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Flashcards in NP Study Guide Exam 1 Deck (63):
0

Function of the scope of practice

who
what
where
when
why
how

1

How many booklets for scope of practice

- one
- encompasses full range of nursing practice

2

Employers must provide an environment that supports

nursing practice and decision making

3

Nursing practice is individualized to

meet the unique need of situation or patient

4

Nurses establish partnership with

-patient
-family
-support system
-other healthcare providers

5

Themes in all areas of nursing

-Age appropriate, culturally and ethically sensitive care
- Continuity of care
- Communicating effectively
- Coordinating care
- Managing information
- Maintain safe environment
- Educating pts about healthy practices and treatments
-Utilizing technology

6

Restorative practices

Modify impact of illness or disease

7

Supportive practices

Oriented toward modification of relationships or the environment to support health

8

Promoting practices

-Mobilize healthy patterns of living
-foster personal and family development
-support self-defined goals of individual, families, communities, and populations

9

Educational path in nursing

-Everyone must pass the NCLEX
- 4yr BSN, BS
- 2 yr college Associates degree
- 3 yr diploma program

10

Masters/Doctoral Degree of nursing

-Certified registered nurse anesthetist (CRNA)
-Certified nurse midwife (CNM)
-Clinical nurse specialist (CNS)
-Nurse practitioner (NP, APRN, DNP)

11

Standards of Professional Nursing Practice
-Standards of Practice

1) Assessment
2) Diagnosis
3) Outcomes Identification
4) Planning
5) Implementation
5a) Coordination
5b) Health teaching and health promotion
5c) Consultation
5d) Prescriptive authority and treatment
6) Evaluation

12

Standards of Professional Nursing Practice
-Standards of Professional Performance

7) Ethics
8) Education
9) Evidence-based practice and research
10) Quality of practice
11) Communication
12) Leadership
13) Collaboration
14) Professional practice evaluation
15) Resource utilization
16) Environmental health

13

Colorado Nurse Practice Act

- July 1, 2010
- Sets requirements for professional, advanced practice, and practical nurse licensure

14

Requirements for licensure

-Application
-Proof of graduation
-Pass NCLEX
-Pay fee

15

Colorado nurse practice act covers

-Retired, temporary, and volunteer nurse licensure
-Education programs
-Disciplinary procedures

16

Contemporary nursing has it's historical roots in the

poorhouses, battlefields, and in the industrial revolutions in Europe and America

17

Nursing workforce is the largest

healthcare professional group in the U.S.

18

RNs provide a critical safety net in healthcare but have been

invisible in the practice and reimbursement environments

19

Nursing is a learned profession built upon a core body of

science and art

20

The art of nursing is based on the

caring and respect for human dignity

21

The art of nursing embraces dynamic processes that affect the human person and

foster health

22

Nursing is a dynamic profession, blending

evidence-based practice with intuition, caring, and compassion to provide quality care

23

The nursing profession contracts with society to promote

-health
-to do no harm
-respond with skill and caring when change, birth, illness, disease, or death is experienced

24

Depth and breath in which nurses practice depends on

education
experience
role
population served

25

Florence Nightingale

1820-1910
- She was able to drop mortality rates during the Crimean War from 47-2% by opening tents for clean air, bathing the wounded, and providing clean bedding, assessing and dressing wounds, feeding the soldiers nutritious meals, and comforting those who were dying or in pain.
- Wrote letters home for the soldiers
-

26

Florence Nightingale was the founder of modern nursing because

- Established nursing as a distinct profession
- Introduced a broad-based liberal education for nurses
- Major reform in the delivery of care in hospitals
- Introduced standards to control the spread of disease in hospitals
- Major reforms in healthcare for the military
- Stated that air, light, nutrition, adequate ventilation, and space assist the patient in recuperation

27

Florence Nightingale was called the lady of the lamp because

of her nighttime care to the wounded

28

The earliest nurses were

the angel of mercy, handmaiden, battle-ax, naughty nurse, military

29

How did religious orders influence early nursing

- The religious figure treated the sick with many forms of medicine such as drugs, wisdom, prayer, and magic spells
- Mostly men performed nursing
- Providing care in spite of the risks was considered self-sacrificing, much like a call to serve in a religious life

30

Injectable penicillin came into common use in

1943

31

Clara Barton

- She provided care close to the fighting
- established the Red Cross

32

Lillian Wald

-1893 founded Henry street settlement in New York to improve health and social conditions for poor immigrants
- The start of public health nursing

