Flashcards in unit 1 Deck (144)
1
Licensed practical nurse
1 year in length
Work under RN
2
Multi exit programs
Provide opportunity to discontinue education at certain points in a program and work
3
Name the three types of RN programs
Diploma
Associate degree
Baccalaureate
4
Articulation
Have an agreement with other colleges to accept the credits to continue on with higher education
5
Graduate nursing
Specialization occurs
6
CEU
Continuing education
30 hrs needed to maintain your RN
7
Credentialing
Necessary to maintain credentials
8
Licensure
Legal permit based upon standards
9
Registration
Given status recorded in a registry
10
Certification
Recognition of meeting standards of competency in specialty area
11
Accreditation
Recognizes institutions/programs meet standards
12
Who does the accreditation for hospitals?
Joint commission
13
Evidence based practice
Base practice on scientific evidence
14
Benners stages of nursing expertise
Novice
Advanced beginner
Competent
Proficient
Expert
15
Career ladder
Progression from one degree to another
16
Why have healthcare costs sky rocketed?
Malpractice
New technology
Aging population
Cost shifting
Increased cost of prescription drugs
17
Cost shifting
Paying for those who can't pay
18
Medicare
Insurance for those over 65 years
19
Medicaid
Insurance for those of low income and disability
20
DRG
Diagnostic related groups
Est. pretreatment diagnosis billing
21
Managed care
Focus on prevention
22
3 leading causes of death & disability?
CAD
CVA
Cancer
23
Telemedicine
Long distance healthcare, w/out state boarders
24
Patient Bill of Rights
The Right to:
Choose
Access emergency services
Be a full partner in healthcare decisions
Care w/out discrimination
Privacy
Speedy complaint resolution
25
HIPAA
Healthcare insurance portability and accountability Act
26
Why is there a nursing shortage?
Aging workforce
27
Avg. age of a nurse?
48
28
Criteria for a professional
Utilizes a body of specialized knowledge
29
5 essential characteristics of a profession
Code of ethics
Altruism
Specialized education
Research
Autonomy
30
Altruism
Selflessness
31
Autonomy
Own profession
32
Code of ethics
Formal statement of a groups ideals and values
33
Advocate
Looking out for patients rights
34
Inpatient
Pt physically stays at facility (more than 24 hours)
35
Outpatient
Less than 24 hour stay
36
Most important member of the healthcare team
The patient
37
Roles of caregiver
Restore physical, psychological and social well being
38
Goal of rehabilitation
To assist clients with injury or illness to achieve maximum functioning
39
Framework
Underlying structure of healthcare for continuity of care and cost effectiveness
40
Patient focused care
Focus on bringing all services to the client
41
Case method
One on one care
RN manages total care
ICU
42
Team nursing
RN heads team
Delegates tasks
43
Primary nursing
RN responsible for overseeing care of clients 24/7
44
HMO
Health maintenance organization
45
Functions of the law in nursing
Provide a framework for est. what nursing actions are legal
46
Nurse practice act is under which law?
Statutory law (legislative)
47
State of board of nursing falls under which law?
Executive
48
Name the three sources of law
Statutory
Executive
Judicial
49
Judicial law is aka?
Common law
50
Judicial law
To resolve disputes between two parties
51
Criminal law
Deals with actions harmful to the public and the individual
52
Civil law
Has two subdivisions
Contract
Tort
53
Tort
Civil wrong committed by a person against another person or his property
54
The most common law affecting nursing practice
Tort law
55
Tort liability
Seeks compensation for damages
56
Negligence
No intent to do harm
57
Intentional torts are
Invasion of property
Breach of confidentiality
Fraud
HIPAA
58
Fraud
False presentation of facts
59
Assault
Threat of bodily injury
Am act to invoke fear
60
Battery
Touching of another's body w/o consent
61
False imprisonment
Unlawful restraint against wishes
62
Defamation of character
False communication
63
Slander
Spoken work
64
Libel
Printed written word
65
Malpractice
Negligent acts of people with speaclized education
66
How too you have to prove malpractice?
Breach has to cause harm
67
What defines the practice of professional nursing?
