Exam 1 Flashcards

1
Q

What is the focus of nursing practice?

A

Patient – center of your practice

Includes individuals, families, and/or communities. Patients have a variety of health needs.

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2
Q

Who is considered the founder of Modern Nursing?

A

Florence Nightingale

1820-1910, born in Florence, Italy, grew up in England.

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3
Q

What are the three formal education tracks for registered nurses?

A
  • Diploma
  • Associate Degree
  • Baccalaureate Degree
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4
Q

What types of degrees can registered nurses pursue for graduate education?

A
  • Master’s Degrees
  • Doctoral Degrees (PhD, DNP, DNS)
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5
Q

What does the nursing process include as per the American Nurses Association?

A
  • Assessment
  • Analysis
  • Planning
  • Implementation
  • Evaluation
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6
Q

Define accountability in nursing.

A

Professionally and legally answerable for the type and quality of nursing care provided.

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7
Q

What is the role of a caregiver in nursing?

A

Assists patients to regain health through the healing process and meet their needs (physical, emotional/social, spiritual).

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8
Q

What is the primary function of the Texas Board of Nursing?

A

Oversees the practice and function of nurses utilizing the state’s Nurse Practice Act (NPA).

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9
Q

What is Benner’s Stages of Nursing Proficiency?

A

A model that describes 5 levels of proficiency from Novice to Expert in nursing.

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10
Q

What are the career opportunities available for nurses?

A
  • Medical-Surgical
  • Specialty care (Obstetrics, Pediatrics, Critical care)
  • Emergency care
  • Peri-operative
  • Psychiatric
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11
Q

True or False: The American Nurses Association provides standards of professional nursing practice.

A

True

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12
Q

Fill in the blank: The _______ integrates the art and science of caring in nursing.

A

Nursing

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13
Q

What is the primary goal of the International Council of Nurses (ICN)?

A

Advocate for quality nursing care for all.

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14
Q

What does the RN: Employee Code of Conduct provide?

A

Guidelines that influence an employee’s actions in an organization.

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15
Q

What are the contemporary influences on nursing?

A
  • Nurses’ self-care
  • Health care reform and costs
  • Demographic changes
  • Medically underserved
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16
Q

What is evidenced-based practice in nursing?

A

A trend that emphasizes the use of current best evidence in making decisions about patient care.

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17
Q

List some professional nursing organizations.

A
  • National League for Nursing (NLN)
  • National Student Nurses Association (NSNA)
  • Practice Specialty Nursing Organizations
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18
Q

What is the purpose of health care advocacy groups?

A

Support preparation of a professional workforce in a changing health care system.

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19
Q

What does the Magnet model promote?

A

Nursing excellence.

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20
Q

What is nursing: as an art

A

Delivering care with compassion, caring and respect for each patient’s dignity and individuality

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21
Q

What is nursing: as a science

A

Nursing is based on a body of knowledge and evidence based practice that are continually changing

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22
Q

What is nursing: as an art and a science combined:

A

Nursing care provided is at the highest standards and benefits patients and families

23
Q

Nursing as a calling

A

A strong inner impulse toward a particular course of action specially when accompanied by conviction or divine influence

24
Q

International council of nurses (ICN) ADVOCATE

A

~ Quality nursing care for all
~ Sound health policies
~ Advancement of nursing knowledge

25
Q

International council of nurses (ICN) FEDERATION

A

~ More that 130 national nurses’ associations
~ Represents 28 million nurses worldwide
~ Operated by nurses

26
Q

Standards of practice: The nursing process ASSESSMENT

A

The RN systematically collects pertinent and information relative to the patient’s health and/or situation

27
Q

Standards of practice: The nursing process ANALYSIS

A

The RN analyzes the assessment data to determine the actual or potential problems and issues

28
Q

PLANNING Standards of practice: The nursing process

A

The RN develops a plan that prescribes strategies to attain expected, measurable outcomes

29
Q

IMPLEMENTATION Standards of practice: The nursing process

A

The RN implements the identified plan
- Actions:
Coordinates care delivery
Employs strategies to promote health and a safe environment

