Exam 1 Flashcards

Refer to powerpoint for more info

1
Q

Florence Nightingale

*8 things

A
  • Educated for 3 months in Germany in a church-run hospital
  • Founder of modern nursing
  • Led nurses to Crimean War to care
    for wounded soldiers
  • Known as “The Lady of the Lamp”
  • Statistician/developed rose diagram
  • Improved sanitation in hospitals
  • Published “Notes on Nursing”
  • Established Florence Nightingale School for Nurses in St. Thomas London
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2
Q

Mary Seacole

*4 things

A
  • Jamaican healer/doctress
  • Offered her services to Florence Nightingale during Crimean War
  • Worked voluntary with her own resources
  • Recognized as a significant minority nurse
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3
Q

Dorothea Dix

  • 5 things
A
  • Author, teacher and social reformer
  • Best known reforming conditions of the mentally ill and prisoners
    *The Asylum Movement
  • Changed the publics perception of these vulnerable populations
  • During the civil war she was the superintendent of Nurses for the Union Army
  • After the war her effort to reform treatment of the mentally ill continued
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4
Q

Clara Barton

*9 things

A
  • Was a teacher – not a nurse
  • Cared for her brother which inspired her to care for others through teaching
  • Opened a free public school in 1852
  • Distributed food and medication supplies during the Civil War
  • Named head nurse without formal training
  • Worked for the International Red Cross in Europe
  • Founded the American Red Cross in 1881
  • Served as the first president for the American Red Cross
  • Founded the National First Aid Association of America in 1905
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5
Q

Mary Elizabeth Mahoney

*8 things

A
  • Graduated and worked at the New England Hospital for Women and Children
  • 16-month program, only 4 of the 42 students successfully made it through
  • First African American to earn a nursing license
  • Leader for the Howard Orphan Asylum for Black Children
  • First African American trained nurse in US
    Changed the face of nursing
  • Broke the barrier so minority nurses could be accepted into nursing school
  • Member of American Nurse Association (ANA)
  • 1908, co-founded National Association of Color Graduate Nurses (NACGN)
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6
Q

Lillian D. Wald

*9 things

A
  • Graduate of New York Hospital School of Nursing – 1891
  • Wealthy woman with social conscience
  • Worked in mental hospital for a year after graduating nursing
  • Decided to go to Med school at Woman’s Medical College
  • Sent on home visit which changed her life
  • Quit medical school
  • Founded Henry Street Settlement with Mary Brewster
  • First public health nurse
  • Devoted her life to public health and a vision of a better world
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7
Q

Loretta Ford

*5-8 things

A
  • Attended nursing school at the University of Colorado
  • Worked as a nurse for US military
  • Served on several different bases during WWII
    *Recognized:
    - Shortages of pediatricians and family
    practices
    - Lack of rural and urban healthcare
    - Rise in healthcare costs
  • Started the first nurse practitioner program in the U. S. beside Dr. Henry Silver
  • Life longer learner, BSN, MSN, FNP, DNP, Certified public health nurse
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8
Q

Mary Ann Nutting

*3-7 things

A
  • Graduate of the first class of the Johns Hopkins Hospital School of Nursing in 1891
  • While at Johns Hopkins Nutting:
    - Expanded the curriculum in the school
    of nursing from 2-3 years
    - Added a preclinical training period
    - Limited the number of hours nursing
    students could work
    - Established a professional and
    historical library at the school
  • After the Spanish American War, assisted in establishing the Army Nurse Corps
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9
Q

Linda Richards

*9 things

A
  • Graduated from the New England Hospital
    for Women and Children Training school
    for nurses
  • Credited as the first trained nurse in
    America
  • Reorganized the nursing program at the
    New England Hospital for Women and
    Children
  • She rallied against physician opposition in
    the training of nurses
  • Mentored by Florence Nightingale
  • Contributed to the creation of the first
    written patient reports
  • Created night shift nursing
  • Started Japan’s first nursing program
  • Started nursing programs across US:
    Pennsylvania, Michigan, Massachusetts
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10
Q

Who was the founder of Modern Nursing?

