Glossary of HESI
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- What are the 5 steps of the nursing process?
- Define assessment?
- gather objective and
- Define analysis?
- interpret data
collect additional data when
identify and communicate
determine health team's
ability to meet client's
- Define planning?
- determine and prioritize
goals of care. Include
client, significant others,
and health team in setting
develop and modify plan for
delivery of client's care
- Define implementation?
- organize and manage the
perform or assist in
performance of client's
counsel and teach client,
significant others, and
provide care specifically
directed toward achieving
- Define evaluation?
- compare actual outcomes with
evaluate compliance with the
established regimen or plan
record and describe client's
response to plan
modify plan as indicated, and
- What are the 2 components of the nursing diagnosis?
- The RESPONSE component of a nursing diagnosis is?
- includes potential or actual
outcomes that can be
cites potential for changes
based on nursingn actions
example: alteration in
- The ETIOLOGY component of a nursing diagnosis is?
- includes potential or actual
addresses independent, inter-
dependent, and dependent
example: related to
- Name 13 NANDA-Approved Nursing Diagnoses?
- Name the Activity/Rest NANDA-Approved Nursing Diagnoses? (7)
- Activity Intolerance
Disuse Syndrome, Potential
Diversional Activity Deficit
Physical Mobility, Impaired
Sleep Pattern Disturbance
- Name the Circulation NANDA-Approved Nursing Diagnoses?
- Decreased Cardiac Output
Tissue Perfusion, Altered
(Specify type: renal,
high risk for peripheral
- Name the Elimination NANDA-Approved Nursing Diagnoses?
Urinary Elimination, Altered
- Name the Emotional Reactions NANDA-Approved Nursing Diagnoses?
- Adjustment, Impaired
Body Image Disturbance
Decisional Conflict (Specify)
Personal Identity Disturbance
Rape-Trauma Syndrome: Silent
Relocation Stress Syndrome
Self-Esteem, Chronic Low
Self-Esteem, Situational Low
- Name the Food/Fluid NANDA-Approved Nursing Diagnoses?
- Breastfeeding, Ineffective
Fluid Volume, Excess
Fluid Volume Deficit,
Nutrition Less than Body
Nutrition More than Body
Nutrition, Potential for more
than Body Requirements,
Oral Mucous Membrane, Altered
Ineffective Infant Feeding
- Name the Hygiene NANDA-Approved Nursing Diagnoses?
- Health-Seeking Behaviors
- Name the Neurologic NANDA-Approved Nursing Diagnoses?
- Communications, Impaired
type: visual, auditory,
Thought Process, Altered
- Name the Pain Nanda-Approved Nursing Diagnoses?
- Name the Relationship Alterations NANDA-Approved Nursing Diagnoses? (13)
- Family Coping: Compromised,
Family Coping: Disabling,
Family Process, Altered
Parental Role Conflict
Role Performance, Altered
Self-Esteem, Chronic Low
Self-Esteem, Situational Low
Social Interaction, Impaired
Caregiver Role Strain
High Risk for Caregiver Role
- Name the Safety NANDA-Approved Nursing Diagnoses? (17)
- Body Temperature, Potential
Health Maintenance, Altered
Infection, Potential for
Injury, Potential for
Poisoning, Potential for
Suffocation, Potential for
Trauma, Potential for
Skin Integrity, Impaired
Skin Integrity, Potential
Tissue Integrity, Impaired
Violence, Potential for:
Self-directed or directed
High Risk for Self-Mutilation
- Name the Sexuality NANDA-Approved Nursing Diagnoses?
- Sexual Dysfunction
Sexual Patterns, Altered
- Name the Teaching/Learning NANDA-Approved Nursing Diagnoses? (5)
- Growth and development,
Knowledge deficit (specify)
Ineffective management of
- Name the Ventilation NANDA-Approved Nursing Diagnoses?
- Airway clearance, ineffective
Aspiration, potential for
Inability to sustain
- Name Maslow's Hierarchy of Needs in order. (6)
Love and Belonging
Esteem and Recognition
- What is the definition of Maslow's Physiologic?
- Biologic needs for food, shelter, water, sleep, oxygen, sexual expression
- What is the definition of Maslow's Safety?
- Avoiding harm; attaining security, order, and physical safety
- What is the definition of Maslow's Love and Belonging?
- Giving and receiving affection; companionship; and identification with a group
- What is the definition of Maslow's Esteem and Recognition?
- Self-esteem and respect of others; success in work; prestige
- What is the definition of Maslow's Self-Actualization?
- Fulfillment of unique potential
- What is the definition of Maslow's Aesthetic?
- Search for beauty and spiritual goals
- The priority biologic need is?
