Nursing: A Concept-Based Approach to Learning, Volume 2, 3rd Ed. |  Practical Nurse (LPN) School Study Aid
The Nursing Process
- ADPIE
 - Assessment
 - Diagnosis
 - Planning 
 - Implementation
 - Evaluation
 
Assessment
- Health History
 - Objective Data
 - Subjective Data
 - Identify
 - Determine
 - Obtain Information
 - Assessment Always Done Before Treatments
 
Patient Position Overview
- Trochanter Roll
 - Trapeze Bar
 - Ankle-Foot Orthotic (AFO) Devices
 - Fowlers Position
 - Supine Position
 - Trendelenburg
 - Side-Lying Position
 - Prone Position
 - Sims' Position
 - Reposition q2 Hours/Prevent Skin Breakdown
 - Confirm Body Alignment
 
Patient Needs
- Allergy to Banana, Papaya, Chestnuts and Kiwi
 - Asthma
 - Spina Bifida
 - History of Multiple Surgical Procedures
 - Call Light within Reach
 - Eliminate Physical Hazards
 - Leave Items within Reach
 - Bed in Low Position
 - Side Rails Up
 - Patient Safety
 - Health Promotion and Maintenance
 - Psychosocial Integrity
 
Maslow's Hierarchy of Needs
- Oxygen, Water, Nutrition
 - Body temperature, Elimination, Shelter, Sexual Expression
 - Physical Safety
 - Physiological Safety
 - Affection and Companionship
 - Self Respect and Respect for Others
 - Fulfillment
 
Native American Culture
- No Direct Eye Contact
 - No Organ Donation
 - No Blood Donation
 - Strong Handshakes Offensive
 - Tribal Shaman
 - Navajo Mother Massage Newborn
 
Arab American Culture
- Touch Only When Same Gender
 - May Request Same Gender Healthcare Provider
 - Females Avoid Eye Contact with Males
 - Males Often Make Decisions
 - Muslims
 - Infertility Grounds for Divorce
 - No Organ Donation
 
Asian American Culture
- Avoids Direct Eye Contact
 - Conflict Avoidance
 - Soft Voice Tone
 - Males Make Most Decisions
 - Feet Considered Dirty
 - Hot-Cold Theory of Illness
 - Soups and Rice After Birth
 
Mexican American Culture
- May Avoid Eye Contact with Authoritative Figures
 - Family Involved in Decisions
 - Emotional Bereavement
 - No Organ Donation
 - Curandero (Curandera)
 - Hot-Cold Theory of Illness
 - Abdominal Binder after Pregnancy
 
Hydrocephalus
- Increased CSF in Ventricles of Brain
 - Signs of Increased ICP
 - High Pitched Cry
 - Irritability
 - Opisthotonus
 - Increased Head Circumference
 - Bulging Fontanel
 - Setting Sun Sign
 - Seizure Precautions
 - Elevate HOB
 - CSF Shunt
 
Erikson’s Theory of Psychosocial Development - Stage 2 (Toddler)
- Toddler (1-3 Years)
 - Autonomy vs. Shame and Doubt
 - Toilet Training
 - Will
 - Anal
 
Age 2 Months - Developmental Milestones
- Holds Head Up, But Unsteady
 - Moves Both Arms and Both Legs
 - Opens Hands Briefly
 - Tracks Objects to the Midline
 - Produces Sounds Aside from Crying
 - Reacts to Loud Noise
 - Social Smile
 - Recognizes Parents
 - Soothed When Spoken to or Picked Up
 
Age 4 Months - Developmental Milestones
- Keeps Head Steady Without Support
 - Pushes Up on Elbows While on Tummy
 - Holds a Toy in Hands
 - Moves Hands Towards Mouth
 - Cooing
 - Turns to Voice
 - Chuckles
 - Enjoys Looking Around
 - Looks at Hands With Interest
 - Opens Mouth When Hungry
 
Age 6 Months - Developmental Milestones
- Sits Propped Up On Hands
 - Rolls
 - Raking Grasp
 - Makes Squealing Noises
 - Blows "Raspberries"
 - Turn-Taking in Sounds
 - Laughs
 - Enjoys Looking at Self in a Mirror
 - Recognizes Familiar People
 - Closes Lips to Signal Fullness
 - Puts Objects in Mouth
 - Reaches for Desired Toys
 
Age 9 Months - Developmental Milestones
- Sits Up Independently
 - Transfers Objects Between Hands
 - Uses Fingers to Pull Food Toward Self
 - Produces Various Sounds Like "mamamama" and "bababababa"
 - Raises Arms to be Lifted Up
 - Separation Anxiety
 - Shows Facial Expressions
 - Looks When Calling Name
 - Smiles or Laughs at Peek-a-boo
 - Looks for Dropped Objects Out of Sight
 - Bangs Two Items Together
 
Age 1 Year - Developmental Milestones
- Pulls Up to Stand
 - First Steps
 - Drinks From an Open Cup with Assistance
 - Two-Finger Pincer Grasp
 - Understands “No”
 - Waves "Bye-Bye"
 - "Mama & Dada"
 - Plays Pat-A-Cake
 - Puts Block in Cup
 - Searches for Hidden Toys
 
Age 18 Months - Developmental Milestones
- Walks Independently
 - Climbs On/Off Furniture Without Help
 - Drinks from Open Cup Independently
 - Scribbles
 - Eats  with Fingers
 - Tries to Use a Spoon
 - Stacks Three Blocks
 - Attempts Three-word Phrases
 - Follows One-step Commands
 - Checks While Moving Away
 - Points to Objects
 - Engages With Toys Simply
 - Copies Parent Doing Chores
 - Extends Hands for Washing
 
Age 2 Years - Developmental Milestones
- Kicks a Ball
 - Runs
 - Walks Up Stairs With Help
 - Stacks Six Blocks
 - Feeds Self With a Spoon
 - Two-Word Phrases
 - Points to Book Items as Prompted
 - Demonstrates Varied Gestures
 - Identifies Body Parts When Prompted
 - Shows Empathy
 - Holds and Manipulates Objects Simultaneously
 - Engages With Multiple Toys
 
Age 4 Years - Developmental Milestones
- Unbuttons Some Buttons
 - Catches a Large Ball
 - Serves Food or Pours Water With Help
 - Copies Line, Circle, Stick Figure
 - 100% Speech Understandable
 - Identifies Colors
 - Cooperative Play
 - Imaginary Friends
 - Likes Being a “Helper”
 - Avoids Danger
 
Age 3 Years - Developmental Milestones
- Starts Dressing Independently
 - Rides Tricycle
 - Stack Nine Block Tower
 - Threads Items Together
 - Copies Circle
 - Uses Fork
 - Engages in Two-way Conversation
 - 75% Speech Understood by Stranger
 - Says First Name
 - Avoids Hot Objects When Warned
 - Joins Other Kids in Play
 
Age 5 Years - Developmental Milestones
- Buttons Some Buttons
 - Hops on One Foot
 - Prints Letters
 - Counts to 10
 - Uses Simple Rhymes
 - >3 Back-and-forth Exchanges
 - Answers Simple Questions
 - Tells a Story
 - Names Some Letters When Pointed
 - Follows Rules
 - Sings, Dances, Acts
 - Does Simple Chores