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Discipline Midterm > Discipline Midterm > Flashcards

Discipline Midterm Flashcards

1
Q

RRC BN program mission statement

A

…”To prepare graduates, who practice nursing as knowledgeable, competent and caring, health professionals, and contribute to society, as learned, innovative, and thinking citizens “

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2
Q

Can a person achieve health and wellness in the presence of illness/disease

A

Yes!

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3
Q

How do person/individual/client and the environment relate?

A

People/person cared for our unique despite similar conditions/illnesses
Environment, greatly impact health, and decision the person/community makes

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4
Q

Concept

A

Mental formulation of an object or event; concrete or abstract

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5
Q

Conceptual framework

A

Group of related concepts; provides overall view of relationship between concepts, provides direction for curriculum, goals, content, course selection, etc.

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6
Q

What is relational practice?

A

both client and nurse bring their “worlds” to bear on the partnership
Nurses must meet patients where they are at
The goal is to understand clients experience, and what is important to them

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7
Q

What is the core of relational practice?

A

Nurse client partnership!

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8
Q

What is the goal of nurse client partnership?

A

Optimal level of health and wellness for client and their circumstances
The nurse is 100% responsible for this relationship
The client and nurse both play a role in this relationship; the client knows best about their life, the nurse is more knowledgable medically

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9
Q

Context (outermost ring)

A

Circumstances in which situations occur
In the moment and continuously changing
Nurse and client have unique contextual influences

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10
Q

Inner petals of conceptual framework

A

Health and status of patient (different mindsets depending on situation)
Knowledge/beliefs/past experience of patient
Knowledge and skill of nurse
Professional expectations of nurse (standards that nursing and public expect nurse to uphold and practice in alignment with)
Environment (relationships differ)

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11
Q

Reflection (inner ring)

A

Thinking part

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12
Q

Reflexivity (inner ring)

A

Action taken as result of conclusions, drawn when reflecting

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13
Q

What are the key characteristics of relational practice?

A

Curiosity and humility
Conscious awareness of self and others
Considers health, and sociorelational experience
Take action using critical analysis of context, situation, and knowledge

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14
Q

What are the 3 organizations Manitoba nurses connect with?

A

The college of registered nurses of Manitoba
Association of regulated nurses of Manitoba
Canadian nurses association

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15
Q

What is the college of registered nurses of manitobas role?

A

Protects and serves the public interest through quality registered nursing regulation
Sets standards for RN education and practice in Manitoba
Sets standards to ensure public safety

Nurses are licensed through the CRNM

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16
Q

What is the association of regulated nurses of Manitobas role?

A

Provincial professional voice for nurses; including nursing students
Advocate for regulated nurses and health of people living in Manitoba
Support and promote excellence in nursing practice

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17
Q

What is Canadian nurses association role?

A

National professional voice for nurses
To make nursing better for nurses, patients and public health system
Speaks for and represents regulated nurses to other organizations and government

Publish code of ethics (CoE)
Influence health policy
Promotes role of the RN

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18
Q

CNA code of ethics

A

Statement of ethical values of RN and nurses licensed in extended roles. Demonstrates nurses commitment to persons with health care needs and persons receiving care

Is aspirational and regulatory- designed to inform everyone about ethical value, subsequent responsibilities and endeavours of nurses

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19
Q

What are the current requirements for RNs?

A

Complete recognized education
Pass NCLEX
complete criminal record. Neck and register in a province or other country

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20
Q

How to remain an RN?

A

in Manitoba, RNs must re register and complete a continuing competence program (CCP) annually.
CCP helps demonstrate activities the RN has done to keep knowledge and skills relevant and current

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21
Q

What are the characteristics of a profession?

A

Accountability
Specialized body of knowledge
Competent application of knowledge
Code of ethics
Service to public
Self regulated

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22
Q

What does increasing numbers of nurses improve?

A

Shorter lengths of stay
Better discharge plan
Lower rates of medication errors
Saves health care system money

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23
Q

Disease

A

Physiological deviation from normal

24
Q

Illness

A

Experience of living with a disease

25
Q

What is stress?

A

Your body is response to a demand, activity, event

Stress is subjective -only described by person experiencing it
And objective – BP, HR, temp

26
Q

What are stressors?

A

Things that activate our stress response and make us feel stressed out

Physiological stressors- stress on joints from running, birth, malnutrition, infection
Emotional/psychosocial stressors- learning about something tragic, relationship conflict, financial struggles, exams

27
Q

Stress response sis primitive and involuntary, what are the 2 primitive stress responses that our body has?

A

Sympathetic adrenal medullary system
Hypothalamic pituitary adrenal axis

These cause increased HR, BP,breathing, sugar levels

When chronically activated stressors and stress response can lead to harm and disease

28
Q

What is noncompliance?

