Discipline of Professional Nursing Flashcards

Question

nursing practice contains:

Answer 1

1. code of ethics 2. Canadian entry to practice competencies 3. nursing practice standards 4. interprofessional collaboration competencies

Answer 2

- 10% male - 48% age 35-54 - ~60% work in acute care (med/surg, operating room, long term care, emergency/ICU, L&D) - more than 60% full time - 21 healthcare professions - SELF REGULATED

Answer 3

- sets standards for RN education and practice in MB - mission - to protect and serve the public - promote good nursing practice - prevent poor nursing practices - intervene in cases of poor practice

Answer 4

- a provincial professional voice for nurses - support + promote excellence in nursing practices, education, research, leadership + policy - advocate for RN + health of people living in MB

Answer 5

- national, professional voice for nurses - speaks for and represents nurses to other organizations + government - publish the code of ethics (CoE) - influence health policy - promotes the role of the RN

Answer 6

- complete recognize education (diploma 2-3 years) - pass NCLEX - complete criminal record check

Answer 7

- healthcare has changed - once educated in hospital (back in the day), education has moved into colleges and universities - bachelor degrees have slowly replaced diplomas as entry to profession

Answer 8

- in MB, RN's must register and complete a continuing competence program (CCP) annually

Answer 9

- 2 year program - have a specific role within healthcare system - may have a limited scope of practice, often influenced by employer policies

Answer 10

- less than 1000 in MB - largest group of mental health professionals - 4 year bachelor degree (focus on mental health illnesses)

Answer 11

- RN with advanced education - order diagnostic tests + prescribe drugs - perform invasive procedures

Answer 12

- Shiftwork (provides flexibility) - challenges = include childcare, impaired sleep - shifts longer than 13 hr (increased medical errors, pts are dissatisfied with care, risk of burnout, fatigue, "drowsy driving" in nurses) - absenteeism up to 19 days/year

Answer 13

1. accountability 2. specialized body of knowledge 3. competent application of knowledge 4. code of ethics 5. service to the public 6. self-regulated

Answer 14

- legally answerable decisions we make as a nurse - as a student nurse practice accountability (due dates, pulling your weight in group projects, stand behind the work you do)

Answer 15

specific nursing knowledge has shaped the specialized body of knowledge nurses have

Answer 16

we have specialized body of knowledge but we also have to know how to use it + apply it

Answer 17

"rules" that must be followed related to ethical practice

Answer 18

nurses are driven to do good for the patients and for the public

Answer 19

we are regulated by other nurses. government awards healthcare professionals because few people outside the profession have the specialized knowledge

Answer 20

- shorter lengths of stays and better discharge planning + fewer re-admissions - lower rates of medication errors - lower rates of hospital acquired infections (UTI + pneumonia) + pressure ulcers - saves healthcare system $$

Answer 21

- viewed as women's work - "feminine" virtues: caring, nurturing, tenderness, selflessness - most sexualized profession

Answer 22

- speak positively about nursing - pay attention to the work of nurses - use a critical eye when observing nurses in media - practice professional behaviours in + out of the classroom - become involved with ARNM

Answer 23

- patient historically came from paternalistic model of healthcare - movement towards client centeredness - the word client was adopted - labels are powerful and can influence a therapeutic relationship

Answer 24

the "physiological deviation for normal"

Answer 25

the "experience of living with a disease"

Answer 26

FALSE patients with poor health and wellness experience more stress

Answer 27

- hospitalizations can cause feelings of uncertainty, fear, powerlessness, and anxiety - as a nurse you see patients at their most vulnerable - patients families, and HCW all experience stress - stress shows up in many different ways - knowing how to recognize it can strengthen you therapeutic relationship

Answer 28

a non specific response of those to any demand made on it. occurs when individuals perceive that they cannot cope adequately with the demands being made on them if their well being is threatened

Answer 29

events or demands that activate stress responses in the body 2 types: physiological and psychological

Answer 30

stress on joints from running and infection can activate the stress response in the body, experiencing physical pain / injury, giving birth, inadequate nutrition

Answer 31

learning about something sad/tragic, relationship conflict, financial struggles, grieving, due dates about exams

Answer 32

involuntary = do not have control over it primitive = has been with us for a long period of time

Answer 33

sympathetic adrenal medullary (SAM) + hypothalamic pituitary adrenal (HPA)

