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Nurs 100 > Class 2 > Flashcards

Class 2 Flashcards

1
Q

ANA Standards of Nursing Practice​

1-6

A

Assessment​

Diagnosis ​

Outcomes Identification: ​

Planning​

Implementation​

Evaluation​

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2
Q

ANA Standards of Nursing Practice

Standard 1 and describe

A

Standard 1 Assessment​

Collect and analyze data about a client. Includes physical data, psychological, sociocultural, spiritual, economic, and life-style factors.​

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3
Q

ANA Standards of Nursing Practice

Standard 2 and describe

A

Standard 2 Diagnosis ​

Nurse’s clinical judgment about the client’s response to actual or potential health conditions or needs.

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4
Q

ANA Standards of Nursing Practice

Standard 3 and describe

A

Standard 3 Outcomes Identification​

Nurse sets measurable and achievable short- and long-range goals for this patient

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5
Q

ANA Standards of Nursing Practice

Standard 4 and describe

A

Standard 4 Planning​

Planning interventions to meet the patient’s goals.​

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6
Q

ANA Standards of Nursing Practice

Standard 5 and describe

A

Standard 5 Implementation​

Standard 5A Coordination of Care​

Standard 5B Health Teaching and Health Promotion​

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7
Q

ANA Standards of Nursing Practice

Standard 6 and describe

A

Standard 6 Evaluation

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8
Q

Developing a Care Plan​ - 6 steps

A 
Assessment
Identify problems
Nursing diagnosis
Nursing goal
Nursing interventions
Evaluation
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9
Q

Developing a Care Plan - Assessment describe

A

Physical exam-subjective &; objective data​

Review labs/radiology/procedures​

Review admission notes/admission diagnosis​

Review medical history​

Review surgical history​

Review history and physical notes​

Review progress notes

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10
Q

Developing a Care Plan - Identify problems describe

A

What problems are identified from this assessment data?​

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11
Q

Developing a Care Plan - Nursing diagnosis describe

A

Use care plan or nursing book to find appropriate diagnosis

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12
Q

Developing a Care Plan - nursing goals describe

A

Short term & Long Term​

What is the patient’s goal?​

Patient will _________________​?

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13
Q

Developing a Care Plan - nursing interventions describe

A

Which nursing interventions will best help the patient to reach goals?​

Implement nursing interventions​

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14
Q

Developing a Care Plan - evaluation describe

A

Did the patient meet their goal? Goal met or Goal unmet​

Provide assessment data to support evaluation.​

Continue or revise the plan.

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15
Q

Standards of Professional Performance 7-17

A 
Standard 7 Ethics​
Standard 8 Cultural Congruence​
Standard 9 Education​
Standard 10 Evidence-Based Practice & Research ​
Standard 11 Quality of Practice​
Standard 12 Communication​
Standard 13 Leadership​
Standard 14 Collaboration​
Standard 15 Professional Practice Evaluation​
Standard 16 Resource Utilization​
Standard 17 Environmental Health​
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16
Q

Licensure (Government Regulation)​

A

Based on predetermined minimal competency​

Accountable for actions as defined by law​

Which is held to a higher standard of care?​

LPN​

RN​

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17
Q

Patient Rights

A

To have qualified nursing care regardless of race, religion, national origin, sex, age, handicap, marital status, etc.​

To review his or her own medical records​

To be afforded privacy​

To be informed​

To know who is responsible for care​

To have information held confidential​

To be afforded a safe environment​

To retain and use personal possessions as space permits​

To be provided meals​

The right to exercise these rights without fear of retaliation​

The right to adequate pain and symptom management​

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18
Q

Hospital accreditation definition

A

“A self-assessment and external peer assessment process to accurately assess their level of performance in relation to established standards and to implement ways to continuously improve.”​

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19
Q

Nurse Practice Acts​

A

Regulate the licensure and practice of nursing​

Vary by state​

In Michigan, the practice and licensure for nursing are governed by the Public Health Code​

20
Q

Licensure requirements

A

Require RN candidates to pass NCLEX-RN​

Standardized minimum knowledge base for nurses.​

Require criminal background checks/fingerprinting.​

Maintain licensure; renewal.​

21
Q

RN Education in Michigan requirement education

A

Biological, physical, behavioral science​

Communication, interviewing, problem solving, interpersonal relationships, use scientific principles​

Course in psychiatric nursing​

Community opportunities​

22
Q

LPN Education in Michigan requirement education

A

Basic principles of natural and applied sciences​

Excludes IV meds​

No psychiatric nursing requirement​

Med-surg, peds, OB, geriatrics required​

Community not required​

23
Q

13 Roles of the Nurse

A 
Caregiver
Communicator​
Case manager
Collaborator
Counselor​
Clinical decision maker
Client advocate​
Change agent​
Epidemiologist​
Educator​
Manager​
Teacher
Team member​
24
Q

Professional Roles

A

Nurse Educator​

Nurse Administrator​

Nurse Researcher​

Nursing Informatics​

25
Q

Advanced Practice Nurses

A

Nurse practitioners ​

Clinical nurse specialists​

Nurse anesthetists​

Nurse midwives​

APRNs are often primary care providers and are at the forefront of providing preventative care to the public.​

