NURSING I - FON - Ch 1 Flashcards

0
Q

First professionally trained African-American nurse

A

Mary Mahoney

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1
Q

Definition of Nursing (ANA)

A
  • Protect, promote, and optimize patients’ health
  • Prevent illness and injury
  • Alleviate suffering through diagnosis and treatment of human responses
  • Advocate for care of patients
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2
Q

(4) External forces that have affected nursing in the 21st century

A
  1. DEMOGRAPHIC changes in population
  2. HUMAN RIGHTS
  3. increasing # of MEDICALLY UNDERSERVED
  4. threat of BIOTERRORISM
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3
Q

(3) Challenges in nursing today:

A
  1. Health care REFORM
  2. COST of health care
  3. Nursing SHORTAGE
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4
Q

(5) Primary characteristics of a PROFESSION:

A
  1. extended EDUCATION
  2. body of KNOWLEDGE
  3. provides a SPECIFIC SERVICE
  4. has AUTONOMY
  5. incorporates a CODE OF ETHICS
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5
Q

(6) ANA Standards of Practice (Nursing Process):

A
  1. Assessment
  2. Diagnosis
  3. Outcome Identification
  4. Planning
  5. Implementation
  6. Evaluation
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6
Q

(10) ANA Standards of Professional Performance:

A
  1. Ethics
  2. Education
  3. Evidence-based practice
  4. Quality of practice
  5. Communication
  6. Leadership
  7. Collaboration
  8. Professional practice evaluation
  9. Resources
  10. Environmental Health
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7
Q

Describe CODE OF ETHICS:

A

PHILOSOPHICAL IDEALS of right and wrong

that define the PRINCIPLES used to PROVIDE CARE to patients

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8
Q

2-yr program

Focus: BASIC sciences, THEORETICAL & CLINICAL courses

A

Associates degree

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9
Q

4-yr program

Includes: SOCIAL sciences, arts & humanities

A

Baccalaureate degree

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10
Q

Emphasizes RESEARCH BASED clinical practice

A

Master’s degree

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11
Q

Emphasizes BASIC RESEARCH and THEORY

A

Doctor of Philosophy

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12
Q

a PRACTICE-FOCUSED doctorate

A

Doctor of Nursing Practice

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13
Q

Instruction or training provided by agencies

A

In-service Education

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14
Q

Formal, organized education programs offered by various institutions

A

Continuing Education

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15
Q

NPA

A

Nurse Practice Act

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16
Q

What is the purpose of NPAs?

A

Establish specific legal regulations for nursing practice

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17
Q

Benner’s 5 levels of proficiency:

A
  1. Novice
  2. Advanced Beginner
  3. Competent
  4. Proficient
  5. Expert
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18
Q

Benner: Beginning nursing student

A

Novice

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19
Q

Benner: Some experience, can identify meaningful aspects or principles

A

Advanced Beginner

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20
Q

Benner: Same clinical position for 2-3 yrs,
can anticipate nursing care,
can establish long-range goals

A

Competent

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21
Q

Benner: Over 2-3 yrs experience in same position,

can assess entire situation, can readily xfer knowlege gained, focuses on MANAGING care

A

Proficient

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22
Q

Benner: DIVERSE experience, can focus on multiple dimensions, skilled to identify patient centered problems or needs of novice nurse

A

Expert

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23
Q

Independent nursing interventions that the nurse initiates without medical orders

A

Autonomy

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24
Q

Helps patient maintain & regain health, manage disease symptoms, and attain a maximal level of function and independence.

A

Caregiver

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25
Q

Protects patients’ human & legal rights, and provides assistance in asserting these rights

A

Advocate

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26
Q

Explains, demonstrates, reinforces, and evaluates the patient’s progress in LEARNING

A

Educator

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27
Q

Is central to the nurse-patient relationship

A

Communicator

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28
Q

Has personnel, policy, and budgetary responsibility for a specific nursing unit

A

Manager

29
Q

Four core roles: CNM, CNP, CNS, and CRNA

A

APRN

30
Q

APRN

A

Advanced Practice Registered Nurse

31
Q

CNM

A

Certified Nurse Midwife

32
Q

CNP

A

Certified Nurse Practitioner

33
Q

CNS

A

Clinical Nurse Specialist

34
Q

CRNA

A

Certified Registered Nurse Anesthetist

35
Q

Expert clinician in a specialized area of practice

A

CNS (Clinical Nurse Specialist)

36
Q

Detects and manages self-limiting acute and chronic stable mendical conditions

A

Nurse Practitioner

37
Q

Involves the independent care for women in normal pregnancy, labor, and delivery and care of newborns

