Evolution of Nursing - Nursing Fun Ch 1 Flashcards
(37 cards)
What are some of the impacts of Florence Nightingale on nursing?
- 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
What is the angel of mercy?
An angel of mercy is a serene and comforting figure, usually religious, who may even put herself at risk for her patient.
What is a handmaiden?
A subservient assistant to the physician and patient
What is the Battle-Ax?
a torturer who treats her patients with cruelty and disdain. Nurse Ratched
What is the Naughty Nurse?
the mindlessly sexy and risque nurse who is there to offer physical pleasure
What are some examples of dependent nursing activities?
- Administering medicines ordered by the physician
- Performing an ordered test
- Administering intravenous fluids
- Ensuring that the patient receives the ordered diet
What are some examples of independent activities?
- 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
What is a Full-Spectrum Nurse?
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
Explain the meaning of health promotion?
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
Explain the meaning of Illness prevention?
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)
Explain the meaning of Health restoration?
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
Explain the meaning of End-of-Life Care
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
What is Primary care?
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.
What is Secondary Care?
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.
What is Tertiary Care?
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.
Where do nurses work?
Primary Care Facility / Hospitals Extended care facility Ambulatory care Home care Community health Respite Care Hospice Care
What is the role of hospitals and primary care facilities?
- provide round-the-clock care / acute care
- emergency services
What is the role of ambulatory care facilities?
-provide outpatient care
Includes: private health and medical offices clinics outpatient therapy centers laboratory and x-ray centers
What is the role of Home care?
-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
What is the role of extended care facilities?
provision of care for clients for extended periods (>1 month) Include SNF (skilled nursing facilities) and rehabilitation facilities
What is the role of Respite care?
Patient’s Home or Adult Day Care
Usually not covered by Medicaid and private insurance
What is the role of Hospice?
In home or hospital setting typically for terminal patients (
When identifying tasks that may be delegated what should the RN consider?
Identify task that can be delegated Right task Right circumstances Right person Right direction/communication Right supervision
What is clinical judgement?
Observing, comparing, contrasting, and evaluating a client’s condition