A

Florence Nightingale

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11
Q

Who was responsible for establishing the American Red Cross?

A

Clara Barton

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12
Q

Who helped establish the Henry Street Settlement?

A

Lillian Wald

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13
Q

What type of people delivered care to the ill during the transformation period?

A

Poor, Prostitutes

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14
Q

Who was the first African American Nurse in the U.S.?

A

Mary Elizabeth Mahoney

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15
Q

Who advocated for the mentally ill and started the Asylum movement

A

Dorothea Dix

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16
Q

What is stress?

A

A process beginning with an event that evokes a degree of tension or anxiety

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17
Q

Types of Stress

A

Acute & Chronic

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18
Q

Sources of Stress

A
  • School
  • Work
  • Family
  • Daily responsibilities
  • Trauma
  • Crisis
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19
Q

What effects does stress have on the body?

A

As stress increases…. So does one’s risk for:
- Infection
- High blood pressure
- Heart disease
- Obesity
- Diabetes
- Cancer

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20
Q

What are some positive ways to manage stress?

A

Relaxation – take “mini-breaks”

Meditation – deep state of relaxation

Guided imagery – concentration on
mental image to decrease awareness of stressful situations

Nutrition – Obesity & malnutrition are major sources of stress

Exercise – physical exertion provides stress relief

21
Q

What is anxiety?

A

A feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome.
- Universal
- Unpleasant
- Symptoms
* Physiological
* Psychological
* Cognitive

22
Q

What are some positive ways to manage anxiety?

A
  • Talking with others
  • Cooking, sewing, hobbies
  • Walking, running, swimming
  • Relaxation, meditation
  • Crying, laughing, sleeping
  • Limiting relationships to those with
    similar values and interests
23
Q

Ego Defense Mechanisms (ESCAPE)

A

Repression - Involuntary blocking of unpleasant feelings

Denial - Refusing to acknowledge the existence of a real situation or the feelings associated with it

Regression - Retreating to an earlier level of development in response to stress

24
Q

What are Ego defense mechanisms?

A

unconscious psychological processes that help an individual cope with anxiety resulting from a stressful internal or external environment.

25
Q

Ego Defense Mechanisms (COMPROMISE)

A

Rationalization -Attempting to make excuses

Sublimation - Rechanneling of drives to socially acceptable ones (MADD)

Displacement - The transfer of feelings from one target to another that is considered less threatening

26
Q

What is compassion fatigue and how does it affect nurses at the bedside?

A

*Refers to the experience of any empathetic individual who is acutely conscious of societal needs but feels helpless to solve them.

Compassion fatigue effects:
- Secondary traumatic stress (STS)
- Burnout (BO)

27
Q

How does a nurse demonstrate caring for others?

A

Nurses show they care through:
- Presence
- Listening
- Touch
- Knowing the patient

28
Q

What is burnout?

A
  • Results from excessive and prolonged stress
  • A state of emotional, mental, and physical exhaustion
  • Feelings of a sense of hopelessness; that things will not get better
  • Loss of a sense of personal identity
  • Feelings of failure
29
Q

What behaviors reflect burnout?

A
  • Absent or late to school or work
  • Loss of motivation occurs
  • Can lead to detachment and
    depression
  • Cynicism
    *The feeling of being drained and
    having nothing more to give
30
Q

Hans Selye’s General Adaptation Syndrome-Theory of Stress
* What are the three phases?