Answer 34

SAM = releases epinephrine HPA = releases cortisol both: - increase HR (tachycardia) - increase BP - increase breathing rate (tachypnea) - increase blood sugar levels - blood rushes to brain + skeletal muscles - increase awareness + alertness - decreased digestive activity - impaired immune system - decrease reproductive activity

Answer 35

using a relational, client centred approach, it will be important for RN to understand + acknowledge that patients choice, decision + behaviour may be motivated by stress

Answer 36

- intensity - scope - duration - number + nature of other stressors - past exposure to serious stressors - predictability

Answer 37

- age - gender - perception of personal control or inescapability - availability of social supports - feelings of competence cognitive appraisal

Answer 38

active process of managing taxing circumstances, expending effort to solve personal and interpersonal problems + seeking to master, minimize, reduce, or tolerate stress (things you do to lower stress)

Answer 39

negative = substance use, cannabis, tobacco, shopping, avoidance, withdraw from situations, controlling everything, acting out, etc positive = deep breathing, meditation, delegating, showing emotion, journal writing, pet therapy, etc.

Answer 40

- bring in familiar objects to hospital (blanket, pictures, etc) - encourage to ask questions about care - keep promises - be truthful - encourage them to ask for what they need

Answer 41

the mismatch between what is prescribed in terms of medication or lifestyle change and what client actually does

Answer 42

- lack of understanding / education - financial circumstances - social circumstances - the way medications are prescribed - uncomfortable side effects it CANNOT be assumed noncompliance is because patient is refusing to follow advice

Answer 43

- physiological consequences: nausea / vomiting, irritability, dizziness, perspiring + crying - psychological consequences: depression, anxiety, low levels of self confidence, poor concentration + loss of motivation + ability to focus

Answer 44

year 1 = difficult to find balance between person life + academic demands year 2 = improvement in well being, increased expectations / workload, not enough time for personal life year 3 = improvement in well being (time management + organizational skills helped)

Answer 45

- seeking emotional supports from classmates, family, friends - reflecting, reorganizing, responding - exercising + getting outdoors - organizing, planning + prioritizing

Answer 46

- motivation - organization - strategies

Answer 47

1. plan - what must be done / what should be done 2. anticipate - can you predict what might interfere / can you find out how long readings / assignments might take 3. delegate - are there tasks / responsibilities that you can ask someone else to do

Answer 48

- use strategies that worked in the past (exercise, nutrition, socializing) - accept help from others (friends, family, support services)

Answer 49

- get to know prof - take charge of learning - ask for feedback -review tests + assignments - take responsibility if its not going well ask for help

Answer 50

- come prepared - listen for cues (concepts that are repeated, emphasized, summarized - DO NOT write everything down - try to review notes within 24 hours of class - develop questions you don't understand

Answer 51

clinical practice

Answer 52

adherence to moral and ethical principles (honesty)

Answer 53

dishonest behaviour related to academic work - plagiarism - cheating - false or misleading representation - collusion

Answer 54

representing the words, ideas, research or data created by or belonging to someone else as if it was your own

Answer 55

use or distribution or the attempted us of distribution of unauthorized materials, equipment, information or study aids when engaged in academic work - includes: unauthorized materials during a test, copying work from another student, impersonation of someone else during a test, using a book in a closed book test

Answer 56

misrepresenting, exaggerating, withholding info, or providing any false info for academic or financial benefit (signing for meds not given)

Answer 57

carrying out or attempting to carry out an agreement with any other person to commit an act of academic misconduct

Answer 58

- believe the content is not relevant to being a nurse - believe assignment / exam is not fair - believe it is the only way to deal with heavy workloads - strong focus on achievements / grades - students have used the approach in the past - believe it is a victimless crime

Answer 59

1. build your reputation 2. prepare for each assignment 3. get the right support 4. improve academic writing skills 5. write tests with integrity

Answer 60

take what you already know and connect it to the new info being presented! learning is often uncomfortable but that's where true learning occurs!