30
Q

EVALUATION Standards of practice: The nursing process

A

The RN evaluates progress toward attainment of outcomes

31
Q

AUTONOMY Nursing concepts and roles

A

-Essential element
-Initiation of independent nursing interventions without medical orders

32
Q

ACCOUNTABILITY Nursing concepts and roles

A

-Professionally & legally answerable for the type and quality of nursing care provided

33
Q

CAREGIVER nursing concepts and roles

A

-Assists patients
+ regain health through healing process
+attain maximum level of functioning
+meet needs
-physical, emotional/social, spiritual

34
Q

ADVOCATE concepts and roles

A
  • PROTECTS the patient’s human and legal rights
  • Assists the patient to assert those rights when necessary
35
Q

EDUCATOR

A

-Formal or informal
-Utilizes methods that are the patient’s preferences
-incorporates family

36
Q

COMMUNICATOR nursing concepts and roles

A

-CENTRAL TO NURSE-PATIENT RELATIONSHIP as well as advocacy
-Allows the nurse to identify the needs to their patients
-Utilized with patients, families, colleagues,and the community

37
Q

MANAGER nursing concepts and roles

A

-Provides for COLLABORATIVE PATIENT-CENTERED CARE
-safe, quality, positive pt outcomes
-Coordination of unit or facility staff, policy,and budgetary responsibilities

38
Q

Benner’s stages of nursing proficiency NOVICE

A

EXPERIENCE
-onset of education
[-student
[-nurse in a new practice field

39
Q

Benner’s stages of nursing proficiency NOVICE

A

CHARACTERISTIC
-Inexperienced
-Task-oriented
-“Learning the rules”

40
Q

Benner’s stages of nursing proficiency ADVANCED BEGINNER

A

Experience: NEW GRAD

41
Q

Benner’s stages of nursing proficiency ADVANCED BEGINNER

A

Characteristics
-identifies meaningful aspects of nursing care
-works to acquire in-depth experience

42
Q

Benner’s stages of nursing proficiency COMPETENT

A

Experience: 2-3 years of experience

43
Q

Benner’s stages of nursing proficiency COMPETENT

A

CHARACTERISTICS
- Focuses more on situations rather than tasks
- Anticipates nursing care and long-range goals

44
Q

Benner’s stages of nursing proficiency PROFICIENT

A

Experience
- > 2-3 years of experience in the same clinical position

45
Q

Benner’s stages of nursing proficiency PROFICIENT

A

CHARACTERISTICS
-SEES the situation as a “whole”
-MANAGES care as opposed to preforming skills
-Can ASSIST newer nurses

46
Q

Benner’s stages of nursing proficiency EXPERT

A

EXPERIENCE
-Diverse skills and knowledge
-Several years of experience

47
Q

Benner’s stages of nursing proficiency EXPERT

A

CHARACTERISTICS
-RECOGNIZES what is needed before conditions worsen
-WELL-DEVELOPED nursing intuition
-DETERMINES patient-centered care problems

48
Q

Specific skills of RN

A

-Assessment
-Care planning
-Implementation of provider’s orders
-IV medications/blood admin
-pt education

49
Q

Nursing: Expanded career roles

A

-nurse educator
-nurse administrator
-nurse researcher
-nurse informatics
-nurse entrepreneur

50
Q

Advance practice RNs

A

-clinical nurse specialist (CNS)
-certified nurse practitioner (NP, FNP,PNP,WHNP)
-CERTIFIED RN ANESTHETIST (CRNA)
-CERTIFIED nurse midwife (CNM)

51
Q

Advanced practice RN

A

Prescriptive authority & treatment
-The APRN uses prescriptive authority, procedures,referrals, treatment, and therapies in accordance with state and federal laws and regulations

52
Q

APRNs

A

-patients cared for APRNs show better patient outcomes
-increased patient understanding and cooperation w/ treatments
-decreased need for hospitalizations

53
Q

Contemporary influences on Nursing

A

-Nurses’ self-care
-Health care reform and costs
-Demographic changes
-Medically underserved

54
Q

Trends in Nursing

A

-Evidenced based practice
-Quality & safety education for nurses
-Impact of emerging technologies
-Genomics
-Public perception of nursing
-Impact of nursing on politics & health policy