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
International council of nurses (ICN) FEDERATION
~ More that 130 national nurses’ associations ~ Represents 28 million nurses worldwide ~ Operated by nurses
26
Standards of practice: The nursing process ASSESSMENT
The RN systematically collects pertinent and information relative to the patient’s health and/or situation
27
Standards of practice: The nursing process ANALYSIS
The RN analyzes the assessment data to determine the actual or potential problems and issues
28
PLANNING Standards of practice: The nursing process
The RN develops a plan that prescribes strategies to attain expected, measurable outcomes
29
IMPLEMENTATION Standards of practice: The nursing process
The RN implements the identified plan - Actions: Coordinates care delivery Employs strategies to promote health and a safe environment
30
EVALUATION Standards of practice: The nursing process
The RN evaluates progress toward attainment of outcomes
31
AUTONOMY Nursing concepts and roles
-Essential element -Initiation of independent nursing interventions without medical orders
32
ACCOUNTABILITY Nursing concepts and roles
-Professionally & legally answerable for the type and quality of nursing care provided
33
CAREGIVER nursing concepts and roles
-Assists patients + regain health through healing process +attain maximum level of functioning +meet needs -physical, emotional/social, spiritual
34
ADVOCATE concepts and roles
- PROTECTS the patient’s human and legal rights - Assists the patient to assert those rights when necessary
35
EDUCATOR
-Formal or informal -Utilizes methods that are the patient’s preferences -incorporates family
36
COMMUNICATOR nursing concepts and roles
-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
MANAGER nursing concepts and roles
-Provides for COLLABORATIVE PATIENT-CENTERED CARE -safe, quality, positive pt outcomes -Coordination of unit or facility staff, policy,and budgetary responsibilities
38
Benner’s stages of nursing proficiency NOVICE
EXPERIENCE -onset of education [-student [-nurse in a new practice field
39
Benner’s stages of nursing proficiency NOVICE
CHARACTERISTIC -Inexperienced -Task-oriented -“Learning the rules”
40
Benner’s stages of nursing proficiency ADVANCED BEGINNER
Experience: NEW GRAD
41
Benner’s stages of nursing proficiency ADVANCED BEGINNER
Characteristics -identifies meaningful aspects of nursing care -works to acquire in-depth experience
42
Benner’s stages of nursing proficiency COMPETENT
Experience: 2-3 years of experience
43
Benner’s stages of nursing proficiency COMPETENT
CHARACTERISTICS - Focuses more on situations rather than tasks - Anticipates nursing care and long-range goals
44
Benner’s stages of nursing proficiency PROFICIENT
Experience - > 2-3 years of experience in the same clinical position
45
Benner’s stages of nursing proficiency PROFICIENT
CHARACTERISTICS -SEES the situation as a “whole” -MANAGES care as opposed to preforming skills -Can ASSIST newer nurses
46
Benner’s stages of nursing proficiency EXPERT
EXPERIENCE -Diverse skills and knowledge -Several years of experience
47
Benner’s stages of nursing proficiency EXPERT
CHARACTERISTICS -RECOGNIZES what is needed before conditions worsen -WELL-DEVELOPED nursing intuition -DETERMINES patient-centered care problems
48
Specific skills of RN
-Assessment -Care planning -Implementation of provider’s orders -IV medications/blood admin -pt education
49
Nursing: Expanded career roles
-nurse educator -nurse administrator -nurse researcher -nurse informatics -nurse entrepreneur
50
Advance practice RNs
-clinical nurse specialist (CNS) -certified nurse practitioner (NP, FNP,PNP,WHNP) -CERTIFIED RN ANESTHETIST (CRNA) -CERTIFIED nurse midwife (CNM)
51
Advanced practice RN
Prescriptive authority & treatment -The APRN uses prescriptive authority, procedures,referrals, treatment, and therapies in accordance with state and federal laws and regulations
52
APRNs
-patients cared for APRNs show better patient outcomes -increased patient understanding and cooperation w/ treatments -decreased need for hospitalizations
53
Contemporary influences on Nursing
-Nurses’ self-care -Health care reform and costs -Demographic changes -Medically underserved
54
Trends in Nursing
-Evidenced based practice -Quality & safety education for nurses -Impact of emerging technologies -Genomics -Public perception of nursing -Impact of nursing on politics & health policy