A

Three phases:
Alarm: CNS is aroused; fight-or-flight response; hormones released

Resistance/Adaptation: occurs if the stress remains, cortisol activity is still increased, the body attempts to compensate

Exhaustion: endocrine activity continues and the body will fail if exposure to the stressor is prolonged

31
Q

Alberta Bandura: Self-Efficacy Theory

A

Self-Efficacy is the belief that one has the power /capacity to execute behaviors necessary to produce specific performance attainment

32
Q

Patricia Benner’s Theory: Novice to Expert: 5 Stages of Nursing Competence

A
  1. Novice
  2. Advance Beginner
  3. Competent
  4. Proficient
  5. Expert
33
Q

Jean Watson’s Transpersonal Caring

A

humans are to be valued, cared for, respected, nurtured, understood, and assisted

(care before cure)

34
Q

Madeleine Leininger’s Transcultural Caring

A

similarity and differecnces between cultures

35
Q

Kristen Swanson’s Theory of Caring

A

identified five caring processes and defined caring as “a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility

36
Q

Communication

A
  • Channels: Auditory,
    Visual,
    Kinesthetic (touch)
  • Reciprocal
  • Requires Feedback
  • Distractors
37
Q

Forms of communication: Nonverbal

A
  • Body language
  • touch
  • eye contact
  • facial expression
  • posture (slouching -> bored/depressed, etc.)
  • gait
  • gestures
  • silence (reflection) !!!!!
  • sounds
  • mode of dress
  • general physical
    appearance (you are what
    you wear)
38
Q

Electronic Communication:

A

*be careful of what you post!

Social Media
Email
Text

*Remember: Privacy, Confidentiality, Posting, HIPPA

39
Q

Levels of Communication

name 6!

A

*Intrapersonal: Self talk “ I can do this”

*Interpersonal: Between two or more people (close contact)

*Group communication: Small group and organizational

*Small Group: Nurses interact with 2 or more people

*Organizational: Groups within an organization

*Group dynamics: process of working together

40
Q

Factors Influencing Communication

name 9!

A

*Developmental Level: stages of development, neurologic, and cognitive

*Biological sex: Men and women communicate differently

*Sociocultural differences: Language, organization

*Roles and responsibility: Occupations/don’t stereotype

*Space and Territoriality: Can influence nurse-patient relationship

*Zones: Intimate, Personal, Social, Public

*Values: Things you believe in

*Environment: How you learn to communicate

*Physical, Mental, and Emotional state

41
Q

Documentation

A

Written communication between healthcare workers

42
Q

Handoff Communication

A

SBAR (joint commission recommendation is SBAR)
- Situation
- Background
- Assessment
- Recommendation

43
Q

Promote Effective Communication in the Helping Phase

A
  • Disposition trait
  • Warmth and friendliness
  • Openness and respect
  • Empathy
  • Honesty, Authenticity, and Trust
  • Caring
  • Competence
44
Q

Rapport Builders

A
  • Facilitates open communication
  • Specific objectives
  • Comfortable Environment
  • Privacy
  • Confidentiality
  • Patient versus task focus
  • Optimal pacing
45
Q

Developing Therapeutic Communication Skills

A
  • Conversation skills: Control of your voice,
    Knowledgeable, flexible, and truthful
  • Listening skills: Sit, relax, alert, Pay
    attention
  • Touch: Powerful
  • Humor: Healing
46
Q

Assertive vs. Aggressive

A

*Assertive is standing up for yourself and
focus on the issue not the person

*Aggressive: forcing your opinion/
negative/uncivil

47
Q

Responding to Disruptive Communication

A
  • education
  • zero tolerance
  • accountability
  • train leaders
  • reporting systems
  • emphasis on documentation
  • ANA: Nurses and employers have an ethical, moral, and legal responsibility to create a healthy and safe work environment
48
Q

Impaired Communication

What contributes to this?
*name 5 things

A
  • Visual
  • Hearing
  • Physical barriers
  • Unconscious
  • Do not speak English
49
Q

Patient-Centered Care

A
  • Holistic
  • Taking care of patient and family
  • Clinical reasoning
  • Effective communication
  • Handout on PCC
  • Partnership between the health care provider and the patient and family