Chapter 1 Flashcards
beginning nursing student or any nurse entering a situation in which there is no previous experience
novice
a nurse who has had some experience with the situation; this experience may only be observational in nature, but the nurse is able to identify meaningful aspects or principle of nursing care
advanced beginner
nurse with experience of 2-3 years and understands the organization and specific care required by the type of patients
competent
nurse more than 2-3 years of experience and perceives a patient’s clinical situation as a whole, is able to assess the entire situation and can be readily transfer knowledge gained from multiple previous experiences to a situation; nurse focuses on managing care as opposed to managing and performing skills
proficient
nurse with diverse experience who has an intuitive grasp of an existing or potential clinical problem; nurse is able to zero in on the problem and focus on multiple dimensions of the situation; he or she is skilled at identifying both patient centered problems & problems related to the health care system
expert
what are the standard of practice?
assessment, diagnosis, outcome identification, planning, implementation, evaluation
which standard of practice?
the registered nurse collects comprehensive data pertinent to the patient’s health and/or the situation
assessment
which standard of practice?
the registered nurse analyzes the assessment data to determine the diagnose or issues
diagnosis
which standard of practice?
the registered nurse identifies expected outcomes for a plan individualized to the patient or the situation
outcome identification
which standard of practice?
the registered nurse develops a plan that prescribes strategies and alternatives to attain expected outcomes
planning
which standard of practice?
the registered nurse implements the identified plan
implementation
which standard of practice?
the registered nurse evaluates progress toward attainment of outcomes
evaluation
Which implementation?
coordinates care and delivery
implementation= coordination of care
Which implementation?
the nurse uses strategies to promote health and a safe environment
implementation= health teaching & health promotion
Which implementation?
graduate level prepared specialty nurse or advanced practice nurse provides consultation to influence the identified plan, enhance the abilities of others, and effect change
implementation= consultation
help patients maintain and regain health, manage disease/ symptoms, and attain a maximal level of function and independence through the healing process
caregiver
protecting the patient’s human and legal rights and providing assistance in asserting these rights if the need arises.
patient advocate
What is an APRN?
advanced practice registered nurse
advanced education in pathophysiology, pharmacology, and physical assessment
What is a clinical nurse specialist?
an APRN who is an expert clinician in a specialized area or practice
provides independent care including pregnancy and gynecological services
nurse-midwife
expert clinician in a specialized area of practice such as adult diabetes care
clinical nurse specialist
provides comprehensive care, usually primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions
nurse practitioner
provides care and services under the supervision of an anesthesiologist
nurse anesthetist
primarily in schools of nursing, staff development departments of health care agencies and patient education department
nurse educator
