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

Ch. 1: Evolution of Nursing Thought & Action Flashcards

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
Q

“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

A

current definition of nursing according to the International Council of Nurses (ICN)

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26
Q

name the 5 characteristics of registered nursing according to ANA

A
  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
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27
Q

name the 6 QSEN competencies

A 
Patient-centered Care
Teamwork and Collaboration
Evidence-based Practice
Quality Improvement (QI)
Safety
Informatics
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28
Q

define Quality Improvement

A

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

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29
Q

use information and technology to communicate, manage knowledge, mitigate error, and support decision making

A

informatics

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30
Q

“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

A

definition of nursing according to ANA

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31
Q

name important qualities for nurses

A 
critical thinking
caring and compassion
detail oriented
organizational
speaking
listening
patience
competence
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32
Q

define profession

A

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

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33
Q

define discipline

A

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

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34
Q

_________ boundaries are the questions that arise from clinical practice and are then investigated through research

A

theoretical boundaries

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35
Q

________ boundaries are the current state of knowledge and research in the field, the facts that dictate safe practice

A

practical boundaries

36
Q

define occupation

A

a job….you just getting paid

paid hourly, no control of environment or nature of work

37
Q

_______ education consists of completing the initial and continuing education required for licensure

A

formal

38
Q

_______ involves a gradual progression in skill and clinical judgement that allows the nurse to advance in the profession

A

informal

39
Q

what kind of nursing allows nurses to provide bedside care to cleints

A

practical nursing education

40
Q

what are practical nurses known as?

A

licensed practice nurses (LPN)

41
Q

T/F Practical nurses work under RN

A

True

42
Q

name the 5 pathways that lead to licensure as a RN

A
  1. Diploma programs
  2. Associate degree program
  3. Baccalaureate degree programs
  4. Master’s entry programs
  5. Doctoral entry
43
Q

how can nursing improve?

A

standardize educational requirements
uniform continuing education requirements
increase participation of nurses in professional organizations
education of the profession to the general public

44
Q

what is socialization?

A

the knowledge gained from direct experience, observation in the real world, and informal discussion with peers and colleagues.

45
Q

why do continuing education?

A

helps you stay current in your clinical knowledge

46
Q

who describes the process by which a nurse acquires clinical skills and judgement?

A

Patricia Benner

47
Q

name the 5 stages in the Benner model

A 
Novice
advanced beginner
competence
proficient
expert
48
Q

task oriented and focus narrowly on “learning the rules”

A

Novice

49
Q

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

A

advanced beginner

50
Q

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

A

Competence

51
Q

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”

A

Proficient

52
Q

are able to see what needs to be achieved and how to do it. they use their intuition

A

expert

53
Q

define nurse practice act

A

laws that regulate nursing practice

54
Q

who is responsible for regulating nursing practice?

A

The state board of nursing

55
Q

_______ is the official professional organization for nurses in the U.S.

A

the American Nurses Association

56
Q

National League for Nursing

A

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
Q

International Council of Nursing

A

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
Q

Sigma Theta Tau International

A

international honor society for nursing

59
Q

define direct care

A

personal interaction between the nurse and clients

60
Q

give an example of indirect care

A

restocking the code blue chart, ordering unit supplies,

61
Q

name the purpose of nursing care

A

achieve goals of health promotion, illness prevention, health restoration, and end-of-life care

62
Q

define case method

A

one-to-one care

one nurse provides all aspects of care for one patient during a single shift

63
Q

define functional nursing

A

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
Q

is an efficient arrangement for delivering nursing care and maintains the cost saving of functional nursing, while attempting to limit fragmentation

A

team nursing

65
Q

define primary nursing

A

one nurse manages care for a group of patients

66
Q

define differentiated practice

A

recognizes that education and experience lead to differences in the care delivered by nurses

67
Q

a patient who has been admitted to a healthcare facility is an ______

A

inpatient

68
Q

an __________ is a person who receives treatment at a facility, but does not stay overnight

A

outpatient

69
Q

name the effects that technological advances and efforts to control costs

A

larger hospitals
specialty hospitals
shorter length of stay

70
Q

define extended care facilities

A

provide care for clients for an extended period of time, usually longer than one month

71
Q

___________includes services of trained professionals that are needed for a limited period of time after an injury or illness

A

skilled care

72
Q

define custodial care

A

consists of help with activities of daily living

bathing, dressing, eating, grooming, ambulation, toileting, taking medications, monitoring vitals

73
Q

define nursing home

A

provides custodial care for people who cannot live on their own but are not sick enough to require hospitalization

74
Q

___________ are used by people to get same day cost-effective healthcare

A

ambulatory care centers

75
Q

another name for retirement home is

A

independent living facilities

76
Q

__________ services focus on health promotion, preventive services, health education, and screening for the early detection of healthcare problems

A

Primary care

77
Q

define health as by WHO

A

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

78
Q

define secondary care

A

consists of services to diagnose and treat illness, disease, and injury

79
Q

define tertiary care

A

long term rehabilitation services and care for the dying

80
Q

insurance program designed for persons aged 65 years and older, people with disabilities,

A

Medicare

81
Q

provide access to healthcare services for people with low income and minimal resources

A

Medicaid

82
Q

what funds Medicaid

A

state and federal taxes

83
Q

Children’s Health Insurance Program (CHIP)

A

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
Q

a nurse with advanced education and expertise in an area of clinical specialization

A

Clinical Nurse Specialist (CNS)

85
Q

a nurse with advanced education focused on providing primary care

A

Nurse Practitioner (NP)

86
Q

a nurse with advanced education focused on providing anesthesia

A

Certified Registered Nurse Anesthetist (CRNA)

87
Q

a nurse with advanced education focused on women’s health, pregnancy, and delivery

A

Certified Nurse Midwife (CNM)

holistic health intervention (10 decks)

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