Nurse practice act
68
Who establishes standards for nursing practice
State board of nursing
69
Is licensure mandatory to practice nursing as RN
True
70
Treating a patient in a manner considered unethical
Unprofessional conduct
71
Good Samaritan law
Protects hcw who provide care at accident scenes against willful wrong doing
72
Agreement by pt to accept a treatment or procedure after being provided complete information
Informed consent
73
Implies consent
Pt's non verbal behavior indicates agreement
74
Delegation
Transferring responsibility of performance for a task from one person to another
75
During delegation, who remains responsible for the pt?
RN
76
HIPAA applies to electronic transfer of information among organizations
True
77
Advanced directives
Legal document allowing a person to specify aspects of care they wish to have should they become unable
78
Name the two types of advanced directives
Living will
Healthcare proxy (power of attorney)
79
What are the legal actions of a student nurse?
Responsible for own actions & negligence
80
Ethics
Branch of philosophy dealing with standards of conduct and moral judgement
81
Values
Ideas or beliefs
82
Beneficence
Duty to do good
83
Nonmaleficence
Duty to do no harm
84
Veracity
Duty to tell truth
85
Justice
Principle of fairness
86
Fidelity
Duty to keep ones promise
87
Theoretical framework
Can be used to explain ethical decisions and actions
88
Utilitarian
Consequence based
89
Deontologic
Principle based
90
Dilemma
Conflict of basic human rights
91
Wellness
Healthy balance of mind body spirit
92
Continua
On going
93
Health illness continua
Scale measures perceived health from good to poor
94
Agent host environment model
How factors predict illness
95
Eudemonistic model
Health is actializarion or reaching full potential
96
Adaptive model
Disease fail to adapt
97
Clinical model
Health is the absence of illness
98
Illness
Abnormal process in which any aspect of a persons functioning is diminished or impaired as compared with his previous condition
99
Culture
The learned, shared, and transmitted values, beliefs, norms and life way practices of a particular group that guide thinking
100
Transcultural nursing
Study of different cultures and subcultures with respect to nursing and health, illness, caring practices, beliefs and values
101
Spirituality
Dealing with the unknown or uncertainties in life
102
Complimentary therapy
Used in addition to conventional treatment
103
Alternative therapy
Therapy used in place of conventional treatment
104
Biofeedback
Process for monitoring body functions through relaxation or imagery
105
Naturopathic medicine
Remedies from nature
106
Therapeutic touch
Massage and reflexology
107
Holistic care
Mind, body and spirit
The whole or
108
Professionalism
Set of attributes
Way of life
109
Client centered care
Most important
Everything we do is for the pt
110
Health promotion
Promoting wellness
111
Health maintenance
Preventing illness
112
Health restoration
Early detection & recovery
113
American nurses association definition of nursing
A diagnosis and treatment of human responses to actual and potential problems
114
3 essential components of professional nursing
Care
Cure
Coordination
115
Modern nursing theorist
Seek to define the basis and principles of nursing practice systematically and uniquely
116
4 major concepts central to nursing theory
Health
Person
Environment
Nursing
117
Nightingale theory
Act of utilizing the enviornment
118
Henderson theory
Assist ppl who can't help themselves
119
Orem theory
Self care/ self care deficit model
120
What influences nursing?
Religion
War
Societal views
Women's roles
121
When did nursing start
Begging of man kind
122
Apprentice
On job training
No formal education
123
500-1500
Built hospitals
124
1400-1800
Medical education ignored
125
Who was founder of nursing?
Florence nightingale
126
What did Florence Nightingale do for nursing?
Improved enviornment that pt's were in, education
127
Lady of the lamp
Florence nightingale
128
When was nightingale school of nursing est?
1860
129
Clara Barton
Est red cross
Volunteered in civil war as nurse
130
Dorothea Dix
Nurse in civil war, unions supervisor of nurses in army hospitals
131
World war one influenced nursing, how?
Treated injuries never seen before
Progressed health care
132
World war II influenced nursing, how?
Bc of lack of nurses, CNA & LPNs were developed
133
Linda Richards
America's first professional nurse
134
Mary Mahoney
First africian American nurse
135
Lillian wald
Created Henry street settlement
136
Clara Maas
Volunteered as test subject for yellow fever, on postage stamp
137
Margaret Sanger
Planned parenthood
Birth control
138
Mary Breckinridge
Est. frontier nursing
Began first midwifery school
139
1910
Flexor Report
Nursing a profession
140
1965
ANA Position paper
BSN still debating
141
Compact licensure
Multi state license
142
Beebe hospital founded
1916
143
Beebe school of nursing established?
1921
144