| PEPLAU | Instrumental in holistic , psychiatric approach, encourage patients self -care, interpersonal approach? |
| SILVER, FORD | WHO INTRODUCED N.P. ROLE |
| STATE STATUTES | WHAT GOVERNS NP ROLE |
| DESCRIBES Prescriptive practice and overseeing of NP | WHAT IS A COLLABORATIVE AGREEMENT? |
| CERTIFICATION | WHAT PROCESS BY A PROFESSIONAL ORGANIZATION STATE A LICENSED PERSON HAS MET STANDARDS FOR SPECIALTY PRACTICE? |
| CREDENTIALING | PROCESS TO PROTECT PUBLIC; ENSURING MINIMAL LEVEL OF PROFESSIONAL COMPETENCY? |
| LICENSURE | WHAT IS THE PROCESS A STATE GRANTS A PERSON TO ENGAGE IN THE PRACTICE OF A PARTICULAR PROFESSION? |
| statute | RULES AND REGS FOR EACH STATE: DEFINES SCOPE OF PRACTICE AND RESTRICTIONS CALLED? |
| STANDARD OF PRACTICE | STATEMENT OF QUALITY THAT SHOULD BE PROVIDED? |
| SCOPE OF PRACTICE | DEFINES NP ROLE AND ACTIONS |
| INCENTIVE OF SHARTING E-DATA, MEANINGFUL USE, E-PRESCRIBING, MD ORDER SETS, TRACKING AND AVOIDING DUPLICATE SERVICES | WHAT DOES HITECH AND HRSA (2009,2013) PROVIDE? |
| duty to warn law | WHAT IS tarasoff v regents 1976? |
| TRUTHFUL | VERACITY |
| DOING FOR ONES SELF | autonomy |
| NO HARM | nonmaleficence |
| TRUE AND LOYAL | FIDELITY |
| PROMOTE WELL BEING AND GOOD | beneficence |
| FAIRNESS | JUSTICE |
| AN ACTION IS GOOD OR BAD, NOT BASED ON CONSEQUENCES | deontological theory ethics |
| ACTION IS GOOD OR BAD BASED ON CONSEQUNCES | teleological theory |
| ACTIONS BASED ON MORAL VIRTURES OR CHARACTER OF PERSON | VIRTUAL ETHICS |
| DUTY , BREACH OF DUTY, PROXIMATE CAUSE, DAMAGES
DUTY- REASONABLE CARE
BREACH OF DUTY-VIOLATION OF DUTY
PROXIMATE CAUSE- RELATIONSHIP BETWEEN BREACH AND PT INJURIES
DAMAGES-DUE TO SUBSTANTIAL PERMANENT DAMAGE | NEGLIGENCE NEEDED FOR MALPRACTICE SUIT |
| LEGAL IN ALL 50 STATES, PERSON TO ACT ON BEHALF OF PATIENT, NOT LIMITED TO TERMINAL ILLESS, CONSIDER WITH CHRONIC MENTAL ILLNESS | DURABLE POWER OF ATTORNEY |
| PREFERENCE OF CARE ; NOT LEGALLY BINDING | LIVING WILL |
| 50 percent | NUMBER OF HOMELESS WITH CO-OCCURING SUBSTANCE /ETHOH ABUSE |
| 15-45 percent | NUMBER OF SCHIZOPHRENICS IN HOMELESS POPULATION? |
| RECOVERY: 1. HEALTH 2. HOME 3. PURPOSE 4. COMMUNITY | GOAL FOR MENTAL HEALTH TREATMENT |
| the act of transfering something from one form to another; THE PATIENT TO NP | transference |
| the psychoanalyst's displacement of emotion onto the patient or more generally the psychoanalyst's emotional involvement in the therapeutic interaction | countertransference |
| INTRODUCTION, WORKING , TERMINATION | PHASES OF NP-CLIENT RELATIONSHIP BY PEPLAU? |
| ERICKSON | stages of human development |
| TRUST VS MIS TRUST 0-1 YER | ERICKSON STAGE FOR HOPE , TRUST , FORMING MEANINGFUL RELATIONSHIPS |
| autonomy vs shame and doubt ,1-3 YEARS | ERICKSON STAGE : SELF-CONTROL, SELF ESTEEM, WILL POWER |
| ABILITY TO WORK , COMPENTENCY , ACHIEVEMENT . AGE 3-6 | industry vs inferiority erikson |
| IDENTITY , AGES 12-20 | identity vs role confusion |
| LOVE; RELATIONSHIPS, AGES 20-35 | intimacy vs isolation stage |
| give of your time talents and treasure , AGES 35-65 | generativity vs stagnation |
| fullfillment, willingness to face death, OVER 65 | integrity v despair |
| FREUD: BEHAVIOR HAS MEANING. CONSCIOUS IS AFFECTED BY UNCONCIOUS. CHILDHOOD SHAPES ADULT. INTRAPSYCHIC CONFLICTS AND NEUROSIS, ANXIETY IS CONFLICT | psychodynamic theory (PSYCHOANALYTICAL THEORY) |
| I.D : BIRTH , A.D.D: TO AGE 12, SCHIZOPHRENIA 18-25 MEN 25-35 WOMEN, MDD: LATE ADOLESENCE TO YOUNG ADULT , DEMENTIA: AFTER 65 | ONSET AGE FOR COMMON PSCYHIATRIC DISORDERS |
| cognition, LEARNING , COMPREHENDING | cognitive theory piaget |
