Quiz 2

Question 1

Morals

Answer 1

Personal standards of Right & Wrong

Can change with age

Question 2

Values

Answer 2

Freely chosen beliefs/attitudes
Acquired over a long period of time - subconsciously
Can change with life situations
Bases for behavior

Question 3

Value Conflicts

Answer 3

Pre-formed values & beliefs = care may be compromised

Question 4

Ethics

Answer 4

Moral Standards of a group (Ex: nurses)

Principles that determine what ought & not ought to be done.

Question 5

6 Ethical Principles for Nursing

Answer 5

1. Autonomy - right to make own decision (women’s right)
2. Nonmaleficence - Doing no Harm
3. Beneficence - Doing Good
4. Justice - Fairness & treating people equally
   (fetus’s right)
5. Fidelity - Faithful to agreements & responsibility
6. Veracity - Telling the truth

Question 6

2 Types of Ethics in Nursing & Medicine

Answer 6

Bioethics - applied to life, death & dilemmas in between (Justice is the primary bioethical principle)

Nursing Ethics - ethical issues with nursing practice only

Question 7

Ethical Theories

Answer 7

Utilitarianism - greatest good for the greatest #

Deontology - Doing the right thing no matter the outcome

Pragmatism - Intent is good = act is moral

Question 8

Types of Ethical Problems

Answer 8

Decision-focused: difficulty in deciding what to do

Action-focused: difficulty implementing/making decisions (knows whats right but can’t carry it out)

Question 9

Ethical Reasoning

Answer 9

is rational thinking.

Should not be based on emotions, intuition, or fixed policies.

Question 10

Complimentary & Alternative Healing Methods

CAM

Answer 10

-Not conventional medicine
-Focuses on *Healing Philosophies *Practices * Products
Ex: *Acupuncture *Biofeedback *Chiropractic Medicine *Hypnotherapy *Dietary Supplements/Herbs *Imagery *Magnets *Massage *Meditation *Prayer/Faith *Tai Chi/Yoga

Question 11

Center for American Nurses

CAN

Answer 11

Focus is on the individual nurse rather than the workplace.

Question 12

Magnet Recognition

Answer 12

• Recognizes hospitals w/ excellent nursing recruitment & high retention rates (BSN)
• Magnet Hospitals - Seen as gold standard

Question 13

HIPAA

Answer 13

Health Insurance Portability & Accountability Act

*Federal Law

Question 14

Telehealth

Answer 14

Use of telecommunications technology to assess, Dx, & Tx pt at distance.

Question 15

Vocera

Answer 15

Voice Communication System

like a pager

Question 16

Nursing Process

Answer 16

• Framework of care = improve quality of care
• Easier to communicate among peers
• Used in clinical rotations (clinical prep & care plans)

Question 17

Nursing Process is a Cycle

Answer 17

Critical Thinking
Problem Solving (Eliminates Trail & Error approach)
Decision Making
**Always Be Evaluating!

Question 18

Nursing Process vs. Medical Process

Answer 18

Nursing: Broad & Holistic
Assesses mind/body/spirit
Aims to maximize peoples abilities
Teaches functioning & independence

Medical:
Assesses organs & systems
Aims to keep them functioning
Teaches Tx of disease

Question 19

3 Functions/Characteristics of the

Nursing Process

Answer 19

Planning Guide: anticipate events & initiate actions
Patient Centered: focus on pt not Dx
Goal Directed: move towards health or peaceful death

Question 20

5 Stages of the Nursing Process

Answer 20

ADPIE
Assessment
Diagnosis
Plan
Implementation
Evaluate

Question 21

ADPIE:

A

Answer 21

Assessment
Collecting & organizing data
1. observe & interview
2. physical exam
3. start nurse/pt relationship
Organize data & compare it to pt's norm
Pt have too much, too little, at risk for...
(concept map made)

Question 22

ADPIE:

D

Answer 22

Diagnosis (nursing)

• A statement or conclusion about the pt’s condition that carries common meanings for nurses
• Identifying pt’s strengths & weaknesses
• May change daily
• Prioritize according to Maslow’s Hierarchy of Needs

Question 23

ADPIE:

P

Answer 23

Plan
* Determine immediate priorities
* Establish expected outcomes/results
* Determine Interventions
* Write an individualized plan care/goal
(goal=short or long term, must be measurable/realistic/relevant)

Question 24

ADPIE:

I

Answer 24

Implementation
Carrying out plan of action
(Assess pt’s current status before acting, report & record)

Question 25

ADPIE: | E

Answer 25

Evaluate (Determining if plan was effective) * Re-examine = go through ADPI

Question 26

Concept Map

Answer 26

A diagram showing the relationships among concepts. | Graphical tool for organizing & representing knoweldge

Question 27

Concept Care Map

Answer 27

Your ideas about patients problems & treatments are the 'concepts' that you will diagram

Question 28

Concept Maps used to...

Answer 28

- Organize pt data - Analyze relationships in the data - Establish priorities - Build on previous knowledge - Identify what you do not understand - Enable you to take a holistic view of the pt's situation

Question 29

Types of Nursing Dx

Answer 29

1. Actual = (Tx) | 2. Potential (at risk for) = (preventative)

Question 30

Parts of a Nursing Diagnosis

Answer 30

P.E.S. 1. Problem - weakness/difficulty breathing 2. Etiology - related to / what is causing the problem 3. Signs & Symptoms - or supporting evidence

Question 31

5 Rights of Delegation

Answer 31

1. Right Task 2. To the right person 3. In the right situation 4. With the right communication 5. Performing the right evaluation

Question 32

Don't Delegate When...

Answer 32

1. Pt is not stable 2. Complex assessment, thinking, & judgement required 3. Outcome of task is unpredictable 4. Increase risk of harm 5. Problem solving & creativity are required

Question 33

Critical - Thinking

Answer 33

Critical: Careful analysis of a problem Thinking: Action of the mind o produce thought

Question 34

Thinking vs. Critical Thinking

Answer 34

- Thinking can be 'mindless' | - Critical Thinking is controlled & purposeful (looking for the bigger picture / assumes maturity)

Question 35

Reflective Thinking

Answer 35

The kind of thought that turns a subject over in the mind & gives it serious & consecutive consideration

Question 36

Thought Chain

Answer 36

The process of moving methodically from one thought to another while remaining open to multiple possibilities

Question 37

4 Teaching phases necessary for developing Critical Thinking

Answer 37

1. Concept Formation 2. Interpretation of Data 3. Application of Principles 4. Interpretation of Feeling, Attitudes & Values

Question 38

Concept Formation

Answer 38

Identify known data Determine common characteristics Prioritize Data

Question 39

Interpretation of Data

Answer 39

Differentiate between pieces of information Determine cause & effect Extract meaning from what was observed

Question 40

Application of Principles

Answer 40

Avoid 'why' questions & ask 'what factors' to help avoid the trap of drawing premature conclusions

Question 41

Interpretation of Feelings, Attitudes & Values

Answer 41

- Involves principles of interpersonal problem-solving & analysis of values - Determines attitudes & perceptions developed through one's life experiences

Question 42

Covey's 7 Habits of Highly Effective People

Answer 42

1. Be Proactive 2. Begin with the End in mind 3. Put First things First 4. Think Win-Win 5. Seek 1st to Understand, Then to be Understood 6. Synergize 7. Stay up to Date with research

Question 43

Purpose of Evidence Based Practice

Answer 43

To describe, explain, predict, & control phenomena & to provide information for future use in practice or for expansion of the knowledge base