26
Q

Advanced Degrees

A

University Research or Clinical Practice Focus​- MSN, ​Ph.D. or D.N.P.​

Data collection by all nurses​

Outcomes determine best clinical practices​

  • Pain management​
  • Care giver burden​
  • Wound care​
27
Q

Nursing Informatics

A

Combines nursing science with computer science​

Focus is on organization, analysis, and dissemination of information​

Electronic health record (EHR)​

  • Provides a comprehensive record of client medical problems, care provided, diagnostic procedures​
  • Used by all members of health care team​

Confidentiality​

28
Q

Michigan Board of Nursing

A

Establishes standards for nursing schools and approves schools that meet those standards​

Requires each nursing education program to have a conceptual framework to give direction to the curriculum​

Monitors changes, progress, graduate outcomes​

29
Q

What is Public Act 338

A

Clinical experience​
-Direct nursing care experiences with patients or clients​

Clinical lab hours​
-Laboratory practice, simulated learning, and observational experiences which offer opportunities to meet the educational objectives​

30
Q

Cooperating Agencies

A

Agree to accept students​

Mercy Health​

North Ottawa (NOCH)​

LTC Facilities​

Community (Peds. office, Headstart, Healthwest,)​

Are NOT paid to accept students​

31
Q

Michigan Nurses Association​

A

Professional organization representing Michigan’s 130,000 registered nurses​

Nurses from all practice settings and educational backgrounds are members​

  • Consults on workplace practice issues​
  • Acts as collective bargaining agent​
  • Provides continuing education programs​
  • Lobbies state legislators on nurse related bills​
  • Educates members on the actions of the Board of Nursing​
32
Q

Professional Organizations

What is AORN

A

Association of Operating Room Nurses

33
Q

Professional Organizations

What is AWHONN

A

Association of Women’s Health, Obstetrical, and Neonatal Nurses

34
Q

Professional Organizations

what is NAPNAP

A

National Association of Pediatric Nurse Practitioners

35
Q

Professional Organizations

what is AACN

A

American Association of Critical Care Nurses

36
Q

Professional Organizations

what is AMSN

A

Academy of Med/Surg Nursing

37
Q

Health Team Members

A

Physician MD DO ​
-Physician’s Assistant PA/Nurse Practitioner APRN ​

Physical Therapist RPT ​
-PTA​

Pharmacist​

Clinical Social Worker MCSW​

Respiratory Therapist RRT ​

Registered Dietician RD​

Spiritual Care​

EMT /Paramedic​

CNA​

38
Q

Terms in Health Ethics
6
need definitions???

A

Beneficence ​

Nonmaleficence​

Confidentiality ​

Fidelity​

Justice ​

Veracity

39
Q

Resolving an Ethical Dilemma

7 steps

A

Step 1: What is Step 1?​
-Is this an ethical dilemma?​

Step 2: What information needs to be gathered?​
-Patient, family, institutional and social perspectives.​

Step 3: What must be clarified?​
-Fact, opinion and value clarification.​

Step 4: Verbalize the problem. ​

Step 5: What must be identified?​
-Courses of action.​

Step 6: Negotiation of a plan requires _____ in self and respect for ______.​

Step 7: Evaluate the plan​

40
Q

Professional Boundaries​

A

The limits that allow for a safe relationship with the client based on the client’s needs​

Produce consistency and predictability in behavior​

Protect the client​

41
Q

Prevention

Professional Boundaries

A

Maintain Professional Ethics​

Clear Policies for all staff​

Professional guidelines​

Education​

Supervision​

Consultation with colleagues​

Hiring screening​

42
Q

Maintaining Professional Boundaries

A

Limit physical contact to that which is therapeutic​

Limit social contact to ON DUTY time​

Avoid financial dealings​

Limit self disclosure, focus on the client​

Avoid making client’s problem your own​

Do or say nothing in private which cannot be documented in the client’s record​

43
Q

Body Cavities

A

Cranial (brain)​

Thoracic (chest)​

  • Pleural cavity = lungs​
  • Mediastinum = heart, esophagus, trachea, bronchi​

Abdominal cavity​

Pelvic cavity​

Spinal cavity​

44
Q

Spinal Column

A

Cervical - C1-C7​

Thoracic - T1-T12​

Lumbar - L1-L5​

Sacral - S1-S5​

Coccyx - 4 fused bones

45
Q

Planes of the Body

A

Frontal Plane​
-Anterior/posterior​

Sagittal Plane​
-Lateral, Right and Left “hemi”​

Transverse​

  • Upper and Lower​
  • Cross section such as a CT scan​
46
Q

Prefixes

A

Sub- sub total gastrectomy ​
-Means “partial”​

Subgastric​
-under,” “below,” “beneath” ​

Trans- transurethral resection​
-Performed via the urethra​

Transfusion, Transplant​
-Across, over, or beyond.

47
Q

Suffixes

A
  • itis gastritis​
  • Inflammation​
  • ectomy gastrectomy​
  • surgical removal of a part or the whole of the stomach​

Nurs 100 (10 decks)

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