33

Marjorie Gordon

- Standardized nursing language
- Manual of nursing diagnosis
- The establishment of a core of knowledge based on evidence

34

Virginia Henderson

- 14 components of basic nursing
- Nursing fundamentals

35

6 essential features of professional nursing, as acknowledge by ANA

1) Provision of a caring relationship that facilitates health and healing
2) Attention to the range of human experiences and responses to health and illness within the physical and social environments
3) Integration of objective data with knowledge gained from an appreciation of the patient or group's subjective experience
4) Application of scientific knowledge to the processes of diagnosis and treatment through the use of judgement and critical thinking
5) Advancement of professional nursing knowledge through scholarly inquiry
6) Influence on social and public policy to promote social justice

36

ANA definition of nursing

The diagnosis and treatment of human responses to actual and potential health problems

37

Profession

- Must be based on technical and scientific knowledge
- Competence of the group members must be evaluated by a community of peers
- Must have a service orientation and a code of ethics
- Nursing is a profession

38

Discipline

A profession must have a domain of knowledge that has both theoretical and practical boundaries

39

Nurse practice acts are

-Laws that regulate nursing practice
-Each state enacts its own nursing practice

40

Standards of Practice are to

- Describe a competent level of nursing practice and professional performance common to all registered nurses
- Authoritative statements of duties that all registered nurses, regardless of role, population, or specialty, are expected to perform competently

41

National League for Nursing (NLN)

- establish and maintain universal standard of education.
- journal of Nursing education perspectives

42

International Council of Nursing (ICN)

- Global level
- Aims to ensure quality nursing care for all
- supports global health policies
- strives to improve working conditions for nurses throughout the world

43

Sigma Theta Tau International (STTI)

National honor society for nursing

44

Health defined by the WHO

A state of complete physical, mental, and social well-being and not merely the absence of disease or imfirmity

45

Quality and Safety Education for Nurses (QSEN)
6 competencies

- patient-centered care
- teamwork and collaboration
- evidence-based practice
- quality improvement (QI)
- safety
- informatics

46

Dependent nursing activities/actions

-Actions initiated by a physician in response to a medical diagnosis but carried out by a nurse under doctors orders

47

Independent nursing activities/actions

- Actions performed by a nurse without a physician's orders

48

9 roles and functions of the nurse

- Direct care provider
- Communicator
- Client/family educator
- Client advocate
- Counselor
- Change agent
- Case manager
- Leader
- Manager
- Research consumer

49

6 ANA designed nursing values and beliefs

- Primary concern the good of the patient
- Competent
- Strong commitment to service
- Believe in dignity and worth of each person
- Strive to improve their profession
- Work collaboratively within the profession

50

4 purposes of nursing care

- Health promotion
- Health restoration
- Illness prevention
- End-of-life care

51

Benner's stages of professional development

- Novice
- Advanced beginner
- Competent
- Proficient
- Expert

52

What is critical thinking

The intellectual process used in complex thinking operations

53

Critical thinking skills needed

- objectively gather info
- Recognize need for more info
- Evaluate the credibility of sources
- Recognize gaps in knowledge
- Listening carefully; reading thoughtfully
- Separating relevant from irrelevant data
- Organizing or grouping info
- Making inferences
- Visualizing potential solutions
- Exploring the advantages, disadvantages, and consequences of actions

54

Critical thinking attitudes- feelings and state of mind

- Intellectual curiosity
- Intellectual humility
- Intellectual empathy
- Intellectual courage
- Intellectual perseverance
- Independent thinking
- Fair mindedness

55

Ability to approach each client/patient as a unique individual because of

- differences
- culture
- roles
- Other factors- age, personal bias, personality

56

Theoretical knowledge

- info, facts, principles, and evidence- based theories

57

Practical knowledge

- knowing what to do and how to do it

58

Self-knowledge

- To critically think you must be aware of your beliefs, values, cultural, and religious biases

59

6 steps of the nursing process

- Assessment
- Diagnosis
- Planning outcomes
- Planning interventions
- Implementation
- Evaluation

60

What is the nursing process

- A systematic problem- solving process that guides all nursing actions

61

What is meant by the model of full spectrum nursing

- A unique blend of thinking, doing, and caring
- Performed by nurses who fully develop and apply nursing knowledge
- Critical thinking
- the nursing process to patient situation for the purpose of effecting good outcomes

62

3 content points of the model of full spectrum nursing

- thinking
- doing
- caring