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202 Flashcards

1
Q

florence nightingale

A

during crimean war she found methods to improve sanitation such as clean bodies, change sheets, dressings, fresh air, room environment etc. reduced death rate by 2/3. One should alter the environment in order to allow healing. - identified personal needs of client-established standards for hospital management-established respectable occupation for woman-believed nursing is separate from medicine-initiated documentation to improve patient care -developed first organization to train nurses

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2
Q

clara barton

A

founder of american red cross

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3
Q

mary adakaude nutting

A

first nursing professor. promoted the affiliation of nursing education with universities

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4
Q

mary mahoney

A

first african american to graduate as a nurse

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5
Q

health care reform

A

affects how health care is paid and delievred. There is greater emphasis on health promotion, disease prevention, and management of illness.

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6
Q

standart of practive (ANA)-describle levels of nursing care

A

assesmentdiagnosisoutcomes identificationplanningimplementationcoordination of carehealth teaching and health promotionconsultationprescriptive authority and treatementevaluation

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7
Q

standards of professional performance (ANA)-behavior of professional role

A

ethicseducationquality of practice and research communicationleadershiocollaborationresourcesenvironmental health

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8
Q

proffesionalis

A

requires extended educationhonestyintegrityautonomy -independanceresponsibilityethics accountabilitydependability

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9
Q

nursing standarts

A

authoritative statements by which the nursing profession describes the responsibilities for which its practitioners are accountable

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10
Q

code of ethics

A

The code of ethics is the philosophical ideals of right and wrong that define the principles you will use to provide care for your patients. The code serves as a guide for carrying out nursing responsibilities to provide quality nursing care and the ethical obligations of the profession.

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11
Q

assesment

A

Assessment is the collection of comprehensive data pertinent to the patient’s health and/or the situation.

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12
Q

implemantation

A

Implementation is completing coordinating care and the prescribed plan of care.

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13
Q

evidance based practice

A

Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care.

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14
Q

advocate

A

An advocate protects the patient’s human and legal right to make choices about his or her care. An advocate may also provide additional information to help a patient decide whether or not to accept a treatment or find an interpreter to help family members communicate their concerns.

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15
Q

nclex

A

Registered nurse (RN) candidates must pass the NCLEX-RN® that the individual State Boards of Nursing administer. Regardless of educational preparation, the examination for RN licensure is exactly the same in every state in the United States. This provides a standardized minimum knowledge base for nurses.

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16
Q

critical thinking

A

continuous process characterized by open mindedness, inquiry, and perseverance combined with a willingness to look at each unique patient situation and determine which identified assumptions are true and relevant

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17
Q

levels of critical thinking

A

basiccomplexcommitment

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18
Q

complex critical thinking

A

separate themselves from the expertsnurse begins to learn alternative solutions existweighs pros and cons before making decision considers a variety of options

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19
Q

commitment critical thinking

A

makes choices without assistance and has accountability for her actions

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20
Q

critical thinking competencies

A

thought process that a nurse uses to make judgment about a care of a pt.

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21
Q

general critical thikning

A

scientific methodproblem solvingdecision making

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22
Q

specific critical thinking

A

reasoning and inferenceclinical decision making

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23
Q

problem solving (general critical thinking)

A

evaluate over time to see if its effective and solvedoffer solutions from already known data

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24
Q

decision making (general critical thinking)

