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NUR 211_PSY Exam 1 > Ch 1: Practicing the Science and Art of Nursing > Flashcards

Ch 1: Practicing the Science and Art of Nursing Flashcards

1
Q

Evidence-based practice is clinical decision making that synthesizes…

A
  • Best available research evidence
  • Clinical expertise
  • Patient Preferences
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2
Q

The research evidence component of the EBP model considers…

A
  • —Scientific evidence for psychologic and sociologic treatments
  • —Neurobiology of psychiatric disorders
  • —Psychopharmacology
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3
Q

A noteworthy concept differentiating EBP in nursing from medicine is that the approach utilized in nursing incorporates more than…

A
  • clinical research
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4
Q

Identify the “5 A’s” used in the process of integrating EBP into the clinical setting and describe each.

A
  1. Ask a question - Identify a problem or need for change for a specific patient or situation.
  2. Acquire literature. - Search the literature for scientific studies and articles that address the issue(s) of concern.
  3. Appraise the literature. - Evaluate and synthesize the research evidence regarding its validity, relevance, and applicability using criteria of scientific merit.
  4. Apply the evidence. - Choose interventions that are based on the best available evidence with the understanding of the patient’s preference and needs.
  5. Assess the performance. - Evaluate the outcomes, using clearly defined criteria and reports, and document results.
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5
Q

The 1990’s are considered the “Decade of…”

A

the brain

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6
Q

EBP increases the gap between _____ and ______.

A
  • Research/best evidence treatments
  • Effective translation into practice
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7
Q

In the Medical Model, human touch is not part of what is being focused on, but rather _____ and ______.

A
  • Research
  • Science
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8
Q

Define “Recovery”

A

A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.

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9
Q

What are four dimensions that support recovery?

A
  1. Health
  2. Home
  3. Purpose
  4. Community
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10
Q

There is no _____ for mental illness, only a _____ _____ _____.

A
  • Cure
  • Period of Recovery
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11
Q

The Recovery model views Consumers as

A

Partners

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12
Q

The purpose of recovery is to…

A

Increase the consumer’s ability in coping, facilitating recovery and building resilience

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13
Q

Resilience is the ability to

A

‘bounce back”

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14
Q

Mental health care is _____ and _____ driven by

A

Consumer and family

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15
Q

Individualized care is…

A

Consumer centered and recovery oriented

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16
Q

_____ is almost universal in mental health patients.

A

Trauma

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17
Q

In Trauma Informed Care, avoidance of _____ _____ is paramount.

A

New trauma

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18
Q

Name two examples that could possibly introduce new trauma to a patient.

A
  • Restraints
  • Coercion
19
Q

_____ and _____ _____ are key components in a collaborative therapeutic relationship.

A
  • Empowerment
  • Cultural respect
20
Q

What does “QSEN” stand for

A

Quality and Safety Education for Nurses

21
Q

What is the purpose of QSEN?

A

To equip nurses with knowledge, skills and attitudes (KSA’s) to improve quality and safety of their health care systems

22
Q

What are the QSEN Standards?

A
  • Patient-centered care
  • Teamwork and collaboration
  • Evidence-based practice
  • Quality improvement
  • Safety
  • Informatics
23
Q

What are the three “arts” that complement nursing’s scientific base?

A
  1. Intuition
  2. Interpersonal skills
  3. Therapeutic use of self
24
Q

The caring nurse is first and foremost a _____ nurse.

A

competent

25
Q

Without _____ and _____, the demonstration of compassion and caring alone is powerless to help those under our care.

A
  • Knowledge
  • Competence
26
Q

T or F: Without a base of knowledge and skills, care alone cannot eliminate another person’s confusion, grief, or pain.

A

True

27
Q

A response of care can transform fear, pain, and suffering into a _____, _____ experience.

A
  • Tolerable
  • Shared
28
Q

Caring is evidenced by

A

empathic understanding, actions, and patience on another’s behalf.

29
Q

Caring for another through _____, _____, and _____ _____ leads to happiness and touches the heart.

A
  • Actions
  • Words
  • Being present
30
Q

Caring is giving of _____ while preserving the _____ of self.

A
  • Self
  • Importance
31
Q

The absence of caring can leave…

A

Memorable scars

32
Q

Attending refers to an _____ _____ _____, being there for and in tune with the patient.

A

intensity of presence

33
Q

Attending behaviors include:

A
  • active listening skills
  • body posture
  • eye contact,
  • touching,
  • giving attentive physical care
34
Q

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

A
  • advocate
  • knowledge,
  • skills,
  • ability, or
  • status
35
Q

In nursing, being a patient advocate is not a legal role but rather an _____ one

A

ethical

36
Q

Advocacy in nursing includes:—

A
  • — Committing to patients’ health
  • — Alleviating suffering
  • — Promoting a peaceful, comfortable, and dignified death
37
Q

Nurses advocate for patients when they:

A
  • — Advise patients of their rights
  • — Provide accurate and current information
38
Q

Which of the following is based on literature review and appraisal to help clinicians in making informed medical decisions about specific health problems?

  1. Clinical Practice Guidelines
  2. Clinical Algorithms
  3. Clinical/Critical pathways
A

Answer: 1

39
Q

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?

  1. Clinical Practice Guidelines
  2. Clinical Algorithms
  3. Clinical/Critical pathways
A

Answer: 3

40
Q

Which of the following provides step-by-step guidelines in a flowchart format that facilitate diagnostic and treatment approaches based on decision points?

  1. Clinical Practice Guidelines
  2. Clinical Algorithms
  3. Clinical/Critical pathways
A

Answer: 2

41
Q

Which for the following lists the expected outcome using a measurable, time-specific format, and documentation is ongoing?

  1. Clinical Practice Guidelines
  2. Clinical Algorithms
  3. Clinical/Critical pathways
A

Answer: 3

42
Q

Which of the following deals with “symptoms management”?

  1. Clinical Practice Guidelines
  2. Clinical Algorithms
  3. Clinical/Critical pathways
A

Answer: 3

43
Q

Which of the following is global and more medical based?

  1. Clinical Practice Guidelines
  2. Clinical Algorithms
  3. Clinical/Critical pathways
A

Answer: 1

44
Q

Which of the following is mostly used in psychiatry?

  1. Clinical Practice Guidelines
  2. Clinical Algorithms
  3. Clinical/Critical pathways
A

Answer: 2

NUR 211_PSY Exam 1 (8 decks)

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