Exam 1 part 2 Flashcards
what is pain?
whatever the patient says
what is somatic pain?
pain from bones, tendons, muscles
what is cutaneous pain?
pain perceived from the skin
what is visceral pain?
pain of the organs
what is reffered pain?
pain that originates somewhere but is felt somewhere else
what is the bodies response to pain?
increased vitals, gaurding, irritablility
what are factors that may change how a person perceives pain?
culture, environment, anxiety, past pain
what might you ask a patient about when it comes to pain?
the location, severity, quality, duration, aggravating factors, alleviating factors, and how they respond
what are values?
belief about the worth of something about a topic that acts as a standard guide to ones behavior
what are the professional values of nursing?
altruism, autonomy, human dignity, integrity, social justic
what does altruism mean?
caring for others and advocating when needed
what does human dignity mean?
respect them as a human and give them privacy and respect their values
what does social justice mean?
upholding moral, legal, and humanistic guidelines
what does autonomy mean?
the ability to let others make their own decesions
what does integrity mean?
the code of ethics, the rules that you must follow, what you do when no one is looking
what are ethics?
the systematic study of the principal of right and wrong
what are nursing ethics
the ethics as it relates to a job
what are morals?
what society has deemed right and wrong
what is the difference between morals and values?
values are ones personal opinions….whereas morals as set by society
what are the principles of bioethics?
autonomy, nonmaleficence, beneficence, justice, and fidelity
what does autonomy mean in bioethics?
give the patient the knowledge needed to make a good decesion
what does nonmmaleficence mean in bioethics?
do no harm
what does beneficence mean in bioethics?
do good with no expectation of getting anything in return
what does justice mean in bioethics?
treating everyone equaly, fairly, and appropriatley
what does fidelity mean in bioethics?
building trust with your patients
what are virtues?
things that we need to do to be good human beings
what are examples of virtues?
Competence
Compassionate caring
Subordination of self-interest to patient interest
Self-effacement
Trustworthiness
Conscientiousness
Intelligence
Practical wisdom
Humility
Courage
Integrity
who made the nursing bill of right?
American nurses association
what does moral injury mean?
when your values are broken
what is the care based approach?
approach to bioethics that directs attention to the specific situations of individual patients viewed within the context of their life narrative
what is a ethical dilemma??
situation that arises when attempted adherence to basic ethical principles results in two conflicting courses of action
what is moral agency?
ability to behave in an ethical way; to do the ethically right thing because it is the right thing to do
what is moral resilience?
developed capacity to respond well to morally distressing experiences and to emerge strong
what is values clarification?
process by which people come to understand their own values and value system
What are the five steps of making an ethical decision?
Assess the situation
Diagnose ethical problems
Plan
Implement Decesions
Evaluate you decesion
what are some examples of ethical problems in nursing?
Paternalism….acting like a parent
Deception
Privacy and social media
Confidentiality
Allocation of scarce resources
consent and refusal
unprofessional behavior
what is a law?
a standard or rule conduct established and enforced by the governmont
what are the sources of law
constitution, statutory law, administrative law, common law
what is constitutional law?
Federal and state constitutions indicate how the federal and state governments are created, and they give authority and state the principles and provisions for establishing specific laws. Although they contain relatively few laws (called constitutional laws), constitutions serve as guides to legislative bodies.
what is statutory law?
Statutory laws must be in keeping with both the federal constitution and the state constitution.
Nurse practice acts are an example of statutory laws
what is administrative law?
Boards of nursing are administrative facilities at the state level
what is common law?
law resulting from court decisions that is then followed when other cases involving similar circumstances and facts arise; common law is as binding as civil law
Most law involving malpractice is common law.
what is an expert witness?
nurse who explains to the judge and jury what happened based on the patient’s record and who offers an opinion as to whether the nursing care met acceptable standards of practice
what is acredidation?
the process by which an educational program is evaluated and then recognized as having met certain predetermined standards of education
what is assault?
threat or an attempt to make bodily contact with another person without that person’s permission`
what is battery?
assault that is carried out
what is credentialing?
general term that refers to ways in which professional competence is maintained
what is a defendant?
he one being accused of a crime or tort
what is litigation?
the action of a lawsuit
what is malpractice?
law resulting from court decisions that is then followed when other cases involving similar circumstances and facts arise; common law is as binding as civil law
what is negligence?
performing an act that a reasonably prudent person under similar circumstances would not do, or failing to perform an act that a reasonably prudent person under similar circumstances would do
what is nursing practice act?
law established to regulate nursing practice
Who makes nursing practice act?
State board of nursing
what is a whistle blower?
when someone turns someone in for doing something wrong
what is a tort?
intentional or unintentional acts of wrong doing
what are some intentional torts?
assault/battery, defemation, invasion of privacy, false imprisonment, and fraud
what is defamation?
an intentional tort in which one party makes derogatory remarks about another that diminishes the other party’s reputation; slander is oral defamation of character
what is slander?
spoken defamation
what is libel?
written defamtion
what is invasion of privacy?
violating hippa….sharing patient information
what is false imprisonment?
putting someone in a position they cant escape
what is fraud?
willful and purposeful misrepresentation that could cause, or has caused, loss or harm to people or property
what are the unintentional torts?
negligence, malpractice, and compitent practice
what does negligence mean?
performing an act that a reasonably prudent person under similar circumstances would not do, or failing to perform an act that a reasonably prudent person under similar circumstances would do
what is malpractice?
negligence of a medical professional
what is compitent practice?
careful documentation to prove it was done
what is the nurses role in informed consent?
make sure that it was signed, reitterate information that was already stated, and make sure not to give any new information
what percentage of nurses are dealing with drug problems?
1 in 10
what are some indications someone is having drug problems?
behavioral changes…performance, absences, bathroom breaks, arriving late or leaving early
physical changes
Repetitive errors
what are some examples of thinking like a nurse?
why am i doing it this way
would I be happy with the care that is being delivered
what are some examples of acting like a nurse?
primary concern is the patient
prioritize patient safety
learn how to advocate
living a healthy life so you can be prepared to work
what are some examples of feeling like a nurse?
take pride and joy
practice self compassion
recognize moral distress
what are some common professional nursing organizations?
American nursing association
National League of Nursing
American Association of College of Nursing
American Academy of Nursing
National Student Nurses Association
what does the American nursing association do?
Its primary mission is to advance the profession of nursing to improve health for all
do a lot of lobying
what does the National League of nursing do?
largest testing services for certs
what does the American Association of College of Nursing do?
Makes sure colleges have a quality education
what does the American Academy of Nursing do?
improve health and achieve health equity by impacting policy through nursing leadership, innovation, and science.
what does the national student nurses association do?
ostering the professional development of nursing students
what are standards of practice?
the scope the professional has
who makes the scope of practice for nurses?
state
what does the acronym stop mean?
Stop and take step back
Take a few deep breaths
Observe inside yourself
Procced after you pause
what is included in the 10 a day?
Get enough sleep
Eat
Vary your work
Exercise
Doing something pleasurable
focus on what you did well
learn from mistakes
laugh
Pray, meditate, relax
Support Colleagues
what are the parts of communication?
message, noise, channel, feedback
what is the message in communication?
erm used in communication theory to denote the actual physical product of the source or encoder (e.g., a speech, interview, phone conversation, chart)
what is noise in communication?
anything that interferes with hearing the message
what is the channel in communication
how the person communcated….phone…in person…text
what is the feedback in communication?
Confirmation of the message provides