A

CNM (Certified Nurse-Midwife)

38
Q

Provides surgical anesthesia

A

CRNA (Certified Registered Nurse Anesthetist)

39
Q

Works primarily in schools of nursing and staff development

A

Nurse Educator

40
Q

Manages patient care and the delivery of specific nursing services within a health care agency

A

Nursing Administrator

41
Q

Investigates problems to improve nursing care and to expand the scope of nursing practice

A

Nurse Researcher

42
Q

(6) Competencies of the QSEN initiative:

A
  1. Patient-centered care
  2. Teamwork and Collaboration
  3. Evidence-Based Practice
  4. Quality Improvement
  5. Safety
  6. Informantics
43
Q

The study of all the genes in a person and interactions of these genes with one another and with that person’s environment

A

genomics

44
Q

The NURSING PROCESS is the foundation of __ __ __,

and includes all significant actions taken by nurses in providing care to patients

A

clinical decision making

45
Q

The Standards of Practice describe a __ __ of __ __.

A

competent level

NURSING CARE.

46
Q

The ANA Standards of PROFESSIONAL PERFORMANCE describe a __ __ of __ in the professional role.

A

competent level

BEHAVIOR

47
Q

The Standards of Professional Performance provide objective guidelines for nurses to be ______.

A

accountable for their actions, their patients, and their peers.

48
Q

The Standards of Professional Performance provide a method to assure (1) ____, (2) that the nurses ___, and that (3) ___.

A
  1. PATIENTS that they are receiving high-quality care
  2. know exactly what is NECESSARY to provide nursing care
  3. MEASURES are in place to determine whether care meets standards.
49
Q

Standards of Nursing Practice:

Assessment

A

Collect data (pertinent to the patient’s health and/or the situation)

50
Q

Standards of Nursing Practice:

Diagnosis

A

ANALYZE (the assessment) and DETERMINE the diagnosis

51
Q

Standards of Nursing Practice:

Outcomes Identification

A

Identify expected OUTCOMES

52
Q

Standards of Nursing Practice:

Planning

A

DEVELOP a plan; GOAL

53
Q

Standards of Nursing Practice:

Implementation

A

Carry out the plan; act

54
Q

Standards of Nursing Practice:

Evaluation

A

ASSESS/EVALUATE progress (if goal was met)

55
Q

Standards of Professional Performance:

Ethics

A

The registered nurse PRACTICES ETHICALLY

56
Q

Standards of Professional Performance:

Education

A

Attains KNOWLEDGE and COMPETENCY

57
Q

Standards of Professional Performance:

Evidence-Based Practice & Research

A

Integrates EVIDENCE & RESEARCH findings into practice

58
Q

Standards of Professional Performance:

Communication

A

COMMUNICATES effectively in all areas of practice

59
Q

Standards of Professional Performance:

Leadership

A

DEMONSTRATES leadership

60
Q

Standards of Professional Performance:

Collaboration

A

collaborates with HEALTH CARE CONSUMER, FAMILY, & OTHERS

61
Q

Standards of Professional Performance:

Professional Practice Evaluation

A

evaluates his/her OWN NURSING PRACTICE in relation to PRACTICE STANDARDS & GUIDELINES…

62
Q

Standards of Professional Performance:

Resources

A

USES APPROPRIATE RESOURCES to plan an provide services that are SAFE, EFFECTIVE, & FINANCIALLY RESPOSIBLE

63
Q

Standards of Professional Performance:

Environmental Health

A

PRACTICES in an environmentally SAFE AND HEALTHY MANNER

64
Q

In the United States, RN candidates must pass the ___.

A

NCLEX-RN examination

65
Q

The NCLEX-RN examination is administered by the ___.

A

individual STATE BOARDS of NURSING

66
Q

RN licensure exam is the same in every state. This provides __

A

a standardized MINIMUM KNOWLEDGE BASE for nurses.

67
Q

(2) Professional Responsibilities:

A
  1. Obtaining & maintaining SPECIFIC KNOWLEDGE and SKILLS
  2. Emphasizes (4)
    a) health promotion and illness prevention
    b) disease and symptom management
    c) family support
    d) end-of-life care
68
Q

(6) Professional Roles:

A
  1. Autonomy & Accountability
  2. Caregiver
  3. Advocate
  4. Educator
  5. Communicator
  6. Manager
69
Q

ACCOUNTABILITY means that your are responsible (professionally and legally) for the __ and __ of ____.

A

type
quality
nursing care provided

70
Q

Most nurses provide direct patient care in an __ __ __.

A

acute care setting.