Ch. 1- pg 13-21 definitions of nursing -> collective bargaining

Question 1

who was considered the first nurse theorist?

Answer 1

Florence nightingale 1860-1969

Question 2

What did Florence Nightingale define nursing as?

what did she consider essential for recovery?

Answer 2

the act of utilizing the environment of the patient to assist him in recovery

she considered a clean, well-ventilated, quiet environment essential for recovery pg 13

Question 3

Nursing is… (examples)

Answer 3

caring
an art
a science
client centered
holistic
adaptive
concerned with health promotion, maintenance, and restoration
a helping profession
pg 13

Question 4

a consumer is…

Answer 4

an individual, a group of people, or a community that uses a service or commodity. people who use health care products or services are consumers of health care.
pg 13

Question 5

a patient is…

Answer 5

a person who is waiting for or undergoing medical treatment and care. pg 13

Question 6

a client is…

Answer 6

a person who engages the advice or services of another who is qualified to provide this service. pg 13

Question 7

nurses provide care for three types of clients:

Answer 7

individuals, families, and communities

Question 8

the 4 areas that fall under the scope of nursing are

Answer 8

1. promoting health and wellness
2. preventing illness
3. restoring health
4. caring for the dying
   pg 13-14

Question 9

how do nurses promote health and wellness?

Answer 9

individual or community activities such as helping to improve nutrition, prevent drug and alcohol abuse, restrict smoking, etc.

Question 10

how do nurses prevent illness?

Answer 10

suggesting immunizations, prevention of STD’s

Question 11

how do nurses restore health?

Answer 11

providing direct care to the ill, performing diagnostic procedures, measuring BP

Question 12

how do nurses care for the dying?

Answer 12

by helping them live as comfortable as possible and helping the family cope with death.
- hospice

Question 13

what is the purpose of the ANA Standards of practice?

Answer 13

to describe the responsibilities for which nurses are accountable.

Question 14

what is the purpose of the ANA standards of professional performance?

Answer 14

to describe behaviors expected in the professional nursing role.

Question 15

what are some roles and functions of the nurse?

Answer 15

caregiver
communicator
teacher
client advocate
counselor
change agent
leader
manager
case manager
pg 15-16

Question 16

caregiver

Answer 16

includes those activities that assist the client physically and psychologically while preserving the clients dignity. can be full care, partial care, or supportive/educative assistance.

Question 17

communicator

Answer 17

nurses identify client problems and then communicate these verbally or in writing to other members of the health care team.

Question 18

teacher

Answer 18

the nurse helps clients learn about their health and the health care procedures they need to perform to restore or maintain their health. pg 15

Question 19

client advocate

Answer 19

acts to protect the client

Question 20

counseling

Answer 20

the process of helping a client to recognize and cope with stressful psychological or social problems to develop improved interpersonal relationships, and to promote personal growth.

Question 21

change agent

Answer 21

when assisting clients to make modifications in their behavior.

Question 22

leader

Answer 22

influences others to work together to accomplish a specific goal.

Question 23

manager

Answer 23

also delegates nursing activities to ancillary workers and other nurses, and supervises, and evaluates their performance.

Question 24

case manager

Answer 24

in some institutions, the case manager works with primary or staff nurses to oversee the care of a specific caseload. each agency or unit specifies the role of the nurse case manager.

Question 25

expanded career role examples

Answer 25

nurse practitioner
nurse anesthetist
nurse midwife
nurse administrator
nurse educator
forensic nurse
etc.

Question 26

criteria of a profession

Answer 26

specialized education- your degree
body of knowledge
service orientation- differentiates nursing from an occupation pursued primarily for profit.
ongoing research
code of ethics
autonomy- regulates itself and sets standards for its members
professional organization

Question 27

profession

Answer 27

defined as an occupation that requires extensive education or a calling that requires knowledge, skill, and preparation.

Question 28

professionalism

Answer 28

refers to the professional character, spirit, or methods.

Question 29

professionalization

Answer 29

is the process of becoming professional, that is, of acquiring characteristics considered to be professional

Question 30

governance

Answer 30

the establishment and maintenance of social, political, and economic arrangements by which practitioners control their practice, their self-discipline, their working conditions, ad their professional affairs.

Question 31

socialization

Answer 31

can be defined simply as the process by which people learn to become members of groups and society learn the social rules defining relationships into which they will enter.

Question 32

Benner’s Stages of Nursing Expertise

Stage: I

Answer 32

Stage I: Novice- no experience (nursing student). Performance is limited, inflexible, and governed by context- free rules and regulations rather than experience.

Question 33

Benner’s Stages of Nursing Expertise

Stage: II

Answer 33

Stage II: Advanced Beginner- demonstrates marginally acceptable performance. recognizes the meaningful aspects of a real situation. has experienced enough real situations to make judgments about them.

Question 34

Benner’s Stages of Nursing Expertise

Stage: III

Answer 34

Stage III: Competent- Has 2-3 years of experience. Demonstrates organizational and planning abilities. Differentiates important factors from less important aspects of care. coordinates multiple complex care demands.

Question 35

Benner’s Stages of Nursing Expertise

Stage: IV

Answer 35

Stage IV- Proficient- Has 3-5 years of experience. perceive situations as wholes rather than in terms of parts, as in stage II. uses maxims as guides for what to consider in a situation. has holistic understanding of the client, which improves decision making. focuses on long term goals.

Question 36

Benner’s Stages of Nursing Expertise

Stage: V

Answer 36

Stage V: expert- performance is fluid, flexible, and highly proficient; no longer requires rules, guidelines, or maxims to connect an understanding of the situation to appropriate action. demonstrates highly skilled intuitive and analytic ability in new situations. is inclined to take a certain action because it felt right.

Question 37

factors influencing contemporary nursing practice

Answer 37

health care reform
quality and safety in health care
consumer demands
family structure
science and technology
information, telehealth, and telenursing
legislation
demography
current nursing shortage
collective bargaining
nursing associations

Question 38

Telehealth

Answer 38

the “use of medical information exchanged from one site to another via electronic communications to improve the patient’s health status.

Question 39

telenursing

Answer 39

is the use of telecommunications and information technology to provide nursing practice at a distance.

Question 40

Patient Self- Determination Act (PSDA)

Answer 40

requires that every competent adult be informed in writing on admission to a health care institution about his or her rights to accept or refuse medical care and to use advance directives.

Question 41

demography

Answer 41

the study of population, including statistics about distribution by age and place of residence, mortality (death) and morbidity (incidence of disease.