Exam 1 Chapter 1 and 16 Flashcards
what is a nurses role?
respond to patients needs and actively participate in determining practices
Florence Nightingale
- first practicing epidemiologist
- organized the first nursing school of London
- improved situations in battlefield
- practices remain a basic part of nursing today
Clara Barton
founder of The Red Cross
Mother Bickerdyke
organised ambulance services
Harriet Tubman
prominist female in the underground railroad movement, helped to free slaves
Mary Mahoney
- first professionally trained African american nurse
- brought about respect for all cultures
Lillian Wald and Mary Brewster
- opened the henry street settlemen in 1893
- provided health needs for poor people in NYC
What are some changes from the 20th to the 21st century in nursing?
- movement toward research based practice and defined body of knowledge
- change in nursing school curriculum
- advanced in technology
- new programs addressing current heath concerns such as nursing shortages, and improving the health of the worlds population
- addressing the needs of the population of now and in the future
what is the affordable car act (ACA)
affecting how health care is paid for and delivered
trends in nursing
- evidence based practice
- quality and safety education for nurses
- impact of emerging technologies
- Genomics
- public perception of nursing
- impact of nursing on politics and health policy
novice stage of nursing
nursing student, nurse entering a position with no experience
advanced beginner stage of nursing
some level of experience
competent stage of nursing
two to three years of the same clinical experience
proficient stage of nursing
more than two to three years of experience in the same clinical position
expert stage of nursing
diverse experience, takes time and commitment
Scope and standards of practice goal
to improve the health and well being of all individuals, communities, and populations through the significant and visible contributions of registered nursing using standard base practice
what are the six standards of practice?
assessment diagnosis outcomes identification planning implantation evaluation
professional roles and responsibilities of nursing
autonomy accountability caregiver advocate educator communicator manager
essential nursing skills
time management
therapeutic communication
patient education
compassionate implementation of bedside skills
what are the two stages of assessment
- collections and verification of data (asking patient, family…)
- analysis of data (help to create a nursing diagnosis and plan of care)
what are some sources of data?
- patient
- family or significant other
- heath care team
- medical records
- scientific literature
what information goes into the data base
- all information obtained
- patients needs, health problems and responses to those problems
what different types of data are there?
- subjective (patient verbally describes their health problems
- objective (observations or measurements of a patients health status)
what are the three phases of interview?
- orientation (introducing your self, position, and explain purpose of interview)
- working phase (listening, gathering information)
- termination (summarizing the discussion)
What is a care plan?
- Provides direction for individualized care of the client
- Follows from each patient’s unique assessment and organized by the patient specific needs
- means for a communication and organizing actions of consistently changing nursing staff (as needs are met plan is updated)
What are the components of care plan?
Client database, interviewing, physical assessment, diagnostic studies
(Must complete a thorough assessment of client and their problems to create a plan)
What is the area of concern that nurses country/prevent/monitor?
Diagnosis (identify the problem or need of specific patient)
What is the appropriate go for the patient?
Outcome/goal (outcomes are a result of an achievable nursing intervention and client response)
What treatment is most effective?
Intervention(how can the nurse intervene to achieve the expected outcome)
What is a medical diagnosis?
Do use with a specific disease or medical condition
What is a nursing diagnosis?
Deals with the human response to an actual or potential health problems in life processes
Factors of a nursing diagnosis
- more holistic understanding of the impact of a condition on a particular patient and his/her family
- Distinguish his nurse is role from a physician’s role
- help nurses focus on the scope of nursing practice
- Foster the development of nursing knowledge
- provides information that gives all members of the healthcare team a common language for understanding patient’s needs
What does NANDA-I stand for
North American nursing diagnosis organization international
What is NANDA-I
Professional organization of nurses involved in creating approved standardized nursing diagnoses
Also used for approved nursing diagnosis is to create care plan
The diagnostic process requires you to use what?
Critical thinking
Helps to be through comprehensive and accurate when identifying nursing diagnosis is that apply to your patients
W The diagnostic reasoning process involves what?
Using the assessment data gathered about a patient to logically explain a clinical judgment of a nursing diagnosis
Common NANDA-I nursing diagnoses
Acute pain, activity intolerance, anxiety, impaired gas exchange, impaired skin integrity, impaired physical mobility, decreased cardiac output, deficiency fluid volume
Prioritizing diagnoses
- A, B, C’s
- Maslow’s (physiological, safety, love, esteem, self actualization