Answer 61

RNs are responsible for accepting these standards and accountable for meeting these standards

Answer 62

yes, when introducing yourself to a nurse you should say your first and last name and your title

Answer 63

- reliable + dependable - distinguish between right + wrong - performing adequately + thoughtfully - essential for gaining clients trust - means accepting expectations (standards)

Answer 64

you need to be able to answer to the choices that you make as a nurse - you are accountable for why you did or didn't meet expectations

Answer 65

- keep up with professional standards, laws, regulations - ensure you have the skill to do your job - maintain fitness to practice (physical, mental, emotional) to practice safely + competently - share knowledge through mentorship + feedback with colleges - advocating for comprehensive + equitable mental health care services

Answer 66

the public (clients + patients), profession of nursing, your employer/school, + society as a whole

Answer 67

it's an approach to care in which the patient retains control over their own care - views the patient as a whole person, with life experiences, feelings, family and work responsibilities - nurse provides knowledge/skills to help patients make their own decisions

Answer 68

1. respect - autonomy, voice, self-determination (allow them to have their own opinions + making their own decisions - autonomy is the ability to make an informed decision without being pressured) 2. human dignity - treat patient as an individual, not as a disease or a problem (ex. viewing patients as a whole - not as a "diabetic" but instead as a individual living with disease) 3. clients are experts for their own lives even if they are not experts on their own diseases 4. clients should be leaders in the health care team (patients should be informed about their diagnosis + plan)

Answer 69

- limited resources (not time - cannot access everything patient needs) - staff attitudes (believing there is more important things to do) - use of routines / standardization - systems within the hospitals this is when a healthcare provider believes they know what is best for the patient (visiting hours for example)

Answer 70

practice the nurse makes to maintain and enhancing nursing knowledge, skills, and judgement in your practice so it is both safe + relevant to clients needs - practice is informed by evidence (gathered from types of knowledge + evidence informed sources + develop + maintain competence)

Answer 71

provides rationale behind why nurses choose to practice in a certain way

Answer 72

1. empires: the science of knowing 2. esthetics / artistic: the art of nursing 3. personal knowledge: the knowledge of yourself 4. ethics: the moral component 5. emancipatory: social, economic, + political component

Answer 73

looking at surveys - ex. making breakfast for someone and wanting to know what kind of eggs they like to eat so you look at a map of the most liked eggs in your area

Answer 74

looking at someones face / body language

Answer 75

reflect back on yourself

Answer 76

is it right or wrong / good or bad

Answer 77

unequal access, recognize inequity + working with the community to effect positive change

Answer 78

the science of nursing - knowledge developed through systematic research to describe + explain phenomena - research should follow strict guidelines to ensure quality - sometimes hard to integrate into practice

Answer 79

the art of nursing / aesthetic knowledge - personalities + approaches to creating relationships with others - no single way to use aesthetic pattern of knowing - use your own comfort to develop relationships with others = genuine - how you as an individual respond to client situation - reflects your personality + creativity

Answer 80

the knowledge you have about yourself-values, beliefs, biases from your lived experiences - self knowledge = knowing yourself through self reflection, knowing your biases, beliefs, values, be aware that those might influence the decisions you make as a nurse

Answer 81

the difference between right or wrong / good or bad - understand your obligations - can include following a code of conduct or religion - not always absolute + the patient + context needs to be considered (CoE) - knowledge can be developed through experiences, case studies, using decision making frameworks

Answer 82

recognize social + political problems - uncovers the root of these issues - with community can make a change

Answer 83

knowledge is evidence!

Answer 84

includes someone who is able to integrate knowledge, skills, and clinical judgement + apply it in practice, ensuring that safe and ethical care is delivered to patients - a competent nurse is able to demonstrate this knowledge + skills in practice

Answer 85

- know when to ask for help + support - taking risks, but not with patient safety

Answer 86

- an RN who is able to integrate knowledge, skills, + clinical judgement + apply it to practice - required to ensure the patient receives safe + ethical care

Answer 87

RNs distinguish when digital technology/applications enhance nursing practice + when they breach the practice expectations + CoE - conduct online + in person would be judged + examined in the same way + held to the same standard

Answer 88

1. will this post affect my professional reputation or livelihood? 2. am I reacting to someone else's post 3. is the information accurate, verifiable + the best available research? 4. am I breaching PHIA or any privacy laws? 5. what are my reasons for sharing details about my client's story or image on social media?

