Ch 1: Practicing the Science and Art of Nursing Flashcards
Evidence-based practice is clinical decision making that synthesizes…
- Best available research evidence
- Clinical expertise
- Patient Preferences
The research evidence component of the EBP model considers…
- Scientific evidence for psychologic and sociologic treatments
- Neurobiology of psychiatric disorders
- Psychopharmacology
A noteworthy concept differentiating EBP in nursing from medicine is that the approach utilized in nursing incorporates more than…
- clinical research
Identify the “5 A’s” used in the process of integrating EBP into the clinical setting and describe each.
- Ask a question - Identify a problem or need for change for a specific patient or situation.
- Acquire literature. - Search the literature for scientific studies and articles that address the issue(s) of concern.
- Appraise the literature. - Evaluate and synthesize the research evidence regarding its validity, relevance, and applicability using criteria of scientific merit.
- Apply the evidence. - Choose interventions that are based on the best available evidence with the understanding of the patient’s preference and needs.
- Assess the performance. - Evaluate the outcomes, using clearly defined criteria and reports, and document results.
The 1990’s are considered the “Decade of…”
the brain
EBP increases the gap between _____ and ______.
- Research/best evidence treatments
- Effective translation into practice
In the Medical Model, human touch is not part of what is being focused on, but rather _____ and ______.
- Research
- Science
Define “Recovery”
A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.
What are four dimensions that support recovery?
- Health
- Home
- Purpose
- Community
There is no _____ for mental illness, only a _____ _____ _____.
- Cure
- Period of Recovery
The Recovery model views Consumers as
Partners
The purpose of recovery is to…
Increase the consumer’s ability in coping, facilitating recovery and building resilience
Resilience is the ability to
‘bounce back”
Mental health care is _____ and _____ driven by
Consumer and family
Individualized care is…
Consumer centered and recovery oriented
_____ is almost universal in mental health patients.
Trauma
In Trauma Informed Care, avoidance of _____ _____ is paramount.
New trauma
Name two examples that could possibly introduce new trauma to a patient.
- Restraints
- Coercion
_____ and _____ _____ are key components in a collaborative therapeutic relationship.
- Empowerment
- Cultural respect
What does “QSEN” stand for
Quality and Safety Education for Nurses
What is the purpose of QSEN?
To equip nurses with knowledge, skills and attitudes (KSA’s) to improve quality and safety of their health care systems
What are the QSEN Standards?
- Patient-centered care
- Teamwork and collaboration
- Evidence-based practice
- Quality improvement
- Safety
- Informatics
What are the three “arts” that complement nursing’s scientific base?
- Intuition
- Interpersonal skills
- Therapeutic use of self
The caring nurse is first and foremost a _____ nurse.
competent
Without _____ and _____, the demonstration of compassion and caring alone is powerless to help those under our care.
- Knowledge
- Competence
T or F: Without a base of knowledge and skills, care alone cannot eliminate another person’s confusion, grief, or pain.
True
A response of care can transform fear, pain, and suffering into a _____, _____ experience.
- Tolerable
- Shared
Caring is evidenced by
empathic understanding, actions, and patience on another’s behalf.
Caring for another through _____, _____, and _____ _____ leads to happiness and touches the heart.
- Actions
- Words
- Being present
Caring is giving of _____ while preserving the _____ of self.
- Self
- Importance
The absence of caring can leave…
Memorable scars
Attending refers to an _____ _____ _____, being there for and in tune with the patient.
intensity of presence
Attending behaviors include:
- active listening skills
- body posture
- eye contact,
- touching,
- giving attentive physical care
A patient _____ is one who speaks up for another’s cause, who helps others by defensive actions, especially when the other person lacks _____, _____, _____, or _____ to speak for him/herself
- advocate
- knowledge,
- skills,
- ability, or
- status
In nursing, being a patient advocate is not a legal role but rather an _____ one
ethical
Advocacy in nursing includes:
- Committing to patients’ health
- Alleviating suffering
- Promoting a peaceful, comfortable, and dignified death
Nurses advocate for patients when they:
- Advise patients of their rights
- Provide accurate and current information
Which of the following is based on literature review and appraisal to help clinicians in making informed medical decisions about specific health problems?
- Clinical Practice Guidelines
- Clinical Algorithms
- Clinical/Critical pathways
Answer: 1
Which of the following is an institutionally “map” for specified treatments and interventions to occur within specific time frames that have been shown to improve clinical outcomes?
- Clinical Practice Guidelines
- Clinical Algorithms
- Clinical/Critical pathways
Answer: 3
Which of the following provides step-by-step guidelines in a flowchart format that facilitate diagnostic and treatment approaches based on decision points?
- Clinical Practice Guidelines
- Clinical Algorithms
- Clinical/Critical pathways
Answer: 2
Which for the following lists the expected outcome using a measurable, time-specific format, and documentation is ongoing?
- Clinical Practice Guidelines
- Clinical Algorithms
- Clinical/Critical pathways
Answer: 3
Which of the following deals with “symptoms management”?
- Clinical Practice Guidelines
- Clinical Algorithms
- Clinical/Critical pathways
Answer: 3
Which of the following is global and more medical based?
- Clinical Practice Guidelines
- Clinical Algorithms
- Clinical/Critical pathways
Answer: 1
Which of the following is mostly used in psychiatry?
- Clinical Practice Guidelines
- Clinical Algorithms
- Clinical/Critical pathways
Answer: 2