A

focuses on problem resolution when nurses decide what action to take

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25
clinical decision making (specific critical thinking)
defining problem finding solutionchoosing best option for pt
26
standards for critical thinking
intellectual standarts- clear relevant, consistence, logicalprofessional standards- ethical, responsible
27
nursing - 5 step decision making approach
ADPIE
28
problem solving
The nurse collects information and tries options until she is able to find a solution to the slowed infusion rate. The focus is on solving the problem with the patient’s IV and not on solving the patient’s health problem; thus this is not the diagnostic reasoning process.
29
diagnostic reasoning
n this example the nurse collects information about the patient, sees patterns in the data collected, and makes a nursing diagnosis. This is an example of the diagnostic process.
30
reflective practice
Reflective practice is a conscious process of thinking, analyzing, and learning from previous work situations. The staff may discuss problems that occurred, but in this case they are reflecting on them to learn for future patient situations.
31
analytical
(analyzing information, gathering additional findings, and sensing a problem
32
nursing process
critical thinking process that nurses use to apply the best available evidance to caregiving and promoting human functions and responses to health and illness
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cue
info you obtain throught use of senses
34
inference
interpretation of the cues
35
two step nursing assesment
collectng infointerpretation and validation
36
methods of data collection
comprihensive- broad assesment of health history and all body systemproblem oriented- assesment of pt. complain onlyfocused assesment- on a particular part of the body
37
inference
based on what info you know you make an assumption (pain is too severe for pt to move)
38
Health perception–health management pattern
The nurse is attempting to learn about the patient’s self-report of health practices, clinic appointments, and exercise plan designed to improve his health. nurse assess pt. understanding
39
collaborative problem
actual or potential complication that nurses monitor to detect onset of changes in a patients status
40
related factor
condition, cause or factor that gives context for the definition of characteristics and shows a type of realtionship with the nursing diagnoses impared physical mobility related to abdominal incision
41
diagnostic label
nursing diagnoses aproved by nanda
42
defining characteristics
clinical criteria that is observable and verifiableAS EVIDANCE By
43
nursing diagnoses 3 part
deignosis label - impared physical mobilityrelated factor- r/t abdominal incisiondefining characteristics- AEB patient report of pain of 7/10
44
when a patient is at risk of something (risk of falling)
due to unsteady gait.......you do not put a AEB (defining characteristic because its a risk and it hasnt happend yet)
45
cognitive
Thinking and anticipating how to approach implementation involve a cognitive implementation skill. The nurse considers the rationale for an intervention and evidence in nursing science that supports that intervention or alternatives.
46
interpretation
When interpreting findings, you compare the patient’s behavioral responses and physiological signs and symptoms that you expect to see with those actually seen from your evaluation.
47
expected outcome
An expected outcome is an end result that is measureable, desirable, observable, and translates into observable patient behaviors. It is a measure that tells you if the educational interventions led to successful goal achievement, the patient’s self-care of the wound. An evaluative measure would be the process of observing the patient. Reassessment is a behavior performed by the nurse. The type of wound cleanser and dressings would be a standard of care.
48
CEU
Continuong education unitsGoing to workshops, programs to maintain liscence
49
evaluate
An evaluative measure determines a patient’s response to therapy, in this case how well the patient is able to ambulate
50
Back channeling
NoddingGo onUhu
51
diagnostic reasoning
In this example the nurse collects information about the patient, sees patterns in the data collected, and makes a nursing diagnosis
52
Etiology
The causeRelated to
53
consistent
Use of the same pain scale for assessing pain acuity is an example of being consistent.
54
back channeling
reinforces interest in what pt has to say and shows nurses desire to hear full story
55
validation
you compare dataValidation simply confirms accuracy of data collected
56
concomitant symptom
A concomitant symptom is a symptom that occurs along with a primary symptom.
57
lilian wald
public health nursing founder
58
stadnarts of practice
direction for proffesional nursing practive
59
data analysis
after data alalyss you cluster data
60
planning
asses do teach
61
future of nursing by 2020
increase number of RN by 80%
62
100 yers ago most nurses got degrees from
diploma shcools
63
karen daily
ana president
64
interpersonal communication
Interpersonal communication is exchange of information between two or more people
65
benificence
tAking positive actions to help others
66
nonmalfecence
avoiding harm. do no harm
67
justice
being fair
68
fidelity
agreeing to keep promises
69
steps of an ethical dilemma
1. ask if theres an ethical dilemma2. gather info3. clarify values4. verbalize problem5. identify possible courses of action6. negotiate plan7. evaluate plan
70
consensus building
an act of discovery in which collective wisdom guides a group to the best possible decesion
71
negotiation
searching for mutual solutions
72
statutory law1. criminal law2. civil law
Statutory laws are derived from the Nurse Practice Act found in all states thats defines the legal boundaries of nursing practice in each state. An example of a federal law is the Americans With Disabilities Act (1990). Criminal laws are meant to prevent harm to society and to provide punishment for crimes. These are categorized as felonies or misdemeanors. A felony is a serious crime that usually has a penalty of imprisonment for longer than 1 year. At times, a felony will require the death penalty. A misdemeanor is a less serious crime that has a penalty of a fine or imprisonment for less than 1 year.Civil laws protect the rights of the individual. Damage for civil laws usually involves the payment of a fine.
73
regulatory law
Regulatory law, also known as administrative law, defines your duty to report incompetent or unethical nursing conduct to the Board of Nursing.
74
common law
Common law results from judicial decisions concerning individual cases. Most of these revolve around negligence and malpractice.
75
joint commision
evaluates hospitals if they are following rules and regulations
76
negligence
nurse owes duty to pt and she breached this dutypt injured and it was caused by nurses failure to carry out dutymalpractice happens when all of these are breached
77
emergency medical treatment and active labor act
permits people to go to er and be treated without moneytriaged- priorities first
78
durable power of attournet
appoint one person to speak for you on ur behalf
79
advanced directives
you decide what u want done
80
tort
act/ offense against someone
81
intentional torts
assult- verbalbattery- physicalfalse imprisonment
82
quasi-intentional torts
-invasion of provacy- breaches HIPPA-malice- causing harm by spreading false info that u know is fale-slander- spreading false info that -libel- a written defamation
83
unintentional torts
negligence- something that should have happend but didnt malpractice- harm done by procedures
84
interpreting
determening presence of abnormal findings
85
PICOT
well formed clinical questionpatientinterventioncomparison of interestoutcometime
86
CLINICAL DECESION MAKING
1. ask clinical ?2. cllect evidance3. critique evidance4. integrate evidance5. evaluate practive decesion or change6. share outcomes

204 &202 (3 decks)

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