| sensiormotor : 0-2 object permanence ------ preoperational : 2-7 language and magical thinking------concrete operations : 7-12 (reversibiity and conservation) and logic ----- formal operatons : 12 to adult , abstract thinking | four stages of cognitive development piaget |
| behavior IS A RESULT of relationships: Two drives satisfaction and drive for security | Interpersonal theory : henry stacks |
| survival , safety, love and belonging, self esteem, self actualizaton | maslow's hierarchy of needs |
| people do not take advantage of health care due to certain perceptions | health belief model Becker |
| precontemplation : no desire
contemplation: thinking about it
preparation : decision made
action : specific effort
maintaince: prevent relapse | transtheoretical model of change |
| focused, goal directed, uses theoretical model of change, non-confrontational | Motivational interviewing : Miller and Rolnick |
| Dorothy Orem: self care =activities that maintain life and well being. | theory of self care |
| hildegard peplau : first nursing theory. Uses orientation , working and termination phase .Behavior is person try to adapt | Interpersonal theory |
| Watson | Caring Theory |
| person believes their needs are at odds with another | conflict |
| win-win | conflict resources |
| the act of intervening for the purpose of bringing about a settlement , uses third party | mediation |
| third party reviews and makes decision | arbitration |
| independent variable (treatment) caused a change in the dependent variable (outcome) | internal validity |
| sample represents the population , results can be generalized | external validity |
| an activity that varies from a norm or standard | variance |
| possible deviation from mean | standard deviation |
| if means of two groups are different | t tests |
| test difference three or more groups | analysis of variance anova |
| tests the relationship between tow variables | pearson's r correlation |
| the quality of being probable; lies between 0 and 1 | probability |
| level of significance: 1 per cent probability is by chance alone | p value |
| Minimal risk, participant selection equitable, report adverse events, data and safety plan monitored, human rights protected, all must pass the test on human rights | What are ethical considerations in research |
| safe, effective, client centered, timely, efficient, equitable. | Institute of Medicene quality aim? |
| PROCESS
POLICY REFORM
POLICY ENVIRONMENT
POLICE MAKERS | four components of health policy developement |
| NUCLEUS
CELL BODY
CYTOPLASM WITHIN CELL MEMBRANE | CELL BODY |
| AXON = away from cell body | AXON |
| INCOMING SIGNALS FROM OTHER NEURONS TO CELL BODY | DENDRITES |
| volunteer movement; FROM CNS TO MUSCLES | somatic nervous system |
| HOMEOSTASIS, INVOLUNTARY,
SYMPATHETIC AND PARASYMPATHETIC
, CNS TO SMOOTH MUSCLE,
REGULATES INTERNAL PROCESS | autonomic nervous system |
| fight or flight response, increases activity of organs | sympathetic nervous system |
| restores, inhibits activity of organs | parasympathic |
| mylenated axons of neurons | white matter in brain |
| cell body and dendrites, area of neuronal connection | gray matter |
| anterior portion of the brain consisting of two hemispheres; dominant part of the brain in humans | cerebrum function |
| MOTOR AND PREMOTOR (VOL. MUSCLES)
EXECUTIVE FUNCTONS,
EXPRESSIVE LANGUAGE (BROCA)
PERSONALITY,
PROB WITH: PERSONALITY CHANGES
EMOTION , INTELLECT | FRONTAL LOBE |
| RECEPTIVE SPEECH (WERNICKE) , AUDITORY, MEMORY, EMOTION, INTEGRATES VISION WITH SENSORY.