A

Mismatch between what is prescribed in terms of medications or lifestyle changes and what the client adtually does

Caused by: costs, side effects, lack of knowledge

29
Q

Complications of stress

A

Physiological- nausea, vomitting, crying
Psychosocial- depression, anxiety

30
Q

What are standards?

A

Measuring stick of what is acceptable and what is we feel is not

31
Q

Responsibility

A

Reliable and dependable
Distinguish between right and wrong
Accepting standards (expectations)

32
Q

Accountability

A

Being answerable for what you have done
Maintaining fitness to practice
Reporting unsafe practice of others

Being g capable to explain how and why you did or did not meet expectations

33
Q

CRNM practice expectations

A

Client centered practice- good for all patients (values and beliefs :respect, autonomy, human dignity, realizing clients are experts, clients should be leaders)
Competent practice- develop continuing competence to maintain and enhance nursing knowledge, demonstrates critical thinking and use of current evidence from nursing science p, other disciplines etc.

34
Q

Types of knowledge

A

Empirics/science
Personal
Ethics
Emancipatory
Art

35
Q

Empirics/science knowledge

A

Knowledge developed through systematic research to describe and explain phenomena
Involves conscious problem solving using logic
Research should follow strict guidelines to ensure quality
Sometimes hard to integrate because anecdotal

36
Q

Artistic knowledge

A

Ability to understand behaviour and “read” people
Reflects personality and creativity

37
Q

Personal knowledge

A

Knowledge you have about yourself (values, beliefs,biases etc.)

Most important aspect of nursing

Self knowledge- knowing yourself through self reflection, knowing biases, beliefs and values, being aware of biases, beliefs and values and how they influence decisions

38
Q

Ethical knowledge

A

Moral component
Knowing right from wrong
Patient and context need to be considered (CoE) not always absolute

39
Q

Emancipatory knowledge

A

Allows you to recognize social and political problems
Uncover root of issues
Make change with community

40
Q

What is evidence informed decision making

A

Considering combination of factors in order to provide best client centred care.

Evidence from research
Evidence from Assessment
Clinical expertise
Information about patient presences and values

41
Q

A competent nurse is someone who is….

A

Able to integrate knowledge, skills and clinical judgement and apply it in practice

42
Q

Breaches in CoE

A

Sharing confidential info
Posting about patients, coworker
Sexually explicit material
Pursuing personal relationships with patients
Using social networking sites to bully/intimidate patients/cowoworkers

43
Q

What are the 5 critical questions before posting on social media?

A

Will it affect professional reputation?
Am I reacting to someone else’s post?
Is the info accurate, verifiable and best available research?
Am I breaching PHIA or privacy laws?
What are my reasons for sharing details about clients story/image on social media?

44
Q

Professional practice

A

Focuses on practice of nurse and patient safety
Maintain competence and fitness to practice
Duty to report unsafe practice

Results in safest type of care!

45
Q

Fitness to practice

A

Cognitive
Physical
Psychological
Emotional
Not dependent on alcohol, drugs, other substances etc.

46
Q

Duty to report

A

Concerns about individual or work environment
Assists in maintaining trust with public

Concerns about individual: believe under influence, breeched confidentiality, falsifies info, abuse to patients/coworkers

Concerns about environment: poor orientation/preparation, conflict between others, lack of resources

47
Q

Therapeutic relationship

A

Planned and goal oriented professional relationship established between nurse and patient with purpose of assisting patient to meet their needs.

Purposeful
Goal directed
Time limited
Always about patients

48
Q

Phases of therapeutic relationship

A

Pre interaction: RN aware of own feelings working with patient

orientation: first meet, set goals, build trust and respect

Working: solutions explored, tried and evaluated

Termination: goal assessed, relationship ends

49
Q

Characteristics present in therapeutic relationship

A

Empathy: feeling WITH a person
Unequal power: nurse holds more power, more authority and influence in HCS
Respect and trust: nurse must respect patients choices

50
Q

Types of communication

A

Verbal- words we speak, vocabulary chosen, pace, timing and tone (7%)

Nonverbal- any communication not including spoken/written word (93%)

51
Q

Collaborative care

A

Guides our practice when we are working in professional capacity with others on health care team

52
Q

Intraprofessional

A

Team of nurses/nursing students

53
Q

Interprofessional

A

All healthcare providers

54
Q

What is Confidentiality?

A

All client info is to be kept private; personal health information

PHIA( personal health information act)
Ensures patients have access to their personal health information
Ensures patients personal health information is private

55
Q

When can patient information be shared?

A

Person being told is involved in persons care
Hospital is allowed to contact emergency contact and tell them your injured
With patients family with patients permission
In order to prevent harm to self/others

Discipline Midterm (1 decks)

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