Answer 89

focuses on the practice of the nurse + patient safety - maintain competence + fitness to practice - duty to report unsafe practice - RNs must maintain fitness to practice - RNs must report unsafe behaviours

Answer 90

all qualities + capabilities of an individual relevant to their capacity to practice as an RN - capacity to practice as an RN + consider many aspects of a person - maintaining our own health + abilities to practice safety - cognitive - physical - psychological - emotional - not dependent on alcohol, drugs, or other substances that impair their ability to practice ensure you have capacity in ALL areas so you can provide safe care to patients - making sure your working standards will keep you safe

Answer 91

RNs have an ethical + legal duty to report unsafe, incompetent, or unethical practice - assist in maintaining trust with the public - concerns about an individual or work environment - making sure public + environment is safe - identify + share concerns about the safety of another providers practice

Answer 92

- believe another professional is under the influence of drugs/alcohol - breeched confidentiality - falsifies information - abuse to a patient / coworker - poor orientation / preparation - conflict between others - lack of resources / staff

Answer 93

1.pre interaction phase: RN aware of own personal feelings, fears, + worries about working with a patient 2. orientation phase: first meet patient and set goals, build trust + respect 3. working phase: solutions explored, tried + evaluated 4. termination phase: final phase, goals assessed, relationship ends

Answer 94

planned + goal oriented professional relationship is established between the nurse + the patient with the purpose of assisting the client to meet their needs

Answer 95

1. empathy: implies feeling with a person rather than feeling sorry for a patient (attempt to understand ones pov) 2. unequal power: nurse holds more power than the client + that's always present 3. respect + trust: nurse must respect the clients choices (even if they do not agree with them)

Answer 96

professional: - regulated by SoP (standard of practice) + goal directed personal - guided by personal values + beliefs + pleasure + interest directed

Answer 97

1. means + way we establish a therapeutic relationship with our patients 2. it is the way we (RNs + students) articulate the role we do

Answer 98

- spoken or written words (only 7% of meaning transmitted through verbal communication) + includes pacing, tone, + timing - be aware of choice of vocabulary - meaning - be clear and get point across - pacing - not talking too fast - intonation - tone of voice - timing - do not ask for a favour when they have had a bad day

Answer 99

- 93% of meaning transmitted through nonverbal communication - any communication not including spoken or written words (requires you to use your senses) - often unconsciously motivated - we "hear" the non verbal - personal appearance - posture - gait (pick up on someones boredom) - facial expression - eye contact - gestures - sounds

Answer 100

1. authenticity = be genuine + true to yourself 2. self awareness = ability to be aware + reflective of ones thoughts, feelings, attitudes, attributes, + actions 3. courtesy = saying hi and bye when we encounter patient 4. active listening = communication technique requiring nurse to be present physically + emotionally by listening to patient 5. empathy + trust = fundamental professional communication skill 6. self-disclosure + confidentiality = self disclosure is not recommended unless beneficial

Answer 101

1. giving personal opinion + self disclosure 2. changing the subject (demonstrates lack of empathy) 3. false assurance - offering hope + reassurance not founded on facts (avoid saying "don't worry" or "everything is fine" especially if its not) 4. sympathy = feeling sorry for someone may be a compassionate response but it is not therapeutic

Answer 102

feeling with a person rather than feeling sorry for them

Answer 103

using a patients name can give them a sense of dignity (mrs, ms, mr) avoid terms of endearment - doesn't show dignity + do not show professionalism

Answer 104

1. intraprofessional team 2. interprofessional team 3. collaboration

Answer 105

communication within one profession - team of nurses / nursing students

Answer 106

communication with other professions (nurses, HCA, doctor, patient, family) - team of healthcare providers

Answer 107

process of working together towards a common goal (to benefit patient)

Answer 108

- practice in accordance with CoE - protect personal health information (confidentiality)

Answer 109

- primary nursing values - providing safe, compassionate, competent + ethical care - promote health + well being - promote + respect informed decision making - perserving dignity - maintaining privacy + confidentiality - promote justice - being accountable

Answer 110

- an approach to provide healthcare - it reduces the adverse health, social, + economic consequences of at risk activities - emphasizes human rights + importance of treating all people with dignity, respect, + compassion

Answer 111

healthcare providers are legally + ethically obligated to keep info about clients confidential (duty to maintain privacy) - nurses have access to all types of personal health info including: conversations, charts (paper + electronic), diagnostic results

Answer 112

- ensures clients have access to their personal health info + ensures the clients personal health info stays private