Evolution of Nursing - Nursing Fun Ch 1 Flashcards

1
Q

What are some of the impacts of Florence Nightingale on nursing?

A
  • Establishment of nursing as a distinct profession
  • Introduction of a broad-based liberal education for nurses
  • Major reform in the delivery of care in hospitals
  • Introduction of standards to control the spread of disease in hospitals
  • Major reforms in health care for the military
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2
Q

What is the angel of mercy?

A

An angel of mercy is a serene and comforting figure, usually religious, who may even put herself at risk for her patient.

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3
Q

What is a handmaiden?

A

A subservient assistant to the physician and patient

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4
Q

What is the Battle-Ax?

A

a torturer who treats her patients with cruelty and disdain. Nurse Ratched

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5
Q

What is the Naughty Nurse?

A

the mindlessly sexy and risque nurse who is there to offer physical pleasure

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6
Q

What are some examples of dependent nursing activities?

A
  • Administering medicines ordered by the physician
  • Performing an ordered test
  • Administering intravenous fluids
  • Ensuring that the patient receives the ordered diet
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7
Q

What are some examples of independent activities?

A
  • Evaluating response to medication and withholding the next dose if a negative reaction is noted
  • Teaching the patient what to expect from a test, procedure etc
  • Preparing, performing and supporting during a procedure
  • Teaching pregnant women about proper diet
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8
Q

What is a Full-Spectrum Nurse?

A

The use of clinical judgment, critical thinking, and problem-solving skills alongside physical care for patients including:
the patient
the treatment plan
the environment
the patient or nurse support system and resources
safety

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9
Q

Explain the meaning of health promotion?

A

A state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.

Activities include:
Counseling on prenatal nutrition
teaching about nutrition during education programs
teaching large groups by advocating for prominent billboard signs, or signs and labels in stores indicating level of nutrition of foods available

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10
Q

Explain the meaning of Illness prevention?

A

focuses on avoidance of disease with activities targeted to decreasing the risk of developing illness or minimizing risk of exposure.

Activities include:
teaching the importance of hand washing
advocating for the use of immunizations, especially for at risk populations
advocating for patients under care (like Jill w/ Mark)

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11
Q

Explain the meaning of Health restoration?

A

activities that foster a return to health for those already ill.

Including:
Providing hygeine and nutrition to dependent patients
Assessing an ill clients health
Performing diagnostics
Administering medications or treatments
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12
Q

Explain the meaning of End-of-Life Care

A

the respectful care of those who are terminally ill or dying. promoting their comfort, maintaining quality of life, providing access to spiritual care, easing the emotional aspects for the patient and family

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13
Q

What is Primary care?

A

Focuses on health promotion, preventive services, health education, and screening for the early detection of healthcare problems. Services are directed toward keeping the patient well by preventing illness and by treating acute episodic problems. Most of these services are offered in the community at physicians’ offices, clinics, and diagnostic centers. However, hospitals also offer some of these services.

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14
Q

What is Secondary Care?

A

Consists of services to diagnose and treat illness, disease, and injury. Historically thought of as hospital-based care but is increasingly being performed in surgery centers, offices, and outpatient centers.

The trend away from the hospital is related to containing costs, increasing specialization of hospitals, and growing evidence that hospitals often harbor medication-resistant infections.

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15
Q

What is Tertiary Care?

A

Refers to long-term rehabilitation services and care for the dying. Historically provided in extended care facilities. Now, however, many of these services are provided in the home or in outpatient settings.

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16
Q

Where do nurses work?

A
Primary Care Facility / Hospitals
Extended care facility
Ambulatory care
Home care
Community health
Respite Care
Hospice Care
17
Q

What is the role of hospitals and primary care facilities?

A
  • provide round-the-clock care / acute care

- emergency services

18
Q

What is the role of ambulatory care facilities?

A

-provide outpatient care

Includes:
private health and medical offices
clinics
outpatient therapy centers
laboratory and x-ray centers
19
Q

What is the role of Home care?

A

-provides care to homebound clients. Services are usually coordinated by a visiting/home health nurse and can include nursing care, therapies and home assistance programs

20
Q

What is the role of extended care facilities?

A
provision of care for clients for extended periods (>1 month)
Include SNF (skilled nursing facilities) and rehabilitation facilities
21
Q

What is the role of Respite care?

A

Patient’s Home or Adult Day Care

Usually not covered by Medicaid and private insurance

22
Q

What is the role of Hospice?

A

In home or hospital setting typically for terminal patients (

23
Q

When identifying tasks that may be delegated what should the RN consider?

A
Identify task that can be delegated
Right task
Right circumstances
Right person
Right direction/communication
Right supervision
24
Q

What is clinical judgement?

A

Observing, comparing, contrasting, and evaluating a client’s condition

25
Q

What is critical thinking, reflective thinking?

A

Involves collecting and analyzing information and carefully considering options for action
Ex. Finding the best answer and backtracking to find the source of the problem.

26
Q

What is problem-solving?

A

Considering an issue and attempting to find a satisfactory solution
ex. Like trying to educate Skip about his diabetes and finding a way to initiate some health measures even if he doesn’t believe he has it.

27
Q

Nursing according to the ANA is…

A

The diagnosis and treatment of human responses to actual potential health problems

28
Q

What is an occupation?

A

One’s regular; principal, or immediate business

29
Q

What is a discipline?

A

A unique perspective, a distinctive way of viewing all phenomena, which ultimately defines the limits and nature of its inquiry

30
Q

What is a profession?

A

Relies on technical and scientific knowledge; is evaluated by a community of peers; has a service orientation and a code of ethics

31
Q

What are the levels of entry into nursing practice? In order?

A
Diploma - 3 yr hospital based
LPN - 1 yr/ works under RN
ASN / AD - 2 yr
BSN - 4 yr
APN - advanced practice nurse
Master's - Prepare APN to teach and be more independant
Doctorate
     DNS - prepares for advanced clinical practice
     PhD - research degree
32
Q

What are the phases of Nursing

A

Stage 1: Novice (us, students)
Stage 2: Advanced Beginner (program graduate)
Stage 3: Competence (3-5 yrs experience)
Stage 4: Proficient (knows well what they are doing)
Stage 5: Expert (knows all aspects of their position/unit)

33
Q

What is the Case method of nursing?

A

Everything is case by case; no cross-over of care

34
Q

What is functional nursing?

A

Based on particular role. Each person is assigned specific functions performed for all patients in a given unit, and all report to the head nurse.

35
Q

What is team nursing?

A

a decentralized system in which the care of a patient is distributed among the members of a group working in coordinated effort.

36
Q

What is Primary nursing?

A

nursing care in which care of one patient (or several) is managed for the entire 24-hour day by one nurse who directs and coordinates nurses and other personnel; schedules all tests, procedures, and daily activities for that patient; and cares for that patient personally when on duty.

37
Q

What is differentiated nursing?

A

Differentiated practice identifies and uses three distinct nursing roles to create a comprehensive nursing care delivery system that meets client needs across the health care continuum. Clearly defined associate degree in nursing, bachelor’s of science in nursing, and master’s science in nursing competencies.