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
Advanced Practice Nurses
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
Advanced Degrees
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
Nursing Informatics
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
Michigan Board of Nursing
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
What is Public Act 338
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
Cooperating Agencies
Agree to accept students​ Mercy Health​ North Ottawa (NOCH)​ LTC Facilities​ Community (Peds. office, Headstart, Healthwest,)​ Are NOT paid to accept students​
31
Michigan Nurses Association​
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
Professional Organizations | What is AORN
Association of Operating Room Nurses
33
Professional Organizations | What is AWHONN
Association of Women’s Health, Obstetrical, and Neonatal Nurses
34
Professional Organizations | what is NAPNAP
National Association of Pediatric Nurse Practitioners
35
Professional Organizations | what is AACN
American Association of Critical Care Nurses
36
Professional Organizations | what is AMSN
Academy of Med/Surg Nursing
37
Health Team Members
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
Terms in Health Ethics 6 need definitions???
Beneficence ​ Nonmaleficence​ Confidentiality ​ Fidelity​ Justice ​ Veracity
39
Resolving an Ethical Dilemma | 7 steps
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
Professional Boundaries​
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
Prevention | Professional Boundaries
Maintain Professional Ethics​ Clear Policies for all staff​ Professional guidelines​ Education​ Supervision​ Consultation with colleagues​ Hiring screening​
42
Maintaining Professional Boundaries
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
Body Cavities
Cranial (brain)​ Thoracic (chest)​ - Pleural cavity = lungs​ - Mediastinum = heart, esophagus, trachea, bronchi​ Abdominal cavity​ Pelvic cavity​ Spinal cavity​
44
Spinal Column
Cervical - C1-C7​ Thoracic - T1-T12​ Lumbar - L1-L5​ Sacral - S1-S5​ Coccyx - 4 fused bones
45
Planes of the Body
Frontal Plane​ -Anterior/posterior​ Sagittal Plane​ -Lateral, Right and Left “hemi”​ Transverse​ - Upper and Lower​ - Cross section such as a CT scan​
46
Prefixes
Sub- sub total gastrectomy ​ -Means “partial”​ Subgastric​ -under,” “below,” “beneath” ​ Trans- transurethral resection​ -Performed via the urethra​ Transfusion, Transplant​ -Across, over, or beyond.
47
Suffixes
- itis gastritis​ - Inflammation​ - ectomy gastrectomy​ - surgical removal of a part or the whole of the stomach​