Clinical Nurse Specialist: in the clinical experts in the dx and tx of illness & the delivery of evidence-based nsg interventions

Nurse Practitioner: RN who has completed specific a advanced nsg education and training in the diagnosis and management of common as well as complex medical condition Distinct Identity and Culture: criteria of a profession Proficient Nurse: holistic understaNDING OF CLIENTS CONDITION, operates ore intuitively than the cometent nurse Assertiveness: speaking ones mind out with respect to the boundaries of othes Accountability: assuming responsibility for ones action Altruism: orientation towards service Authority: the right to exercise power Assertiveness: speaking for the best interest of the client Theory: well defined testable description of a subject; can be tested in practice Prescriptive theory: explain, relate and in some situations predict nursing phenomenon Interdisciplinary Theory: enable nurses to practice in todays health care system with a strong scientific knowledge base from nursing and other discipline such as physical, social and behavioral sciences Developmental theories: assert the development begins with conception and continuous through death in an orderly manner Active Euthanasia: performing a direct act to cause the clients death Ethical dilemma: the need to choose from among two or more morally acceptable courses of action Passive Euthanasia: not saving the client; withdrawal of treatment that leads to the clients death Organ Donation: stewardship and non-maleficence Veracity: withholding the clients dx and prognosis Non-maleficence: protection of public; will provide care of their clients in the least painful and harmful way possible Beneficence: exemplified when a child immunization is administered even f it may cause discomfort during administration but the benefits of protection from disease both for the individual and society outweigh the temporary discomfort Fidelity: when the nurse monitors the clients response to the plan, when a nurse assesses a client for pain and then offers a plan to manage the pain God Samaritan law: it provides immunity from civil liability when a person provide assistance in an emergency(Note: there is no good samaritan law in the Philippines) Plaintiff: initiates legal proceedings Sexual harassment; committed by a person who having authority over another in a work; training or educational environment demands or requests sexual favor from the other person of whether the demand or request for the sexual solicitation is accepted or not (RA 7877)

BON creation: 1919 under RA 2808 ; sched the NLE on the 2n Monday of june and dec of each year; 1st NLE in 1920 Contract: agreement entered into by consenting parties Types: formal ( written), informal (verbal), implied ( intended)., illegal (prohibited), void (non-existent from the start) Advance directives: clients right proxy and durable power of attorney Operating Budget: day to day expenses; covers 1 year Capital: physical additions to the unit; 3 or more years Personnel: cash outflows o the cost of direct labor, salaries, fringe benefits Staffing: provide quality care Reliability:how consistently the measurement technique measures the concept of interest Validity: characteristic of the research tool, measures what it is supposed to measure Variable: anything that takes different values Spiritual Health: belief or awareness of the existence of a supreme being within each individual Spiritual distress: disturbance in a belief or values system Mycoplasmal Pneumonia: droplet precaution, during the duration of illness Body mechanics: facilitate efficient use of appropriate muscle; elements: posture, balance and body movement Temp taking: consider safety High Phosphorus: soft drinks, chocolate and milk Vegan diet: 7th day Adventists; full vegetarian, may lead to B12 def Vit C: aple juice 1 up broccoli: 140mg of vit C cleansing enema: Fr 22 30 (adults); 12-18 (child) warmed solution: 750 1000ml (adult); infant: 150 250ml, toddler: 250-350ml; School age: 300-500ml, adolescent: 500-750ml Pre-entry: consultation Entry: integration Prioritization: team building and action-reflection-action Community action: PIME (planning, implementation, monitoring and evaluation) Sustenance and strengthening: ratification of constitution and by-laws Leptospirosis: penicillin, tetra and erythromycin Anthrax: Doxycycline (DOC) or Ciprofloxacin (2nd-line) Scrub suit: comfortable fabric that is lint-free and flame resistant; short sleeve upper garment must be tucked into the pants; changed daily or prn Head cover: don b4 the scrub attire., cover the head and facial hair, worn in semi and restricted area Shoe cover : worn over shoes in semi- and restricted areas; removed b4 leaving the suite; new pair of shoe cover is used when re-entering the semi-restricted area

Surgical mask: restricted area by all personnel; never worn outside; cover nose and mouth; uppers strings tied at the back of the head; lower strings behind the neck; never cross the strings; handle by strings only; new mask b/w clients; changed between procedure; sneeze directly into the mask and never turn head sideways REsticted area: scrub suit, headap, shoe cover and mask Semi-restricted: scrub suit, head cap and shoe cover Unrestricted area; ordinary pants and shirt Stages of anesthesia: 1. loss of consciousness; 2. excitement or delirium; 3. surgical anesthesia 4. danger stage: depression of vital functions Consciousness is lost: stage 2 Corneal reflex is lost: 2nd phase of stage 3 Gag reflex is lost- 1st phase of stage 3 Respi depression; stage 3 Absent respi movt: stage 4 Last physio fxn to be lost: respi movement Decibel: unit of measurement of intensity of soundwaves; whisper: 20 db; Normal conversation; 60db; street traffic: 70db; jet engine + gun blast: 160 db ( TM perforation) Heterograft: xenograft; different species Homograft: the same species Jobst garment: compression garment that is used to prevent lymphedema or keloids Alexia: kabobohan (inability to read) Paleologic thinking: disturbed system of logic when 2 variables about them are the same Anhedonia: lack of pleasure Adolescents common Qs: SINO AKO??? Suspicious client : allow them to set the pace of the relationship Horticulture therapy: gardening Milieu Therapy: enables the nurse to implement the principles of general client mngt and identify interventions to meet client needs Stress management: for staff burn-out Desensitization: help client relax and progressively work up a list of anxiety provoking situations Vocational Tx: to learn skills that will make him productive and an money in the future (eg: marijuana propagation) Group Tx: best help those who feel they have a problem; sharing problems with others; help individual learns new way of coping Cogentin: ati-parkinsonian; blocks acetylcholine receptors; muscles become less stiff, best taken p.c., avoid alcohol, report dysuria, causes hypotension, evaluate effect of the drug after several days

Levodopa: increase dopamine levels; muscles less stiff, best taken with meals; avoid B6 or CHON-rich foods coz it decreases absorption; may cause urinary retention; ensure that the client voids b4 receiving dose MILD MR: IQ 60, able to achieve acadmic skills of Gr 6 MODERATE: IQ 45; gr 2 academic skills Profound: IQ 15, unable to perform ADLs; Normal: IQ 90 SEVERE: IQ 30, needs constant supervision Date rape and acquaintance rape: rapist is known to the victim. May occur on the 1st date or after the victim and the rapist have known each other for months Initial assessment of a rape victim can significantly affect the psychological impact of the assault on the victim Initial info to be elicited: perception of what occurred