exam 1 Flashcards
What are the “code of ethics”
The Code of Ethics assists a nurse with ethical decision making, by incorporating the nurse’s value system, duties, obligations to the client, and the calls to uphold professional ideals.
- Is developed by the ANA, this document outlines the rules for nurses about client privacy, nursing conduct, and nursing behaviors to protect clients and the profession
some examples of not following the code of ethics
Some examples of not following breach of confidentiality, falsification of records, misusing drugs, practicing outside of their scope, etc.
What are the different roles/competencies a nurse may assume? For each one, try to think of an example of what a nurse might do to carry out that role.
o Care provider – nurses have been educated to provide knowledgeable, compassionate care to promote and address illness. An effective care provider communicates and works well with the client and other coworkers and is a strong advocate for the needs of the clients and their families.
o Care manager – in this role the nurse works with the client, the family, and the health care team to ensure that the client receives all needed services. Care managers often figure out what the client needs during their stay and what will help them to go home. In this role they will also help with things the client needs once they go home.
o Researcher – all nurses have a role in research and utilize research to provide evidence-based care. In this role the nurse must be able to develop nursing knowledge by conducting research and publishing the results. The nurse researchers are responsible for designing scientific research to answer pertinent questions about an intervention or the client’s feelings and/or experiences with their situation.
o Educator – client education is a critical part of medical intervention, and educating clients increases their knowledge which empowers them to get better and advocate for themselves.
o Manager – this is an assigned role which is the person who is formally responsible for the team of nurses on the unit and has a large impact on the team’s job satisfaction.
o Change agent – this is a nurse who brings innovation for improvement through knowledge, critical thinking, objectivity, and practice. They use EBP to help nurses and other workers to see that change can be for the better and based on research.
some current issues being faced in nursing
o Nursing staff shortages, burnout and mental health, workplace safety (the risks that nurses face every day, and having workplace safety measures in place needs to be better), bad nurse-patient ratios, lack of advocacy for higher wages and benefits, the aging nursing workforce
What is health literacy? How would we know a patient demonstrates health literacy? Why is this an important concept?
Health literacy is the capacity to obtain, communicate, and understand basic health information and services so as to make appropriate health decisions.
- There are a few ways a patient can demonstrate this including, showing an understanding of medical instructions, being an active participant in discussions, the ability to understand and use health information and being able to navigate the healthcare system, being knowledgeable and being able to make their own healthcare decisions.
- This is an important concept because without it, it can easily lead to poor health outcomes
how does the ANA define nursing
- protecting, promoting, and advancing clients’ health
- averting illness and injuries through health promotion
- using the nursing process to facilitate the clients; recovery from illness or injury
- being able to minimize or eliminate the clients’ suffering
advocating for the care and health of the client, family, or community
what are the standard of practice
- It forms a solid foundation for a nurse’s practice. It provides the nurse with a clear definition of the complex and dynamic role of the nurse and the expectations of the nurse in that role.
- It has explanatory statements that describe a competent level of care and the level of professionalism that all nurses should achieve.
What is the difference between the Board of Nursing and the Commission on Collegiate Nursing Education (CCNE)?
- The Board of Nursing is the regulatory body that oversees the practice of nursing in a specific state of jurisdiction. Its primary responsibility is to ensure that all nurses can meet the required standard of practice and education to protect the public health and safety.
- CCNE – is the accrediting body that evaluates and accredits nursing programs at the baccalaureate, graduate, and doctoral levels. has a large focus on ensuring the programs need high standards to prepare the nurses effectively for practice.
- The big difference is the board of nursing oversees licensure and regulating practice and CCNE oversees accreditation of programs.
Understand the Quality and Safety Education for Nursing (QSEN) Competencies
Is a set of nursing competencies and proposed targets for the knowledge, skills, and attitudes that all prelicensure nursing students should have attained by entry to the practice.
the six QSEN competencies
The six QSEN competencies are patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.
Rules/regulations regarding applying for nursing license and license renewal
The applicant must disclose any history of a criminal record, any condition or impairment affecting safe practice, and any action that has been taken previously against any professional license, registration, or certification. For most renewals they have to confirm the number of hours spent on continuing education and the number of hours spent on practice hours.
Understand what the Nurse Licensure Compact is.
This is an agreement by state licensing boards that allows a nurse to practice in any state that has adopted the compact under one license.
- Like having a drivers license in one state but being able to drive in any in the United States.
the steps of the nursing process
o Assessment – client assessments including vital signs, health history, subjective information, and objective data
o Analysis/diagnosis – when you analyze all the information found in the assessment. Determining priorities of the patient and determining implications of the findings in all possible situations.
o Planning – when the RN develops the plan of care which will include client outcomes and appropriate options for nursing interventions.
o Implementation – the nurse will provide comprehensive care and implement teaching plans to lead to better outcomes and a better care plan.
o Evaluation – the nurse will evaluate the clients’ responses to care, revise the care plan based on client responses, and initiate referrals to facilitate continuity of care.
Understand the concepts/definitions of clinical judgment and critical thinking
Clinical judgment – the visible or observed outcome of critical thinking and decision making
- Clinical judgment action model – recognize cues (assessment), analyze cues (analysis), prioritize hypothesis (analysis), generate solutions (planning), take actions (implementation), evaluate outcomes (evaluation)
Critical thinking – the skill of learning to analyze and interpret data to solve a problem to achieve a desired outcome.
What are some tasks that a nurse could or couldn’t delegate to an assistive personnel (AP)?
Wound care, assessment of different body systems, assessment of urine or stool, administration of medications
