Exam 1 Flashcards
professionalism
conduct, aims, or qualities that characterize or mark a profession/professional person
American Nurses Association
commitment of nurses to provide care that promote well-being, prevention of illness and injury, health promotion
Nurse researcher
conducts evidence-based practice, performance improvement, and research to improve care and further define and expand the scope of nursing practice
Preventative Care
screenings, wellness visits, immunizations, diet counseling, mental health counseling, seat belts/car seats/helmets
Code of ethics
statement of philosophical ideals of right and wrong and the principles used to provide care for patients
Patient Advocate
protect patients human and legal rights and provide assistance in asserting those rights if the need arises
Primary health care (health promotion)
Diagnosis and treatment of common illness, management of chronic conditions, prenatal care, family planning
Secondary health care (acute care)
urgent care, er care, radiological procedures
Tertiary health care
highly specialized: intensive care, impatient psychiatric facilities
speciality care
neurology, cardiology, rheumatology, dermatology, oncology
Restorative Care
rehabilitation, home care
Continuing care
quality of care over time
Patient advocate
protect patients human and legal rights and provide assistance in asserting those rights if the need arises
nurse educator
teach patients effectively to improve patients’ knowledge, self-care, activity, and ability to make informed decisions
discharge planning
coordinated, interprofessional process that develops a plan for continuing care after a patient leaves a health care agency
nurse practice acts
board of nursing set scope of practice and responsibilities for RNs
affordable care act
ties payment to organizations offering Medicare Advantage plans to the quality ratings of the coverage they offer. If hospitals perform poorly in quality scores, they receive lower payments for services. Quality outcome measures include patient satisfaction and more effective management of care by reducing complications and readmissions and improving care coordination
purpose of the scope and standards of practice
guide nurses to make decisions to improve health and wellbeing (same everywhere) make sure patients are getting high quality care equitably
Benner’s novice to expert theory
Novice
Advanced beginner
Competent
Proficient
Expert
6 roles of a professional nurse
- autonomy and accountability
- caregiver
- advocate
- educator
- communicator
- manager
Historical Nurses
Florence Nightingale
Clara Barton
Dorthea Lynde Dix
Mary Mahoney
Lillian Ward
Isabel Hampton Robb
MAGNET recognition program
global issues in nursing and healthcare
The nurse spends time with a patient and family reviewing a dressing change procedure for the patient’s wound.The patient’s spouse demonstrates how to change the dressing. The nurse is acting in which professional role?
1. Educator 2. Advocate
3. Caregiver 4. Communicator
Nursing is defined as a profession because nurses:
A. Perform specific skills
B. Practice autonomy
C. Utilize knowledge from the medical discipline
D. Charge a fee for services rendered
Which activity performed by a nurse is related to maintaining competency in nursing practice?
1. Asking another nurse about how to change the settings on a medication pump
2. Regularly attending unit staff meetings
3. Participating as a member of the professional nursing council
4. Attending a review course in preparation for a certificate examination
Working in a tertiary care setting which activity does the nurse perform while providing tertiary care?
1. Conducting blood pressure screenings at a local food bank
2. Administering influenza vaccines for older adults at the local senior center
3. Inserting an indwelling catheter for a patient on a med/surg unit
4. Performing endotracheal suctioning for a patient on a ventilator in the medical ICU
body alignment
posture
indviduals center of gravity is stable
thrombus
accumulation of platelets, fibrin, clotting factor, cellular elements of the blood attached to interior wall of vein or artery
presbyopia
farsightedness caused by loss of elasticity of the lens of the eye, occurring typically in middle/old age
body mecahanics
coordinated efforts of the musculoskeletal and nervous systems
shear
the force exerted against the skin while skin remains stationary
presbycusis
age related hearing loss
deconditioning
involves physiological changes after a period of inactivity
joint contracture
an abnormal and possibly permanent condition characterized by fixation of a joint
ataxia
poor muscle control that causes clumsy involuntary movements
atelectasis
collapse alveoli
aphasia
varied degrees of inability to speak, interpret, or understand technology
vertigo
sensation of whirling and loss of balance
hemiparesis
one sided weakness
sensory deficit
deficit in the normal function of sensory reception and perception
factors that influence sensory functioning
- age
- meaningful stimuli
- amount of stimuli
- social interaction
- enviromental factors
- cultural factors
active listening
being attentive to what a patient is saying verbally and nonverbally
motivational interviewing
encourage patients to share their thoughts, goals, beliefs, fears, and concerns
therapeutic communication
specific responses that encourage the expression of feelings and ideas and convey acceptance and respect
close ended quee=stions
yes/no or one word responses
perceptual biases
perception skewed by out stereotypes and assumptions about others
receiver
receives and decodes message
open ended question
allow patients to take conversational lead and introduce info about a topic
sterotypes
oversimplified image or idea of a person or thing
sender
encodes and delivers message
health lteracy
cognitive and skills that determine the ability of individuals to gain access to , understand, and use info in ways that promote and maintain good health
teach back
closed loop communication that assess patient retention of the info given during teaching lesson
medical jargon
language used by healthcare profs to shorten and ease communcation
SBAR
Situation
Background
Assessment
Recommendation
pronouns
how someone wants to be referred
patient centered care
respect for patients, values, education, access, emotional support, involvement of friends/family, continuity
culture
is defined as the learned and shared beliefs, values, norms and traditions of a particular group, which guide out thinking, decisions, and actions
caring
is defined as a universal phenomenon influencing the ways in which people think, feel, and behave in relation to one another
empathy
ability to understand accept another person’s reality, accurately perceive feelings, and communicate this understanding to the other
culturally congruent care (transcultural care)
emphasizes need to provide care based on individual cultural beliefs, practices and values
cultural humility
the ability to understand, appreciate, and interact with persons from cultures or belief system other than your own
multifaceted healthcare
cultural desire
motivation of health care professional to want to engage in process of becoming culturally aware, knowledgeable, and skillful
Dr. Jean Watson
- treating people like people
- caring regenerates life energies
caring
listen
eye contact
advocate
getting to know
touch if applicable
Dr. Praticia Benner
know for book from novice to expert
advancement of teaching study
listened to nurses stories and analyzed
LEARN cultural assessment
listen explain acknowledge recommend negotiate
Dr Madeline Leninger
emphasized culture and caring
how to take care of people different that you
patient centered care
cultural preservation, accommodations, restructuring
Dr Kristen Swanson
patient centered care
caring for patient w empathy= comfort
nurse demonstrating care just as important as tasks
ethic of care
moral response based on professional caring
relationships with other nurses
linguistic competence
the ability to communicate effectively and convey info to be easily understood by diverse audiences
health disparities
particular type of health diff that is closely linked with social economic, or environment disadvantage
Social determinants of health (SDOH)
conditions in which people are born, grow, live, work, and age that affect health and quality of life
