerations

    • Kubler-Ross identifies five stages of grief: Denial, Anger, Bargaining, Depression, Acceptance.
    • Cultural practices influence patient care; for example, Judaism adheres to kosher diets, while Islam emphasizes modesty and specific prayer practices.

    Personal and Spiritual Development

    • Self-Concept reflects the mental image and value one places on themselves.
    • Spirituality involves awareness of one's inner self and connection to a higher power.
    • Transcendence is the experience of something greater than oneself.

    Constants in Nursing Communication

    • Utilize ISBAR communication: Introduce, Situation, Background, Assessment, Recommendation.
    • Always verify patient preferences for follow-up communications.
    • The Five Rights of Delegation include ensuring the right person, task, direction, circumstance, and supervision are in place.
    • Consent can be Expressed (oral/written) or Implied through nonverbal cues.
    • Surgical Time-Outs are crucial for confirming procedure specifics before operations begin.

    These key points provide a concise overview of the fundamental concepts necessary for nursing practice, patient care, and ethical responsibilities.

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    Description

    Prepare for your Exam 1 with this comprehensive study guide focused on nursing systems theory. Review key concepts such as homeostasis, health, and the core principles in nursing. Master the essential components that contribute to an individual's wellness and understanding of the environment.

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