Exam 1 Chapter 1 and 16

Question 1

what is a nurses role?

Answer 1

respond to patients needs and actively participate in determining practices

Question 2

Florence Nightingale

Answer 2

• first practicing epidemiologist
• organized the first nursing school of London
• improved situations in battlefield
• practices remain a basic part of nursing today

Question 3

Clara Barton

Answer 3

founder of The Red Cross

Question 4

Mother Bickerdyke

Answer 4

organised ambulance services

Question 5

Harriet Tubman

Answer 5

prominist female in the underground railroad movement, helped to free slaves

Question 6

Mary Mahoney

Answer 6

• first professionally trained African american nurse

- brought about respect for all cultures

Question 7

Lillian Wald and Mary Brewster

Answer 7

• opened the henry street settlemen in 1893

- provided health needs for poor people in NYC

Question 8

What are some changes from the 20th to the 21st century in nursing?

Answer 8

• movement toward research based practice and defined body of knowledge
• change in nursing school curriculum
• advanced in technology
• new programs addressing current heath concerns such as nursing shortages, and improving the health of the worlds population
• addressing the needs of the population of now and in the future

Question 9

what is the affordable car act (ACA)

Answer 9

affecting how health care is paid for and delivered

Question 10

trends in nursing

Answer 10

• evidence based practice
• quality and safety education for nurses
• impact of emerging technologies
• Genomics
• public perception of nursing
• impact of nursing on politics and health policy

Question 11

novice stage of nursing

Answer 11

nursing student, nurse entering a position with no experience

Question 12

advanced beginner stage of nursing

Answer 12

some level of experience

Question 13

competent stage of nursing

Answer 13

two to three years of the same clinical experience

Question 14

proficient stage of nursing

Answer 14

more than two to three years of experience in the same clinical position

Question 15

expert stage of nursing

Answer 15

diverse experience, takes time and commitment

Question 16

Scope and standards of practice goal

Answer 16

to improve the health and well being of all individuals, communities, and populations through the significant and visible contributions of registered nursing using standard base practice

Question 17

what are the six standards of practice?

Answer 17

assessment 
diagnosis
outcomes identification 
planning 
implantation
evaluation

Question 18

professional roles and responsibilities of nursing

Answer 18

autonomy 
accountability
caregiver 
advocate
educator 
communicator 
manager

Question 19

essential nursing skills

Answer 19

time management
therapeutic communication
patient education
compassionate implementation of bedside skills

Question 20

what are the two stages of assessment

Answer 20

• collections and verification of data (asking patient, family…)
• analysis of data (help to create a nursing diagnosis and plan of care)

Question 21

what are some sources of data?

Answer 21

• patient
• family or significant other
• heath care team
• medical records
• scientific literature

Question 22

what information goes into the data base

Answer 22

• all information obtained

- patients needs, health problems and responses to those problems

Question 23

what different types of data are there?

Answer 23

• subjective (patient verbally describes their health problems
• objective (observations or measurements of a patients health status)

Question 24

what are the three phases of interview?

Answer 24

• orientation (introducing your self, position, and explain purpose of interview)
• working phase (listening, gathering information)
• termination (summarizing the discussion)

Question 25

What is a care plan?

Answer 25

- Provides direction for individualized care of the client - Follows from each patient’s unique assessment and organized by the patient specific needs - means for a communication and organizing actions of consistently changing nursing staff (as needs are met plan is updated)

Question 26

What are the components of care plan?

Answer 26

Client database, interviewing, physical assessment, diagnostic studies (Must complete a thorough assessment of client and their problems to create a plan)

Question 27

What is the area of concern that nurses country/prevent/monitor?

Answer 27

Diagnosis (identify the problem or need of specific patient)

Question 28

What is the appropriate go for the patient?

Answer 28

Outcome/goal (outcomes are a result of an achievable nursing intervention and client response)

Question 29

What treatment is most effective?

Answer 29

Intervention(how can the nurse intervene to achieve the expected outcome)

Question 30

What is a medical diagnosis?

Answer 30

Do use with a specific disease or medical condition

Question 31

What is a nursing diagnosis?

Answer 31

Deals with the human response to an actual or potential health problems in life processes

Question 32

Factors of a nursing diagnosis

Answer 32

- more holistic understanding of the impact of a condition on a particular patient and his/her family - Distinguish his nurse is role from a physician’s role - help nurses focus on the scope of nursing practice - Foster the development of nursing knowledge - provides information that gives all members of the healthcare team a common language for understanding patient’s needs

Question 33

What does NANDA-I stand for

Answer 33

North American nursing diagnosis organization international

Question 34

What is NANDA-I

Answer 34

Professional organization of nurses involved in creating approved standardized nursing diagnoses Also used for approved nursing diagnosis is to create care plan

Question 35

The diagnostic process requires you to use what?

Answer 35

Critical thinking Helps to be through comprehensive and accurate when identifying nursing diagnosis is that apply to your patients

Question 36

W The diagnostic reasoning process involves what?

Answer 36

Using the assessment data gathered about a patient to logically explain a clinical judgment of a nursing diagnosis

Question 37

Common NANDA-I nursing diagnoses

Answer 37

Acute pain, activity intolerance, anxiety, impaired gas exchange, impaired skin integrity, impaired physical mobility, decreased cardiac output, deficiency fluid volume

Question 38

Prioritizing diagnoses

Answer 38

- A, B, C’s | - Maslow’s (physiological, safety, love, esteem, self actualization