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holistic health intervention > Ch. 1: Evolution of Nursing Thought & Action > Flashcards

Ch. 1: Evolution of Nursing Thought & Action Flashcards

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1
Q

Angel of Mercy

A

image grew out of influence of religion and the risks inherent too the practice of nursing.

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2
Q

images of the Angel of Mercy is usually

A

serene and content with a halo or other religious symbol

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3
Q

image of the nurse that emerged as science and philosophy grew popular during 17th century.
examples is Nurse Ratched (One Flew Over the Cuckoo’s Nest)

A

Battle-Ax

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4
Q

describe Nurse Ratched

A

battle-ax or torturer, treating her patients with cruelty and disdain

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5
Q

who transformed the Nurse image of the Battle-Ax?

A

Florence Nightingale

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6
Q

describe what Florence Nightingale did.

A
  1. kept notes and stats that were used for advocating and obtaining changes in healthcare
  2. used political connections and social standing to return nursing to respectable profession
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7
Q

name the first official nursing program

A

The Nightingale School for Nurses

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8
Q

describe Naughty Nurse

A
  1. sexy, risque nurse
  2. arose in the early part of the 20th C
  3. Media portrays as sexy, mindless, irrelevant, or simple there for potential dates for doctors
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9
Q

Military Nurse

A
  1. portrayed in uniform providing support at the battlefield

2. “warriors fighting disease”

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10
Q

T/F Impact of wars had a negative influence on development of nursing as a profession

A

F
it had a positive influence
Nurses took the lead in providing care to the sick, wounded, and dying soldiers

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11
Q

stereotype portrays the male physician in the dominate role, with the female nurse merely assisting the doctor, or perhaps supporting the patient at the bedside

A

Handmaiden Image

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12
Q

where did the Handmaiden Image emerge from?

A
  1. early nurses had limited role in healing
  2. legal and financial authority of physicians
  3. from the nurse’s work position as an employee
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13
Q

describe the dominant nurses today

A

Caucasian female nurses

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14
Q

addressing the physical, emotional, social, and spiritual needs of client

A

Direct care provider

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15
Q

using interpersonal and therapeutic communication skills to address the needs of the client, to facilitate communication in the healthcare team, and to advise the community about health promotion and disease prevention

A

Communicator

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16
Q

assessing and diagnosing the teaching needs of the client, group, family, or community. Nurse’s plan to meet needs, implement the teaching plan, and evaluate its effectiveness

A

client/ family educator

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17
Q

supporting client’s’ right to make healthcare decisions when they are able to voice their opinions and protecting clients from harm when they are unable to make decisions

A

Client advocate

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18
Q

using therapeutic communication skills to advise clients about health-related issues

A

counselor

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19
Q

coordinating the care delivered to a client

A

case manager

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20
Q

Nurses use these 3 things as they care for patients

A

clinical judgement
critical thinking
problem-solving

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21
Q

_____________ involves observing, comparing, contrasting, and evaluating the client’s condition to determine whether change has occurred

A

clinical judgement

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22
Q

___________ is a reflective thinking process that involves collecting information, analyzing the adequacy and accuracy of the information, and carefully considering options for action

A

critical thinking

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23
Q

problem solving is

A

a process by which nurses consider an issue and attempt to find satisfactory solution to achieve the best outcomes

