Chapter 1 Professional Nursing Practice Exam 1 Flashcards
Domain: As a nurse you?
(1) offer skilled care to those recuperating from illness or injury
(2) advocate for patients’ rights
(3) teach patients to manage their health
(4) support patients and their caregivers at critical times
(5) help them navigate the complex health care system.
The American Nurses Association (ANA) states that the authority for the practice of nursing is based on a contract with society that acknowledges?
professional rights and responsibilities, as well as mechanisms for public accountability
In 1980 the ANA defined nursing as
“the diagnosis and treatment of human responses to actual and potential health problems”
-In this context, your care of a person with a fractured hip would focus on the patient’s possible responses to impaired mobility, pain, and loss of independence.
An advanced practice registered nurse (APRN) is a nurse educated at the?
master’s or doctoral level, with advanced education in pathophysiology, pharmacology, and health assessment and expertise in a specialized area of practice.
APRNs include?
clinical nurse specialists, nurse practitioners, nurse midwives, and nurse anesthetists.
APRNs play a vital role in the health care delivery system. In addition to managing and delivering direct patient care, APRNs have roles in?
leadership, quality improvement, evidence-based practice, and informatics
The doctor of nursing practice (DNP) degree is a practice-focused terminal nursing degree. By raising the educational preparation for APRNs to the doctoral level, nursing is moving in the same direction as other health professions that offer practice doctorates (e.g., pharmacy [PharmD], physical therapy [DPT]). Nurses with a research-focused doctorate (PhD) typically serve as?
faculty in schools of nursing, policy analysts, and researchers. However, they are being increasingly used in health care settings as clinical experts, researchers, and health care system executives.
Healthy People 2020 Overarching Goals
- Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death.
- Achieve health equity, eliminate disparities, and improve the health of all groups.
- Create social and physical environments that promote good health for all.
- Promote quality of life, healthy development, and healthy behaviors across all life stages.
Key Messages for the Future of Nursing
- Nurses should practice to the full extent of their education and training.
- Nurses should achieve high education and training through an improved education system that promotes seamless academic progression.
- Nurses should be full partners with physicians and other health professionals in redesigning health care.
- Effective workforce planning and policy making require better data collection and information infrastructure.
Patient centered care: Recognize the patient and caregiver as full partners in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs
Knowledge, Skills, and Attitudes
• Provide care with sensitivity and respect, taking into consideration the patient’s perspectives, beliefs, and cultural background
• Assess level of comfort and treat appropriately
• Engage the patient in an active partnership that promotes health, well-being, and self-care management
• Facilitate patient’s informed consent for care
Occupational therapist (OT) May assist patient with?
fine motor coordination, performance of activities of daily living, cognitive-perceptual skills, sensory testing, and the construction or use of assistive or adaptive equipment
The Five Rights of Delegation
The registered nurse uses critical thinking and professional judgment to be sure that the delegation or assignment is:
- The right task
- Under the right circumstances
- To the right person
- With the right directions and communication
- Under the right supervision and evaluation
Right Task
Description
Questions to ask
- Description: One that can be delegated for a specific patient
- Questions to ask: Is it appropriate to delegate based on legal and agency factors? Has the person been trained and evaluated in performing the task? Is the person able and willing to do this specific task?
Right Circumstances
Description
Questions to ask
- Description: Appropriate patient setting, available resources, and considering relevant factors, including patient stability
- Questions to ask: What are the patient’s needs right now?nIs staffing such that the circumstances support delegation strategies?
Right Person
Description
Questions to ask
- Description: Right person is delegating the right task to the right person to be performed on right person
- Questions to ask: Is the prospective delegatee a willing and able employee?n Are the patient needs a “fit” with the delegatee?
Right Directions and Communication
Description
Questions to ask
-Description: Clear, concise description of task, including its objective, limits, and expectations
-Questions to ask: Have you clearly communicated the task? With directions, limits, and expected outcomes?
Does the delegatee know what and when to report? Does the delegatee understand what needs to be done?
Right Supervision and Evaluation
Description
Questions to ask
- Description: Appropriate monitoring, evaluation, intervention, and feedback
- Questions to ask: Do you know how and when you will interact about patient care with the delegatee? How often will you need to provide direct observation? Will you be able to give feedback to the staff member if needed?
National Patient Safety Goals
Goal 1: Identify patients correctly.
Advanced Practice Nurse
nurse with a master’s degree in nursing, advanced education in pharmacology and physical assessment, and expertise in a specialized area of practice; includes clinical nurse specialist, nurse practitioner, nurse midwife, and nurse anesthetist.
Case management
Collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals health needs through communication and available resources to promote quality and cost effective outcomes
clinical (critical) pathway
directs the entire health care team in the daily care goals for select health care problems. It includes a multidisciplinary care plan, goals and interventions specific for each day of hospitalization, and a documentation tool.
clinical reasoning
Problem-solving activity in which you use critical thinking to examine patient care issues.
collaborative problems
Actual or potential health problem that may occur from complications of disease, diagnostic studies, or the treatment regimen; the nurse works together with other members of the healthcare team toward its resolution.