- breathing i.e. open airway
- Ensuring that the client's environment is 1____ is a priority, e.g., teaching an older client to remove throw rugs which pose a safety hazard when ambulating would have a greater priority than teaching how to use a walker - FIRST priority is 2____, then
- 1 SAFE
- Which action has a higher priority...assisting the client in becoming a part of a support group...or assisting him/her in developing self-esteem?
- sense of belonging comes first, and such a sense might help in developing self-esteem
- What provides the laws that control the practice of nursing in each state?
- Nurse Practice Acts
- A tort is an act involving injury or damage to another (except 1_____ of contract) resulting in 2_____ liability (i.e. the victim can sue) instead of 3_____ liability (see crime).
- 1 breech
- Two unintentional torts are?
- Negligence is a form of ______ tort whereby performing an act that a reasonable and prudent person would not do. Measure of negligence is "_____" (i.e. would a reasonable and prudent nurse act in the same manner under the same circumstance?)
- Malpractice is a form of ______ tort whereby there is negligence of professional _____, e.g., professional misconduct, or unreasonable lack of skill in carrying out professional duties.
- What four elements are necessary to prove negligence/malpractice and if any element is missing, it cannot be proved?
breach of duty
- What is DUTY? (one of the four elements that proves negligence/malpractice and cannot be missing)
- The obligation to use due care (what a reasonable, prudent nurse would do)
Failure to care for and/or to protect others against unreasonable risk.
- DUTY (one of four elements of negligence/malpractice) must _______ foreseeable risks.
Example: If a floor has water on it, the nurse is responsible for anticipating the risk to the client of falling.
- What is BREACH OF DUTY? (one of the four elements that proves negligence/malpractice and cannot be missing)
- Failure to perform according to the established standard of conduct in providing nursing care.
- What is INJURY/DAMAGES? (one of the four elements that proves negligence/malpractice and cannot be missing)
- Failure to meet standard of care, which causes actual injury or damage to the client, either physical or mental.
- What is CAUSATION? (one of the four elements that proves negligence/malpractice and cannot be missing)
- A connection exists between conduct and the resulting injury referred to as "proximate cause" or "remoteness of damage"
- Hospital policies provide a guide for nursing 1_____.
They are NOT 2____, but courts generally rule against nurses who have violated the employer's policies. Hospitals can be liable for poorly formulated or poorly implemented policies.
- 1 actions
- What alerts administration to possible liability claims and the need for investigation; they do NOT _____ against legal action being taken for negligence or malpractice.
- Incident report
- Burning a client with a hot water bottle or heating pad is an example of?
- Two forms of intentional tort are?
- What is the term used for mental or physical threat, e.g., forcing (without touching) a client to take a medication or treatment?
- What is the term used when touching, with or without the intent to do harm, e.g., hitting or striking a client. If a mentally competent adult is forced to have a treatment and has refused, this occurs?
- Leaving sponges or instruments in a client in surgery is an example of?
- What is the term for encroachment or trespassing on another's body and/or personality?
- invasion of privacy
- Confinement without authorization?
- false imprisonment
- Exposure or discussion of the client's case. After death, the client has a right to be unobserved, excluded from unwarranted operations, and protected from unauthorized touching of the body?
- exposure of a person
- Performing incompetent assessments is an example of?
- Divulgence of privileged information or communication, e.g., from charts, conversations, or observations?
- Failing to heed warning signs of shock or impending MI is an example of?
- Willful and purposeful misrepresentation that could cause, or has caused, loss or harm to a person or property?
- Ignoring signs and symptoms of bleeding is an example of?
- Presenting false credentials for the purpose of entering nursing school, obtaining a license, or obtaining employment is termed?
- A legal term meaning the accused is not criminally responsible for the unlawful act committed due to mental illness?
- Forgetting to give a medication or giving the wrong medication is an example of?
- An act contrary to a criminal statute. Wrongs punishable by the state, committed against the state, with intent usually present.
- Legal hearing that is held to determine a person's capability to make responsible decisions about self, dependent, or property?
- competency hearing
- Persons declared incompetent have the legal status of a minor, i.e., they cannot? (5)
make contracts or wills
drive a car
sue or be sued
hold a professional license
- If a person is incompetent, a _____ is appointed. Declaring a person incompetent can be initiated by the ____ or family.
- An admission whereby any adult may apply for another. However, medical or judicial approval is required to detain anyone beyond 24 hours.
- emergency admmission
- Emergency admissions allow persons held against their will to file a ____ _____ to try and get the court to hear their case and release them.
- habeas corpus
- With emergency admissions, the court determines the ____ and alleged unlawful restraint of a person.
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