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24
Q

why define nursing

A

misconceptions of nursing profession

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25
"Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings, Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles
current definition of nursing according to the International Council of Nurses (ICN)
26
name the 5 characteristics of registered nursing according to ANA
1. Nursing practice is individualized 2. Nurses coordinate care by establishing partnerships with persons, families, support systems, etc 3. Caring is central to the practice of the registered nurse 4. registered nurses use the nursing process to plan and provide individualized care to their healthcare consumers 5. a strong link exists between the professional work environment and the registered nurse's ability to provide quality healthcare and achieve optimal outcomes
27
name the 6 QSEN competencies
``` Patient-centered Care Teamwork and Collaboration Evidence-based Practice Quality Improvement (QI) Safety Informatics ```
28
define Quality Improvement
use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safe to HC systems
29
use information and technology to communicate, manage knowledge, mitigate error, and support decision making
informatics
30
"the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations
definition of nursing according to ANA
31
name important qualities for nurses
``` critical thinking caring and compassion detail oriented organizational speaking listening patience competence ```
32
define profession
the knowledge of the group must be based on technical and scientific knowledge, the knowledge and competence of members of the group must be evaluated by a community of peers, and the group must have a service orientation and a code of ethics
33
define discipline
a profession must have a domain of knowledge that has both theoretical and practical boundaries
34
_________ boundaries are the questions that arise from clinical practice and are then investigated through research
theoretical boundaries
35
________ boundaries are the current state of knowledge and research in the field, the facts that dictate safe practice
practical boundaries
36
define occupation
a job....you just getting paid | paid hourly, no control of environment or nature of work
37
_______ education consists of completing the initial and continuing education required for licensure
formal
38
_______ involves a gradual progression in skill and clinical judgement that allows the nurse to advance in the profession
informal
39
what kind of nursing allows nurses to provide bedside care to cleints
practical nursing education
40
what are practical nurses known as?
licensed practice nurses (LPN)
41
T/F Practical nurses work under RN
True
42
name the 5 pathways that lead to licensure as a RN
1. Diploma programs 2. Associate degree program 3. Baccalaureate degree programs 4. Master's entry programs 5. Doctoral entry
43
how can nursing improve?
standardize educational requirements uniform continuing education requirements increase participation of nurses in professional organizations education of the profession to the general public
44
what is socialization?
the knowledge gained from direct experience, observation in the real world, and informal discussion with peers and colleagues.
45
why do continuing education?
helps you stay current in your clinical knowledge
46
who describes the process by which a nurse acquires clinical skills and judgement?
Patricia Benner
47
name the 5 stages in the Benner model
``` Novice advanced beginner competence proficient expert ```
48
task oriented and focus narrowly on "learning the rules"
Novice
49
begins to focus on more aspects of a clinical situation, use more facts, make more sophisticated use of the rules, and recognize similarities in situations. The nurse can distinguish abnormal findings but not readily understand their significance
advanced beginner
50
achieved after 2 to 3 years of nursing practice in the same area. Able to handle patient load and prioritize; more involved in their caregiving role and may be emotionally involved in the clinical choices made
Competence
51
is able to quickly take in all aspects of a situation and immediately give meaning to the cluster of assessment data, and serves as a resource for less experienced nurses, Are able to see the "big picture"
Proficient
52
are able to see what needs to be achieved and how to do it. they use their intuition
expert
53
define nurse practice act
laws that regulate nursing practice
54
who is responsible for regulating nursing practice?
The state board of nursing
55
_______ is the official professional organization for nurses in the U.S.
the American Nurses Association
56
National League for Nursing
was the first nursing organization with a goal to establish and maintain a universal standard of education. sets standards for all types of nursing education programs, studies the nursing workforce, lobbies
57
International Council of Nursing
represents nurses at a global level aims to ensure quality nursing care for all, supports global health policies that advance nursing and improve worldwide heath
58
Sigma Theta Tau International
international honor society for nursing
59
define direct care
personal interaction between the nurse and clients
60
give an example of indirect care
restocking the code blue chart, ordering unit supplies,
61
name the purpose of nursing care
achieve goals of health promotion, illness prevention, health restoration, and end-of-life care
62
define case method
one-to-one care | one nurse provides all aspects of care for one patient during a single shift
63
define functional nursing
compartmentalized, with each task assigned to a staff member with the appropriate knowledge and skills. difficult for a nurse to fully grasp the whole picture
64
is an efficient arrangement for delivering nursing care and maintains the cost saving of functional nursing, while attempting to limit fragmentation
team nursing
65
define primary nursing
one nurse manages care for a group of patients
66
define differentiated practice
recognizes that education and experience lead to differences in the care delivered by nurses
67
a patient who has been admitted to a healthcare facility is an ______
inpatient
68
an __________ is a person who receives treatment at a facility, but does not stay overnight
outpatient
69
name the effects that technological advances and efforts to control costs
larger hospitals specialty hospitals shorter length of stay
70
define extended care facilities
provide care for clients for an extended period of time, usually longer than one month
71
___________includes services of trained professionals that are needed for a limited period of time after an injury or illness
skilled care
72
define custodial care
consists of help with activities of daily living | bathing, dressing, eating, grooming, ambulation, toileting, taking medications, monitoring vitals
73
define nursing home
provides custodial care for people who cannot live on their own but are not sick enough to require hospitalization
74
___________ are used by people to get same day cost-effective healthcare
ambulatory care centers
75
another name for retirement home is
independent living facilities
76
__________ services focus on health promotion, preventive services, health education, and screening for the early detection of healthcare problems
Primary care
77
define health as by WHO
a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity
78
define secondary care
consists of services to diagnose and treat illness, disease, and injury
79
define tertiary care
long term rehabilitation services and care for the dying
80
insurance program designed for persons aged 65 years and older, people with disabilities,
Medicare
81
provide access to healthcare services for people with low income and minimal resources
Medicaid
82
what funds Medicaid
state and federal taxes
83
Children's Health Insurance Program (CHIP)
joint venture between the federal government and states to provide health insurance to millions of children whose family income exceeds Medicaid eligibility criteria, but who cannot afford private insurance and are not covered under a parent's policy
84
a nurse with advanced education and expertise in an area of clinical specialization
Clinical Nurse Specialist (CNS)
85
a nurse with advanced education focused on providing primary care
Nurse Practitioner (NP)
86
a nurse with advanced education focused on providing anesthesia
Certified Registered Nurse Anesthetist (CRNA)
87
a nurse with advanced education focused on women's health, pregnancy, and delivery
Certified Nurse Midwife (CNM)

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