Problem: visual or auditory hallucination, aphasia and amnesia | TEMPORAL LOBE |
| vision , vision w/ sensory | occipital lobe |
| sensory, taste, reading and writing, prob w. parietal can lead to preceptual disturbances and agnosia | parietal |
| contralateral; cerebral cortex, thalamus, hypthalamus and basal ganglia | cerebrum |
| regulates emotions and memory | limbic system |
| hunger, thirst, water balance, circaidian, body temperature, libido, hormone regulation | hypothalamus |
| relays smell ; regulates memory, emotion, affect and flow of sensory information | thalamus |
| regulates short term to long term memory | hippocampus |
| mediates mood: fear, emotion , and agression, connects sensory smell with emotions | amygdala |
| extrapyramidal movements, contains caudate and Putnam, movement and complex motor learning automatic actions, (like riding a bike)
problems here lead to bradykinesia, hyperkinesia, and dystonia | basal ganglia |
| norepinephrine synthesis, part of brainstem | pons |
| ventral tegmental and substantia nigra, dopamine syntheis | midbrain |
| with pons, controls autonomic and regulates internal body function | medulla |
| balance, gross motor, posture prob: ataxia , Romberg tests for deficiency in | cerebellum function |
| reflex, muscle tone, vitals, involuntary muscle, | reticular formation system |
| form myelin sheaths in CNS | glial cells |
| first or excitatory phase; sodiaum and calium ions enter cel | depolarization of nerve cells |
| restorative phase, K+ leaves cell or chloride enters cell | repolarization of nerve cells |
| chemicals from dietary substrates and communicate from one cell to another | neurotransmitters |
| dopamine, norepinephrine, and serotonin | what are the monoamines |
| SUBSTANTIA NIGRA AND VENTRAL TEMENTAL | WHERE IS DOPAMINE PRODUCED |
| MESOCORTICAL, MESOLYMBIC, NIGROSTRIATAL , TUBEROINFUNDIBULAR | NAME 4 DOPAMINERGIC PATHWAYS |
| CATHECHOLAMINE PRODUCED BY ADRENAL GLANDS | EPINEPHRINE |
| AN INDOLE PRODUCED IN THE RAPH NUCLEUS OF BRAINSTEM | WHERE IS SEROTONIN PRODUCED |
| CATECHOLAMINE PRODUCE IN THE LOCUS CEULEUS OF THE ONS, PRECURSOR IS TYROSINE, NEUROTRANSMITTER FOR MOOD , ANXIETY AND CONCENTRATION. | NOREPINEPHRINE |
| GLUTAMATE, ASPARTATE , GABA , GLYCINE. | NAME AMINO ACIDS INVOLVED WITH NEURO / BRAIN/ MOOD |
| EXCITATORY; SEIZURE DISORDER, IMBALANCE OF IN SCHIZOPHRENIA AND MOOD DISORDERS; | GLUTAMATE |
| INHIBITORY, SITE OF BENSO , ALCOHOL , BARITURATES AND CNS DEPRESSANTS; WORKS WITH GYCINE | GABA |
| cholinergic, sythesized by basal nucelus Meynert | acetycholine |
| weber and rhine test | test for hearing loss (acoustic nerve) |
| Romberg | Test for equilibrium |
| test for rapid alternative movements , such as knee to knee | diadokineasia |
| finger to nose | dysyneriga |
| I.D objects in hands with eyes closed | sterognosis |
| ID numbers or letters by tracing on han | graphesthisia |
| 20-25, 30-35 is obese | what is normal bmi |
| seroquel | this drug can lead to cataracts |
| dysdiadochokinesia, astereognosis, agraphesthesia | three tests for neuro soft signs |
| psychotropics | can cause blurry vision |
| lithium and anorexia | can cause peripheral edema |
| graves, thyrotoxicosis due to T4, hasimotos, thyroiditis | diseases that have increase thyroid levels |
| hypothyroidism (primary, secondary tertiary )throtoxicosis due to T3, renal failure, cushings, cirrohis | diseases that have decreased thyroid levels |
| heparin, aspirin, inderal | what drugs can increase thyroid levels |
| lasix , methodone | what drugs can decrease thryoid values |
